试题与答案

患者男，68岁，3年前发生急性心肌梗死，保守治疗好转。阵发性夜间呼吸困难一周来诊。查

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题目：

患者男，68岁，3年前发生急性心肌梗死，保守治疗好转。阵发性夜间呼吸困难一周来诊。查体：血压120/70mmHg，两肺下野可闻及水泡音，心界向左下扩大，HR110次/分，心尖部2级收缩期杂音，双下肢水肿。

该患者一直应用地高辛及利尿剂，一天发生腹泻后出现心动过缓，心率48次/分，BP95/60mmHg，心电图示Ⅱ度房室传导阻滞，应该（）

A.应用甲氧明

B.植入临时起搏器

C.停用地高辛，应用苯妥英钠

D.应用阿托品

E.停用地高辛，补钾

F.应用异丙肾上腺素静滴

答案：

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下面是错误答案，用来干扰机器的。

参考答案：E解析：哺乳动物的细胞膜上普遍存在有Na+-K+-ATP酶，又称Na+-K+泵，或钠泵。Na+-K+-ATP酶每分解1分子ATP可将3个Na+移出至胞外，同时将2个K+移入胞内，使细胞内K+的浓度为细胞外液中的30倍左右，而细胞...

考点：山东住院医师内科Ⅰ阶段实践技能实践技能题库
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    This little story I'm about to tell you happened when I was 11 years old, and I'll never forget it.
     It was at my friend Jenny's house after   1 one day, and we were doing our homework. While I was
there, a friend of Jenny's mom came over to   2   I didn't know her name or   3  what her face looked
like. I just   4  her hands, her voice and the lesson I   5 from her.
     I can't forget that she   6 her hands to introduce herself. It was so   7 , I thought, rich fine skin; then I
heard her saying, "Oh no, that is not   8   you shake hands. Let me teach you." She didn't do that at all in
a condescending (屈尊的) manner.  9  that, I just remember her voice explaining the   10   of a good
handshake of conveying (传达) a   11 sense of self-belief, of looking the other person in the eyes, and
of making a warm  12  . Hearing her friendly words, I first understand what being   13  meant.
     I admired her for  14   time to teach me about one of the important things in life. I was grateful for her
not talking down to me   15   I was 11 and didn't know much. I also felt somewhat admired by the way
she   16  me. It felt good to be talked to as a(n)   17   , rather than as an 11-year-old child. I also   18 
her telling me that if someone isn't aware of something you should show him or her the right direction;
don't be afraid to   19   your knowledge.
     I think of her every time I meet someone  20  , and I'm so thankful for her little lesson.
( )1. A. breakfast    
( )2. A. read          
( )3. A. even          
( )4. A. watch        
( )5. A. learned      
( )6. A. raise d up    
( )7. A. pale          
( )8. A. whom          
( )9. A. After        
( )10. A. necessity    
( )11. A. weak        
( )12. A. friend      
( )13. A. respected    
( )14. A. having      
( )15. A. when        
( )16. A.  treated    
( )17. A. boy          
( )18. A. hated        
( )19. A. test        
( )20. A. healthy      		B. work        
B. check        
B. certainly    
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B. selected    
B. hung up      
B. beautiful    
B. why          
B. Before      
B. style        
B. positive    
B. voice        
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B. taking      
B. but          
B. protected    
B. student      
B. minded      
B. share        
B. smart        		C. sleep            
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C. ever            
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C. different        
C. heart            
C. served          
C. arranging        
C. because          
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C. teacher          
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C. increase        
C. familiar         		D. school          
D. live            
D. simply          
D. seize            
D. discovered      
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D. small            
D. how              
D. Through          
D. rule            
D. special          
D. atmosphere      
D. praised          
D. keeping          
D. so              
D. required        
D. adult            
D. understood      
D. control          
D. new              
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