【单选题】
患者女性,35岁,患有风湿热10年,常有扁桃体炎发生,经医生诊断为慢性风湿性心瓣膜病、二尖瓣狭窄。二尖瓣狭窄最早出现的症状是:___
A. 腹胀
B. 咯血
C. 劳力性呼吸困难
D. 肝区疼痛
E. 下肢水肿
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答案
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A. 左房代偿期
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詹先生,24岁,因劳力性呼吸困难、胸痛、心悸而诊断为肥厚型心肌病。护士应警惕病人可能出现的最严重的并发症是:___
A. 晕厥
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C. 心房颤动
D. 心房扑动
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詹先生,24岁,因劳力性呼吸困难、胸痛、心悸而诊断为肥厚型心肌病。护士遵医嘱用药时,应注意该疾病尽量避免使用的药物是:___
A. 利尿剂
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C. β受体阻滞剂
D. 洋地黄
E. 转换酶抑制剂
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患者,男性,38岁,中学体育老师,因肥厚性心肌病入院。该病一般不会出现的临床表现是: ___
A. 劳累时呼吸困难加重
B. 乏力、胸痛
C. 站起或走动时可晕厥
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患者男性,60岁。有“扩张型心肌病”病史,用洋地黄和利尿剂治疗。现患者诉心悸,心电图出现室性期前收缩二联律。其原因首先考虑:___
A. 低钾血症
B. 高钾血症
C. 心衰加重
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E. 洋地黄中毒
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患者女性,30岁,因受凉后出现发热、乏力、心悸、气促、心前区隐痛,诊断为病毒性心肌炎,患难与供者对疾病很害怕,多次问护士,我的病可以好吗?我的病是怎么得的?这位患者目前来说最主要的护理问题是:___
A. 知识缺乏
B. 活动无耐力
C. 疼痛
D. 体温过高
E. 气体交换受损
【单选题】
小峰,20岁,肥厚型心肌病。他问护士:“为什么我如此年轻,就会患上一般中老年人才容易患得心脏病?”护士的解释最科学的是:___
A. 由于生活方式的改变,现在心血管病开始年轻化
B. 年轻人喜欢喝酒,此病发生与酒精中毒有关
C. 肥厚型心肌病是一种与家族遗传有关的疾病,所以发病较年轻
D. 心肌病主要是因为病毒感染引起的,病毒可以入侵年轻人
E. 长期从事体力活动的人,心脏负担重,容易得心脏病
【单选题】
患者,女,41岁。患有肥厚型心肌病,因胸痛1小时急诊入院。首要的护理措施是: ___
A. 绝对卧床
B. 给予高热量饮食
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刘先生,27岁,已确诊为肥厚性心肌病。其母亲在39岁时因心脏病而去世,病人通过查文献得知,此病与遗传性有关,且有猝死的危险,因此认为自己死亡是迟早的事,不愿配合治疗,对生活失去信心。针对此病人,护士首先应该做的是:___
A. 与病人建立有效的沟通
B. 全面评估病人心理状况
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患者男性,30岁,因头晕、胸闷1日就诊,以扩张性心肌病收入院。曾有晕厥史。体检:心界扩大,心率38次/分。心电图提示三度房室传导阻滞。最恰当的处理是:___
A. 静脉点滴异丙肾上腺素
B. 注射阿托品
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肥厚型心肌病病人晚期猝死的主要原因: ___
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D. 胸腹水
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肥厚型心肌病的病因是: ___
A. 病毒感染
B. 遗传
C. 高强度的运动
D. 代谢异常
E. 中毒
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原发性心肌病临床最常见类型是:___
A. 扩张型
B. 肥厚型
C. 限制型
D. 未定型
E. 肥厚与限制型
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导致扩张型心肌病可能的原因: ___
A. 病毒感染
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E. 药物作用
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给急性心包炎患者听诊心包摩擦音时,为了能够更清楚地听到,患者应采取的体位是:___
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A. 嘱病人随意呼吸
B. 嘱病人做深大呼吸
C. 嘱病人做腹式呼吸
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E. 嘱病人屏息
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患者,男性,30岁。心慌、气短10天来诊。超声心动图检查后诊断为心包积液,体检时最不可能出现的体征是: ___
A. 颈静脉怒张
B. 肝大
C. 奇脉
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小刚,20岁,发热、胸痛2天。6小时前突发呼吸困难、发绀、血压迅速降至75/55mmHg,颈静脉怒张、心音遥远、肺无啰音。诊断为急性心脏压塞。该病人抢救时最有效的治疗方法是:___
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A. 绝对不用洋地黄制剂
B. 必须用洋地黄制剂
C. 若病人合并心房颤动,且心室率明显增快时可使用洋地黄制剂
D. 若病人合并心衰时就应该用洋地黄制剂
