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女性患者，58岁，以“渐进性四肢乏力、疼痛1年余，加重1个月”来诊。患者于1年前患带状疱疹，1个月后出现双下肢阵发性疼痛，起初仅在小腿，继而逐渐向上发展，同时伴双下肢发紧、麻木感，左下肢为重。查体：四肢肌力4级，余神经系统体征未见异常。 应进一步做何检查
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案例分析题在墨西哥度假Each year more travelers are finding their way to the sun coasts of Mexico; where ancient civilizations once honored the sun, modern sun worshippers are discovering superb vacation destinations. Airlines now schedule weekly flights from major national and international points to a variety of sun coast resort areas.The peninsula of Baja California provides one of the most splendid vacation sites in the Western Hemisphere. The peninsula is divided into two states: Baja California Norte and Baja California Sur, which are now connected by the Benito Ju rez Trans-peninsular Highway, so that the entire peninsula can be easily reached by car, as well as by sea and air. A chain of new hotels offer deluxe accommodations, but there are also numerous camping grounds, trailer parks and wayside inns for those who prefer casual-living vacations. At the southern end of the peninsula, La Pazi San Jos del Cabo and Cabo San Lucas offer rapidly expanding deluxe facilities to accommodate the growing influx of visitors. All have good accommodations, restaurants, sports facilities and meeting rooms. In addition, La Paz, with its duty-free zone, is a shopper’s paradise.Kino Bay, a coastal resort on the mainland near Hermosillo, is expanding and will soon offer new luxurious tourist accommodations.South along the coast are Topolobampo and Los Mochis, the former a ferry terminus serving La Paz on the peninsula, and boasting the largest natural bay in the world; and the latter a starting point for the Chihuahua-Pacific Railway trip which goes through the breath-taking Copper Canyon to the city of Chihuahua．Mazatlan, the sailfish capital of the world, has developed a large new resort complex to accommodate its many visitors. Famous for its jumbo shrimp and other delicious seafood, Mazatlan also offers seasonal bullfights, lively evening entertainment and big-game fishing. An international fishing tournament is held there each fall. Modem convention and sports facilities are available. Mazatlan is easily reached from other major cities by good high-ways and an international aiport.Puerto Vallarta, once a sleepy fishing village, is now one of Mexico’s fastest growing resorts. The red-tiled roofs and cobblestoned streets contrast with the luxurious new hotels. The annual temperature averages around 80°F., offering a perfect climate for parasailing, skin diving, surfing and other aquatic sports. Evening entertainment includes seafood dinners, floor shows and disco dancing that lasts until daybreak. Big-game hunting and fishing are also popular within this region of coastal Mexico. The Sun coasts of Mexico are excellent vacation destinations where in ancient times people（）
招聘过程中产生的不公正现象的最主要根源是经济利益原因。
案例分析题礁糊秀The most romantic time to arrive in Venice is at dusk on a winter’s day. Your water-taxi ride across the lagoon from the airport will catch the last velvety-grey streaks of daylight. You’ll arrive on the Grand Canal just as the upper windows of its palaces start to bloom with rose-coloured lamps or sparkle with chandeliers. In no other city does evening begin with such promise.Strange, then, that Venice should be so emphatically not a night-time place. However mobbed it may have been in daylight, darkness falls with the abruptness of a hauled-down shutter. The crowds of Asian tourists and schoolkits milling around seem to vaporize. In a hundred closed cafes, the espresso machines give an expiring hiss, as if at last slipping off their shoes and wiggling their toes.That is what makes Venice by night so magical, when the loudest sounds are those of footsteps and lapping water, and the modern world recedes so that in any Square or over any bridge, you wouldn’t be surprised to meet a hurrying figure in a cloak and buckled shoes; Casanova on his way to some assignation, perhaps.St. Mark’s becomes an enchanted place, with pools of the day’s flood still underfoot and mist wreathing the cathedral. But "nightlife" seems nonexistent outside the weeks of carnival each February. In a city so stuffed with historical treasures, the lack of a living, modern culture is achingly apparent, especially after dark.Venice’s only theatre of note, the Fenice, has only just reopened after almost a decade, following a fire. Clubs, discos, even cinemas are almost as hard to find as car parks. Nor is there the eating-out culture that governs the rest of Italy.Venice is not usually regarded as a gourmet paradise. Even J G Links, author of the definitive, eccentric guidebook Venice for Pleasure, suggests it has few restaurants worth visiting outside the Cipriani hotel. As a rule, it’s best to avoid canalside establishments with their menus turisticos; look for places down alleys. Remember, this is rice, not pasta country, offering some of the best risotto you’re ever likely to eat.When I first came here, aged 15, on a school trip, we were quartered in a girl’s convent school. Ever since, I’ve stayed at the Gritti