exam

第一章症状诊断及治疗原则

一、选择题

1.正常人一天中体温最高是

A 凌晨2-6点

B 下午1-6点

C 中午12点

D 晚6-9点

E 上午10-12点

2.下列不属于感染性发热的是

A 大叶性肺炎

B 肺脓肿

C 中暑

D 伤寒

E 流行性脑脊髄膜炎

3.非感染性发热不包括下列哪项

A 心肌梗死后低热

B 白血病

C 甲状腺功能亢进

D 流行性出血热

E 感染后低热

4.下列关于弛张热的叙述正确的是

A 体温升至39-40℃,持续数天,降至正常

B 体温升至39℃以上,持续数小时,降至正常,后又升至39℃以上

C 体温常至39℃以上,24小时波动范围范围大于2℃,但都在正常以上

D体温常至39℃以上, 24小时波动范围范围小于2℃,均在正常以上E体温常至39℃以上, 24小时波动范围范围小于1℃

5.下列发热性疾病中,不伴有单纯疱疹的是

A 大叶性肺炎

B 急性肾盂肾炎

C 间日疟

D 流行性感冒

E 流行性脑脊髄膜炎

5.下列发热性疾病中,不伴有肝脾肿大的是

A 急性ITP

B 传染性单核细胞增多症

C 病毒性肝炎

D 淋巴瘤

E 白血病

6.了解下肢和足的血循环,最重要的检查是

A 足趾能主动活动

B 足是否肿胀或发凉

C 足趾被动活动是否疼痛

D 足背动脉触诊

E 足的感觉是否正常

7.引起颈静脉怒张常见原因中不包括

A 肺水肿

B 右心衰竭

C 缩窄性心包炎

D 心包积液

E 上腔静脉阻塞综合征

8.一位发热患者，体温在39℃以上，未用任何退热降温措施，24小时内体温波动达2℃以上，最低时体温仍高于正常。这种热型是

A 稽留热

B 波浪热

C 间歇热

D 回归热

E 弛张热

9.中度发热的口腔温度是

A 37-37.2℃

B 37.3-37.9℃

C 38-38.9℃

D 39-40.9℃

E 41℃以上

10.皮下出血面积的直径多大称为紫癜

A <2mm

B 2-3mm

C 3-5mm

D >5mm

E 以上均可

11.皮下出血面积的直径多大称为淤斑

A <2mm

B 2-3mm

C 3-5mm

D >5mm

E 以上均可

12.皮下出血面积的直径多大称为淤点

A <2mm

B 2-3mm

C 3-5mm

D >5mm

E 以上均可

13.一小孩吃花生米，突然出现惊慌，气促，抱送急诊发现患儿吸气极度困难，出现“三凹征”。最可能诊断为：

A 小儿肺炎

B 胸膜炎

C 气管异物

D 支气管哮喘发作

E 受环境惊吓

14.Kussmaul呼吸是指：

A 剧烈运动，呼吸深快

B 酮症酸中毒深长呼吸

C 呼吸衰竭潮式呼吸

D 巴比妥中毒间停呼吸

E 忧郁叹息样呼吸

15.慢性阻塞性肺气肿时可出现下列哪种异常？

A 气管偏向患侧

B 一侧胸廓饱满

C 桶状胸

D 气管偏向健侧

E 吸气期明显延长

16.中水泡音多发生在下列哪段？

A 气管

B 右主支气管

C 细支气管

D 中等大小支气管

E 终末支气管

17.严重吸气性呼吸困难最主要的特点为下列哪项:

A 呼吸频率,深度,节律改变

B 发绀明显

C鼻翼扇动

D “三凹征”

