【单选题】
扩血管药物在下列哪种疾病中慎用___
A. 二尖瓣重度关闭不全
B. 二尖瓣重度狭窄
C. 主动脉重度关闭不全
D. 室间隔缺损
E. 扩张型心肌病
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答案
B
解析
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【单选题】
R-on-T室性期前收缩的心电图特点不包括___
A. 室性期前收缩发生于T波的顶峰上
B. 室性期前收缩发生于T波前20-40ms处
C. 室性期前收缩发生于T波顶峰前20-40ms处
D. 室性期前收缩发生于T波的升枝上
E. 室性期前收缩发生于T波的降枝上
【单选题】
多源性室性期前收缩是指___
A. 同一份心电图上出现两种或两种以上形态的室性期前收缩
B. 同一份心电图上出现两种或两种以上形态的QRS波群
C. 心电图同一导联上出现两种或两种以上形态的QRS波群
D. 心电图同一导联上出现两种或两种以上形态的室性期前收缩
E. 心电图同一导联上出现三种或三种以上形态的室性前收缩
【单选题】
下列哪项不是阵发性室上性心动过速的临床特点___
A. 突然发生，突然终止
B. 心率通常超过150次/min
C. 心律十分均齐
D. 第一心音强度不等
E. 多不伴有器质性心脏病
【单选题】
下列哪项可以鉴别室性心动过速与室上性心动过速伴差异性传导___
A. 心率160次/min
B. QRS波群宽大畸形
C. 心室夺获
D. 既往有室性期前收缩
E. 维拉帕米可终止心动过速
【单选题】
治疗成人室性心律失常时，利多卡因静滴的速度为___
A. 0.1~0.4mg/min
B. 0.1~0.4 mg/kg.min
C. 1~4 mg/min
D. 1~4 mg/kg.min
E. 10~40 mg/min
【单选题】
下列快速性心律失常中，哪种心律失常发作时心律可以不规则___
A. 窦性动过速
B. 房性折返心动过速
C. 房室结折返性心动过速
D. 房室折返性心动过速
E. 室性心动过速
【单选题】
心脏性猝死的时间定义为___
A. 症状出现1小时内发生心脏骤停
B. 症状出现6小时内发生心脏骤停
C. 症状出现12小时内发生心脏骤停
D. 症状出现24小时内发生心脏骤停
E. 症状出现48小时内发生心脏骤停
【单选题】
接产要领不包括下列哪项___
A. 无菌操作，保护会阴
B. 协助胎头俯屈与仰伸
C. 胎头仰伸时令产妇屏气
D. 必须让产妇与接产者充分合作
E. 让胎头在宫缩间歇缓慢通过阴道口
【单选题】
交通事故，右髋关节疼痛，不能活动，查体右髋关节屈曲内收，内旋，畸形，诊断为___
A. 股骨颈骨折
B. 股骨转子间骨折
C. 股骨头骨折
D. 髋关节脱位
E. 股骨上端骨折
【单选题】
某工地，工作因外伤致股骨干闭合性骨折，在运往医院途中，应该___
A. 用木板床运送
B. 置左下肢外展屈曲位
C. 置左下肢内收内旋
D. 人力牵引置下肢中立位
E. 将左下肢和右下肢捆扎在一起
【单选题】
男性19岁，车祸致伤，神志模糊，咯血、口鼻均有泥沙夹血外溢，呼吸困难，烦躁不安。左侧胸部严重擦伤，肿胀，心率98次/分，血压120/90mmHg,四肢活动尚可，左大腿中下段中度肿胀，要瘀斑和严重擦伤，此时最紧迫的抢救措施是___
A. 左下肢加压包扎
B. 清除上呼吸道异物，保持呼吸道通畅
C. 输血
D. 吸氧
E. 左下肢夹板固定
【单选题】
上腹部汽车撞伤四小时，患者面色苍白，四肢厥冷，脉搏140次/分，血压60/40mmHg全腹轻压痛，腹肌紧张及反跳痛，首先应考虑为___
A. 胃破裂
B. 十二指肠破裂
C. 肝脾破裂
D. 严重的腹壁软组织损伤
E. 腹膜后血肿
【单选题】
吗啡对中枢神经系统的作用是___
A. 镇痛，镇静，催眠，呼吸抑制，止吐
B. 镇痛，镇静，镇咳，缩瞳，致吐
C. 镇痛，镇静，镇咳，呼吸兴奋
D. 镇痛，镇静，止吐，呼吸抑制
