试题与答案

男性,28岁,2周前右脚受伤划破皮肤,未予注意。3天前高热、皮肤瘀点就诊。血压80/

题型:单项选择题 案例分析题

题目:

男性,28岁,2周前右脚受伤划破皮肤,未予注意。3天前高热、皮肤瘀点就诊。血压80/50mmHg。X线摄片肺实质未见明显病变。诊断败血症、感染性休克。经积极治疗血压仍不平稳,并出现气急,呼吸空气时PaO26kPa(45mmHg)

该患者是否应用机械通气治疗有下列不同观点,你认为正确的是().

A.绝对禁忌,因会影响回心血量和心排出量,加重循环衰竭

B.具有应用指征,宜在纠正休克的同时及早使用

C.相对禁忌

D.先纠正休克,然后再应用机械通气

E.选择性应用,如出现PaCO2升高时

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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题型:阅读理解

Do you know the story about Vince? It was a true story. Vince was an English boy and he was eight years old. He didn't like soap or water. Three or four times a day his mother said to him, “Vince, your hands are very dirty again.” Go and wash them. ” But Vince never washed them well. He only put his hands in the water for a few seconds and then took them out again.

Vince’s uncle and aunt lived in another city. One day they came to stay with Vince’s parents, and they brought their small son, Toby, with them. Toby was seven years old and he didn’t like soap or water, either. The boys sat with their parents for a few minutes and then they went outside. When they were playing, Vince looked at Toby's hands and then went back to Toby’s parents and said proudly (骄傲地), “Toby’s hands are dirtier than mine, ”

“Of course they are,”Toby said angrily. “You are one year older than I am, ”

小题1:Vince’s mother asked him to______ three or four times a day.

A.wash his hands

B.do his homework

C.clean his bedroom

D.wash his teeth小题2:When Vince saw Toby’s hands, he felt  ________.

A.sorry

B.proud

C.sad

D.terrible小题3:Vince’s hands were a little______ than Toby’s.

A.dirtier

B.cleaner

C.bigger

D.smaller小题4:From the story we know that_______ .

A.Vince liked soap and water, but Toby didn’t.

B.Toby liked soap and water,but Vince didn’t.

C.Vince and Toby liked soap and water.

D.Vince and Toby didn’t like soap or water.小题5:How many people are there in the story?   

A.Four.

B.Five.

C.Six.

D.Seven.

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题型:多项选择题 案例分析题

患者女,42岁,发作性咳喘5年余,春秋季易发作,每次发作持续1个月,当地医院诊断为“慢性支气管炎”,给予抗菌、镇咳、平喘治疗后可缓解。近2年病情加重,全年均有症状,当地医院诊断“哮喘”,给予“沙美特罗替卡松干粉吸入剂50/250μg,2次/d”治疗,患者自觉效果不佳未规律使用。

需要进行的检查是()。(提示患者职业为教师,变应原检测结果为:猫、狗皮毛中度过敏,但患者及亲属家中未饲养宠物。追问病史,患者因为顾虑激素的不良反应未规律使用,且吸入药物的使用方法错误。经过医师的解释和药物吸入方法的传授后,患者开始规律吸入沙美特罗替卡松干粉吸入剂50/250μg,2次/d,1个月后复查,自述症状有改善,肺功能FEV占预计值的77%,但仍述间断喘息,患者追述近2年间断咳脓痰,有时痰为棕色。)

A.痰细菌培养+药物敏感实验

B.诱导痰细胞分类计数

C.胸部CT

D.支气管镜检查

E.痰涂片找酸杆菌

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