E 以上都不是

18.急性心包填塞的主要特征是哪一项

A 触诊脉搏细弱

B 听诊心音低钝

C 吸气时动脉血压降低10mmHg以上

D 颈静脉怒张

E 呼吸困难

19.右心衰竭时引起淤血的主要器官是

A．肺、肝、肾及胃肠道

B．肝、脾及胃肠道

C．肾、肺及胃肠道

D．肺、脑、肝、脾等

E 脑、肺及胃肠道

20.下列哪种情况不是右心衰竭的临床表现

A 身体下垂部位水肿

B 胸水

C 肝脏静脉性充血

D 肺水肿

E 颈静脉怒张

21. 上腹部出现明显胃蠕动波，常见于下列哪种疾病：：

A：急性胃炎

B：胃黏膜脱垂

C：胃癌

D：胃溃疡

E：幽门梗阻

22. 某患上腹胀，呕吐2天病史，清晨空腹于我院就诊，查体发现上腹部振水音，最可能是：

A 正常

B 胃内大量液体潴留

C 腹腔内有大量液体

D 腹腔内有游离气体

E 腹腔内有肿块

23. 腹部柔韧感最常见于：

A：胃穿孔

B：腹腔内出血

C：急性弥漫性腹膜炎

D：结核性腹膜炎

E：急性阑尾炎

24. 患者男，35岁，腹部剧烈绞痛5小时，伴呕吐，不排气，腹胀。腹部查体可闻及金属音，肠鸣音8次/分，该患者最能的诊断为：（B）

A：急性胰腺炎

B：急性机械性肠梗阻

C：急性胃炎

D：幽门梗阻

E：急性胆囊炎

二、思考题

1.Dyspnea

2.晕厥

3.深昏迷

4.紫绀

5.心悸

6.血尿

7.紫癜的定义及临床分级

8.黄疸的定义、分类及鉴别诊断

9.急性腹泻的治疗原则

10.晕厥的临床特征

三、病例分析：

（1）患者，男性，72岁。因“胸闷、气急、不能平卧2天”，来院急诊。伴咳嗽，有粉红色泡沫样痰。有高血压史20年左右，平时不规则服用降压药。否认心脏病、糖尿病史。体格检查：神清，端坐位，血压185/100mmHg，口唇发绀，大汗淋漓，双肺闻及吸气相哮鸣音和满布细湿啰音，心界向左扩大，心率120次/分，第一心音减弱，闻及第三心音性奔马率，心尖区收缩期杂音II无明显传导，腹部（-），双下肢无浮肿，NS （-）。心电图：窦性心动过速，左室肥大劳损。X胸片：双肺郁血，主动脉型心影，CTR60%。

血常规、肝肾功能、血糖、肌钙蛋白均正常。动脉血气分析：PO2 75.2mmHg，SatO2 94%，其他均正常范围。

试述诊断、鉴别诊断和处理原则。

（2）患者，女性，23岁，已婚。因“发热伴腹痛、腹胀3月”，来院急诊。患者3月前无明显诱因间断发热，不规则，下午热度最高，Tmax39.9℃。伴畏寒、头痛、头昏，全身酸痛，汗多，易盗汗，无寒战。发热后感腹部隐痛，腹胀，进食或大便后阵发性加重。偶有恶心、呕吐。大便干稀交替。外院多次诊断为结核性腹膜炎，抗痨治疗无效。

虚弱无力，日渐消瘦，既往体健。体格检查：神清，重病容，T39.4℃,RR16次/分，血压110/70mmHg口唇无绀，皮肤粘膜为见异常，浅表LB无肿大，巩膜不黄，甲状腺不大，心肺无特殊，腹部中度膨隆，无静脉怒张，无肠型及蠕动波。腹部触诊压痛，呈揉面感，脐部及右下腹可触及多个小包块，有压痛、边缘模糊、稍可活动。移浊（＋）。

肠音亢进，肝脾未触及，双下肢无浮肿，NS（-）。WBC5*109/L,N70%，L30%，Hb100g/l,Rbc3.8*1012/L,Plt100*109/L,Ret1.4%,ESR8mm/h,大便隐血（+）,尿常规、血骨髓培养，肥达氏反应、肝肾功能正常，血钾2.9mmol/L,Na136 mmol/L,Cl99 mmol/L,腹水化验：黄色，浑浊，比重1026，蛋白>6.5g％,李凡他试验（＋），WBC0.35*109/L,多核0.75,单核0.25,抗酸杆菌（-）,癌细胞（-）.胸片：双肺纹理粗乱模糊，内中带为甚。心电图：窦速，低电压。B超：中量腹腔积液，腹腔有肿大淋巴结，肝脾不大。妇科（-）其他均正常范围。

