患者女性，62岁。2年前不明原因颜面部及双下肢水肿，在当地疑为肾炎、冠心病予对症治疗无效，且症状渐加重，伴活动后心悸、气短、乏力、食欲减退、腹胀。病史中有情’绪低落、反应迟钝、怕冷、脱毛表现。既往无高血压、心绞痛病史。入院查：体温36.4℃，血压130/70mmHg，Hb87g/L，FT3(1.08pmol/L)、FT4(2.97pmol/L)均降低，TSH(7.60mU/L)增高。
下一步治疗措施为
A．毛花甙丙
B．呋塞米
C．硝普钠
D．左甲状腺素
E．硝酸甘油
参考答案：D
阅读下面的文言文，完成小题。
大水上封事
岑文本
臣闻开拨乱之业，其功既难；守已成之基，其道不易。故居安思危，所以定其业也；有始有卒，所以崇其基也。今虽亿兆又安，方隅宁谧，既承丧乱之后，又接凋弊之馀，户口减损尚多，田畴开辟犹少。覆焘之恩著矣，而疮痍未复；德教之风被矣。而资产屡空。是以古人譬之种树，年祀绵远，则枝叶扶疏，若种之日浅，根本未固，虽壅之以黑坟，暖之以春日，一人摇之，必至枯槁。今之百姓，颇类于此。常加含养，则日就滋息；暂有征役，则随之凋耗。凋耗既甚，则人不聊生；人不聊生，则怨气充塞；怨气充塞，则离叛之心生矣。故帝舜曰：“可爱非君？可畏非民？”孔安国曰：“人以君为命，故可爱。君失道，则人叛之，故可畏。”仲尼曰：“君犹舟也，人犹水也。水所以载舟，亦所以覆舟。”是以古之哲王，虽休①勿休，日慎一日者，良为此也。
伏惟陛下览古今之事，察安危之机，上以社稷为重，下以亿兆为念。明选举，慎赏罚，进贤才，退不肖，闻过即改，从谏如流。为善在于不疑，出令期於必信。颐神养性，省游畋之娱；去奢从俭，减工役之费。务静方内，而不求辟土；载橐弓矢，而无忘武备。凡此数者，虽为国之恒道，陛下之所常行。臣之愚心，唯愿陛下思之而不怠，则至道之美与三、五②比隆，亿载之祚与天地长久。虽使桑榖为妖，龙蛇作孽，雉雊于鼎耳，石言于晋地，犹当转祸为福，变灾为祥。况雨水之患，阴阳常理，岂可谓天谴之而系圣心哉？臣闻古人有言：“农夫劳而君子养焉，愚者言而智者择焉。”辄陈狂瞽，伏待斧钺。
（摘自《全唐文》）
[注]①休：美善，福禄。②三、五：三皇五帝。
小题1:对下列句子中划线词的解释，不正确的一项是（3分）
A．德教之风被矣 被：遍及
B．若种之日浅，根本未固 根本：植物的根
C．良为此也 良：的确
D．察安危之机 机：机会小题2:下列各组句子中，划线词的意义和用法相同的一组是（3分）
A．其功既难/吾其还也
B．而疮痍未复/倚柱而笑
C．是以古人譬之种树/臣以供养无主
D．凡此数者/不者，若属皆且为所虏小题3:下列对原文有关内容的分析和概括，不正确的一项是（3分）
A．作者指出，开创事业艰难，但守住已经成就的事业鞋袜更难，因而帝王都要居安思危，才能稳固基业。
B．作者认为，帝王只有实行仁政来包含养育人民，使人民生活安定，这样才能避免人民产生离叛之心。
C．作者引用了帝舜、孔安国、孔子的话来说明帝王与人民的关系，其目的是告诉帝王，人民是可怕的。
D．帝王如果把人民放在心里，采取有效的措施，不仅在遇到危机时能转危为安，国家也能长治久安。小题4:把原文中画线的句子翻译成现代汉语。（10分）
（1）闻过即政，从谏如流。为善在于不疑，出令期于必信。（5分）
（2）况雨水之患，阴阳恒理，岂可谓天遣而系圣心哉、（5分）
下列对《大堰河----我的保姆》一诗第三节的鉴赏，理解不恰当的一项是 （ ）
大堰河，今天我看到雪使我想起了你：
你的被雪压着的草盖的坟墓，
你的关闭了的故居檐头的枯死的瓦菲，
你的被典押了的一丈平方的园地，
你的门前的长了青苔的石椅，
大堰河，今天我看到雪使我想起了你。
A．诗人在狱中看到窗外大雪，触景生情，以第一人称口吻，追述了大堰河勤劳善良、为生活奔忙而受尽苦难的一生。
B．大堰河纯洁无私的内心世界如同雪一样洁白无瑕，而白雪覆盖大地的庄严肃穆的景象正好表达了诗人深切的悼念，因此诗人说“今天我看到雪使我想起了你”。
C．“草盖的坟墓”“枯死的瓦菲“典押的园地”“长了青苔的石椅”，描绘了一种荒凉、寂寞、冷落、凄凉的惨淡景象。
D．主要运用了排比和反复的修辞手法，而首尾反复“大堰河，今天我看到雪使我想起了你”，则进一步渲染了抑郁低沉的思念之情。
阅读下面短文，从短文后各题所给的四个选项（A、B、C和D）中，选出可以填入空白处的最佳选项，并在答题卡上将该项涂黑。 One winter morning, an old couple around the age of 70, walked into a lawyer’s office to sign a 36 after quarreling all their 45 years of marriage. The lawyer was very 37 , after having a chat with them, he got their 38 . They hung on because of their children, afraid that it might 39 their growth. Now, all they wanted was to lead their own life free from all these years of __40 from their marriage, so both agreed on a divorce. The lawyer was having a hard time getting the papers done, but he still couldn’t understand why the old couple would want a divorce, suggesting a 41 together, just three of them. At the table, there was a silence of 42 . The first dish was roasted chicken. 43 , the old man took the drumstick for the old lady, “Take this, it’s your favorite. ” Looking at this, the lawyer thought maybe there was still a 44 , but the wife answered frowning. “This is where the problem 45 . You always think so highly of yourself, never thought about how I feel, don’t you know that I hate 46 ?” Little did she know that, over the years, her husband was trying all ways to 47 her; little did she know that drumsticks were her husband’s favorite. Little did he know that she never thought he understood her at all; little did he know that she hated drumsticks even though all he wanted was the best for her. That night, both of them were difficult to fall asleep. After hours, the old man couldn’t 48_ it any more, wanting to tell her himself, “I love you and I can’t live without you.” He picked up the phone to dial her number. Ringing never stopped. On the other side, she was upset, 49 to answer any phones. The next day, she received news that he had 50 , learning that he had a heart attack when he was still trying to get through her phone line. 51 enough, she had to clear his 52 in his apartment , only to find an insurance policy（保险单）dating from the day when they got married, and the beneficiary （受益人）was her. Together in that file there was this note: “To my dearest wife, I bought this policy for you, 53__ the amount is only $100, I hope it will be able to help me continue my promise that I made when we got married, and I want you to know I will always be around by your side. I love you.” Tears __54 freely down her cheeks when the lady read it. When you love someone, do let them know, for you 55 know what will happen the next minute.
|
垂体窝
濒死期病员的心理表现第一期是：
A．否认
B．愤怒
C．协议
D．忧郁
E．接受
