患者男性，53岁。因发热，少尿、腹部胀痛1周入院。既往有慢性乙肝病史，体检：神清，巩

发布时间：2017-06-09 10:25 │ 来源：www.tikuol.com

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问题：

患者男性，53岁。因发热，少尿、腹部胀痛1周入院。既往有慢性乙肝病史，体检：神清，巩膜皮肤轻度黄染，肝肋下可触及，脾肋下4cm，腹部膨隆，全腹有轻度压痛，移动性浊音阳性。实验室检查：总胆红素46μmol/L，清蛋白25g/L，球蛋白34g/L，ALT30U/L，AST40U/L，凝血酶原时间14s（正常对照11s）

患者腹腔穿刺液检查，以下检查结果支持腹膜炎诊断的是（）。

A.腹水为漏出液

B.腹水白细胞总数>500×10⁶/L

C.有核细胞分类以中性粒细胞为主

D.有核细胞分类以淋巴细胞为主（>80%）

E.腹水细菌培养阳性

F.腹水呈血性

G.腹水葡萄糖增高

考点：医学高级检验临床医学检验技术(医学高级)医学高级押题密卷临床医学检验技术特训密卷六（副高）

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施工中发生影响施工的地下障碍物时，承包人应及时书面通知工程师，同时提出处置方案，所发生的费用由（）承担

A.承包人

B.发包人

C.发承包共同

D.设计单位

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题型：多项选择题案例分析题

下列描述是化学变化的是………………………………………………………… ( )

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原方用法要求药后“多饮暖水”的是（）

A.生脉散

B.五苓散

C.玉屏风散

D.桑螵蛸散

E.参苓白术散

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题型：多项选择题案例分析题

Passage Three

Our culture has caused most Americans to assume not only that our language is universal but that the gestures we use are understood by everyone. We do not realize that waving good-bye is the way to summon a person from the Philippines to one’s side, or that in Italy and some Latin American countries, curling the finger to oneself is a sign of farewell.
Those private citizens who sent packages to our troops occupying Germany after World War II and marked them GIFT to escape duty payments did not bother to find out that "Gift" means poison in German. Moreover, we like to think of ourselves as friendly, yet we prefer to be at least 3 feet or an arm’s length away from others. Latins and Middle Easterners like to come closer and touch, which makes Americans uncomfortable.
Our linguistic (语言上的) and cultural blindness and the casualness with which we take notice of the developed tastes, gestures, customs and languages of other countries, are losing us friends, business and respect in the world.
Even here in the United States, we make few concessions (让步) to the needs of foreign visitors. There are no information signs in four languages on our public buildings or monuments; we do not have multilingual (多语言的) guided tours. Very few restaurant menus have translations, and multilingual waiters, bank clerks and policemen are rare. Our transportation systems have maps in English only and often we ourselves have difficulty understanding them.
When we go abroad, we tend to cluster in hotels and restaurants where English is spoken. Then attitudes and information we pick up are conditioned by those natives—usually the richer— who speak English. Our business dealings, as well as the nation’s diplomacy, are conducted through interpreters.
For many years, American dollars no longer buy all good things, and we are slowly beginning to realize that our proper role in the world is changing. A 1979 Harris poll reported that 55 percent of Americans want this country to play a more significant role in world affairs; we want to have a hand in the important decisions of the 21^st century, even though it may not always be the upper hand.

It can be inferred that Americans being approached too closely by Middle Easterners would most probably ______.

A．stand still

B．jump aside

C．step forward

D．draw back

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题型：多项选择题案例分析题

大学毕业生可凭派遣证购买学生票。

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