试述诊断、鉴别诊断和处理步骤。

第二章心肺复苏术

一、选择题

1、现场急救包括：

A判断心跳、呼吸骤停

B保持呼吸道通畅

C人工呼吸

D胸外心脏按压

E以上都是

2、快速判断病人有无脉搏时，下列哪项是正确的？

A不能触摸颈动脉

B不能触摸股动脉

C触摸颈动脉或股动脉

D检查时间不得短于20秒

E用测量血压来确定

3、心跳骤停早期诊断的最佳指标是：

A．呼吸停止

B．瞳孔明显散大

C．心音消失

D．颈动脉和股动脉搏动消失

E．面色苍白

4、一旦确诊为心跳骤停，首选的措施是：

心内注射药物

B．电击除颤

C．人工呼吸和胸外心脏按压

D．头部低温，保护大脑

E．测量血压

5、一旦确诊为心跳骤停，必须在几分钟内开始人工呼吸和胸外心脏按压A．4—6分钟

B．6—8分钟

C．8—10分钟

D．10—12分钟

E．12—14分钟

6、胸外心脏按压哪项是错误的？

A下压比向上放松的时间长1倍

B按压部位在胸骨中下1/3交界处

C按压部位定位时先确定胸骨下切迹

D按压频率为每分钟80—100次

E按压与放松时，重叠的掌根不能离开胸骨定位点

7、关于胸外心脏按压术，错误的是：

A．单人复苏15：2（按压人工呼吸）

B．双人复苏5：1（按压人工呼吸）

C．按压深度成人4—5cm

D．按压应平稳，有规律，不能间断

E．按压部位在胸骨下

8、衡量胸外心脏按压有效的标志中，下列哪项是错误的？

A．摸到颈或股动脉搏动

B．口唇发绀逐渐减轻

C．收缩压在10.6kPa(80mmHg)以上

D．散大瞳孔开始缩小

E．偶尔出现自主呼吸动作

9、胸外心脏按压，当用力过猛时，易发生：

A．肋骨骨折

B．胸骨骨折

C．肝破裂

D．骨折断端刺破肺

E．以上都是

10、人工呼吸的方法有：

A．口对口

B．口对鼻

C．俯卧压胸法

D．仰卧压胸法

E．以上都对

11、判断口对口人工呼吸法是否正确有效，首先观察A．口唇发绀是否改善

B．瞳孔是否缩小

C．心跳有无恢复

D．胸廓是否扩张

E．意识有无恢复

12、人工呼吸的方法，下列哪项是错误的？

首先保持气道通畅

吹气时不要按压胸部

吹气时要捏闭病人鼻孔

每分钟吹气16次

每次吹气不超过500ml

13、现代复苏步骤ABC三步曲，是指操作顺序为：A．通气、人工呼吸、胸外心脏按压

B．人工呼吸、通气、胸外心脏按压

C．胸外心脏按压、人工呼吸、通气

D．胸外心脏按压、通气、人工呼吸

E．三者同步进行

14、开放气道的方法是：

A．头后仰

B．头颈胸保持直线

C．下颌推上

D．口张开

E．以上都是

15、张口困难的病人，做人工呼吸时首选：

A．口对口人工呼吸法

B口对鼻人工呼吸法

C 仰卧压胸人工呼吸法

D 俯卧压胸人工呼吸法

E 简易呼吸器法

16、溺水的病人，做人工呼吸时首选：

A 口对口人工呼吸法

B 口对鼻人工呼吸法

C 仰卧压胸人工呼吸法

D 俯卧压胸人工呼吸法

E 简易呼吸器法

17、成人心脏按压的操作要领主要为：

A．病人仰卧在地上或硬板床上

B．操作者两臂要伸直，不能弯曲

C．利用体重垂直向下按压3-5厘米

D．每分钟按压80-100次

E．以上都对

18、儿童心脏按压的操作要领，哪项是错误的？

A．婴幼儿用食、中指下压1.5-2.0cm

B．婴幼儿每分钟按压100次

C．儿童用手掌根部按压胸骨中部，下压2.5-4.0cm

D．儿童每分钟按压80次

E．以上都不对

19、心前区叩击法的操作要领主要为：

A．病人仰卧

B．急救者用握拳的尺侧（小指侧）迅速捶击病人的胸骨中部C．高度为距病人胸壁20-30 cm