E. 镇痛，镇静，扩瞳，呼吸抑制
【单选题】
一名癫痫大发作的患者，因服用过量的苯巴比妥而引起昏迷，呼吸微弱，送医院急救。不该采取哪项措施___
A. 人工呼吸
B. 静滴呋噻米
C. 静滴碳酸氢钠
D. 静滴氯化铵
E. 静滴贝美格
【单选题】
冠心病患者出现心前区收缩期喀刺音及收缩晚期吹风样杂音，是由于___
A. 心室壁瘤
B. 心力衰竭
C. 二尖瓣相对性关闭不全
D. 乳头肌功能不全致二尖瓣脱垂
E. 室间隔穿孔
【单选题】
一男性患者心动过速突然发作，心率160次/min，节律规则，心电图检查为：QRS波群增宽，时限为0.12s，心律规则。可能的诊断是___
A. 窦性心动过速
B. 自律性房性心动过速
C. 房室结折返性心动过速
D. 房室折返性心动过速
E. 室性心动过速
【单选题】
一女性患者自觉心悸不适一周，心脏听诊：心率80次/分，心律不齐。心电图诊断为室性期前收缩。对该患者，应注意与下列哪种心律失常鉴别诊断___
A. P波重叠在T波内的房性期前收缩
B. 未下传的房性期前收缩
C. 房性期前收缩伴差异性传导
D. 房性期前收缩伴PR间期延长
E. 无逆行P波的交界性期前收缩
【单选题】
一心脏病患者，突然心悸、气促、大汗，体格检查：BP80/60 mmHg，心率150次/ min,节律轻度不规则，心电图检查为室性心动过速，该患者的治疗应首选___
A. 胺碘酮
B. 普罗帕酮
C. 普萘洛尔
D. 同步直流电复律
E. 非同步直流电复律
【单选题】
一男性老年患者，突然意识丧失，血压测不清，颈动脉搏动消失，心电图监测为心室颤动，此时应采用最有效的治疗是___
A. 心脏按压
B. 人工呼吸
C. 非同步直流电复律
D. 静注利多卡因
E. 心腔内注射肾上腺素
【单选题】
男，58岁，胸痛3小时，诊断为高侧壁心梗，心电图特征性改变见于下列哪一组导联___
A. V1~V5
B. II，III，AVI
C. I，aVL
D. V7、V8
E. RV3~RV5
【单选题】
患者，女，65岁，急性心肌梗死3小时后溶栓治疗，用药后2小时，病人出现心律失常，以下那种预测冠状动脉再通最为敏感___
A. 室性早搏
B. 房性早搏
C. 室上性心动过速
D. II度房室传导阻滞
E. 加速性室性自主心律
【单选题】
女性，29岁，风心二尖瓣狭窄6年，无明显原因突然出现意识障碍，最可能的原因是___
A. 发生室颤
B. 心排出量减少，脑供血不足
C. 心房血栓脱落，脑栓塞
D. 高凝状态，脑血栓形成
E. 瓣膜上血栓脱落，脑栓塞
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【单选题】
Q4: What does the man remember doing with his brothers?___
A. Surfing in the sea .
B. Collecting seashells .
C. Building sand castles .
D. Jumping in the waves .
【单选题】
Q1: According to the survey, what percentage of British adults watched TV in theirfree time?___
A. 89 percent .
B. 84 percent .
C. 76 percent .
D. 71 percent .
【单选题】
Q2: Which age group would be the most likely to visit their friends and relatives?___
A. People aged 16 to 24
B. People aged 25 to 34 .
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D. People aged 55 and over .
