题目内容

男性,63岁,5年前出现中上腹不适,有不规律隐痛,冬季发作频繁。近10天上腹痛加重,3天前出现食后呕吐,为隔夜宿食,吐后腹痛可缓解。查体:上腹饱满,剑突下压痛,肝脾未及。(以下2题共用题干) 确诊有赖于( )。

A. 核素胃排空
B. 上消化道造影
C. 胃镜
D. 剖腹探查
E. 腹部CT

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上述各项中属于医生违背尊重原则的是()

A. 医生检查病人时,由于消毒观念不强,造成交叉感染
B. 医生满足病人的一切保密要求
C. 妊娠危及母亲的生命时,医生给予引
D. 医生对病人的呼叫或提问给予应答
E. 医生的行为使某个病人受益,但却损害了别的病人的利益

"I want to criticize the social system, and to show it at work, at its most intense." Virginia Woolf’ s provocative statement about her intentions in writing Mrs. Dalloway has regularly been ignored by the critics, since it highlights an aspect of her literary interests very different from the traditional picture of the "poetic" novelist concerned with examining states of dream and vision and With following the intricate pathways of individual consciousness. But Virginia Woolf was a realistic as well as a poetic novelist, a satirist and social critic as well as a visionary: literary critics’ casual dismissal of Woolf’ S social vision will not withstand thorough examination. In her novels, Woolf is deeply engaged by the questions of how individuals are shaped (or deformed) by their social environments, how historical forces impinge on people’ s lives, how class, wealth, and gender help to determine people’ s fates. Most of her novels are rooted in a realistically represented social setting and in a precise historical time. Woolf’s focus on society has not been generally recognized because of her intense antipathy to propaganda in art. The pictures of reformers in her novels are usually satiric or sharply critical. Even when Woolf is fundamentally sympathetic to their causes, she portrays people anxious to reform their society and possessed of a message or program as arrogant or dishonest, unaware of how their political ideas serve their own psychological needs. (Her Writer’s Diary notes: "the only honest people are the artists" whereas "these social reformers and philanthropists" harbor discreditable desires under the disguise of loving their kind...) Woolf had an abhorrance of what she called "preaching" in fiction, too, and criticized novelist D. H. Lawrence (among others) for working by tiffs method. Woolf’ s own social criticism is expressed in the language of observation rather than in direct commentary, since for her, fiction is a contemplative, not an active art. She describes phenomena and provides materials for a judgment about society and social issues: it is the reader’ s work to put the observations together and understand the coherent point of view behind them. As a moralist, Woolf, works by indirection, subtly undermining officially accepted mores, mocking, suggesting, calling into question, rather than asserting, advocating, bearing witness: hers is the satirist’ s an. Woolf’s literary models were acute social observers like Chekhov and Chaucer. As she put it in The Common Reader, "It is safe to say that not a single law has been framed or no stone set upon another because of anything Chaucer said or wrote; and yet, as we read him, we are absorbing morality at every pore." Like Chaucer, Woolf chose to understand as well as to judge, to know her society root and branch — a decision crucial in order to produce art rather than polemic. The author implies that a major element of the satirist’ s art is the satirist’ s ______.

A. consistent adherence to a position of lofty disdain when viewing the weaknesses of humanity
B. insistence on the helplessness of individuals against the social forces that seek to determine an individual’ s fate
C. cynical disbelief that visionaries can either enlighten or improve their societies
D. refusal to indulge in debates when presenting social ethics to readers for their examination

Ⅱ型急进型肾炎的治疗首选()

A. 强化血浆置换
B. 强化血浆置换+糖皮质激素+细胞毒药物
C. 环磷酰胺冲击
D. 甲泼尼龙冲击+环磷酰胺

"I do." To Americans those two words carry great meaning. They can even change your life. Especially if you say them at your own wedding. Making wedding vows is like signing a contract. Now Americans don’ t really think marriage is a business deal. But marriage is serious business, It all begins with engagement. Traditionally, a young man asks the father of his sweetheart for permission to many her. If the father agrees, the man later proposes to her. Often he tries to surprise her by "popping the question" in a romantic way. Sometimes the couple just decides together that the time is fight to get married. The man usually gives his fiancée a diamond ring as a symbol of their engagement. They may be engaged for weeks, months or even years. As the big day approaches, bridal showers and bachelor’ s parties provide many useful gifts. Today many couples also receive counseling during engagement. This prepares them for the challenges of married life. At last it’s time for the wedding. Although most weddings follow long-held traditions, there’ s still room for American individualism. For example, the usual place for a wedding is in a church. But some people get married outdoors in a scenic spot. A few even have the ceremony while sky-diving or riding on horseback! The couple may invite hundreds of people or just a few close friends. They choose their own style of colors, decorations and music during the ceremony. But some things rarely change. The bride usually wears a beautiful, long white wedding dress. She traditionally wears "something old, something new, something borrowed and something blue". The groom wears a formal suit or tuxedo. Several close friends participate in the ceremony as attendants, including the best man and the maid of honor. As the ceremony begins, the groom and his attendants stand with the minister, facing the audience. Music signals the entrance of the bride’ s attendants, followed by the beautiful bride. Nervously, the young couple repeats their vows. Traditionally, they promise to love each other "for better, for worse, for richer, for poorer, in sickness and in health". But sometimes the couple has composed their own vows. They give each other a gold ring to symbolize their marriage commitment. Finally the minister announces the big moment: "I now pronounce you man and wife. You may kiss your bride!" At the wedding reception, the bride and groom greet their guests. Then they cut the wedding cake and feed each other a bite. Guests mingle while enjoying cake, punch and other treats. Later the bride throws her bouquet of flowers to a group of single girls. Tradition says mat the one who catches the bouquet will be the next to many. During the reception, playful friends "decorate" the couple’ s car with tissue paper, tin cans and a "Just Married" sign. When the reception is over, the newlyweds nm to their "decorated" car and speed off. Many couples take a honeymoon, a one-to two-week vacation trip, to celebrate their new marriage. Almost every culture has rituals to signal a change in one’ s life. Marriage is one of the most basic life changes for people of all cultures. So it’s no surprise to find many traditions about getting married ... even in America. Yet each couple follows the traditions in a way that is uniquely their own. The word "business" occurs twice in the first paragraph, what does the second "business" mean

A. Trade.
B. Affair.
C. Duty.
D. Right.

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