试题与答案

患者男性,62岁,反复发作性胸前区痛1年,持续胸前区疼痛1小时入院。发病前否认感染病

题型:多项选择题

题目:

患者男性,62岁,反复发作性胸前区痛1年,持续胸前区疼痛1小时入院。发病前否认感染病史,既往有高血压病史,血压最高180/100mmHg;无糖尿病。吸烟40年,饮酒。查体:体温36.4℃,血压160/104mmHg,双肺下野闻及少量湿啰音,心界不大,心率84次/分,心尖部可闻及Ⅱ~Ⅲ级收缩期杂音。肝不大,双下肢无浮肿。提示:心电图示V1-V2ST段水平型下移0.2mv,血钾3.0mmol/L,超声心动图示左房35mm,左心室50mm,右心室18mm,左心室前壁节段运动不良,二尖瓣返流,LVEF45%,胸片示肺纹理增强,肺门影增大,血气分析血氧饱和度89%提问:目前诊断应当考虑哪些疾病()。

A.急性左心功能不全

B.肺内感染

C.急性右心功能不全

D.稳定性心绞痛

E.不稳定性心绞痛;急性主动脉夹层瘤;高血压病

F.急性非ST段抬高心肌梗死;急性肺栓塞

答案:

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Self-esteem is our sense of how good we feel about ourselves. It is based on our judgment of urselves, not on other people's assessment, but simply on our own. Our self-esteem is not efaendent on our talent. Some very ordinary people feel very good about themselves, while other extranordinarily high achievers hold low opintions of themselves.

Self-esteem is the primary key to long-term stress managerment. Why? The first three sourees of stress are: predictable life event, unexpected changes and build-up of daily stresscs, These are much easier to handle when we believe in ourselves, A postive, healthy self-estcem gives us the “hardiness”(强健) to deal with the difficulities of life, and to see them as challenges to be met, rather than threals to be feared.

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Learning to love yourself for who y ou are is the key to overcoming stress. Self-esteem comes form the self, and cannot be promoted by others. A person who fecls that his self-estecm comes from the approval of those around him or her is bound to self-destruct(自毁), One cannot keep the level of “performance” required to please everyone else, especially if that performance disagrees with who you are and is simply a facade that makes you popular with the world. When the applause is gone, there is nothing left.

Only those who can feel the strength of knowing who they are and those who can feel good about that will survive the stresses of life. Sef-esteem is the basis of contentment and positive living.

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A.Removing yourself from stressful situation.

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D.Getting help from friends.

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A.A false appearance.   B.A big worry.

C.A wrong action.       D.A strange feeling.

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B.help people form good relationship with others

C.show the importance of feeling good about yourself

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