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Company Structure Most organisations have hierarchical or pyramidal structure, with one person or a group of people at the top, and an increasing number of people below them at each successive level. There is a clear line or chain of command running down the (21) All the people in the organisation know what decisions they are able to (22) , who their superior is. Some people in an organisation have colleagues who help them: for example, there might be an Assistant to the Marketing Manager. This is known as a staff position: its holder has no line (23) , and is not integrated into the chain of command, unlike, for example, the Assistant Marketing Manager, who is number two in the marketing department. Yet the activities of most companies are too complicated to be (24) in a single hierarchy. Shortly before the First World War, the French industrialist Henry Fayol organised his coal-mining business according to the (25) that it had to carry out, He is generally credited with (26) functional organisation. Today, most large manufacturing organisations have a functional structure, including production, finance, marketing, sales, and personnel or human resources department. This means, for example, that the production and marketing departments cannot make financial decisions (27) consulting the finance department. Functional organisation is efficient, but there are two standard criticisms. Firstly, people are usually more (28) with the success of their department than that of the company, so there are permanent battles between, for example, finance and marketing, or marketing and production, which have (29) goals. Secondly, separating functions is (30) to encourage innovation.

A. developing
B. designing
C. creating
D. inventing

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患者,女性,42岁,既往胆囊炎病史5年,症状间断发作。1d前午餐后出现腹部剧烈疼痛,恶心、呕吐大量胃内容物,自觉腹胀。查体:体温38.3℃,脉搏 90/min,血压98/60mmHg。腹平软,剑突下有轻压痛,Murphy征(+)。血白细胞16.0×109/L,中性分叶粒细胞0.85,血淀粉酶1 000苏氏单位。 应给予的治疗中应除外

A. 镇痛解痉
B. 胃肠减压
C. 抑制胰腺分泌及胰酶活性药物
D. 补液及纠正水电解质平衡
E. 肾上腺皮质激素

Company Structure Most organisations have hierarchical or pyramidal structure, with one person or a group of people at the top, and an increasing number of people below them at each successive level. There is a clear line or chain of command running down the (21) All the people in the organisation know what decisions they are able to (22) , who their superior is. Some people in an organisation have colleagues who help them: for example, there might be an Assistant to the Marketing Manager. This is known as a staff position: its holder has no line (23) , and is not integrated into the chain of command, unlike, for example, the Assistant Marketing Manager, who is number two in the marketing department. Yet the activities of most companies are too complicated to be (24) in a single hierarchy. Shortly before the First World War, the French industrialist Henry Fayol organised his coal-mining business according to the (25) that it had to carry out, He is generally credited with (26) functional organisation. Today, most large manufacturing organisations have a functional structure, including production, finance, marketing, sales, and personnel or human resources department. This means, for example, that the production and marketing departments cannot make financial decisions (27) consulting the finance department. Functional organisation is efficient, but there are two standard criticisms. Firstly, people are usually more (28) with the success of their department than that of the company, so there are permanent battles between, for example, finance and marketing, or marketing and production, which have (29) goals. Secondly, separating functions is (30) to encourage innovation.

A. probably
B. unlikely
C. surely
D. seemingly

明胶

A. 赋型材料
B. 增塑剂
C. 遮光剂
D. 防腐剂
E. 增稠剂

患者男性,50岁。1年来出现进食时胸骨后烧灼感,近2个月症状加重,有哽噎感,偶有黑粪伴体重下降。查体:轻度贫血貌,左颈部可触及一肿大淋巴结,质硬.活动性差。 最可能的诊断为

A. 反流性食管炎
B. 食管癌
C. 食管贲门失弛缓
D. 消化性溃疡
E. 食管痉挛

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