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患者男性,40岁,一月前诊断为急性心包炎,近两周呼吸困难严重,心率加快。查体发现患者有颈静脉怒张、奇脉,心浊音界向两侧增大,皆为绝对浊音区,左肩胛骨下叩诊浊音并闻及支气管呼吸音。医生考虑本患者出现大量心包积液。诊断心包积液迅速、可靠的方法是:___
A. 心电图
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D. X线检查
E. 超声心动图
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患者男性,40岁,一月前诊断为急性心包炎,近两周呼吸困难严重,心率加快。查体发现患者有奇脉,奇脉的表现是:___
A. 脉搏搏动呈吸气性显著减弱,呼气时消失
B. 脉搏搏动呈吸气性显著消失,呼气时减弱
C. 脉搏搏动呈呼气性显著减弱或消失,吸气时减弱或有停顿
D. 脉搏搏动呈呼气性显著减弱或消失,吸气时又复原
E. 脉搏搏动呈吸气性显著减弱或消失,呼气时又复原
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我国目前最常见的缩窄性心包炎的病因是:___
A. 真菌性
B. 化脓性
C. 结核性
D. 风湿性
E. 创伤性
【单选题】
血栓闭塞性脉管炎的病因,下列无关的是___
A. 长期大量吸烟
B. 气候寒冷潮湿
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D. 下肢活动较少
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确诊下肢静脉疾病最可靠的检查方法是___
A. 多普勒超声
B. 下肢静脉造影
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血栓闭塞性脉管炎的止痛措施错误的是___
A. 可用血管扩张药
B. 用低分子右旋糖酐改善微循环
C. 用中分子右旋糖酐有止痛效果
D. 疼痛剧烈可用麻醉性镇痛药
E. 严重的可通过硬膜外使用镇痛泵
【单选题】
大隐静脉曲张手术后防止深静脉血栓形成的护理要点是___
A. 严格无菌操作
B. 术后抬高患肢
C. 术后早期进行患肢踝关节伸屈活动
D. 术后防止伤口出血
E. 术后绷带包扎
【单选题】
男性,36岁,下肢静脉曲张,医生检查时让病人平卧,下肢抬高,使下肢静脉排空,在大腿根部扎止血带,压迫大隐静脉,之后站立,立即松开止血带,进行观察,此项目检查的目的是为了了解___
A. 大隐静脉瓣膜功能
B. 交通静瓣膜功能
C. 深静脉膜功能
D. 深静脉是否通畅
E. 小隐静脉瓣膜功能
【单选题】
下肢静脉曲张___
A. 上肢对称性皮肤颜色改变
B. 下肢浅组静脉红肿硬有压痛,足背动脉搏动减弱
C. 趾端坏死,血胆固醇增高
D. 下肢静脉淤血、水肿、慢性溃疡形成
E. 下肢变形、粗肿、肢端慢性溃疡形成
【单选题】
测定大隐静脉及交通静脉瓣膜功能的试验___
A. Perthes试验
B. Trendelenburg试验
C. Pratt试验
D. 直腿抬高试验
E. 杜加试验
【单选题】
大隐静脉曲张做波氏试验是检查___
A. 大隐静脉瓣功能
B. 深静脉是否通畅
C. 小隐静脉瓣功能
D. 交通支瓣膜功能
E. 大隐静脉瓣功能及交通支瓣膜功能
【单选题】
下肢静脉曲张患者,禁忌做高位结扎及剥脱术是由于___
A. 交通瓣膜闭锁不全
B. 浅静脉瓣膜闭锁不全
C. 深静脉阻塞
D. 小腿有色素沉着
E. 消退有男性溃疡
【单选题】
原发性下肢静脉曲张的病因是___
A. 下肢浅静脉壁薄弱
B. 盆腔内肿瘤
C. 妊娠子宫
D. 下肢深静脉阻塞
E. 下肢深静脉瓣膜功能不全
【单选题】
进行心肺复苏时予病人安置体位正确的是:___
A. 病人仰卧于软垫上
B. 双手放于胸前
C. 头部位置应高于心脏
D. 仰卧位,头、颈、躯干保持在同一直线
E. 可采用休克体位
【单选题】
患者,男性,55岁。因频发性期前收缩入院。如厕时突然倒地不省人事,颈动脉无搏动,未闻及呼吸音,双侧瞳孔散大,此时应立即采取的措施是:___
A. 平卧保暖
B. 氧气吸入
C. 心肺复苏
D. 心电监护
E. 建立静脉通路
【单选题】
利多卡因静脉推注的最大剂量是: ___
A. 1mg/Kg
B. 2mg/Kg
C. 3mg/Kg
D. 4mg/Kg
E. 5mg/Kg
【单选题】
导致心搏骤停的非心源性原因不包括:___
A. 溺水
B. 急性中毒
C. 过敏反应
D. 血管造影
E. 冠心病
【单选题】
心肺复苏基本程序C-A-B中“C”指的是:___
A. 开放气道
B. 胸外按压
C. 判断意识
D. 人工呼吸
E. 快速除颤
【单选题】
对怀疑心搏骤停的病人,判断其有无大动脉搏动的时间:___
A. 不应超过5秒
B. 不应超过10秒
C. 不应超过15秒
D. 不应超过20秒
E. 不应超过30秒
【单选题】
心搏骤停最常见原因是:___
A. 气管异物
B. 冠心病
C. 急性心肌炎
D. 中毒
E. 电击伤
【单选题】
心搏骤停后,最先受到损害的器官是:___
A. 肝脏
B. 肺
C. 心脏
D. 肾脏
E. 脑组织
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【单选题】
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【单选题】
( ) 32. According to the passage, which of the following may lead to inventions? A. People's needs.             B. Public support. C. Modern technology.          D. Practical suggestions.
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【单选题】
( ) 33. What is the writer's main purpose(目的)in writing this passage?    A.To tell the readers his life story.    B.To tell people what kind of person his father was.    C.To tell the readers what present he got from his father.    D. To let people know how poor he was.
A. A
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【单选题】