D．捶击限于1-2次，若无效时应立即行胸外心脏按压术E．以上都对

20、不同的人工呼吸方法，病人吸气原理哪项是错误的？

A口对口人工呼吸法是操作者吹入

B口对鼻人工呼吸法也是操作者吹入

C仰卧压胸人工呼吸法是推压胸部后，病人的胸部自然弹回，吸入空气

D俯卧压胸人工呼吸法是推压胸背部后，病人的胸部自然弹回，吸入空气

E俯卧压胸人工呼吸法是推压胸部时，病人吸入空气

二、思考题

1. BLS

2. 仰头举颏法

3. sudden cardiac arrest定义及临床表现形式

4.试描述05CPR操作流程

5．05CPR提出了那些新观点

6．简述心肺复苏有效性的临床观察指标

7．简述判断心搏骤停并需心肺复苏的临床表现

8．紧急抢救无效终止CPR的指标

9．生存链（chain of survival）具体内容

三、病例分析

男性，64岁，干部，工作中突发胸闷，约8分钟后气促、发绀，昏倒在地，旁人发现心跳呼吸停止，立即心肺复苏，自主呼吸心跳恢复。体格检查：T37.6℃,P118次/分，RR22次/分，BP68/45mmHg

试述诊断及还应采取那些急救措施

第三章、气管内插管术

一、选择题

1.成人气管长约（）

A. 5~8cm

B. 9~11cm

C. 10~12cm

D. 13~15cm

E. 14~16cm

2、气管软骨环约有（）

A. 9~11个

B. 10~12个

C. 13~15个

D. 14~16个

E. 15~17介

3.第一气管环上与下列哪个软骨相连（）

A. 会厌软骨

B. 甲状软骨

C. 环状软骨

D. 杓状软骨

E. 舌骨

4.直接喉镜插入法错误的是( )

A.垫湿沙布保护门齿

B.左手持直达喉镜柄

C.由口腔正中越过舌根

D.挑起会厌看清声门

E.镜柄侧位180度进入声门

二、思考题

1.急诊气管内插管术定义，目的及适应症

2.气管内插管的并发症

3.明视经口插管的操作步骤及插管成功的判断指标

4.气管内插管的禁忌证

第四章、环甲膜穿刺及气管造口术

一、思考题

1.环甲膜穿刺及气管造口术的作用

2.气管切开术的适应证及禁忌证

3.气管切开术的具体操作流程

4.环甲膜穿刺术适应症及操作方法

第五章、深静脉穿刺插管术

一、选择题

1.一般情况下，应按那种顺序选择深静脉穿刺

A股静脉、右锁骨下静脉、右颈内静脉

B右锁骨下静脉、股静脉、右颈内静脉

C右颈内静脉、右锁骨下静脉、股静脉

D左颈内静脉、左锁骨下静脉、股静脉

2.颈内静脉穿刺时前径路定位点是

A. 胸锁乳突肌内侧缘甲状软骨水平，颈内动脉搏动之外侧

B. 胸锁乳突肌内侧缘甲状软骨水平，颈内动脉搏动之内侧

C. 胸锁乳突肌三角顶点

D．胸锁乳突肌与颈外静脉交点上缘

E．胸锁乳突肌中点

3.有关穿刺时气胸并发症，哪一项正确

A．经锁骨上进路者发生率为2％－10％

B．一旦损伤肺尖，均出现呼吸困难

C．局限性气胸，病人可无临床症状

D．机械通气后，小的刺破口可自行闭合

E．经颈内静脉穿刺可避免此并发症

二、思考题

1.简述深静脉穿刺可能出现的并发症

2.深静脉穿刺插管术的目的及适应症

3.急诊开放深静脉优先考虑部位，原因

4.失血性休克经积极抗休克，止血后生命体征恢复平稳，是否因考虑拔除深静脉导管改外周通路补液，为什么

第六章、机械通气

一、选择题、

1.ARDS恢复期患者，应用CPAP治疗，压力为10cmH2O，FiO2 0.4，SaO2 95％，呼吸频率为14次/min，治疗1小时后，SaO2为90％，呼吸频率为23次/min，并述疲倦，应怎样处理

