患者,女性。久患胃病多年未愈,症见纳食较少,食后胃腕不舒,倦怠乏力,大便溏,面色萎黄

题型:单项选择题

问题:

患者,女性。久患胃病多年未愈,症见纳食较少,食后胃腕不舒,倦怠乏力,大便溏,面色萎黄,舌淡,苔薄白,脉弱。治疗宜选用

A.加味四君子汤
B.理中汤
C.小建中汤
D.《济生》肾气丸
E.四神丸

考点:中医内科学(医学高级)中医内科学
题型:单项选择题

腹腔镜可应用于以下疾病,除了()

A.胆囊切除

B.胃溃疡的浅表出血病灶

C.胃大部切除

D.小肠切除吻合

E.脾切除术

题型:单项选择题

阅读下文,完成文后各题。

一个人的坚持

余显斌

我17岁时,他19岁。那时,我们是同学,是学校闻名的“两支笔”。

我21岁,他23岁,我们师范毕业,成了小镇同一所学校的教师。

在小镇,我遇见了自己心仪的女孩,含羞带娇,是一朵天然的百合花,开放在临水的一个商铺里,经营着一爿小店。于是,教学之余,我就会钻进小店,经营起自己的爱情,也经营起小店的生意。他呢,依然初衷不改,喜好文学。白天教书。晚上写作,稿子一篇篇发出,文章一篇篇见报,成了县里有名的文人。

生活,不会总是直线,有时,也会弯曲。

不久,他调走了,一床被子,一箱书籍,到了一个偏僻的山里学校任教。那地方,我去过一次,是一个很闭塞的地方,白屋粉墙,“只堪图画不堪行”。他仍然教书,写文章,游山玩水,过着古代文人笔下的田园生活,从来不去经营自己的人际关系。

我,依然在小镇经营着自己的小店,自己的日子。

他再调回来时,已经是几年后了。回到小镇,他依然是一箱书,后面,是他的妻子,一个眉眼如画的少妇。他没有多大改变,唯一变化的,是鼻粱上多了一副眼镜,身上的书卷气更浓了一些。而我,领着一份教师的薪水的同时,已经拥有一个不小的商店。

我们后来的分别,则是由于市重点中学的招聘。

市重点中学,离我们学校二百多里。既然是重点中学,毫无疑问,无论是资源还是教师福利,都远远优于普通中学。

教师不是圣人,我不是,他也不是。我们都加入到应聘的队伍中。

当时,他信心十足:他是市里有名的文化人,又是市政协委员。应聘被招。非他莫属。

大家也都这样想。但是,结果却出乎意料:我们同去的几个人都应聘成功了,而他,却落聘了。

他很沮丧,也很惭愧,一直到第二年招聘,为鼓励他再次应聘,我才揭穿了谜底:“现在的招聘,谁看才?都是看‘财’。”我把财字咬得很重,提醒他。

他听了,愣了一会儿,然后坚决拒绝了我的好意:“人,总得有个道德底线。做教师的都这样,怎样面对学生?”我苦笑,十几年过去了,他仍是校园里当年那个青葱的青年;而我,已成熟老辣得连我自己也不敢相认了。

生活,总是这样,让人无奈地改变,又让人反躬自省,难以心安。

带高三的那年,学校之间的竞争十分激烈。一天,学校领导找来我,特意告诉我:上学年,他在普中带高三,带得很好。他的班上,除一部分考上大学外,还有一部分成绩不错的复读生。

今年,他担当着复读生的班主任。

领导的意图,明显不过——把那些复读生挖过来。

我虽觉得这样做不地道,但也无奈,还是去了。

以我的鬼精明,挖他的墙脚,还不是易如反掌。几天暗地里活动,他的学生中,有很大一部分都答应跟我走。大家大概都觉得不好意思和他说吧,商量的结果是先走。然后再给他打电话,告诉实情。

走的时候,是个雨天,我特意雇来一辆公交车。

我们准备走时,他来了,打一把伞,来送行。

一切,都在他眼底。

我站在那儿,红着脸,很惭愧。

学生们也低着头。

他笑笑,很豁达,说:“去吧,如果你们觉得这样时你们的发展有利,就去吧。不过,无论走到哪儿,都要注意身体,好好学习,不要让我失望。”

他的眼圈红了,孩子们的眼圈也红了。

然后,他走近我,拍拍我的肩:“弦子都交给你了,一路注意啊!”