( ) 34. Why did the father not ask his son not to do this and do that?    A.Because he felt quite confident of his son.    B.Because he was born from a poor family.    C.Because he was a man of few words.    D.Because he didn't want to be much too strict with his son.
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【单选题】
( ) 35. What would someone learn from this passage?    A.How to live by oneself. B.How to stand on one's own feet.    C.What a good father should do. D.What the self-important is like.
A. A
B. B
C. C
D. D
【单选题】
( ) 36. What may be the proper Chinese for the underlined part in the passage?    A.闲暇时光 B.学费 C.精神空虚 D.经济不足
A. A
B. B
C. C
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【单选题】
( ) 37. The Chinese Yellow Sea Wetlands are in the _______ of China.    A.south           B.east    C.west            D.north
A. A
B. B
C. C
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【单选题】
( ) 38. Usually the weather in the wetlands is _______.    A.hot             B.pleasant   C.cold            D.dry
A. A
B. B
C. C
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【单选题】
( ) 39. The World Wetlands Day is on _______.    A.February 2        B.June 25   C.April 22      D.March
A. A
B. B
C. C
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【单选题】
( ) 40. We must protect wetlands because _______. A.they are home for wildlife   B.they can prevent flood    C.they can offer food to the animals and birds D.all of the above
A. A
B. B
C. C
D. D
【单选题】
) 1. —Is it far from here to the bank? —Not very, only________. A. 20 minute’s walk B. 20 minutes walk C. 20 minutes’ walk D. 20 minutes’ walks
A. A
B. B
C. C
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【单选题】
2. — After discussing, the students ________ some good ideas to work on the project. — Thats great! A. put up B. set up C. caught up with D. came up with
A. A
B. B
C. C
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3. Yesterday Tommy walked past my table and ______ my bowls and dishes. He should be careful next time. A. knocked off B. took off C. showed off D. turned off
A. A
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4.We don’t have enough nurses to look after patients.At least ___ nurses are needed. A. ten another B. more ten C. another ten D. other ten
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5. — Zhao Rui, it’s said that many famous singers will come to Yangzhou on April 18th. How about watching the evening show there? —________! Let’s ask Huang Tao to go with us. A. Best wishes B. Sounds great C. Good luck D. That’s OK
A. A
B. B
C. C
D. D
【单选题】
6.—Hello! This is Henry Speaking.I’d like to speak to your father. —Sorry, he has Shanghai. A. been in B. been to C. come to D. gone to
A. A
B. B
C. C
D. D
【单选题】
7. — It’s difficult for the village children to cross the river for school. — I think a bridge ______ over the river. A. was built B. is being built C. has been built D. should be built
A. A
B. B
C. C
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【单选题】
