患者,男,65 岁,有高血压病史二十余年,服用降压药物, l 小时前突然出现明显头痛,烦躁心悸,多汗,恶心呕吐,视物模糊,面色潮红, BP260/130mmHg,本病例的治疗首先考虑选
C
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Passage4
Questions16to20arebasedonthefollowingpassage:
IrecentlywroteanautobiographyinwhichIrecalledmanyoldmemories.Oneofthemwasfrommyschooldays,whenourninthgradeteacher,MissRaber,wouldpickoutwordsfromtheReader’sDigesttotestourvocabulary.
Today,morethan45yearslater,Ialwayscheckout“ItpaystoEnrichYourWordPower”firstwhentheDigestcomeseachmonth.Iamimpressedwiththatidea,wordpower.Reader’sDigestknowsthepowerthatwordshavetomovepeople—toentertain,inform,andinspire.TheDigesteditorsknowthatthebigwordisn’talwaysthebestword.Takejustoneexample,aQuotableQuoteformtheFebruary1985issue:”Timeisaplayfulthing.Itslipsquicklyanddrinksthedaylikeabowlofmilk.”
Nineteenwords,onlytwoofthemmorethanonesyllable,yethowmuchtheyconvey!That’susuallyhowitiswithReader’sDigest.Smallandsimplecanbeprofound.
AschairmanofafoundationtorestoretheStatueofLiberty,I’vebeenmakingalotofspeecheslately.Itrytokeepthemfairlyshort.Iusesmallbutvividwords:wordslike“hope”,“guts”,“faith”,“dreams”.ThosearewordsthatmovepeopleandsaysomuchaboutthespiritofAmerica.
Don’tgetmewrong.I’mnotagainstusingbigwords,whenitisrighttodoso,butIhavealsolearnedthatasmallwordcanworkasmallmiracle—ifit’srightword,intherightplace,attherighttime.It’sa“secret”thatIhopeneverforget.
16.Thepassageismainlyabout.
A.oneofthemanyoldmemories
B.usingsimplewordstoexpressprofoundideas
C.Reader’sDigestandschoolspeeches
D.howtomakeeffectivespeeches
17.ItseemsthatReader’sDigestisamagazinepopularwith.
A.peopleofallagesB.teenagersC.schoolteachersD.elderlyreaders
18.Theexampletheauthorgivesinthesecondparagraphmightmean.
A.onespendshisdayplayinganddrinking
B.don’twasteyourtimeasonedoes
C.timeslipseasilyifyoudon’tmakegooduseofit
D.timeisjustlikedrinkingmilkfromabowl
19.Theauthor’s“secret”is.
A.toavoidusingbigwordsatanytime
B.tousewordsthathavethepowertomovepeople
C.toworkamiraclebyusingasmallword
D.tousesmallandsimplewordswherepossible
20.Accoedingtotheauthor,well-chosenwordscangivepeople.
A.hope,courageandideas
B.confidence,determinationandstrength
C.pleasure,knowledgeandencourage
D.entertainment,informationandpower
Questions16to20arebasedonthefollowingpassage:
Passage3
Questions11to15arebasedonthefollowingpassage:
UnliketheirAmericanorEuropeancounterparts,carsalesmeninJapanworkhardtogetabuyer.Insteadoflyinglazilyaroundshowroomswaitingforcustomerstodropby,manyJapanesecarsalesmenstillgoouttogetthem.Theywalkwearilyalongthestreetscarsdoor-to-door.Newcustomersarehuntedwithfruitandcakesontheirbirthdays.Butlifeisgettingtough,andnotjustbecausenew-carsalesarefalling.
WithmoreJapanesewomen(whooftencontrolthehouseholdbudget)goingouttowork,thesalesmenincreasinglyfindnobodyathomewhentheycall.Thatmeansanothervisitintheeveningortheweekend.Thentheyfaceanextraproblem:morepeople,especiallytheyoung,prefertochooseanewcarfromashowroomwheretheycancomparedifferentmodels.
Evenaslateasthemid-1980ssome90%ofnewcarsweresolddoor-to-door.Insomeruralareasmostnewcarsarestillsoldthisway.Butinthebigcitiesmorethanhalfthenewcarsarenowsoldfromshowrooms.
AlthoughinvestinginshowroomsisexpensivebecauseofthehighcostofJapaneseland,dealershavelittlechoice.AlaborshortageandhigheramongJapan’sworkforcearemakingitdifficulttohiredoor-to-doorsalesmen.MostofaJapanesecarsalesman’sworkingdayisspentdoingfavorsforcustomers,likearranginginsuranceorpickingupvehiclesforservicing,ratherthanactuallyselling.
Japan’sdoorstepcarsalesmenarenotabouttovanish.Thepersonalservicetheyprovideissodeep-rootedinJapanthattheyarelikelytooperatealongsidetheglitteringnewshowrooms.Thetwosystemsevencomplementeachother.Whatincreasinglyhappensisthattheshowroomattractstheinterestofapotentialbuyer,givingthefootsoresalesmenafirmleadtofollowupwithahomevisit.
11.Japanesecarsalesusuallydonotwaitatshowroomsforcustomerstodropby;instead,.
A.theysellcarsdoor-to-door
B.theybuypresentsfortheircustomers
C.theyenjoythemselvesinrecreationcenters
D.theygoouttodomarketresearches
12.Impliedbutstated:thecompetitionincarmarketis.
A.lightB.moderateC.fierceD.unfair
13.Youngpeopleliketobuyanewcar.
A.athomeB.fromashowroom
C.madeintheU.S.A.D.madeinJapan
14.ThesquadronofJapanesecarsalesmenisreducingbecauseof.
A.alaborshortage
B.higherexpectationsamongJapan’sworkforce
C.highcostland
D.bothAandB
15.Japanesecarsalesmentotheircustomersmanyfavorssuchas.
A.showingthemaroundinanexhibition
B.arranginginsurance
C.payingthemavisitonweekends
D.sellingolecarsforthem
糖尿病患者在家注射胰岛素,出现极度饥饿、软弱、手抖、出汗、头晕等,此时应当
患者,女性,25岁,身高160cm,体重43kg,“三多一少”症状明显,空腹血糖及尿糖均显著增高,诊断为1型糖尿病,住院后采用速效胰岛素治疗,其饮食总热量应