车子走了好远,回过头来,看见他仍立在细雨中,静静地、孤独地、落寞地、倔强地站着。

有个学生说:“我们的老师真可怜!”一句话,车里响起了一片啜泣声。那一刻,我的眼圈也红了,为他,为我,也为了孩子的话。

(选自《当代青年》2009年9期)

小题1:下列对原文的理解,不正确的两项是(5分)            (   )

A.小说中的两个人有着相同的起点,相似的经历,但在生活中却有着不同的遭遇,这源于他们对生活有着不同的认识与追求。

B.小说中的“他”是一个与诗书、田园为伴,乐情山水,从来不去经营自己的人际关系、不想改变自己命运的人。

C.一个最有希望应聘成功的人却落聘了,小说借此批判了选用人员只看“财”不看“才”,以致良莠不分的社会现象。

D.因学校之间的竞争而挖墙脚一事,把小说情节进一步向前推进,学生的一句“我们老师真可怜”,不仅会给读者带来一阵心灵伤痛,也会让读者陷入深思。E.这篇小说没有跌宕起伏的故事情节,叙事简洁明了,于平易朴素的叙事、描写中浸透着一种感人的力量,并在对比中凸显了一个正直自守的高贵灵魂。

小题2:小说的倒数第2段,写到“他仍立在细雨中,静静地、孤独地、落寞地、倔强地站着”,此处描写表现了“他”怎样的内心世界?(6分)

小题3:“我”在小说中有什么样的作用?请简要分析。(6分)

小题4:这篇小说题目为“一个人的坚持”有人认为这种坚持很可贵,有人认为这种坚持不值得,你的看法呢?请结合全文谈谈你的观点和理由。(8分)

题型:单项选择题

某男性,冶炼厂选煤工,年龄45岁,工龄10年以上。近来主诉咳嗽、气短。X线胸片呈肺纹理增加。此工人最可能患何种尘肺()

A.矽肺

B.炭黑尘肺

C.石棉肺

D.煤工尘肺

E.硅酸盐肺

题型:单项选择题

Passage Three

Mary Barton, particularly in its early chapters, is a moving response to the suffering of the industrial worker in the England of the 1840’s. What is most impressive about the book is the intense and painstaking effort made by the author, Elizabeth Gaskell, to convey the experience of everyday life in working-class homes. Her method is partly documentary in nature: the novel includes such features as a carefully annotated reproduction of dialect, the exact details of food prices in an account of a tea party, an itemized description of the furniture of the Bartons living room, and a transcription (again annotated) of the ballad "The Oldham Weaver". The interest of this record is considerable, even though the method has a slightly distancing effect.

As a member of the middle class, Gaskell could hardly help approaching working-class life as an outside observer and a reporter, and the reader of the novel is always conscious of this fact. But there is genuine imaginative re-creation in her accounts of the walk in Green Heys Fields, of tea at the Bartons house, and of John Barton and his friend’s discovery of the starving family in the cellar in the chapter "Poverty and Death". Indeed, for a similarly convincing re-creation of such families’ emotions and responses (which are more crucial than the material details on which the mere reporter is apt to concentrate) , the English novel had to wait 60 years for the early writing of D. H. Laurence. If Gaskell never quite conveys the sense of full participation that would completely authenticate this aspect of Mary Barton, she still brings to these scenes an intuitive recognition of feelings that has its own sufficient conviction.

The chapter "Old Alice’s History" brilliantly dramatizes the situation of that early generation of workers brought from the villages and the countryside to the urban industrial centers. The account of Job Legh, the weaver and naturalist who is devoted to the study of biology, vividly embodies one kind of response to an urban industrial environment: an affinity for living things that hardens, by its very contrast with its environment, into a kind of crankiness. The early chapters—about factory workers walking out in spring into Green Heys Fields; about Alice Wilson, remembering, in her cellar the twig-gathering for brooms in the native village that she will never again see; about Job Legh, intent on his impaled insects—capture the characteristic responses of a generation to the new and crushing experience of industrialism. The other early chapters eloquently portray the development of the instinctive cooperation with each other that was already becoming an important tradition among workers.

It can be inferred that the author of the passage believes that Mary Barton might have been an even better novel if Gaskell had ().

A.concentrated on the emotions of a single character

B.made no attempt to re-create experiences of which she had no first hand knowledge

C.made no attempt to reproduce working-class dialects

D.managed to transcend her position as an outsider

题型:单项选择题

乙二醇回收操作中,当塔顶温度达到()时,开始切至精EG罐。

A、100℃

B、120℃

C、130℃

D、150℃

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