男性,23岁,学生,因选拔校运动员来体检,平素无自觉症状,每日体育锻炼。体检:BPl60/50mmHg,脉率60次/分,可触及水冲脉,毛细血管搏动征阳性,心尖部可闻及隆隆样舒张早期杂音,主动脉瓣第二听诊区可闻及叹气样舒张期杂音。最可能的诊断是
A. 心脏压塞
B. 主动脉瓣关闭不全
C. 二尖瓣狭窄
D. 房间隔缺损
E. 法洛四联症
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The 1990s have been designated the Decade Against Drug Abuse by the United Nations. But, (1)_____ less than three years to go before the end of the decade, governments and health organizations (2)_____ that they have made (3)_____ progress in reducing drug, alcohol and tobacco abuse. Today, consumption of all these substances is increasingly steadily worldwide. (4)_____ every country now has problems with (5)_____ drugs. And the world is producing and consuming more alcohol and tobacco than ever. Between 1970 and 1990 beer production (6)_____ rose by over 80 per cent. And, (7)_____ the number of smokers keeps on (8)_____,by the second or third (9)_____ of the next century there could be 10 million deaths each year (10)_____ smoking related illnesses. Drugs are also a huge burden (11)_____ the world economy. In the United States, for example, it"s estimated that alcohol and illegal drug use costs the country tens of billions of dollars each year, mainly (12)_____ health care. When the cost of tobacco related illnesses is added, (13)_____ total more than doubles. Drugs are also closely (14)_____ crime. Many police forces no longer (15)_____ between illegal and legal drugs when fighting crime. In Australia, for example, experts (16)_____ that police in some parts of the country spend between 70 and 80 percent of their time dealing with alcohol-related incidents. One explanation for the increase in drug (17)_____ is simply that people have more money to spend. Tobacco and alcohol companies are now (18)_____ much more on developing countries to take (19)_____ of greater wealth there. And criminals involved in the illegal drug trade are following (20)_____, introducing drugs into countries where they were previously hardly use.
A. related with
B. related upon
C. related to
D. related onto
对血管炎发病机制的描述,下列正确的是
A. 所有血管炎都出现ANCA阳性
B. 所有血管炎都出现抗内皮细胞抗体
C. 所有血管炎都出现抗PR3抗体
D. ANCA是一种较特异的抗核抗体
E. 细胞免疫可见于血管炎
下列符合特发性血小板减少性紫癜诊断标准的是
A. 广泛出血累及皮肤、黏膜及内脏
B. 1次血小板计数减少
C. 均有脾大
D. PAIgG阳性
E. 血小板生存期缩短
阻塞性黄疽时,以下血清酶谱的变化哪一项是正确的
A. 谷丙转氨酶活性升高
B. 谷草转氨酶活性升高
C. 碱性磷酸酶活性显著升高
D. 血清淀粉酶活性升高
E. 乳酸脱氢酶活性升高