患者男性,72岁,因颈、右肩臂、手指麻痛2年,加重伴下肢无力3个月,以混合型颈椎病收

题型:多项选择题 案例分析题

问题:

患者男性,72岁,因颈、右肩臂、手指麻痛2年,加重伴下肢无力3个月,以混合型颈椎病收住院,影像学检查发现颈椎管狭窄、椎间盘突出、相应神经根和脊髓受压明显。拟行颈椎前路椎间盘切除和脊柱融合内固定术。提示:患者颈椎后伸极度受限;患高血压病20余年,不规律服用降压药,血压控制不稳定,收缩压最高可达210mmHg,入院时血压195/115mmHg,房颤,心室率120次/分,心脏超声示左房内有血栓可疑,伴中度二尖瓣关闭不全,EF值53%;心功能Ⅲ级;有慢性支气管炎病史20余年,近日患感冒,咳嗽、咳痰、气喘严重,呼吸功能测定示重度阻塞性通气功能障碍;半年前患"脑梗",现已基本恢复;空腹血糖13.4mmol/L(240mg/dl)。

提问:对于该患者下列哪些是正确的()

A.暂缓手术,待血压控制至160/110mmHg、心室率100次/分以下时再考虑手术

B.该患者的ASA分级为Ⅱ级

C.暂缓手术,积极治疗急性呼吸道感染,病情稳定后再考虑手术

D.做血栓风险测定和分析,了解患者再次发生脑梗的风险,并采取针对性预防措施

E.待血糖稳定在6.7mmol/L(120mg/dl)以下时再考虑手术

F.次日在快速诱导下气管插管全身麻醉下完成手术

考点:山东住院医师麻醉科Ⅱ阶段实践技能实践技能题库
题型:多项选择题 案例分析题

根据句意及汉语提示,填写句中所缺的单词。

小题1:A strong earthquake hit Ya’an in  ____________(四月), 2013.

小题2:May I use your mobile phone? _______________(我的) is at home.

小题3:Eating more __________________(蔬菜)can help us keep in good health.

小题4:Can you speak ______________(慢慢地)? I can’t follow you.

小题5:Next Sunday is Father’s Day and it is also my father’s ___________(第四十) birthday.

小题6:Before you take the medicine, you’d better read the _____________(说明) first.

小题7:All of us were ________________(惊奇的) that such a little girl spoke English so well.

小题8:Everyone else in my class was invited _______________(除了) me, and I don’t know why.

小题9:As a teacher, you should be ____________(耐心的) with your students.

小题10:If you want to become a good Marathon athlete, you must practice ________(跑步)every day.

题型:多项选择题 案例分析题

神经系统检查包括()

A.意识检查

B.语言检查

C.运动系统检查

D.感觉系统检查

E.自主神经检查

题型:多项选择题 案例分析题

阅读理解

     "Come in, Kim. Have a seat, please." Said Bill Williams, the manager. This was Kim's first experience with

an assessment. After only six months he was due for a raise if this assessment was satisfactory.

     "Kim." Began Bill Williams."I am very pleased with the quality of your work. I have nothing but praise for

your devotion and your hard work. My only concern is that you are not active enough in putting forward your

suggestions."

     "But," replied Kim."I have always completed every assignment you have given me. Mr. Williams."

     "I know that, Kim. And please, call me Bill. But what I expect is for you to think independently and

introduce new ideas. I need more input from you-more feedback on how things are going. I don't need a"yes

man". You never tell me what you think. You just smile as though everything is fine."

     "But," said Kim. "I feel that since you are my superior, it would be presumptuous of me to tell you what to

do."

     "I'm not asking you to tell me what to do, but what you think we could do. To make suggestions. I

employed you because I respect your experience in this field, but you are not communicating your thoughts to

me."

     "Yes, I see. I'm not accustomed to this, but I will try to do as you say. Bill."

     "Good, then, I expect to hear more from you at staff meetings or at any other time you want to discuss an

idea with me." "Yes, of course. Thank you, Mr. Will… Bill." 。

1. Kim is the sort of employee who ______.

A. does not speak out his own ideas.

B. is not devoted to the job.

C. laughs too much over work.

D. can not finish his work on time.

2. The word "presumptuous" in the middle of the passage is closest in meaning to"______.".

A. full of respect

B. too confident and rude.

C. lacking in experience

D. too shy and quiet

3. From this passage we can learn that ______.

A. Kim has been invited to take charge of the staff meetings

B. the manager appreciates those who just do what he tells them to do

C. the manager is pleased with Kim's hard work and his suggestions

D. Kim is likely to have a higher salary if he can pass the assessment

题型:多项选择题 案例分析题

在固定总价合同条件下,通货膨胀( )。

A.对业主和承包商均没有风险
B.对业主来说没有风险,对承包商来说风险大
C.对业主来说风险小,对承包商来说风险大
D.对业主和承包商均有风险

题型:多项选择题 案例分析题

出血包扎时,必须注意()。

A.只要能止血,扎得越紧越好

B.一定要阻断肢体的血液循环

C.一定要阻断全身的血液循环

D.即要止血,又不阻断肢体的血液循环

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