男性,38岁。5年前发现HBsAg(+),近2年来数次出现ALT增高,经治疗可恢复,

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问题:

男性,38岁。5年前发现HBsAg(+),近2年来数次出现ALT增高,经治疗可恢复,近2个月来出现乏力、纳差。体检:巩膜不黄,亦未见肝掌蜘蛛痣,肝肋下1cm,脾侧位可触及。ALT420IU/L,BIL120μmol/L,HBsAg(+)。

诊断考虑为()

A.急性黄疸型肝炎

B.慢性乙型肝炎

C.慢性乙型肝炎肝硬化

D.亚急性重型肝炎

E.慢性重型肝

考点:卫生资格考试(中初级)肾内科主治医师2016肾内科主治医师相关专业知识历年真题精选四
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用于治疗阵发性室上性心动过速的最佳药物是()

A.奎尼丁

B.苯妥英钠

C.维拉帕米

D.普鲁卡因胺

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如图所示,理想变压器原、副线圈的匝数比为10:1,b是原线圈的中心接头,电压表V和电流表A均为理想电表.从某时刻开始在原线圈c、d两端加上交变电压,其瞬时值表达式为u=220sin100πt(V).下列说法正确的是(  )

A.当单刀双掷开关与a连接时,电压表的示数为22V

B.当单刀双掷开关与b连接时,电压表的示数为11V

C.当单刀双掷开关与a连接,滑动变阻器触头P向上移动的过程中,电压表的示数不变,电流表的示数变大

D.单刀掷开关由a扳向b时(滑动变阻器触头P不动),电压表和电流表的示数均变大

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The Pleasure of Walking Walking gives us back our senses. We see, hear, smell the world as we never can when we ride. No matter what vehicle, it is the vehicle that is moving, not ourselves. We are trapped inside its fixed environment, and once we have taken in its sensory aspects -- mainly in terms of comfort or discomfort -- we mm off our perceptions and either go to sleep or open a magazine and begin dozing awake. But when we walk, the environment changes every moment and our senses are continuously being alerted. Around each comer of a city block, around each bend in a country road, there is something new to greet the eyes, the ears, the hose. Even the same walk, the one we may take every day, is never the same from one day to another, from one week and season to another. This is true not only in the country, but anywhere at all. In New York City, a group of executives who meet every weekday morning walk from their homes to their offices. Their way takes them through quiet streets of old brownstones, one of the oldest neighbourhoods in the city, then up and over the Brooklyn Bridge with its cathedral arches supporting the weblike drapery of cables, then down into the skyscraper canyons of the financial district. On their daily route they see, hear, smell the city in all its seasonal changes, under bright and cloudy skies. Only the most inclement weather stops them -- suitably dressed, they can walk with pleasure in spring rains, autumn drizzles, the sunlight of a summer morning or a soft winter snowfall. The river waters roll by below their feet, sullen or sparkling. Tugboats chug past, shoving and hauling their variously laden barges; on a shrouded morning, foghorns hoot and moan. The famous skyline of lower Manhattan rises before them, glittering in sun, afloat in mist, against a backdrop of sky never twice the same.

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等轴图边界的划分正确的是()

A.管道等轴图的边界也是个接头(焊接接头或是法兰接头)。开口管端除外

B.标称直径、设计压力、设计温度、材质、质量等级的变化和厂房的变化等不能作为等轴图的边界

C.管道部件(大小头、支架或三通)如处于两个不同等轴图的边界,那么将其划归为较小直径的等轴图内

D.划归在某一等轴图的部件和阀门须以虚线表示,如果在后续等轴图中出现则以实线表示

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重要空白凭证可以预先加盖印章。

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