[不定项选择题]患者男性76岁，体重62kg。既往有食管静脉曲张史，因第三次胃出血急诊入院。自第一次心力衰竭以来一直服用地高辛(每日0.25mg)。输入三个单元全血后，红细胞比容3%，血浆总蛋白55g/L。白蛋白35g/L。ALT85单位，心电图提示洋地黄作用，与前次相比无改变。静脉肾盂造影提示肾显影不佳。体检发现肝脏肿大、心脏扩大、双肺呼吸音低，胸透肺纹理减少。血压200/90mmHg，体温37.2℃。 拟行门腔静脉分流术，哪种麻醉方法最安全( )
A.咪达唑仑、芬太尼、琥珀胆碱诱导气管插管，氧化亚氮、阿曲库铵-异氟烷、氧维持麻醉，控制呼吸
B.连续硬膜外麻醉
C.依托咪酯、琥珀胆碱诱导气管内插管后，用甲氧氟烷、氧紧闭循环维持麻醉
D.硫喷妥钠、琥珀胆碱气管内插管，右旋筒箭毒、氧化亚氮、氟烷一氧维持麻醉
E.地西泮、吗啡、琥珀胆碱诱导，普鲁卡因、氯胺酮、氧维持麻醉

[不定项选择题]患者男性76岁，体重62kg。既往有食管静脉曲张史，因第三次胃出血急诊入院。自第一次心力衰竭以来一直服用地高辛(每日0.25mg)。输入三个单元全血后，红细胞比容3%，血浆总蛋白55g/L。白蛋白35g/L。ALT85单位，心电图提示洋地黄作用，与前次相比无改变。静脉肾盂造影提示肾显影不佳。体检发现肝脏肿大、心脏扩大、双肺呼吸音低，胸透肺纹理减少。血压200/90mmHg，体温37.2℃。 按ASA分级，此病人应属于( )
A.Ⅱ级
B.Ⅲ级
C.Ⅳ级
D.EⅢ级
E.EⅣ级

[不定项选择题]76岁老人，平素健康，跌倒后，致股骨头头下型骨折有移位，选择哪种治疗最合适
A.皮牵引治疗
B.髋人字石膏固定
C.骨牵引治疗
D.股骨粗隆间截骨术
E.人工股骨头置换术

[不定项选择题]（共用题干）居民男，76岁，脑卒中康复期患者，社区护士定期上门访视。 护士告诉患者及家人，为减少残障，功能恢复的关键期是发病后的（ ）。
A.1个月内
B.2个月内
C.3个月内
D.4个月内
E.6个月内

[不定项选择题]（共用题干）居民男，76岁，脑卒中康复期患者，社区护士定期上门访视。 护士评估患者有吞咽困难，指导其家人喂食时将食物放入患者（ ）。
A.口中的健侧
B.口中的患侧
C.舌头的前部
D.舌头的中部
E.舌头的后部

[不定项选择题]女，76岁，患甲状腺功能低下10年，药物治疗不规范。 预防措施中，哪项不适合此患者
A.保持室温18℃以上
B.穿戴保暖衣物
C.摄入足够热量食物
D.冬季代谢率低，减少甲状腺激素用量
E.适当活动增加产热

[不定项选择题]（共用题干）患者男，76岁，白细胞计数为13.5×109/L，由于在白细胞曲线左侧见异常峰。 镜检分类计数100个白细胞时可见有核红细胞165个，校正白细胞数为（ ）。
A.5.09×109/L
B.8.78×109/L
C.11.5×109/L
D.13.5×109/L
E.22.28×109/L

[不定项选择题]（共用题干）患者女，76岁。胃癌晚期，极度消瘦，入住临终关怀病房。患者诉上腹部、腰部隐隐作痛，不严重，可以忍受，夜间可以入睡。 患者知道自己的病情后，写好了遗书并安排身后事。平时少言寡语。但面对家属的悲伤，能安慰家属，情绪稳定。患者的心理反应处于（ ）。
A.否认阶段
B.愤怒阶段
C.协议阶段
D.抑郁阶段
E.接受阶段

[不定项选择题]（共用题干）患者女，76岁。因“左下肢肿胀5天”入院，患者左下肢肿胀明显，以大腿部为甚，左足背动脉搏动较右侧弱，可扪及。患者既往有心脏病病史，心功能二级。 下列护理措施中不正确的是（ ）。
A.观察患者呼吸情况
B.注意输液速度
C.抬高患肢
D.定时翻身
E.按摩患肢

[不定项选择题]女，76岁，患甲状腺功能低下10年，药物治疗不规范。 冬季应特别预防何种可致死的病症
A.低体温昏迷
B.呼吸道感染
C.甲状腺功能低下加重
D.心血管事件
E.肠蠕动减少，肠梗阻

[不定项选择题]共用题干 A Doctor in the House
Brushing your teeth twice a day should keep the dentist away. But if a group of scientific researchers have their wish,it will make the rest of your body healthy too.______(1)It is one of many gadgets（小装置）proposed by engineers and doctors at the Center for Future Health in New York一others include a pair of glasses that help to jog your memory,and a home camera designed to check for cancer.
The devices seem fanciful,but the basic principles are simple. The gadgets should make it easy for people to detect illness long before it strikes and so seek treatment far earlier than normal.______(2)In the long run,the technology may even prevent illness by encouraging us to lead healthier lives.
Intelligent bandages（绷带）are a good example. Powerful sensors within the bandage could quickly identify tiny amounts of bacteria in a wound and determine which antibiotics（抗生素）would work best.______(3)
Socks are long overdue for a makeover. In the future they will be able to automatically detect the amount of pressure in your foot and alert you when an ulcer（溃疡）is coming up. All the projects should have far-reaching implications,but the biggest single develop-ment is a melanoma（黑瘤）monitor designed to give early warnings of cancer.______(4)If a problem is found,the system would advise you to get a check-up at your doctor's surgery.
If all this sounds troublesome,then help is at hand.______(5)A standard computer would be able to understand your voice and answer questions about your symptoms in plain
English and in a way which would calm your nerves. ______(4) A: Experts are also working on a“digital doctor”,complete with a comforting bedside manner.
A.Instead of relying on hi-tech hospitals,the emphasis is shifted to the home and easy- to-use gadgets.
B.The cut could then be treated instantly,so avoiding possible complications.
C.That is going to be the difficult part.
D.The device could be used to take a picture of your body each week,then compare it with previous images.
E.A toothbrush that checks blood sugar and bacteria while you brush is currently in de- velopment in US
F.