全国英语等级考试(PETS)考试：2021全国英语等级考试（四级）真题模拟及答案(1)
1、一风湿性心脏病患者，心率120次/分，伴气促、房颤、颈静脉怒张、肝大，首选药物是（ ）。（单选题）
A. 毛花苷丙静脉注射
B. 普萘洛尔
2021年广东高考录取分数线C. 利多卡因
D. 氨茶碱
E. 维生素E
初级中学教师资格证考哪些科目试题答案：A
紧张时发作为多，含服疼痛能迅速缓解。有高血压病病史三年，无冠心病史及药物过敏史。嗜烟，无嗜酒。父母有高血压病史。查体：T36℃、R20次/分、P78次/分、BP180mmHg/100mmHg，一般情况尚可。心界不大，心率78次/分，律整，未闻病理性杂音。双肺叩诊清音，未闻干湿啰音。腹软，肝脾未扪及。双下肢无水肿。本病的哪项不对（）。（单选题）
A. 安静休息、心电监护
B. 药物使用：硝酸酯类药物、β受体阻滞剂、钙离子拮抗剂、抗血小板制剂以及降脂药物的应用
C. 控制各种危险因素：降低血压，维持血压平稳等
D. 大剂量连续含服
E. 必要时采取PTCA
试题答案：D
3、女性患者，23岁，大学生。反复发作性心悸3年，再发1小时。患者三年前出现阵发性心悸，突然发作，突然停止，每次发作几分钟到数小时不等。无晕厥和黑蒙等现象出现，诊断为"阵发性室上性心动过速"，服用胺碘酮。查体：T36℃，P180次／分，BP120／76mmHg。唇无发绀，颈静脉无怒张，心率180次／分，心音低钝，各瓣膜区未闻杂音。双肺呼吸音清，未闻及干湿啰音。双下肢无水肿。心电图为阵发性室上性心动过速，P-R间期缩短至0.10秒，QRS时限延0.12秒，QRS波起始部粗钝，与其余部分形成顿挫的预激波，预激波和QRS波在V2022国家医学考试网缴费入口1导联均向上。典型预激综合征其心电图特点（）。（单选题）
A. P-R间期缩短至0.10～0.12以内
B. QRS起始部粗钝，挫折有delta波
C. QRS波延长至0.11秒以上
D. P-J时间正常＜0.27秒，可伴有继发性ST-T改变
E. 以上都是
试题答案：E
公务员各岗位报考条件4、患者男性，58岁。患者半年前登山时出现心前区疼痛，为压迫样，持续1～2分钟并向左肩、左背放射，停止活动自行缓解。以后每当劳累和工作紧张均可诱发，含可缓解。一月前心前区疼痛发作频繁并加重，发作时间较前延长，轻微活动就可诱发，含效果欠佳。发现高血压史五年，服药效果不理想，无糖尿病史。查体BP200／120mmHg，心肺没发现异常，心电图ST段下移0.1mm。父母有高血压史。本病例的诊断为（）。（单选题）
郑州人事考试网入口A. （1）冠心病不稳定型心绞痛（2）高血压病Ⅲ期极高危
B. （1）冠心病稳定型心绞痛（2）高血压病Ⅲ期极高危
C. （1）冠心病不稳定型心绞痛（2）高血压病Ⅱ期高危
D. （1）高血压病Ⅲ期极高危（2）高血压性心脏病
E. （1）肥厚型心肌病（2）高血压病Ⅲ期极高危
试题答案：A
5、 根据下面资料，回答{TSE}题。 Although not as much as in the past, grandparents are the teachers of the Navajo(纳瓦霍人)youth． They make young people aware of life at an early age． The parents grant them the privilege of teaching the children, and the grandparents take great pride in raising the children or at least hav-ing a big part in raising them． Young children often stay with their grandparents for years at a time, developing a close and trusting relationship． The grandparents teach the children Navajo legends and the principle of life,emphasizing both new culture trends and the preservation of traditions． The grandparents are also often the leading figures in teaching the youth the arts of weaving,caring for the livestock, using herbal medicine, and other arts and crafts． The children are taught to respect their elders, to care for them, to help them whenever they are in need, and to learn from them． Young people are urged to listen with care to the words of their elders and to keep as much wisdom as possible． Grandparents often go to social gatherings and traditional events, and the young have opportunities to learn more about their culture and traditions． I live with my grandmother
for thirteen years, and she raised me in the old ways of our peo-ple． Although I was going to school, she taught me as much as she could about our traditions． She was a beautiful woman． If I had a chance, I would listen again to her wise teachings, expressed with kindness in a soft voice that touched my heart． We used to plant corn and pumpkin every summer． They never grew big enough to feed us,but we planted them anyway． I asked my grandmother why． She said, "Grandson, our plants will be far more beautiful than the flowers outside the fence． " I did not understand until one day I saw their beauty as I was coming over the hill with her． She said, "Anything that is a part of you is al-ways far more beautiful than the things which you pass by． " We had some beautiful years togeth-er． I am glad she is a part of me and I am a part of her． Children used to be well disciplined, possessing more respect for culture, tradition, and be-liefs than they do now． The world of the Navajo has been influenced by the western world, and the grandparents have less control and influence than they used to． But the young people who have been touched by their teachings have glimpsed a way of life beyond what most people know today． {TS} From Paragraph 1 we can learn that__________．（单选题）
A. children learn about the meaning of life from their grandparents
B. grandparents are usually unwilling to teach their grandchildren
C. schools are not very popular with the Navajo youth
D. parents hate to take the trouble to raise children
试题答案：A
6、患者，女，18岁。因"反复皮肤瘀点、瘀斑2周，高热2天"入院。查体：T39.5℃胸骨压痛（+），浅表淋巴结及肝脾未触及。血象：血红蛋白70g／L，白细胞2.0×109／L，血小板15×109／L；血浆纤维蛋白原1.2g／L，D-二聚体阳性。若该患者诊断急性早幼粒细胞白血病，最易出现下列哪种并发症？（）（单选题）
A. 中枢神经系统白血病
B. 淋巴结肿大
C. 肝脾肿大
D. 绿瘤
E. 黄疸
F. DIC
试题答案：F
7、男性患者，45岁，工人。一年前逐渐出现心前区疼痛、无力，气短症状，有时出现心前区疼痛并放射到左上肢和左后背。三月来有过两次晕厥。BP130／70mmHg，P90次／分，双肺肺未闻及干湿啰音，HR110次／分，律不齐，强弱不一，胸骨左缘ⅢⅣ肋间闻及粗糙SM，心电图示房颤，心肌劳损，V4～V5Q波深窄。二维超声心动图示室间隔厚度25mm，左室后壁13mm，左室流出道狭窄，二尖瓣前叶于收缩期前向运动。诊为肥厚型梗阻性心肌病。母及一兄确诊为肥厚型心肌病，均有晕厥发作史。无其他疾病史。肥厚型梗阻性心肌病杂音特点是（）。（单选题）
A. 含服片或做Valsalva动作，使左心容量减少或增加心肌收缩力，均可使杂音降低
全国公安招警网站B. 含服片或做Valsalva动作，使左心容量增加或增加心肌收缩力，均可使杂音增加
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