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(3～5题共用病例)23岁妇女，停经lO周，阴道不规则流血10余天，量不多，呈暗红色，血中伴有小水泡物，妇科检查：B．Pl40／90mmH9，子宫前倾，如孕4个月大，两侧附件可触到鹅卵大、囊性、活动良好、表面光滑的肿物。 一旦以上诊断明确，首选的处理方法是
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The period of adolescence, i.e., the period between childhood and adulthood may be long or short, depending on social expectations and on society’s definition as to what constitutes maturity and adulthood. ①In primitive societies adolescence is frequently a relatively short period of time, while in industrial societies with patterns of prolonged education coupled with laws against child labor, the period of adolescence is much longer and may include most of the second decade of one’s life. Furthermore, the length of the adolescent period and the definition of adulthood status may change in a given society as social and economic conditions change. Examples of this type of change are the disappearance of the frontier in the latter part of the nineteenth century in the United States, and more universally, the industrialization of an agricultural society. In modem society, ceremonies for adolescence have lost their formal recognition and symbolic significance and there no longer is agreement as to what constitutes initiation ceremonies. Social ones have been replaced by a sequence of steps that lead to increased recognition and social status. ②For example, grade school graduation, high school graduation and college graduation constitute such a sequence, and while each step implies certain behavioral changes and social recognition, the significance of each depends on the socio-economic status and the educational ambition of the individual. Ceremonies for adolescence have also been replaced by legal definitions of status roles, rights, privileges and responsibilities. It is during the nine years from the twelfth birthday to the twenty-first that the protective and restrictive aspects of childhood and minor status are removed and adult privileges and responsibilities are granted. The twelve-year-old is no longer considered a child and has to pay full fare for train, airplane, theater and movie tickets. Basically, the individual at this age loses childhood privileges without gaining significant adult rights. At the age of sixteen the adolescent is granted certain adult rights which increase his social status by providing him with more freedom and choices. He now can obtain a driver’s license; he can leave public schools; and he can work without the restrictions of child labor laws. At the age of eighteen the law provides adult responsibilities as well as rights; the young man can now be a soldier, but he also can marry without parental permission. At the age of twenty-one the individual obtains his full legal rights as an adult. He now can vote; he can buy liquor; he can enter into financial contracts; and he is entitled to run for public office. No additional basic lights are acquired as a function of age after majority status has been attained. None of these legal provisions determine at what point adulthood has been reached but they do point to the prolonged period of adolescence. According to the passage, it is TRUE that ______.
Perhaps only a small boy training to be a wizard at the Hogwarts School of magic could cast a spell so powerful as to create the biggest book launch ever. Wherever in the world the clock strikes midnight on June 20th, his followers will flock to get their paws on one of more than 10m copies of Harry Potter and the Order of the Phoenix. Bookshops will open in the middle of the night and delivery firms are drafting in extra staff and bigger trucks. Related toys, games, DVDs and other merchandise will be everywhere. There will he no escaping Potter mania. Yet Mr. Potter’s world is a curious one, in which things are often not what they appear. While an excitable media (here by including The Economist, happy to support such a fine example of globalization)is helping to hype the launch of J.K. Rowling’s fifth novel, about the most adventurous thing that the publishers (Scholastic in America and Britain’s Bloomsbury)have organized is a reading by Ms.Rowling in London’s Royal Albert Hall to be broadcast as a live web cast. Hollywood, which owns everything else to do with Harry Potter, says it is doing even less. Incredible as it may seem, the guardians of the brand say that, to protect the Potter franchise, they are trying to maintain a low profile, well, relatively low. Ms. Rowling signed a contract in 1998 with Warner Brothers, part of AOL Time Warner, giving the studio exclusive film, licensing and merchandising rights in return for what now appears to have been a steal: some $500,000. Globally, the first four Harry Potter books have sold some 200m copies in 55 languages; the two movies have grossed over $1.8 billion at the box office. This is a stunning success by any measure, especially as Ms. Rowling has long demanded that Harry Potter should not be over-commercialized. In line with her wishes, Warner says it is being extraordinarily careful, at least by Hollywood standards, about what it licenses and to whom. It imposed tough conditions on Coca-Cola, insisting that no Harry Potter images should appear on cans, and is now in the process of making its licensing programme even more restrictive. Coke may soon be considered too mass market to carry the brand at all. The deal with Warner ties much of the merchandising to the films alone. There are no officially sanctioned products relating to Harry Potter and Order of the Phoenix; nor yet for Harry Potter and the Prisoner of Azkaban, the film of the third book, which is due out in June 2004. "Warner agrees that Ms. Rowling’s creation is a different sort of commercial property, one with long-term potential that could be damaged by a typical Hollywood marketing blitz," says Diane Nelson, the studio’s global brand manager for Harry Potter. "It is vital," she adds, "that with more to come, readers of the books are not alienated. The evidence from our market research is that enthusiasm for the property by fans is not waning.\ It can be concluded from the last paragraph that ______.