A．继续观察1小时

B．增加CPAP到13cmH2O

C．降低CPAP到7cmH2O

D．拔管以降低呼吸功耗

E．开始10cmH2O PEEP的同步间歇性指令通气（SIMV）

2.低容量休克时慎用呼吸末正压，其原因是

A．可引起气压伤

B．增加呼吸残气量

C．减少肺内分流

D．降低心输出量

E．提高肺的顺应性

3.混合静脉血氧饱和度（SvO2）正常值范围是多少

A.45—60%

B.55—70%

C.65—80%

D.75—90%

E.以上都不是

4.下列哪项不是机械通气的并发症

A．低血压

B．肺部感染

C．肺气压伤

D．呼吸性酸碱平衡失调

E．水中毒

5.急性呼吸衰竭时各种治疗方案措施的首要目的是

A．迅速去除病因

B．建立肺通气和换气，迅速纠正低氧血症

C．纠正酸碱平衡

D．纠正水、电解质平衡

E．维持循环稳定

6.成人机械通气潮气量的选择常用

A 5ml/kg

B 10ml/kg C20ml/kg D25ml/kg

二、思考题

1.机械通气目的及适应症

2.试述机械通气的各种模式

3.脱机的指针，那种通气模式在脱机前应用较为广泛，为什么

4.支哮病人为什么主张加用PEEP

5.机械通气并发症

6.Auto-PEEP

第七章血流动力学监测

一、选择题

1.动脉穿刺插管侧压首选部位是

A．股动脉

B.桡动脉

C.肱动脉

D.足背动脉

E.腋动脉

2.肺毛细血管嵌顿压（PCWP）正常值范围是多少

A.1-10mmHg

B.5-15mmHg

C.10-20mmHg

D.15-30mmHg

E.以上都不对

3. 表示肺动脉导管进入肺动脉的压力波形是什么

A.压力上升支突然升高，下降支迅速回到零点

B.压力上升支不变，下降支显著升高

C.压力波形呈平台，波幅减低

D.呈一直线

E.以上都不是

4.中心静脉压（CVP）低于多少时表示血容量不足

A.<5cmH2O

B.<7cmH2O

C.<9cmH2O

D.<11cmH2O

E.<13cmH2O

5. 漂浮导管监测最严重的并发症是

A．房室传导阻滞

B．肺梗塞

C．瓣膜损伤

D．感染

E．肺动脉破裂

6. CVP插管的指征是

A．严重创伤、休克

B．全胃肠外营养治疗

C．先天或后天心脏病手术

D．经导管安置心脏临时起搏器

E．以上均是

二、思考题

1．无创伤性血流动力学监测包括那四块内容2．漂浮导管急诊应用的作用

3.两种（袖带、有创）血压监测方法适应症、影响因素。

4、CVP、PAWP的监测方法、正常值。

5.各种血流动力学监测方法的优缺点、并发症及预防措施。

6.中心静脉压监测、肺动脉压监测、心排血量监测的原理，穿刺置管路径、并发症及预防措施。

第八章血液透析

一、思考题

1．血液透析

2．急诊血透的指征

第九章膀胱留置导尿管、膀胱穿刺

一、思考题

1. 导尿适应症

2．膀胱穿刺术禁忌症

第十章、心包腔穿刺术和心包切开引流术

一、思考题

1．心包腔穿刺术三个主要途径是什么

2. 心包腔穿刺的并发症是什么

3.心包切开引流术的适应症

第十一章胸腔穿刺和胸腔闭式引流术

一、思考题

1.大量气胸和血胸各自的胸腔穿刺点及体位，原因

2.胸腔穿刺术流程

3.胸腔闭式引流较胸腔穿刺术的优点

4.画图示意双瓶胸腔引流装置的连接方法

6.急诊胸腔闭式引流后临床观察要点及拔管时机

第十二章、洗胃术

一、选择题

1.下列哪种疾患的病人绝对不能洗胃

A胃炎B腐蚀性食管炎C高血压病人D糖尿病病人

32.洗胃时每次灌入的洗胃液容量为：

A 40～50ml

B 100～200ml

C 300～500ml

D 600～800ml

二、思考题

1.服毒后洗胃的最佳时间及洗胃禁忌症

2.洗胃的适应症

第十三章临时性心脏起搏

一、思考题

1.人工心脏起搏

2.临时性心脏起搏的适应证

3.那些情况无需临时起搏保护

第十四章创伤的现场急救技术

一、选择题

1.下列哪项不是创伤院前急救处理原则

A休息 B 热敷C包扎压迫D抬高患部

2.三角巾包扎伤口哪项描述是准确的

A平结法打结 B 头部包扎需在颈后打结C躯干包扎需在锁骨上面打结D悬挂手臂应使手腕下垂以减轻疼痛

3.夏天断肢再植的最长允许时间：

A12小时 B 18小时C3小时D6小时

4.关于使用止血带，下列哪项是错误的

A止血带应设在出血的近心端 B 上带前放置垫片C转运前应在转送卡上写明止血带时间D上肢止血最好放在上臂中1/3

5.复合性创伤病人出现下列情况，应首先抢救：

A休克 B 开放行气胸C四肢开放性骨科

D昏迷

6.下肢骨折现场急救下列哪项是错误的

A固定患肢 B 及时有效止血C肢体畸形先行手法矫正而后伤肢固定D镇痛

7.反应早期休克较敏感的指标

A 脉搏

B 血压C尿量D皮温

二、思考题

1.创伤急救的一般原则

2.脊柱损伤的搬运方法，原因

第十五章、诊断性腹腔穿刺与腹腔灌洗

一、选择题

1.下列哪项不是诊断性腹腔灌洗阳性指标

A灌洗液红细胞计数<0．05×10／L B经透析导管抽出10-15ml不凝血液；C灌洗液淀粉酶活性> 200iu／dl D收到胆汁样液体

二、思考题

1.诊断性腹腔穿刺适应征

2.诊断性腹腔穿刺禁忌征

3.试述诊断性腹腔灌洗阳性的具体指标