【单选题】
Q3: What does the speaker say about listening to music as a leisure activity for British people?___
A. People aged 16 to 24 preferred listening to music most .
B. It was getting more and more popular among the British people .
C. It was the third most popular activity among people aged 55 and over .
D. People aged 25 to 34 listened to music more often than those aged 16 to 24 .
【单选题】
Q4: According to the survey, how are leisure activities related to age?___
A. Older people go out to pubs more often . frequently .
B. Younger people go to the cinema less frequently.
C. Older people spend more time reading and gardening .
D. Younger people spend less time visiting friends and family .
【单选题】
Q1: Why was the girl excited?___
A. She is going to have a lot of vanilla ice cream .
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C. She is going to the state capital for a competition .
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【单选题】
Q2: What happened when the man was 13 years old?___
A. His family moved to Sacramento to settle down .
B. His family bought him a new suit and a new tie .
C. He went to Sacramento for a spelling competition .
D. He won the first prize in the state spelling competition .
【单选题】
Q3: Why did the man’s mom give him a big hug?___
A. To make him feel better after he lost the first prize .
B. To apologize for not buying him some ice cream .
C. To wish him good luck in the next competition .
D. To congratulate him on winning the first prize .
【单选题】
Q4: What color is the girl going to wear for her next competition?___
A. Red .
B. Blue .
C. Green .
D. Yellow .
【单选题】
Q1: What is this passage mainly about?___
A. Superstitions and science .
B. Tips on how to have good luck .
C. Superstitions in the United States .
D. Rational and superstitious societies .
【单选题】
Q2: According to the passage, what is considered as bad luck?___
A. Walking under a ladder .
B. Dreaming of a black cat .
C. Hanging a mirror in the house .
D. Stepping on one's own shadow .
【单选题】
Q3: Why is it considered bad luck to see a black cat crossing one’s path?___
A. Because black cats look like witches . e witches .
B. Because black cats were thought to be witches .
C. Because black cats bring seven years of bad luck .
D. Because black cats are hard to notice in darkness .
【单选题】
Q4: According to the passage, what will bring people good luck?___
A. Breaking a mirror on purpose .
B. Catching a falling leaf on one's birthday .
C. Finding a on the ground and picking it up .
D. Dreaming of blowing out the candles in one blow .
【单选题】
Q1: How long will the woman spend on her way to and from work by high-speed train?___
A. 4 hours .
B. 2 hours .
C. 1.5 hours .
D. 45 minutes .
【单选题】
Q2: When does the woman arrive back home by subway?___
A. At 8 .
B. At 7 .
C. At 6 .
D. At 5 .
【单选题】
Q3: According to the woman, in what way will the new high-speed train be a big help to her?___
