第五组：一患者车祸后2小时送至医院，诉咳嗽、胸部疼痛。查T36.5℃，P130次

发布时间：2018-05-27 12:31 │ 来源：www.tikuol.com

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问题：

第五组：
一患者车祸后2小时送至医院，诉咳嗽、胸部疼痛。查T36.5℃，P130次/分，R30次/分，BP90/ 60mmHg，神志清晰，右胸部压痛明显，右肺呼吸音低，右下肢有骨折征。胸片示：右侧液气胸。

如欲明确有无进行性血胸，则诊断依据不包括

A．脉快血压持续下降

B．胸腔引流连续3个小时总量300ml

C．Hb、RBC反复测定呈持续下降

D．胸膜腔穿刺抽不出血，但X线示胸内阴影增大

E．经输血补液后血压不回升逐渐下降

考点：心血管外科(医学高级)心血管外科

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女患者，结婚3年未避孕未孕，月经周期基本正常，量少色红，无血块，形体消瘦，腰腿酸软，头晕眼花，心悸失眠，五心烦热。治宜（）

A.滋阴养血，调冲益精

B.温肾补气养血，调补冲任

C.疏肝解郁，养血理脾

D.燥湿化痰，理气调经

E.活血化瘀调经

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完形填空。

     Each of us fails from time to time. If we are wise, we accept these failures as a   1   part of the learning
process. But all too often as parents and teachers we disallow this   2   right to our children.
     When I see a child   3   to this kind of pressure, I think of Donnie.
     Donnie was my youngest third-grader. His   4   of failure kept him from classroom games that other
children enjoyed. He   5   answered questions-he might be wrong.
     I tried my best to build his   6  . But nothing changed until midterm, when Mary Anne, a student teacher,
was assigned (安排) to our classroom.
     She was young and pretty, and she loved children. My pupils, Donnie included,   7   her.
     One morning, we were working math problems at the chalkboard. Donnie had   8   the problems with
painstaking neatness. Pleased with his progress, I   9   the children with Mary Anne and went for art materials.
When I returned, Donnie was in  10 . He'd missed the third problem.
     My student teacher looked at me in despair. Suddenly her face  11 . From the desk we shared, she got a
container filled with pencils.
     "Look, Donnie." She said, kneeling besides him and gently  12  the tear-stained face from his arms. "I've
got something to  13  you." She removed the pencils, one at a time, and placed them on his desk.
     "See these  14 , Donnie," she continued. "They belong to Mrs. Lindstorm and me. See how the erasers
are  15 ? That's because we make mistakes too. But we erase the mistake and try again. That's what you
  16  learn to do, too."
     She kissed him and stood up. "Here," she said, "I'll leave one of these pencils on  17  desk so you'll remember
that everybody makes mistakes,  18  teachers." Donnie looked up with love in his eyes and a smile.
     The pencil became Donnie's  19  possession. That, together with Mary Anne's frequent encouragement,
gradually  20  him that it's all right to make mistakes-as long as you erase them and try again.
     Finally, know that I love you and always will. You area really wonderful journey, and I will always be there.

( )1.A. small
( )2.A. correct
( )3.A. give up
( )4.A. fear
( )5.A. always
( )6.A. self-protection
( )7.A. respected
( )8.A. worked out
( )9.A. left
( )10.A. surprise
( )11.A. darkened
( )12.A. lifting
( )13.A. help
( )14.A. pencils
( )15.A. used
( )16.A. may
( )17.A. my
( )18.A. still
( )19.A. prized
( )20.A. warned

B. basic
B. same
B. give away
B. lesson
B. often
B. self-improvement
B. disliked
B. copied
B. offered
B. astonishment
B. brightened
B. picking
B. show
B. mistakes
B. built
B. must
B. someone's
B. also
B. own
B. informed

C. necessary
C. important
C. give out
C. chance
C. never
C. self-confidence
C. avoided
C. gone over
C. missed
C. anger
C. pulled
C. holding
C. reward
C. marks
C. worn
C. will
C. the teacher's
C. even
C. kept
C. persuaded

D. large
D. natural
D. give in
D. sense
D. seldom
D. self-learning
D. minded
D. learned
D. parted
D. tears
D. lessened
D. pushing
D. promise
D. containers
D. damaged
D. can
D. your
D. not
D. expected
D. reminded

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建设项目总投资分为固定资产投资和流动资产投资。( )

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具有应力中断作用的卡环是（）.

A.圈形卡环

B.对半卡环

C.回力卡环

D.延伸卡环

E.倒钩卡环

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下列关于青春期心肺功能发育特点的知识，不正确的是（）

A.心率和脉搏的均值曲线随年龄的增加而下降

B.呼吸频率的均值曲线随年龄的增加而增加

C.收缩压、舒张压、脉压随年龄的增加而增高

D.肺活量随年龄的增加而增大

E.在整个青春期，男孩的肺活量始终超过女孩

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