患者女,51岁。一个月前出现腹胀,伴恶心,厌油腻,食欲差,无呕吐、反酸、嗳气,尿色有

题型:多项选择题 案例分析题

问题:

患者女,51岁。一个月前出现腹胀,伴恶心,厌油腻,食欲差,无呕吐、反酸、嗳气,尿色有所加深,无腹痛、腹泻;无发热。十余天前出现中上腹痛,为持续性绞痛,向后背、双侧肩部放射,弯腰、按压后疼痛减轻,仰卧后疼痛加剧。三天前患者自觉皮肤黄染,伴瘙痒,尿色加深,无大便颜色变浅。患者自发病以来,体重下降10余千克。既往高血压史4年余,否认糖尿病病史。查体:T36.5℃,BP130/85mmHg,全身皮肤、巩膜黄染,浅表淋巴结未及肿大;双肺呼吸音粗,未及干湿性啰音,心率86次/分,律齐,未及心脏杂音;腹软,中上腹触诊饱满,无压痛,反跳痛及肌紧张,肝脾肋下未及,Murphy征(-),移动性浊音(-),肠鸣音5次/分;双下肢无水肿。

提示检查结果显示:白细胞6.32×109/L,中性粒细胞56.8%,Hb132g/L,血生化结果如下表:

腹部B超示:肝脾未见异常,胆总管受压,局部狭窄,远端扩张明显;胆囊增大,形态饱满;胰腺增大、形态饱满,胰头及胰尾部明显增大,形态不规则,回声减低不均匀;胰管未见明显扩张;腹腔内未见明显淋巴结。该患者的可能诊断是()。

A.肝硬化

B.胆总管结石

C.2型糖尿病

D.病毒性肝炎

E.原发性胆汁性肝硬化

F.慢性胰腺炎

G.胆囊结石

H.继发性糖尿病

I.胆管癌

J.胰腺癌

K.自身免疫性胰腺炎

L.自身免疫性溶血性贫血

考点:消化内科学(医学高级)医学高级押题密卷消化内科特训密卷六(正高)
题型:多项选择题 案例分析题

读下图及材料回答.

材料一:2008年北京奥运会将在2008年8月8日晚上8时开幕.北京奥运赛事将在8月8日至24日间进行.

材料二:地球公转图,北京图(1)北京奥运会开幕时地球公转到右图______位置

A、甲乙之间     B、乙丙之间    C、丙丁之间    D、丁甲之间

(2)小明在观看北京奥运会时,想游览北京的名胜古迹请介绍二处______.

(3)B______省,A______海

(4)对于北京的古建筑有人认为“拆除四合院修建楼房”也有人认为“完全保留四合院和胡同,不建商业楼、住宅小区和道路”.对此你认为应该怎样做?______.

题型:多项选择题 案例分析题

The National Endowment for the Arts recently released the

the results of its “Reading at Risk” survey, which described

movement of the American public away from books and

literature and toward television and electronic media.

According to the survey. “reading is on the decline on every    62.__________

region, within every ethnic group, and at every educational level.“

The day the NEA report released, the U.S. House, in a tie      63.___________

vote, upheld the government's right to obtain bookstore and

library records under a provision of the USA Patriot Act. The

House proposal would have barred the federal government

from demand library records, reading lists, book customer      64.___________

lists and other material in terrorism and intelligence investigations.

These two events are completely unrelated to, yet they      65.___________

echo each other in the message they send about the place of

books and reading in American culture. At the heart

of the NEA survey is the belief in our democratic         66.__________

system depends on leaders who can think critically, analyze

texts and writing clearly. All of these are skills promoted by     67.__________

reading and discussing books and literature. At the same time,

through a provision of the Patriot Act, the leaders of our

country are unconsciously sending the message that reading

may be connected to desirable activities that might        68._________

undermine our system of government rather than helping

democracy flourish.

Our culture's decline in reading begin well before the       69._________

existence of the Patriot Act. During the 1980s' culture wars,

school systems across the country pulled some books from

library shelves because its content was deemed by parents     70.__________

and teachers to be inappropriate. Now what started in schools

across the country is playing itself out on a nation stage and    71.________

is possibly having an impact on the reading habits of the

American public.

在64处填写改错内容。

题型:多项选择题 案例分析题

交换机在检测到新的MAC上线后,交换机会向用户发起EAP认证请求,如果在规定的时间内客户端没有响应,且未配置MAC旁路认证,下面描述错误的是()。

A.发起认证请求达到规定次数后,如果客户端仍没有响应,则判断未安装客户端软件

B.关闭用户所有权限

C.放开权限,仅允许用户访问隔离区

D.过一段时间之后再次发起探测

题型:多项选择题 案例分析题

太阳辐射是一种电磁波辐射,其能量大约50%集中在()

A.紫外区

B.可见光区

C.红外区

D.X光区

题型:多项选择题 案例分析题

应用抗菌药物后正常菌群受到抑制,而非正常菌群得以生长繁殖,可引起维生素缺乏症,消化道功能改变等,我们一般称之为()

A.后遗作用

B.过度作用

C.毒性作用

D.同类效应

E.菌群失调

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