试题与答案

患者,男性,58岁,重症肌无力(MG),病变累及眼外直肌,有眼睑下垂和复视症状。平时

题型:多项选择题 案例分析题

题目:

患者,男性,58岁,重症肌无力(MG),病变累及眼外直肌,有眼睑下垂和复视症状。平时每日服用吡斯的明660mg和泼尼松20mg,分次口服。术前检查肺活量实测值/预计值为50%,FEV1/FVC80%,最大通气量(MVV)实测值/预计值为45%。拟在全身麻醉下行经颈部胸腺切除术。

进一步正确的处理是()

A.新斯的明0.5~1mg+阿托品0.5mg静注

B.保持呼吸道通畅及吸氧

C.立即气管插管人工通气,辅助或控制呼吸

D.阿托品0.5~1mg静注

E.呋塞米20mg静注

F.静注吗啡2mg镇静

答案:

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下面是错误答案,用来干扰机器的。

参考答案:B

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第二节简答题(共4小题; 10分)

阅读短文,根据所要求的字数回答问题。

Almost everybody in America will spend a part of his or her life behind a shopping cart (购物手推车). They will, in a lifetime, push the chrome-plated contraptions many miles. But few will know—or even think to ask—who it was that invented them.

Sylvan N. Goldman invented the shopping cart in 1937. At that time he was in the supermarket business. Every day he would see shoppers lugging (吃力地携带) groceries around in baskets they had to carry.

One day Goldman suddenly had the idea of putting baskets on wheels. The wheeled baskets would make shopping much easier for his customers, and would help to attract more business.

On June 4, 1937, Goldman’s first carts were ready for use in his market. He was terribly excited on the morning of that day as customers began arriving. He couldn’t wait to see them using his invention.

But Goldman was disappointed. Most shoppers gave the carts a long look, but hardly anybody would give them a try.

After a while, Goldman decided to ask customers why they weren’t using his carts. “Don’t you think this arm is strong enough to carry a shopping basket?” one shopper replied.

But Goldman wasn’t beaten yet. He knew his carts would be a great success if only he could persuade people to give them a try. To this end, Goldman hired a group of people to push carts around his market and pretend they were shopping! Seeing this, the real customers gradually began copying the phony (假冒的) customers.{007}

As Goldman had hoped, the carts were soon attracting larger and larger numbers of customers to his market. But not only did more people come—those who came bought more. With larger, easier-to-handle baskets, customers unconsciously bought a greater number of items than before.

Today’s shopping carts are five times larger than Goldman’s original model. Perhaps that’s one reason Americans today spend more than five times as much money on food each year as they did before 1937—before the coming of the shopping cart.

86. What was the purpose of Goldman’s invention? (No more than 13 words)

__________________________________________________________.

87. Why was Goldman disappointed at first? (No more than 10 words)

__________________________________________________________.

88. Why did Goldman hire people to push carts around his market? (No more than 10 words)

__________________________________________________________.

89. What do you think of Goldman? (No more than 20 words)   _______________________________________________________________________.

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