女,24岁。头昏、乏力半年,近2年每次月经经期持续7~8天,有血块。红细胞3.0×1

题型:单项选择题

问题:

女,24岁。头昏、乏力半年,近2年每次月经经期持续7~8天,有血块。红细胞3.0×10/L,血红蛋白65g/L,血清铁蛋白10μg/L,血清叶酸16ng/ml,网织红细胞百分数0.015。该病人最可能的诊断是()

A.营养性巨幼细胞性贫血

B.缺铁性贫血

C.溶血性贫血

D.再生障碍性贫血

E.珠蛋白生成障碍性贫血

考点:中医执业医师中医执业医师真题考点评析
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甲上市公司(简称甲公司)为增值税一般纳税人,适用的增值税税率为17%;除特别说明外,不考虑除增值税以外的其他相关税费;所售资产均未发生减值;销售商品为正常的生产经营活动;销售价格为不含增值税的公允价值;商品销售成本在确认销售收入时逐笔结转。1.2013年12月甲公司发生下列经济业务:①12月1日,甲公司与A公司签订委托代销商品协议。协议规定,甲公司以支付手续费方式委托A公司代销W商品100件,A公司对外销售价格为每件3万元,未出售的商品A公司可以退还甲公司。甲公司按A公司对外销售价格的1%向A公司支付手续费,在收取A公司代销商品款时扣除。该W商品单位成本为每件2万元。12月31日,甲公司收到A公司开来的代销清单,已对外销售W商品60件;甲公司开具的增值税专用发票注明:销售价格180万元,增值税税额30.6万元。同日,甲公司收到A公司交来的代销商品款208.8万元并存入银行,应支付A公司的手续费1.8万元已扣除。②12月5日,甲公司收到B公司退回的×商品一批以及税务机关开具的进货退回相关证明,该批商品销售价格为100万元,销售成本为70万元;该批商品已于11月份确认收入,但款项尚未收到,且未计提坏账准备。③12月10甘,甲公司与C公司签订项为期5个月的非工业性劳务合同,合同总收入为200万元,当天预收劳务款20万元。12月31日,经专业测量师对已提供的劳务进行测量,确定该项劳务的完工程度为30%。至12月31甘,实际发生劳务成本40万元(假定均为职一薪酬),估计为完成合同还将发生劳务成本90万元(假定均为职工薪酬)。该项劳务应交营业税(不考虑其他流转税费)税率为5%。假定该项劳务交易的结果能够可靠地计量。④12月15日,甲公司出售确认为交易性金融资产的D公司股票1000万股,出售价款3000万元已存入银行。当日出售前,甲公司持有D公司股票1500万股,账面价值为4350万元(其中,成本为3900万元,公允价值变动为450万元)。12月31日,D公司股票的公允价值为每股3.30元。⑤12月31日,甲公司以本公司生产的产品作为福利发放给职工。发放给生产工人的产品不含增值税的公允价值为200万元,实陈成本为160万元;发放给行政管理人员的产品不含增值税的公允价值为100万元,实际成本为80万元。产品当日已发放给职工。⑥甲公司12月1日购入一项股票投资,公允价值为300万元,支付相关交易费用2万元,购入时价款中不包含已宣告但尚未发放的现金股利,该公司管理层将其作为可供出售金融资产核算,12月31日该项股权的公允价值为350万元。2.2013年甲公司除上述业务以外的损益类项目资料如下:3.所得税费用为143万元。本题目不考虑事项⑥所涉及的所得税影响。要求:根据上述资料,不考虑其他因素,回答下列第1~4题。

下列报表项目填列正确的是()。

A.利润总额为859.2万元

B.净利润为716.2万元

C.其他综合收益金额为48万元

D.综合收益总额为764.2万元

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若将潮湿的空气依次通过烧碱溶液、浓硫酸和红热的铜网,将会依次除去空气中的 _________ _________ _________ ,最后剩余的气体主要是 _________

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监理人员发现可能造成质量事故的重大隐患或已发生质量事故的,()应签发工程暂停令。

A.专业监理工程师

B.总监理工程师

C.建设单位项目负责人

D.建设单位技术负责人

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Thank you for your order. We trust that the goods met your urgent needs and were to your complete satisfaction.

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Rarely do major diseases have a single cause. They are usually the result of a complex interaction between many factors, including genetic, environmental and lifestyle components. Many media reports, however, can tead us to believe that if we gave up something that we might otherwise enjoy, we could completely escape that particular affliction.

Clearly, this is not the case. Vegetarians die of cancer of the colon (结肠). Teetotallers die of liver complaints, including cirrhosis (硬化). People who never go out in the sun contract skin melanomas (黑素瘤). Always, there are other factors at work than the single element being examined in a scientific study.

Quite often the alleged benefits of a particular nutritional element are the result not so much of the element itself but of the lifestyle and general diet of the people who consume it most. People who eat lots of "healthy" foods, including fiber, carrots, broccoli etc. , also tend to drink less alcohol, take more exercise, avoid too many fatty foods and smoke less. Only when a study can rule out all of these other factors and often we do not know what these factors might be can we say that there is a causal link between two things. That is not to say that things like fiber and broccoli have no beneficial effects at all. But those with sedentary lifestyles cannot expect these foods to make them healthy.

There is, however, one thing which increases the likelihood of dying relatively young, even when all of the other factors have been taken into account. It is one of the biggest killers even among those who lead lifestyles which, by any criteria, are clearly healthy ones. This single, incontrovertible risk factor is that of being poor. Recent report from the Cancer Research Campaign suggested that 12 700 deaths could have been avoided between 1986 and 1990 if inequalities in cancer care did not exist in England and Wales. Comparing cancer survival rates, the study found that England and Wales fared unfavorably with Europe and the US, but the most affluent regions of these two countries exhibited similar figures to the European average.

In an attempt to counter this disparity the government has announced plans for the provision of Health Action Zones which seek to encourage greater cooperation between health and social services, targeting both rural and inner city areas. The emphasis of this new scheme however appears to focus on inadequacies within health education in these areas, rather than attacking the broader issues of social inequality.

The fact that a vegetarian can die of colon cancer indicates that ()

A. the colon is sensitive to vegetables

B. people should eat different kinds of vegetables rather than one

C. colon cancer is not tied to a particular food

D. colon cancer is caused by a single unknown cause

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