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患者男性,65岁,有喝咖啡的习惯,夜间平卧时有反酸、咳嗽1年,查体无阳性体征。内镜检查见食管黏膜环形破损,呈橘红色,黏膜破损融合,达到食管周径的85%。 该患者应该采取的治疗措施,正确的有

A. 改变饮食习惯,多饮咖啡
B. 夜间平卧时将床尾抬高15~20cm
C. 促胃肠动力药+质子泵抑制药
D. 需要长期维持治疗
E. 促胃肠动力药+H2受体拮抗药

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阅读下面的短文,文中有15处空白,每处空白给出4个选项。请根据短文的内容,从4个选项中选择1个最佳答案。Reading Reading involves looking at graphic symbols and formulating mentally the sounds and ideas they represent. Concepts of reading have changed substantially over the centuries. During the 1950’s, and 1960’s especially, increased attention has been devote (51) defining and describing the reading process. (52) specialists agree that reading (53) a complex organization of higher mental (54) , they disagree (55) the exact nature of the process. Some experts, who regard language primarily as a code using symbols to represent sounds, (56) reading as simply the decoding of symbols into the sounds they stand (57) . These authorities (58) that meaning, being concerned with thinking, must be taught independently of the decoding process. Others maintain that reading is inextricably related to thinking, and that a child who pronounces sounds without (59) their meaning is not truly reading. The reader, (60) some, is not just a person with a theoretical ability to read but one who (61) reads. Many adults, although they have the ability to read have never read a book in its entirety. By some experts they would not be (62) as readers. Clearly, the philosophy, objectives, methods and materials of reading will depend on the definition one uses. By the most inclusive and satisfactory definition, reading is the ability to (63) the sound-symbol code of the language, to interpret meaning for various purposes, at various rates, and at various levels of difficulty, and to do (64) widely and enthusiastically. (65) , reading is the interpretation of ideas through the use of symbols representing sounds and ideas.

A. sometimes
B. possibly
C. practically
D. actually

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Adam Smith, a writer in the 1700s, was the first person to see the importance of the division of labor and to explain part of its advantages. He gives as an example the process by which pins were made in England. "One man draws out the wire, another strengthens it, a third cuts it, a fourth points it, a fifth grinds it at the top to prepare it to receive the head. To make the head requires two or three distinct operations. To put it on is a separate operation, to polish the pins is another. And the important business of making pins is, in this manner, divided into about eighteen distinct operations, which in some factories are all performed by different people, though in others the same man will sometimes perform two or three of them," Ten men, Smith said, in this way, turned out twelve pounds of pins a day or about 4 800 pins a person. But if all of them had worked separately and independently without division of labor, they certainly could not turn out any pin, each of them would have made twenty pins in a day and perhaps not even one There can be no doubt that division of labor is an efficient way of organizing work. Fewer people can make more pins. Adam Smith saw this but he also took it for granted that division of labor is in itself responsible for economic growth and development and that it accounts for the difference between expanding economies and those that stand still. But division of labor adds nothing new: it only enables people to produce more of what they already have. Adam Smith saw that the division of labor ______.

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B. increased the number of people employed in factories
C. increased the possible output per worker
D. improved the quality of pins produced

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