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A powerful earthquake struck an area near the northern coast of Chile on Wednesday. The earthquake came a day after an even stronger quake 1 the area. The earlier quake was 2 for at least six deaths.The United States Geological Survey says a 7.8 3 aftershock hit northern Chile late Wednesday night, local time. U.S. officials said the aftershock was centered about 23 kilometers south of the port of Iquique. They said it struck at a depth of 20 kilometers below sea 4 .The aftershock led Chilean officials to order thousands of people away from 5 areas. It also led to warnings of high tsunami waves in parts of the Pacific Ocean. The orders and tsunami warnings were later 6 . Chilean police and soldiers guarded coastal communities to prevent 7 on homes and businesses. Television video showed damaged buildings in Iquique. But officials found surprisingly 8 damage from the quake. President Michelle Bachelet visited the 9 area. She spoke to the nation about the disaster. She also said 10 measures have been taken to protect lives and property. Earthquakes are 11 common in Chile. They are also a fact of life in the American state of California. Scientists say a quake of magnitude eight or higher could strike along the San Andreas Fault in coming years. The San Andreas Fault extends from north to south through California. Thousands died in its last major rupture, or movement. 12 took place near the city of San Francisco in 1906.Smaller earthquakes also can be 13 if they strike close to heavily 14 areas. Safety experts say every home needs to have a plan of action, supplies food and water, and emergency equipment.Kate Hutton is a seismologist at the California Institute of Technology. She specializes in the study of earthquakes. Kate Hutton admits there is no way to 15 earthquakes, so being prepared is the best defense.

A. populated
B. financial
C. polluted
D. industrialized

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女性,30岁,主因流涕、咽痛、咳嗽、发热10天,昏迷2小时急诊,患者既往有Addison病史,查体:心率114次/分,律齐,呼吸23次/分,血压75/55mmHg,双肺听诊:呼吸音粗,右下肺可闻及少许湿罗音 抢救成功后应告诉患者今后应注意

A. 发热时糖皮质激素加量
B. 发热时大量饮水
C. 低糖饮食
D. 经常应用抗生素预防感染
E. 低钠饮食

患者女性,肥胖痤疮,紫纹,化验血皮质醇增高,血糖增高,小剂量地塞米松抑制试验血皮质醇较对照日低38%,大剂量地塞米松抑制试验较对照日低78% 药物减重的不适应证是

A. 食欲旺盛,餐前饥饿难忍
B. 合并高血压、高血糖及血脂异常
C. 合并负重关节疼痛
D. 肥胖引起呼吸暂停综合征
E. 单纯肥胖的儿童

女性,46岁,口渴、多饮、多尿、体重下降3年,恶心、呕吐2天,身高165cm,体重50kg,无糖尿病家族史,尿酮体(++),空腹血糖17.9mmol/L 该患者目前最具有鉴别诊断意义的实验室检查是

A. IAA
B. ICA
C. 空腹胰岛素
D. GAD65
E. 空腹C肽

女性,64岁,近1年来腰背痛,脊柱X线检查示:胸12腰1椎体锲形压缩性骨折,骨密度测定:腰椎低于正常年轻妇女峰值骨量均值2.5SD,实验室检查:血钙2.18mmol/L,血磷0.98mmol/L,血碱性磷酸酶134IU/L 世界卫生组织对本病的诊断标准依据

A. 临床症状
B. 跟骨超声骨密度测定
C. 椎骨CT骨密度测定
D. X线片
E. 双能X线骨密度测定

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