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Lesson2 1 The little crowd of mourners –all men and boys,no women—threaded their way across the market place between the piles of pomegranates and the taxis and the camels,wailing a short chant over and over again.—elliptical sentence 2 A carpenter sit across-legged at a prehistoric lathe,turning chair-legs at lightning speed.—historical present ,transferred epithet 3 Still,a white skin is always fairly conspicuous.—synecdoche 4 As the storks flew northward the Negroes were marching southward—a long,dusty column,infantry,screw-gun batteries, and then more infantry,four or five thousand men in all,winding up the road with a clumping of boots and a clatter of iron wheels.—onomatopoetic words symbolism 5 Not hostile,not contemptuous,not sullen,not even inquisitive.—elliptical sentence 6 And really it was like watching a flock of cattle to see the long column,a mile or two miles of armed men,flowing peacefully up the road,while the great white birds drifted over them in the opposite direction,glittering like scraps of paper.—simile Put out the rhetorical devices used in the following sentences 1．The burying-ground is merely a huge waste of hummocky earth, like a derelict building-lot.( simile ) 2.Arethey really the same flesh as yourself ? ( rhetorical question ) 3. Do they even have names ? (rhetorical question) 4. Or are they merely a kind of undifferentiated brown stuff, about as individual as bees or coral insects? ( rhetorical question ) 5. …and then they sink back into the nameless mounds of the graveyard and nobody notices that they are gone. ( euphemism ) 6….sore-eyed children cluster everywhere in unbelievable numbers, like clouds of flies. (simile ) 7. In the bazaar huge families of Jews, all dressed in the long-black robe and little black skull-cap, are working in dark fly-infested booths that look like caves. (simile ) 8. Instantly, from the dark holes all round, there was a frenzied rush of Jews…. ( transferred ) 9. Still, a white skin is always fairly conspicuous. ( synecdoche ) 10. What does Morocco mean to a Frenchman? An orange grove or a job in Government service ( elliptical sentence ) 11.Or an Englishman? Camels, castles, palm trees, Foreign Legionnaires, brass trays, and bandits.( ) 12. Long lines of women, bent double like inverted capital Ls, work their way slowly across the fields,… ( simile ) 13. All of them are mummified with age and the sun, and all of them are tiny. ( metaphor ) 14. This kind of thing makes one’s blood boil,..(hyperbole ) 15. How much longer can we go on kidding these people? How long before they turn their guns in the other direction? ( rhetorical question ) 16. And really it was like watching a flock of cattle to see the long column, a mile or two miles of armed men,… ( simile )

