题目内容

旋毛虫的幼虫主要寄生在人体的

A. 小肠
B. 结肠
C. 横纹肌
D. 平滑肌
E. 胃黏膜下

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男,20岁,间歇性畏寒、寒战、发热半年,约每月发作一次,每次持续7~10天,近一日出现面部水肿,尿量减少,血压升高,尿蛋白++,尿红细胞3~6/HP,血涂片发现问日疟原虫,应诊断为

A. 疟疾
B. 肾病综合征
C. 疟疾并发急性肾小球。肾炎
D. 疟疾并发肾病综合征
E. 疟疾急性肾盂肾炎

男性,20岁,反复癫痫发作1个月,既往无癫痫病史,但半年前进食过“米猪肉”,血常规检查正常,头部CT见颞叶囊性低密度灶,患者最可能的诊断是

A. 原发性癫痫
B. 流行性脑脊髓膜炎
C. 流行性乙脑
D. 脑型血吸虫病
E. 脑囊虫病

患者持续发热5天,伴意识障碍,颈硬,克氏征(+)、脑脊液:压力160mmH2O,白细胞数.5×109/L,多核细胞60%,单核细胞40%,糖2.5mmol/L,氯化物117mmol/L,蛋白尿1.5g/L,可除外下列哪一情况

A. 流行性乙型脑炎
B. 虚性脑膜炎
C. 结核性脑膜炎
D. 脑型疟疾
E. 隐球菌脑膜炎

BIRD MIGRATIONA Birds have many unique design features that enable them to perform such amazing feats of endurance. They are equipped with lightweight, hollow bones, intricately designed feathers providing both lift and thrust for rapid flight, navigation systems superior to any that man has developed, and an ingenious heat conserving design that, among other things, concentrates all blood circulation beneath layers of warm, waterproof plumage, leaving them fit to face life in the harshest of climates. Their respiratory systems have to perform efficiently during sustained flights at altitude, so they have a system of extracting oxygen from their lungs that far exceeds that of any other animal. During the later stages of the summer breeding season, when food is plentiful, their bodies are able to accumulate considerable layers of fat, in order to provide sufficient energy for their long migratory flights.B The fundamental reason that birds migrate is to find adequate food during the winter months when it is in short supply. This particularly applies to birds that breed in the temperate and Arctic regions of the Northern Hemisphere, where food is abundant during the short growing season. Many species can tolerate cold temperatures if food is plentiful, but when food is not available they must migrate. However, intriguing questions remain.C One puzzling fact is that many birds journey much further than would be necessary just to find food and good weather. Nobody knows, for instance, why British swallows, which could presumably survive equally well if they spent the winter in equatorial Africa, instead fly several thousands of miles further to their preferred winter home in South Africa’s Cape Province. Another mystery involves the huge migrations performed by arctic terns and mudflat-feeding shorebirds that breed close to Polar Regions. In general, the further north a migrant species breeds, the further south it spends the winter. For arctic terns this necessitates an annual round trip of 25,000 miles. Yet, en route to their final destination in far-flung southern latitudes, all these individuals overfly other areas of seemingly suitable habitat spanning two hemispheres. While we may not fully understand birds’ reasons for going to particular places, we can marvel at their feats.D One of the greatest mysteries is how young birds know how to find the traditional wintering areas without parental guidance. Very few adults migrate with juveniles in tow, and youngsters may even have little or no inkling of their parents’ appearance. A familiar example is that of the cuckoo, which lays its eggs in another species’ nest and never encounters its young again. It is mind boggling to consider that, once raised by its host species, the young cuckoo makes it own way to ancestral wintering grounds in the tropics before returning single-handedly to northern Europe the next season to seek out a mate among its own kind. The obvious implication is that it inherits from its parents an inbuilt route map and direction-finding capability, as well as a mental image of what another cuckoo looks like. Yet nobody has the slightest idea as to how this is possible.E Mounting evidence has confirmed that birds use the positions of the sun and stars to obtain compass directions. They seem also to be able to detect the earth’s magnetic field, probably due to having minute crystals of magnetite in the region of their brains. However, true navigation also requires an awareness of position and time, especially when lost. Experiments have shown that after being taken thousands of miles over an unfamiliar landmass, birds are still capable of returning rapidly to nest sites. Such phenomenal powers are the product of computing a number of sophisticated cues, including an inborn map of the night sky and the pull of the earth’s magnetic field. How the birds use their ’instruments’ remains unknown, but one thing is clear: they see the world with a superior sensory perception to ours. Most small birds migrate at night and take their direction from the position of the setting sun. However, as well as seeing the sun go down, they also seem to see the plane of polarized light caused by it, which calibrates their compass. Traveling at night provides other benefits. Daytime predators are avoided and the danger of dehydration due to flying for long periods in warm, sunlit skies is reduced. Furthermore, at night the air is generally cool and less turbulent and so conducive to sustained, stable flight.F Nevertheless, all journeys involve considerable risk, and part of the skill in arriving safely is setting off at the right time. This means accurate weather forecasting, and utilizing favorable winds. Birds are adept at both, and, in laboratory tests, some have been shown to detect the minute difference in barometric pressure between the floor and ceiling of a room. Often birds react to weather changes before there is any visible sign of them. Lapwings, which feed on grassland, flee west from the Netherlands to the British Isles, France and Spain at the onset of a cold snap. When the ground surface freezes the birds could starve. Yet they return to Holland ahead of a thaw, their arrival linked to a pressure change presaging an improvement in the weather.G In one instance a Welsh Manx shearwater carried to America and released was back in its burrow on Skokholm Island, off the Pembrokeshire coast, one day before a letter announcing its release! Conversely, each autumn a small number of North American birds are blown across the Atlantic by fast-moving westerly tail winds. Not only do they arrive safely in Europe, but, based on ringing evidence, some make it back to North America the following spring, after probably spending the winter with European migrants in sunny African climes. You should spend about 20 minutes on Questions 14-26 which are based on Reading Passage 2 below.Questions 14-20Reading passage 2 has seven paragraphs, A-G.Choose the correct heading for each paragraph from the list of headings below.Write the correct number, i-x, in boxes 14-20 on your answer sheet.List of headingsi The best moment to migrateii The unexplained rejection of closer feeding groundiii The influence of weather on the migration routeiv Physical characteristics that allow birds to migratev The main reason why birds migratevi The best wintering grounds for birdsvii Research findings on how birds migrateviii Successful migration despite trouble of windix Contrast between long-distance migration and short-distance migrationx Mysterious migration despite lack of teaching Paragraph B

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