A. She can either read or rest a little on the train .
B. She can read and respond to emails onthe train .
C. She can travel to many different parts of the city .
D. She can go shopping on her way home from work .
【单选题】
Q4: How will the new high-speed train affect the man?___
A. He can take the train to the old part of the city .
B. He can save a lot of money when he takes the train .
C. He can save 20 minutes to go to work with the train .
D. He can take the train to the airport instead of driving .
【单选题】
Q1: How much time on average do Americans spend on their way to work?___
A. About an hour .
B. More than an hour .
C. About half an hour .
D. More than one and a half hours .
【单选题】
Q2: What is the present situation about Americans’ commuting to work?___
A. More and more Americans spend over an hour getting to work .
B. Over 10 percent of Americans spend less than an hour getting to work .
C. Only New York people spend more than 90 minutes getting to work .
D. Over 10 percent of Americans spend more than 90 minutes getting to work .
【单选题】
Q3: Why does Steven choose to have an extreme commute?___
A. Because gas prices are not high .
B. Because the commute is not tiring .
C. Because he can attend a better school .
D. Because he can have his favorite lifestyle .
【单选题】
Q4: Which of the following is the disadvantage of long commutes?___
A. Traffic jams .
B. Expensive housing .
C. Poorer life quality .
D. A tiring and boring trip .
【单选题】
Q1: What did Katy like about Jason’s last Halloween party?___
A. She liked playing an interesting game .
B. She enjoyed seeing many of her old friends .
C. She enjoyed wearing her Halloween costume .
D. She liked the decorations in Jason's front yard .
【单选题】
Q2: What is the actual reason that Katy doesn’t want to attend Jason’s party?___
A. None of her friends likes Jason .
B. None of Jason's guests is young .
C. She wants to go to Linda's party ..
D. She went to Jason's party last year .
【单选题】
Q3: What is special about Linda’s party?___
A. The party will last four hours .
B. Six people will attend the party .
C. They will have huge bags of candy .
D. They will play a new game called "GuessWho ".
【单选题】
Q4: What will Katy do to solve her problem?___
A. Go to Jason's party .
B. Go to Linda's party .
C. Attend both Jason's and Linda's parties .
D. Celebrate Halloween with her parents .
【单选题】
Q1: What is special about this year’s Black Friday shopping?___
A. Some stores offered bigger holiday discounts .
B. Some stores provided more choices of nightlife.
C. Some stores made efforts to attract young people .
D. Some stores opened much earlier than they used to .
【单选题】
Q2: Why did some stores open at midnight on Thanksgiving night?___
A. To attract young customers .
B. To beat other stores for sale.
C. To let people sleep late the next day .
D. To keep people stay up for the night .
【单选题】
Q3: How many Black Friday shoppers were reported to go to the shops at midnight this year?___
A. 24 percent .
B. 37 percent .
C. 9.5 percent .
D. 23.5 percent .
【单选题】
Q4: What can we learn about the 15-year-old Jenny?___
A. She and her cousins went back home at midnight .
B. She liked the traditional 4 a.m. Black Friday.
C. She preferred midnight shopping to early morning shopping .
D. She and her cousins got up very early to buy discounted items .
【单选题】
Q1: Why did the woman decide to do a triathlon?___
A. Because she did it in college .
B. Because she wanted to be tough .
C. Because her sister did it and liked it .
D. Because her sister said it was good for her .
【单选题】
Q2: When did the man first do a triathlon?___
A. Last year .
B. In college .
C. Last week .
D. In high school .
【单选题】
Q3: How does the man feel about running?___
A. Boring.
B. Scaring .
C. Exciting .
D. Interesting .
【单选题】
Q4: Why doesn’t the woman like swimming in the triathlon?___
A. Because she fears that a big fish might eat her .
B. Because she fears that she would get lost in lakes .
C. Because she doesn't want to scare away small fishes .
D. Because she doesn't like swimming with many people .
【单选题】
Q1: What is the ratio of positive to negative emotions that can make a person happier?___
A. 1:3.
B. 3 :1.
C. 1 :10 .
D. 10 :1.
【单选题】
Q2: What is the most exciting finding about increasing positive emotions?___
A. It improves relationships .
B. It leads to greater success .
C. It helps develop creativity .
D. It contributes to good health .
【单选题】
Q3: What does the speaker say about negative feelings?___
A. People should turn every negative feeling around .
B. Negative feelings can sometimes have positive effects .
C. Negative feelings often cause people to make mistakes .
D. People should never show negative feelings in public places .
【单选题】
Q4: What is the main idea of the passage?___
A. People should learn to manage their emotions .
B. People should be patient with their negative feelings .
C. People should learn to analyze causes of unhappiness .
D. People should identify as many positive feelings as possible .
【单选题】
Q1: What are the man and woman talking about?___
A. Whether nature is magical and kind .
B. Whether nature is powerful and full of risks .
C. Whether Christopher was well prepared for the trip .
D. Whether Christopher's trip to Alaska was worthwhile .
【单选题】
Q2: What can we learn about Christopher?___
A. He made a film about his trip to Alaska .
B. He wrote a story about his trip to Alaska .
C. He died while having an adventure in Alaska .
D. He learned how powerful and risky Alaska was .
【单选题】
Q3: What does the woman think about Christopher taking the trip to Alaska?___
A. He was too foolish .
B. He was really romantic .
C. He had a very kind heart .
D. He had a spirit for trying things .
