试题与答案

患者男性,62岁。自幼发现心脏杂音,3个月前出现心前区疼痛和晕厥,检查发现升主动脉扩

题型:单项选择题 B型题

题目:

患者男性,62岁。自幼发现心脏杂音,3个月前出现心前区疼痛和晕厥,检查发现升主动脉扩张,最大可能是()

A.二尖瓣狭窄

B.主动脉瓣关闭不全

C.主动脉窦瘤破裂

D.心室间隔缺损

E.主动脉瓣狭窄

答案:

参考答案:E

解析:1.因为主动脉瓣狭窄的症状包括乏力、眩晕、心绞痛、劳累后气促等,X线检查可见升主动脉的狭窄后扩大。 2.因为动脉导管未闭的患者在心脏检查时可发现胸骨左缘第二肋间响亮的粗糙的连续性机器样杂音,患者易发生感染,如细菌性心内膜炎,发生细菌性心内膜炎时可有高热、血细菌培养阳性等表现。当细菌性心内膜炎累及主动脉瓣时,可以造成主动脉瓣关闭不全和反流,此时可出现胸骨左缘3~4肋间舒张期杂音。

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题型:阅读理解

Plants, like animals, are subject to diseases of various kinds.It has been estimated that some 30,000 different diseases attack our economic plants; forty are known to attack corn, and about as many attack wheat.The results of unchecked plant disease are all too obvious in countries which have marginal food supplies.The problem will soon be more widespread as the population of the world increases at its frightening rate.Even in countries which are now amply fed by their agricultural products there could soon be the major crops; the resulting famines(饥荒) could kill millions of people, and the resulting hardship on other millions could cause political upheavals(动乱) disastrous to the order of the world.

Some plants have relative immunity to a great many diseases, while others have a susceptibility to them.A blight (萎菌病) may be but a local infection easily controlled; on the other hand it can attack particular plants in a whole region or nation.An example is the blight which killed virtually every chestnut tree in North America.Another is the famous potato blight in Ireland in the last century.As a result of that, it was estimated that one million people died of starvation and related ailments.

Plant pathologists have made remarkable strides in identifying the pathogens of the various diseases.Bacteria may invade a plant through an infestation of insect parasites carrying the pathogen.A plant can also be inoculated by man.Other diseases might be caused by fungus which attacks the plant in the form of a model or smut or rust.Frequently such a primary infection will weaken the plant so that a secondary infection may result form its lack of tolerance.The symptoms(症状) shown may cause an error in diagnosis, so that treatment may be directed toward bacteria(细菌) which could be the result of a susceptibility caused by a primary virus infection.

小题1:How many diseases are known to attack wheat?

A.Around 30000

B.Forty

C.Around 29960

D.Around 40小题2:Unchecked plant disease won't result in_______.

A.food shortages in poor country

B.food shortages in rich country

C.increase of world population

D.disaster in world politics小题3:What is the main idea of the second paragraph?

A.Some plants have relative immunity to a great many diseases.

B.Some other plants have a susceptibility to a great many diseases.

C.The tolerance of a particular plant changes as the growing conditions change.

D.A blight can be a national infection.小题4:According to the passage, some plant diseases can__________.

A.infect people

B.be prevented by inoculation(接种疫苗)

C.be prevented by killing insects

D.be prevented by improving the growing conditions小题5:Which of the following won’t cause plant disease ?   

A.Fungus

B.Mold

C.Smut

D.Rust

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