男性,61岁,活动后心悸、气促5年,加重伴双下肢水肿3个月。查体:血压140/90m

题型:单项选择题 案例分析题

问题:

男性,61岁,活动后心悸、气促5年,加重伴双下肢水肿3个月。查体:血压140/90mmHg,双肺底少许湿性啰音。心界扩大,心率130次/分,心律绝对不齐,心音强弱不等,可闻及舒张期奔马律。心尖区可闻及2/6级收缩期柔和吹风样杂音。肝肋下3cm,脾未触及,双下肢中度水肿。

主要鉴别要点是()

A.有无心绞痛与心肌梗死病史

B.有无心肌炎病史

C.有无高血压病史

D.有无结核病史

E.有无风湿病史

考点:广东住院医师急诊医学心血管内科心血管内科题库
题型:单项选择题 案例分析题

阅读理解

     A primary school teacher who left a class of 25 pupils in tears after she told them Santa Claus did not

exist has been fired. When excited youngsters became rowdy as they talked a- bout Santa, the supply

teacher said out suddenly, "It's your parents who leave out presents on Christmas Day."

     The class of seven-year-olds at Blackshaw Lane Primary School, Royton, Greater Manchester burst in

to tears and told their parents when they arrived home. Mothers and fa- thers then complained about the

incident and were sent a letter by the school saying the teacher, who only worked at the school for one day

last week, has been punished.

     The school has now said it will not hire her again.

     One father said, "My son came home and said that his teacher had told the class that Santa doesn't

exist and it's their mum and dad that put out presents for them. Obviously, they were all talking about

Christmas and being a bit rowdy. She just came straight out with it. "

     "My son was in tears and so was everyone else in the class -- especially as it was so close to

Christmas. I thought it was wrong. He was crazy about it. He's only seven-year-old and it's part of the

magic of Christmas to him. "

     "We told him that she did not believe in Father Christmas because of her religion and he's fine now. "

     "The father described the incident as ' shocking' and believed it was done with malicious intent (恶意地). A lot of parents were angry and complained to the school. The teacher, who was supplied by

Rochdale and Oldham Supply Agency, is still listed and will work with other schools," the agency said.

     However, the head teacher in Angela McCormick refused to comment on the incident.

1. Who felt the angriest about the incident?

A. The teacher who was fired.            

B. The parents whose children cried.

C. The pupils who were in tears.          

D. Santa Claus the teacher talked about.

2. The seven-year-old children cried because of        .

A. something about Santa Claus          

B. the letters by the school

C. their teacher's leaving              

D. the presents left out by the parents

3. We can infer from the passage that       .

A. the teacher was fired and couldn't continue her career in teaching

B. the parents complained about the discipline of the school

C. the little pupils felt disappointed after hearing the news told by the teacher

D. in reality, Santa Claus exists and gives out presents once a year

4. What's the meaning of the underlined word "rowdy"?

A. surprised.      

B. noisy.        

C. discouraged.  

D. annoyed

题型:单项选择题 案例分析题

目前治疗中度以上甲亢常用而有效的方法是()

A.131I治疗

B.抗甲状腺素药物治疗

C.甲状腺大部切除术

D.服用复方碘剂

E.碘剂合并硫氧嘧啶类药物治疗

题型:单项选择题 案例分析题

具有止血作用的是()

A.使君子氨酸

B.天门冬素

C.田七氨酸

D.半夏蛋白

E.天花粉蛋白

题型:单项选择题 案例分析题

提升机司机的接班人员交接班要在()。

A.排班室

B.工作现场

C.休息室

题型:单项选择题 案例分析题

电磁流量计是基于电磁波和电磁场的原理而工作的流量测量仪表。

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