(96-98题共用题干) 患者,女,22岁,5年前发现心脏杂音,2个月来乏力、头晕、食欲下降,四肢关节疼痛。1周来活动后气短,夜间反复憋醒而来院就诊,查体:体温37.8℃,脉率96次/分,血压120/60mmHg,消瘦,睑结膜苍白,可见小出血点,右肺底少许小水泡音,心界不大,心律慢,心尖部S1减弱,胸骨左缘第三肋间可闻舒张期叹气样杂音,肝脾肋下均可及,下肢不肿。血红蛋白84g/L,白细胞12.1*109/L,血沉38mm第1小时末,尿常规红细胞2-4/HP。 96.该患者最主要的疾病是 A.风湿热 B.肺炎 C.缺铁性贫血 D.感染性心内膜炎
A.8℃,脉率96次/分,血压120/60mmHg,消瘦,睑结膜苍白,可见小出血点,右肺底少许小水泡音,心界不大,心律慢,心尖部S1减弱,胸骨左缘第三肋间可闻舒张期叹气样杂音,肝脾肋下均可及,下肢不肿。血红蛋白84g/L,白细胞12.1*109/L,血沉38mm第1小时末,尿常规红细胞2-4/HP。B.该患者最主要的疾病是C.风湿热D.肺炎E.缺铁性贫血F.感染性心内膜炎
点击查看答案
I usually don’t take the subway to get to my office, but it’s a good thing I did last Tuesday. I (36) a man sitting opposite me who (37) to be extremely nervous. He was (38) wide-eyed at one of the advertisements in the car. Then his hands started to (39) . I took my medical bag and (40) to him. "Well, what (41) seems to be wrong with you" I asked. He pointed at an advertisement (42) the good qualities of a (43) kind of shirt. It (44) : It will not wilt, shrink, crease, or wrinkle. "Well, (45) about it" "I’m going (46) ," he said. "I can read it to myself, but I can’t say it out (47) . " "My dear man," I comforted him, "you can say it. Of course you can. You’re (48) a little nervous. This is just a nervous attack. You must not (49) . You must try. and say it. Now say it. " "It... it will not wilt, crink, waek, or shrinkle," he said, and with a groan (呻吟) he (50) his face with his hands. "Now come. (51) me," I told him, "and learn how perfectly simple the whole (52) is." I continued in a firm voice, "It will not wink, shink, wack, or cinkle. " Oh, my! I (53) several times, and each was wrong in a different way. The man (54) , and appeared completely recovered. I was (55) . The man was cured. Of course, I had been putting on an act.
I usually don’t take the subway to get to my office, but it’s a good thing I did last Tuesday. I (36) a man sitting opposite me who (37) to be extremely nervous. He was (38) wide-eyed at one of the advertisements in the car. Then his hands started to (39) . I took my medical bag and (40) to him.
"Well, what (41) seems to be wrong with you" I asked.
He pointed at an advertisement (42) the good qualities of a (43) kind of shirt. It (44) : It will not wilt, shrink, crease, or wrinkle.
"Well, (45) about it"
"I’m going (46) ," he said. "I can read it to myself, but I can’t say it out (47) . "
"My dear man," I comforted him, "you can say it. Of course you can. You’re (48) a little nervous. This is just a nervous attack. You must not (49) . You must try. and say it. Now say it. "
"It... it will not wilt, crink, waek, or shrinkle," he said, and with a groan (呻吟) he (50) his face with his hands.
"Now come. (51) me," I told him, "and learn how perfectly simple the whole (52) is." I continued in a firm voice, "It will not wink, shink, wack, or cinkle. " Oh, my! I (53) several times, and each was wrong in a different way.
The man (54) , and appeared completely recovered. I was (55) . The man was cured. Of course, I had been putting on an act.
点击查看答案