Palace, on the Grand Canal, overlooking the Salute. Apart from its mixture of elegance and old-fashioned comfort, I have two reasons for loving this hotel. Alighting at its private landing stage completes the thrill of arriving in Venice by night. And it was here, 13 years ago, that Sue and I decided to get married and have our daughter.Gondolas operate until well after dark. It can be doubly romantic, with the Grand Canal in pitch-darkness and silent but for the churn of water buses and scraps of operatic arias that some gondoliers still perform.Latterly, Venice has been making more efforts to get a nightlife. There is a disco named Casanova near the railway station and a music bar, Piccolo Mondo, near the Accademia bridge. The city’s student population has created funkier areas around Campo Santa Margarita and in Cannaregio, the immigrant quarter to the north.There is also street music after all the smart shops have closed and the only merchandise on offer is fake designer handbags, set out on the trestles used as walkways at times of flooD．Around one corner, you may come upon a countertenor in an anourak, singing Handel; around another, two men will be playing selections from Andrew Lloyd Webber on a vibraphone of water-filled glasses. You think that sounds totally naff I can tell you it sounded totally wonderful. Such is the alchemy of Venice by night. Which of the following can best summarize the passage（）
案例分析题礁糊秀The most romantic time to arrive in Venice is at dusk on a winter’s day. Your water-taxi ride across the lagoon from the airport will catch the last velvety-grey streaks of daylight. You’ll arrive on the Grand Canal just as the upper windows of its palaces start to bloom with rose-coloured lamps or sparkle with chandeliers. In no other city does evening begin with such promise.Strange, then, that Venice should be so emphatically not a night-time place. However mobbed it may have been in daylight, darkness falls with the abruptness of a hauled-down shutter. The crowds of Asian tourists and schoolkits milling around seem to vaporize. In a hundred closed cafes, the espresso machines give an expiring hiss, as if at last slipping off their shoes and wiggling their toes.That is what makes Venice by night so magical, when the loudest sounds are those of footsteps and lapping water, and the modern world recedes so that in any Square or over any bridge, you wouldn’t be surprised to meet a hurrying figure in a cloak and buckled shoes; Casanova on his way to some assignation, perhaps.St. Mark’s becomes an enchanted place, with pools of the day’s flood still underfoot and mist wreathing the cathedral. But "nightlife" seems nonexistent outside the weeks of carnival each February. In a city so stuffed with historical treasures, the lack of a living, modern culture is achingly apparent, especially after dark.Venice’s only theatre of note, the Fenice, has only just reopened after almost a decade, following a fire. Clubs, discos, even cinemas are almost as hard to find as car parks. Nor is there the eating-out culture that governs the rest of Italy.Venice is not usually regarded as a gourmet paradise. Even J G Links, author of the definitive, eccentric guidebook Venice for Pleasure, suggests it has few restaurants worth visiting outside the Cipriani hotel. As a rule, it’s best to avoid canalside establishments with their menus turisticos; look for places down alleys. Remember, this is rice, not pasta country, offering some of the best risotto you’re ever likely to eat.When I first came here, aged 15, on a school trip, we were quartered in a girl’s convent school. Ever since, I’ve stayed at the Gritti Palace, on the Grand Canal, overlooking the Salute. Apart from its mixture of elegance and old-fashioned comfort, I have two reasons for loving this hotel. Alighting at its private landing stage completes the thrill of arriving in Venice by night. And it was here, 13 years ago, that Sue and I decided to get married and have our daughter.Gondolas operate until well after dark. It can be doubly romantic, with the Grand Canal in pitch-darkness and silent but for the churn of water buses and scraps of operatic arias that some gondoliers still perform.Latterly, Venice has been making more efforts to get a nightlife. There is a disco named Casanova near the railway station and a music bar, Piccolo Mondo, near the Accademia bridge. The city’s student population has created funkier areas around Campo Santa Margarita and in Cannaregio, the immigrant quarter to the north.There is also street music after all the smart shops have closed and the only merchandise on offer is fake designer handbags, set out on the trestles used as walkways at times of flooD．Around one corner, you may come upon a countertenor in an anourak, singing Handel; around another, two men will be playing selections from Andrew Lloyd Webber on a vibraphone of water-filled glasses. You think that sounds totally naff I can tell you it sounded totally wonderful. Such is the alchemy of Venice by night. The first and the second paragraphs are meant to tell the reader that on a winter’s day（）
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