患者,男性,30岁,因右上肢被火药枪击伤后出血3小时,当地医院行清创及破伤风抗毒素(

题型:单项选择题 案例分析题

问题:

患者,男性,30岁,因右上肢被火药枪击伤后出血3小时,当地医院行清创及破伤风抗毒素(TAT)治疗后入院,查体:生命体征平稳,右上肢肿胀,麻木,触痛,右腕关节功能障碍,右桡动脉未扪及搏动。右上肢CR片提示:右上肢大量异物。

该患者首先应该考虑的检查是()

A.右上肢X线检查

B.右上肢CT

C.右上肢血管造影

D.右上肢肌电图

E.右腕关节CT重建

考点:急诊医学(医学高级)医学高级急诊医学(副高)特训密卷五
题型:单项选择题 案例分析题
已知
1-cos2α
sinαcosα
=1
tan(β-α)=-
1
3
,则tan(β-2α)等于______.
题型:单项选择题 案例分析题

以自荐方式参加竞选成为中国基层人大代表选举的新亮点。这是与中国经济发展、

政治制度成熟、群众参与意识提高息息相关的。这说明              

A.我国公民已消除了“选举与我无关”的想法

B.我国选举全部采取自荐方式进行

C.我国公民的政治素养已达到非常高的水平

D.选举方式的选择必须体现国家性质,并与社会、经济发展相适应

题型:单项选择题 案例分析题

男患,38岁,反复发作性左额颞部搏动性疼痛4年。头痛发作同时或之后出现左眼睑下垂、眼球活动受限,常持续1周左右可缓解。头颅MRI检查未见异常。其父亲也有类似病史。该患者最可能的诊断是()。

A.重症肌无力(眼肌型)

B.眼肌麻痹性偏头痛

C.视网膜性偏头痛

D.丛集性头痛

E.无先兆偏头痛

题型:单项选择题 案例分析题

A domestic investor is purchasing foreign bonds. Which of the following statements regarding the exchange rate risk and price movement of the asset is most accurate()

A. The depreciation of both the asset and the foreign currency benefits the domestic investor.

B. The appreciation of both the asset and the foreign currency benefits the domestic investor.

C. The appreciation of the asset and the depreciation of the foreign currency benefit the domestic investor.

题型:单项选择题 案例分析题

It is no longer just dirty blue-collar jobs in manufacturing that are being sucked offshore but also white-collar service jobs, which used to be considered safe from foreign competition. Telecoms charges have tumbled, allowing workers in far-flung locations to be connected cheaply to customers in the developed world. This has made it possible to offshore services that were once non-tradable. Morgan Stanley’s Mr. Roach has been drawing attention to the fact that the "global labour arbitrage" is moving rapidly to the better kinds of jobs. It is no longer just basic data processing and call centres that are being outsourced to low-wage countries, but also software programming, medical diagnostics, engineering design, law, accounting, finance and business consulting. These can now be delivered electronically from anywhere in the world, exposing skilled white-collar workers to greater competition.

The standard retort to such arguments is that outsourcing abroad is too small to matter much. So far fewer than lm American service-sector jobs have been lost to off-shoring. Forrester Research forecasts that by 2015 a total of 3.4m jobs in services will have moved abroad, but that is tiny compared with the 30m jobs destroyed and created in America every year. The trouble is that such studies allow only for the sorts of jobs that are already being off-shored, when in reality the proportion of jobs that can be moved will rise as IT advances and education improves in emerging economies.

Alan Blinder, an economist at Princeton University, believes that most economists are underestimating the disruptive effects of off-shoring, and that in future two to three times as many service jobs will be susceptible to off-shoring as in manufacturing. This would imply that at least 30% of all jobs might be at risk. In practice the number of jobs off-shored to China or India is likely to remain fairly modest. Even so, the mere threat that they could be shifted will depress wages:

Moreover, says Mr. Blinder, education offers no protection. Highly skilled accountants, radiologists or computer programmers now have to compete with electronically delivered competition from abroad, whereas humble taxi drivers, janitors and crane operators remain safe from off-shoring. This may help to explain why the real median wage of American graduates hat fallen by 6% since 2000, a bigger decline than in average wages.

In the 1980s and early 1990s, the pay gap between low-paid, low-skilled workers and high-paid, high-skilled workers widened significantly. But since then, according to a study by David Autor, Lawrence Katz and Melissa Kearney, in America, Britain and Germany workers at the bottom as well as at the top have done better than those in the middle-income ’group. Office cleaning cannot be done by workers in India. It is the easily standardised skilled job in the middle, such as accounting, that are now being squeezed hardest. A study by Bradford Jensen and Lori Kletzer, at the Institute for International Economics in Washington D. C., confirms that workers in tradable services that are exposed to foreign competition tend to be more skilled than workers in non-tradable services and tradable manufacturing industries.

According to the text, Forrester Research Prediction might be different if ()

A. outsourcing abroad is large enough to matter much

B. the proportion of jobs that can be moved will rise

C. more comprehensive factors are taken into account

D. education improvement in emerging economies plays a role

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