8. —Where would you like to go, Jinan or Qufu? — .I only want to go to Qingdao. A. Each B. Either C. Neither D. All
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【单选题】
9 — The documentary A Bite Of China II is quite popular around China recently. How do you like it? ______. A. I think so B. Pretty good C. Its my pleasure D. All right
A. A
B. B
C. C
D. D
【单选题】
10. There are three English-books on the shelf, but ______ of them is mine. A. both B. neither C.all D. none
A. A
B. B
C. C
D. D
【单选题】
11. When the parents arrived at the hall, the students _______ their projects. A. have finish B. finished C. had finished D. are finishing
A. A
B. B
C. C
D. D
【单选题】
12. This week, the _______ seems to change every day: one day is hot; the next day is cold. A. time B. weather C. season D. way
A. A
B. B
C. C
D. D
【单选题】
13. He never does his work _______ Mary.    A. as careful as B. so careful as C. carefully as D. as carefully
A. A
B. B
C. C
D. D
【单选题】
14. — Can he jump high? — Yes, he ______. He is a good high jumper. A. must B. need C. can D. shall
A. A
B. B
C. C
D. D
【单选题】
15. The shop _____ at 8:00 a.m.and it ________ for ten hours every day. A. is open; has opened B. is opened; opens C. opens; is open D. opened; opens
A. A
B. B
C. C
D. D
【单选题】
16. —Excuse me, may I use your bicycle? ______ is broken. Certainly. But remember to return it before lunch. A. Mine B. Me C. Myself D. I
A. A
B. B
C. C
D. D
【单选题】
17. Simon, what do I need to take for the hiking? Youd better ________ more water than usual. Its hot today. A. to take B. taking C. take D. took
A. A
B. B
C. C
D. D
【单选题】
18. Helen ______ to a language school when she was seven. A. sent B. is sent C. will send D. was sent
A. A
B. B
C. C
D. D
【单选题】
19. — Is this park youve visited recently? — Yes, it's the most beautiful one Ive ever visited before. A. that B. the one C. which D. the one which
A. A
B. B
C. C
D. D
【单选题】
20. — Its difficult for the village children to cross the river for school. — I think a bridge ________ over the river. A. should be built B. is being built C. has been built D. was built
A. A
B. B
C. C
D. D
【单选题】
21. — Could you tell me when Mr. Li ________ in Huaibei?    — Sure..When he ________, I’ll call you.    A. arrives; will arrive B. will arrive; will arrive C. arrives; arrives D. will arrive; arrives
A. A
B. B
C. C
D. D
【单选题】
22.There is ________ 800-metre-long road behind ________ hospital. A. an; an B. an; the C. a; a D. a; the
A. A
B. B
C. C
D. D
【单选题】
23. — Did you see a girl in yellow pass by just now? — No, sir. I ________ a magazine. A. read B. am reading C. was reading D. would read
A. A
B. B
C. C
D. D
【单选题】
24.In fact, my parents are not only kind to me, but also strict ________ me. A. at B. to C. for D. with
A. A
B. B
C. C
D. D
【单选题】
25. The boy_____ a yellow sweater can_____ himself now. A. wearing; dress B. putting on; wear C. put on; dress D. dressing;
A. A
B. B
C. C
D. D
【单选题】
( ) 26. Where does the writer of "The little Prince" come from? A.England. B.France. C.America. D.China.
A. A
B. B
C. C
D. D