Since the buildup to the war with Iraq, British Prime Minister Tony Blair has taken it on the chin from the media. The British media ordinarily grill politicians, but in this case they have been particularly feisty, empowered by opinion polls that showed most Brits wanted nothing to do with invading Iraq. ①Until now the American media, which by nature are less aggressive than their British counterparts but probably are taking a lead from polls and politicians that supported the administration’s war stance, have gone relatively easy on President Bust. But this week the media have hit the administration hard with questions about Bush’s State of the Union statement that Iraq was acquiring uranium from Niger, one of the administration’s justifications for war. And with the 2004 campaign heating up and Bush’s approval rating dipping, his administration is being grilled harder than it has been in months. Experts say the questioning will get sharper as summer progresses. ②"That Democrats are just now ’beginning to get traction’ on the justification for the war is an example of how differently politics are played in the U.S.A. than they are in Britain"says Martin Turner, Washington bureau chief of the BBC. The respondents have been highly critical of the war and suspicious of administration claims that weapons of mass destruction exist in Iraq. In Britain, whereas prime minister must defend himself every week before Parliament, the media take a "much more muscular approach to grilling politicians", Turner says. Here, the BBC is often regarded as a rather impolite member of the Washington press corps. "We tend to ask questions in a different way than they are asked on the Sunday political programs." In London, Michael Goldfarb, senior correspondent for National Public Radio affiliate WBUR in Boston, says his British counterparts talk about "how astonishing the ride has been for Bush" and how the Bush administration "manages the news like it’s nobody’s business. Here they call Blair Bush’s poodle (狮子狗)". But then again, he says, British media "simply don’t hold to the American notion of objectivity and certainly not impartiality". ABC anchor Peter Jennings, who reported from London in the 1970s and 1980s, says he has "always been struck by how mu ch more aggressive the British press is". They’re simply much more aggressive. In the U.S.A., "there is no doubt that the press is aware of the influence of a powerful president, and the press is aware to some extent that it is in competition for public opinion, so there is always stress between a powerful president and the press." But in the past week, with debate over the war heating up, it led several of Jennings’ World News Tonight broadcasts. "Our reporters sense some deep concern about what is happening.\ It is implied in paragraphs 2 and 3 that Bush might lose public support if ______.
St.Paul didn’t like it. Moses warned his people against it. Hesiod declared it "mischievous" and "hard to get rid of it", but Oscar Wilder said, "Gossip is charming." "History is merely gossip," he wrote in one of his famous plays. "But scandal is gossip made tedious by morality." In times past, under Jewish law, gossipmongers might be fined or flogged(鞭笞). The Puritans put them in stocks or ducking stools, but no punishment seemed to have the desired effect of preventing gossip, which has continued uninterrupted across the back fences of the centuries. Today, however, the much maligned human foible(弱点) is being looked at in a different light. Psychologists, sociologists, philosophers, even evolutionary biologists are concluding that gossip may not be so bad after all. "Gossip is a valuable activity," philosophy professor Aaron Ben-Ze’ev states in a book he has edited, entitled Good Gossip. For one thing, gossip helps us acquire information that we need to know that doesn’t come through ordinary channels, such as: "What was the real reason so-and-so was fired from the office Gossip also is a form of social bonding," Dr. Ben-Ze’ev says. It is "a kind of sharing" that also "satisfies the tribal need--namely, the need to belong to and be accepted by a unique group". What’s more, the professor notes, "Gossip is enjoyable." ①Another gossip groupie, Dr.Ronald de Sousa a professor of philosophy at the University of Toronto, describes gossip basically as are from of indiscretion and a "saintly virtue", by which he means that the knowledge spread by gossip will usually end up being slightly beneficial. "It seems likely that a world in which all information were universally available would be preferable to a world where immense power resides in the control of secrets," he writes. Still, everybody knows that gossip can have its ill effects, especially on the poor wretch being gossiped about. And people should refrain from certain kinds of gossip that might be harmful, even though the ducking stool is long out of fashion. ②By the way there is also an interesting strain of gossip called medical gossip, which in its best form, according to researchers Jerry M.Suls and Franklin Gookin, can motivate people with symptoms of serious illness, but who are unaware of it to seek medical help. So go ahead and gossip. But remember, if (as often is the case among gossipers) you should suddenly become one of the gossips instead, it is best to employ the foolproof defense recommended by Plato, who may have learned the lesson from Socrates, who as you know was the victim of gossip spread that he was corrupting the youth of Athens: when men speak ill of you, so live that nobody will believe them. Or, as Will Rogers said, "Live so that you wouldn’t be ashamed to sell the family parrot to the town gossip.\ The author’s attitude toward "gossip" can be best described as ______.
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