患者男，68岁，3年前发生急性心肌梗死，保守治疗好转。阵发性夜间呼吸困难一周来诊。查

发布时间：2017-08-27 05:17 │ 来源：www.tikuol.com

题型：单项选择题共用题干题

问题：

患者男，68岁，3年前发生急性心肌梗死，保守治疗好转。阵发性夜间呼吸困难一周来诊。查体：血压120/70mmHg，两肺下野可闻及水泡音，心界向左下扩大，HR110次/分，心尖部2级收缩期杂音，双下肢水肿。

该患者一直应用地高辛及利尿剂，一天发生腹泻后出现心动过缓，心率48次/分，BP95/60mmHg，心电图示Ⅱ度房室传导阻滞，应该（）

A.应用甲氧明

B.植入临时起搏器

C.停用地高辛，应用苯妥英钠

D.应用阿托品

E.停用地高辛，补钾

F.应用异丙肾上腺素静滴

考点：山东住院医师内科Ⅰ阶段实践技能实践技能题库

题型：单项选择题共用题干题

对于交通、教育等支出项目，在衡量和提高财政支出效益时应采取的方法是（）。

A.“成本-效益”分析法

B.投入产出评价法

C.最低费用选择法

D.“公共劳务”收费法

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    This little story I'm about to tell you happened when I was 11 years old, and I'll never forget it.
     It was at my friend Jenny's house after   1 one day, and we were doing our homework. While I was
there, a friend of Jenny's mom came over to   2   I didn't know her name or   3 what her face looked
like. I just   4 her hands, her voice and the lesson I   5 from her.
     I can't forget that she   6 her hands to introduce herself. It was so   7 , I thought, rich fine skin; then I
heard her saying, "Oh no, that is not   8   you shake hands. Let me teach you." She didn't do that at all in
a condescending (屈尊的) manner.  9 that, I just remember her voice explaining the   10   of a good
handshake of conveying (传达) a   11 sense of self-belief, of looking the other person in the eyes, and
of making a warm  12 . Hearing her friendly words, I first understand what being   13 meant.
     I admired her for  14   time to teach me about one of the important things in life. I was grateful for her
not talking down to me   15   I was 11 and didn't know much. I also felt somewhat admired by the way
she   16 me. It felt good to be talked to as a(n)   17   , rather than as an 11-year-old child. I also   18
her telling me that if someone isn't aware of something you should show him or her the right direction;
don't be afraid to   19   your knowledge.
     I think of her every time I meet someone  20 , and I'm so thankful for her little lesson.

( )1. A. breakfast
( )2. A. read
( )3. A. even
( )4. A. watch
( )5. A. learned
( )6. A. raise d up
( )7. A. pale
( )8. A. whom
( )9. A. After
( )10. A. necessity
( )11. A. weak
( )12. A. friend
( )13. A. respected
( )14. A. having
( )15. A. when
( )16. A.  treated
( )17. A. boy
( )18. A. hated
( )19. A. test
( )20. A. healthy

B. work
B. check
B. certainly
B. remember
B. selected
B. hung up
B. beautiful
B. why
B. Before
B. style
B. positive
B. voice
B. noticed
B. taking
B. but
B. protected
B. student
B. minded
B. share
B. smart

C. sleep
C. visit
C. ever
C. hold
C. wanted
C. reached out
C. rough
C. when
C. During
C. importance
C. different
C. heart
C. served
C. arranging
C. because
C. encouraged
C. teacher
C. appreciated
C. increase
C. familiar

D. school
D. live
D. simply
D. seize
D. discovered
D. put out
D. small
D. how
D. Through
D. rule
D. special
D. atmosphere
D. praised
D. keeping
D. so
D. required
D. adult
D. understood
D. control
D. new

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题型：单项选择题共用题干题

保证压力容器安全运行（巡回检查）的三大要素是什么？

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题型：单项选择题共用题干题

说明对象阐述有误的一项是[ ]

A、《大自然的语言》说明对象是大自然的语言。

B、《山市》的作者是清代蒲松龄，文中描述的是山中蜃境。

C、《化石吟》是赞颂会讲话的奇异的化石的。

D、《月亮上的足迹》说明的是美国宇航员在月球上留下的足迹。

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题型：单项选择题共用题干题

产时窒息的紧急治疗措施首先是()

A．弹足底，刺激呼吸

B．吸氧

C．人工呼吸

D．注射呼吸兴奋剂

E．清除呼吸道分泌物

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