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Text 2People who begin to go deaf in adult life have different problems from those who are born deaf. They have to learn different ways of behaving and different ways of communicating—perhaps at a time when learning is not at all that easy. A hearing aid is not a complete solution to the problem. The sound perceived by the deaf person through a hearing aid is distorted and appears to have more background noise than is heard by someone with normal hearing. Deafened people have to lipread as well.Lipreading is difficult, demands intense concentration, and an uninterrupted direct view of the speaker’s face. No other activities can take place at the same time: the lipreader has to stop eating, stop reading, stop washing up, stop mending, stop everything in order to concentrate on hearing. It is not a question of stupidity or bad temper—as it sometimes appears to be—but a question of being very easy to misunderstand when the sound is distorted. Remember what it’s like trying to communicate on a very bad telephone line. Frustrating, isn’t it The deaf have to face that all the time.A useful way of looking at the problem is to see the deaf person as a foreigner—to treat them as if you were in a foreign country. You would speak more clearly, slowly and raise your voice slightly. And you’d use gestures to make your meaning clear, as well as have no hesitation in using pencil and paper to be absolutely certain. You can do all those things with the deaf—as well as making sure you don’t obscure your mouth with your hand, a pipe or a cigarette.Another point quite often overlooked is that a hearing aid may be quite efficient and useful in a quite carpeted room—but try it in the high street in the rush hour, in a noisy car, in a railway station ticket office, a cinema or a concert hall and you’ve got a really difficult problem to distinguish speech. So don’t suggest to or encourage deaf people to go to functions which are going to make their disability appear worse—and increase their sense of failure.On the other hand careful selection of cinemas with good sound systems is important and you should experiment to find out where the best seats are for hearing, fitting adaptors for radio and television, observing which friends are easier to understand, and making sure that people talking are well-lit and all useful and positive activities. What places might not increase deaf people’s sense of failure ?()

A. a quite carpeted room
B. a noisy car
C. a cinema
D. a railway station

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患者,女,60岁,阴道分泌物增多3年,不规则出血1个月。妇科检查宫颈呈菜花样,质硬,阴道后壁上1/3质硬,双侧骶韧带内1/2增粗,弹性差,子宫萎缩。 若确诊为宫颈鳞癌,其临床分期为

A. Ⅰb期
B. Ⅱa期
C. Ⅱb期
D. Ⅲa期
E. Ⅲh期

The task of being accepted and enrolled in a university begins early for some students. Long (1) they graduate from high school. These students take special (2) to prepare for advanced study. They may also take one of more examinations that test how (3) prepared they are for the university. In the final year of high school, they (4) applications and send them, with their student records, to the universities which they hope to (5) . Some high school students may be (6) to have an interview with representatives of the university. Neatly, (7) and usually very frightened, they are (8) to show that they have a good attitude and the (9) to succeed.When the new students are finally (10) , there may be one more step they have to (11) before registering for classes and (12) to work. Many colleges and universities (13) an orientation program for new students. (14) these programs, the young people get to know the (15) for registration and student advising, university rules, the (16) of the library and all the other (17) services of the college or university.Beginning a new life in a new place can be very (18) . The more knowledge students have (19) the school, the easier it will be for them to (20) to the new environment. However, it takes time to get used to college life. 7()

A. decorated
B. dressed
C. coated
D. worn

患者,女,41岁,子宫次全切除术后6年。4个月前开始出现阴道分泌物增多,黏液水样,且伴有腰部胀痛,尿量可。妇科检查:宫颈结节状,阴道前壁上1/3质硬,双侧主韧带团块状增粗达盆壁,触痛(+),既往无慢性病史。 患者腰部胀痛可能是因为

A. 急性肾炎
B. 肿瘤压迫脊椎神经
C. 输尿管、肾盂积水
D. 肿瘤压迫骶骨
E. 腰椎间盘脱出

增值税一般纳税人在不能开具增值税专用发票的情况下也可以使用普通发票。

A. 对
B. 错

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