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男性,20岁,有四肢关节疼痛病史。近半年来,时感、心悸,活动后气急,休息后缓解。体检:两颧紫红色,口唇轻度发绀,听诊心尖区闻及舒张期隆隆样杂音,胸骨左缘第3至第4肋间可闻及二尖瓣开放拍击音, P2亢进,分裂。 入院第2天后体检发现第一心音强弱不等,心律绝对不规则,心率120次/分,脉率 100次/分,应考虑并发

A. 窦性心动过速
B. 阵发性室上性心动过速
C. 心房扑动
D. 心房颤动
E. 窦性心律不齐

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男性,25岁。狂犬病疫苗注射后1天出现荨麻疹,3天后消退。第7天后,再注射该疫苗,次日双下肢无力伴小便困难。体检:视力正常,胸以下深浅感觉缺失,双下肢肌力 4级,膝踝反射亢进,双侧病理征阳性,脊柱无压痛。狂犬疫苗注射后,视力正常,第 4胸椎以下深浅感觉缺失。 最可能的诊断是

A. 狂犬病
B. 急性脊髓炎
C. 视神经脊髓炎
D. 脊髓出血
E. 脊髓肿瘤

据统计,2008年某市场供应的电磁炉中,甲厂产品占60%,乙厂产品占30%,丙厂产品占10%。据资料显示甲厂产品合格率为95%,乙厂产品合格率为90%;丙厂产品合格率为80%。则: 买到的电磁炉是丙厂生产的合格品的概率为()。

A. 0.08
B. 0.27
C. 0.57
D. 0.92

TEXT C In sixteenth-century Italy and eighteenth-century France, waning prosperity and increasing social unrest led the ruling families to try to preserve theft superiority by withdrawing from the lower and middle classes behind barriers of etiquette. In a prosperous community, on the other hand, polite society soon adsorbs the newly rich, and in England there has never been any shortage of books on etiquette for teaching them the manners appropriate to their new way of life. Every code of etiquette has contained three elements: basic moral duties; practical rules which promote efficiency; and artificial, optional graces such as formal compliments to, say, women on their beauty or superiors on their generosity and importance. In the first category are considerations for the weak and respect for age. Among the ancient Egyptians the young always stood in the presence of older people. Among the Mponguwe of Tanzaia, the young men bow as they pass the huts of the elders. In England, until about a century ago, young children did not sit in their parents’ presence without asking permission. Practical rules are helpful in such ordinary occurrences of social life as making proper introductions at parties or other functions so that people can be brought to know each other. Before the invention of the fork, etiquette directed that the fingers should be kept as clean as possible; before the handkerchief came into common use, etiquette suggested that after spitting, a person should rub the spit inconspicuously underfoot. Extremely refined behavior, however, cultivated as an art of gracious living, has been characteristic only of societies with wealth and leisure, which admitted women as the social equals of men. After the fall of Rome, the first European society to regulate behavior in private life in accordance with a complicated code of etiquette was twelfth-century Province, in France. Provence had become wealthy. The lords had returned to their castle from the crusades, and there the ideals of chivalry grew up, which emphasized the virtue and gentleness of women and demanded that a knight should profess a pure and dedicated love to a lady who would be his inspiration, and to whom he would dedicate his valiant deeds, though he would never come physically close to her. This was the introduction of the concept of romantic love, which was to influence literature for many hundreds of years and which still lives on in a debased form in simple popular songs and cheap novels today. In Renaissance Italy too, in the fourteenth and fifteenth centuries, a wealthy and leisured society developed an extremely complex code of manners, but the rules of behavior of fashionable society had little influence on the daily life of the lower classes. Indeed many of the rules, such as how to enter a banquet room, or how to use a sword or handkerchief for ceremonial purposes, were irrelevant to the way of life of the average working man, who spent most of his life outdoors or in his own poor hut and most probably did not have a handkerchief, certainly not a sword, to his name. Yet the essential basis of all good manners does not vary. Consideration for the old and weak and the avoidance of banning or giving unnecessary offence to others is a feature of all societies everywhere and at all levels from the highest to the lowest. One characteristic of the rich classes of a declining society is their tendency to ______.

A. take in the recently wealthy
B. retreat within themselves
C. produce publications on manners
D. change the laws of etiquette

男性,30岁,农民。既往体健。7月2日来诊,腹泻2天,为水样便,少量黏液,量多,每日腹泻十余次,相继呕吐数次。无发热、无腹痛,腓肠肌痉挛。体检:体温36.8℃,神志清,皮肤弹性差,脉细速,血压70/ 30mmHg。化验检查:大便镜检白细胞0~2个/HP,血红蛋白160g/L,血白细胞计数 12×109/L,中性粒细胞0.78,淋巴细胞0.12,单核细胞0.10。 本例治疗的关键环节是

A. 抗菌治疗
B. 抗病毒治疗
C. 补充液体和电解质
D. 低分子右旋糖酐扩容
E. 首选升压药,纠正低血压

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