男性,58岁,因结核性心包积液来院。患者2天来发热,呼吸困难明显加重,不能平卧,下肢

题型:单项选择题 案例分析题

问题:

男性,58岁,因结核性心包积液来院。患者2天来发热,呼吸困难明显加重,不能平卧,下肢水肿。查体:半卧位,喘息状,BP82/70mmHg,心率112次/分,呼吸22次/分,口唇轻绀,颈静脉明显怒张,心脏向两侧扩大,心音遥远,可触及奇脉,肝肋下4.0cm,下肢水肿(+++)。

该患者首选的急诊处理应是()

A.快速利尿

B.有效降低心脏前后负荷

C.给予广谱抗生素

D.正性肌力药物

E.心包穿刺抽液

考点:江苏住院医师心血管内科江苏住院医师心血管内科综合练习江苏住院医师心血管内科综合练习题库
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"三纲"、"五常"代表()
以集体主义为道德原则的是()
既有朴素、美好、高尚的一面,也是复仇、血缘群婚和食入等消极的一面是()
维护宗法等级制度及特权,借助宗法礼教使道德规范化、神秘化体现()

A.原始社会的道德

B.奴隶社会道德

C.封建社会的道德

D.资本主义道德

E.社会主义及 * * 主义道德

题型:单项选择题 案例分析题

将淀粉、碘化钾的混合溶液盛放在半透膜袋里,浸放在一杯蒸馏水中,过几分钟后进行下列实验,其现象正确的是(    )

A.取杯中和袋中液体加AgNO3溶液都有黄色沉淀

B.取袋内液体加氯水变蓝色

C.取杯中液体加氯水变蓝色

D.取杯中液体加碘水变蓝色

题型:单项选择题 案例分析题

下列气态氢化物中,最稳定的是      

A.HF

B.HCl

C.HBr

D.HI

题型:单项选择题 案例分析题

我国水田与旱地分布的界线大致为[ ]

A.长江

B.秦岭一淮河

C.黄河

D.长城

题型:单项选择题 案例分析题

Government officials reported three new cases of mad cow, bringing the total so far this year to 99. Last year, France recorded just 31 cases of the mad cow disease. The rising numbers are in part (1) a new testing program that focuses on cows that are most (2) . That program has (3) 39 cases. But still 60 new cases were identified in the usual way, (4) were found in 1999. Many scientists (5) that this year, five years after safety precautions were (6) , the number of cases would be (7) .

The rise in cases has (8) some scientists to question whether the disease can be transmitted in ways not yet understood. Scientists are still (9) the disease, first recognized in cows in 1986.

It appears that it is not caused by a bacteria, virus or fungus, but (10) infectious particles called prion, perhaps (11) a virus or other agent. The disease kills cells in the brain, (12) it spongy and full of holes.

France has taken more steps to (13) safety than most European countries, (14) refusing to take English beef (15) the European Union. But some scientists believe that France has not been (16) in imposing the ban on feed that (17) animal pans.

Some French officials hope that the sudden interest in mad cow disease will mean that French consumers will become educated about it, thereby recognizing that French beef is actually (18) controlled. Every cow is given a passport at birth, and extensive information about its parentage and (19) it was raised must be (20) to any slaughterhouse. When a diseased animal is found, the entire herd is destroyed.

14()

A.including

B.excluding

C.containing

D.enclosing

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