高英翻译

1、这家公司是由几名有事业心得年轻人创立的。 This company was started by a couple of enterprising young men. 2、那是他唯一一次自己在午夜前睡觉的，因为他实在太累了。 It was the only time when he went to bed of his own accord before midnight, because he was really too tired. 3、经过长时间的仔细酝酿，书才得以完成。 Many hours of meticulous preparation have gone into writing the book.. 4、她从头到脚穿着一身黑。 She was attired from head to foot in black. 5、为攒我们去度假的钱，我节衣缩食整整一年。 I have been scrimping and saving all the year to pay for our holiday. 6、我知道他是好意，但我希望他别来管我们。 I know he is well-meaning, but I wish he’d leave us alone. 7、当有人指出他犯错误时，他非常生气。 He became very indignant when it was suggested he had made a mistake. 8、说了多少次了，安东尼，刀子和叉子要放入中间的抽屉。 I have told you for umpteen th times, Anthony, knives and forks go in the middle drawer. 9、缝纫恐怕不是我的专长。 I am afraid sewing is not my forte. 10、观众热烈的欢迎使她十分高兴。 She was buoy ed by the warm reception her audience gave her. 1、他一直努力把自己重新塑造成一名演员。 She kept trying to reinvent herself as an actress. 2、导演的新片回归到早期的电影风格。 The director’s latest film harks back to the early years of cinema. 3、教授指出了那位博士提出的新理论中一些内在的缺陷。 The professor pointed out some of the inherent defects of the new theory proposed by that doctor. 4、即便是在今天，有些传统风俗在农村地区仍然流行着。 Even today, some of the traditional customs still prevail in rural areas. 5、禁烟运动对年轻人产生了不小的影响。 The anti-smoking campaign made quite an impact on young people. 6、她的报道文章言简意赅。 Her newspaper articles are terse and to the point. 7、这一事件引发了一场两国之间的外交争端。 The incident sparked a diplomatic controversy between the two countries. 8、他的英语作文错误很多，因为他是在截止日期前匆匆写出来的。 There are many mistakes in his English composition ,because he had dashed it off just before the deadline. 9、所有的售货员似乎都带着同样假惺惺的微笑。 All sales people seem to have the same phony smile. 10、你有没有想过从事工程师这一行。 Have you ever thought of taking up engineering? 1、她欣然接受了那笔钱。 She accepted the money with alacrity.

《高级英语》期末考试试卷(A)参考答案05-06

2005 －2006 学年第二学期 《高级英语》期末考试试卷（A）参考答案 I.Fill in the blanks with the appropriate forms of the given words and phrases. (15%) 1. speaks volumes 2. in the vicinity of 3. at his disposal 4. acted as 5. oblivious 不知道的of 6. look up to 7. to no avail 8. follow suit 9. a battery of 10. in lieu of场所 11. unparalleled 12. reassuring 13. circulation 14. significance 15. engulfed II.Paraphrase the following sentences, especially paying attention to the underlined part. （20%）看要求评分 III.Proofreading (10%) The Great Depression first started in the New York Stork Exchange. In the 1920s, there were fatal flaws on the prosperity 1. in of the economy. Overproduction of crops depresses food prices, 2. depressed and farmers suffered. Industrial workers were earning better wages, but they still did not have enough purchased power to continue buying 3.purchasing the flood of goods that poured out of their factories. With profits soar and interest rates low, a great deal of money was available 4.soaring for investment, and much of tha t capital wen t into reckless 5. but speculation. Billions of dollars \that poured into the stock market, and 6 that frantic bidding boosted the price of share far above their real value. 7.shares As long as the market prospered, speculators could make fortunes overnight, but they could be ruined just as quick if stock 8.quickly prices fell. On October 24, 1929 –“Black Thursday” -- a wave of panic selling of stocks swept the New York Stock Exchange. Once started, the collapse of shares and other security prices could not be halted. By 1932, thousands of banks and over 100,000 businesses had been failed. Industrial 9. been production was cut in half, farm income had fallen by more than half, wages had increased 60%, new investment was 10. decreased down 90%, and one out of every four was unemployed in the USA. IV．Reading comprehension (25%) 1-5 BCADB 6-10 BCBCA 11-15 CCBCA 16-20 DDCCB 21-25 BAACA V. Text analysis (30%) 看要求评分。