男性,48岁,“急性出血坏死性胰腺炎”术后23天,已经深静脉导管行TPN治疗20天。

题型:单项选择题

问题:

男性,48岁,“急性出血坏死性胰腺炎”术后23天,已经深静脉导管行TPN治疗20天。今日突发寒战、高热,T39.8℃,头痛、头晕、面色潮红。病人极度烦躁,P132次/分钟,R36次/分钟。血常规检查:白细胞计数25×109/L,中性核左移。

对于静脉导管感染的首要处理措施是

A.大剂量应用抗生素
B.停止输注营养液
C.采血送细菌培养
D.拔除导管并剪下尖端送细菌培养,进行药敏试验
E.保留TPN液体送细菌培养

考点:普通考研护理综合研究生入学考试护理综合
题型:单项选择题

The triathlon(铁人三项运动) promises to be one of the most popular Olympic sports.Recently it has drawn huge crowds attracted by athletes swimming 1,500m,cycling 40km,then running 10km without stopping.But what makes an attractive 17­year­old girl give up everything for the doubtful pleasure it offers?

Melanie Sears has not yet learnt those often­repeated phrases about personal satisfaction,mental challenge and higher targets that most athletes use when asked similar questions.“You swim for 1,500m,then run out of the water and jump on your bike,still wet.Of course,then you freeze.When the 40km cycle ride is over,you have to run 10km,which is a long way when you’re feeling exhausted.But it’s great fun,and all worth it in the end,” she says.

Melanie entered her first triathlon at 14 and she won the junior section.Full of confidence,she entered the National Championships,and although she had the second fastest swim and the fastest run,she came nowhere.“I was following this man and suddenly we came to the sea.We realised then that we had gone wrong.I ended up cycling 20 kilometres too far.I cried all the way through the running.”

But she did not give up and was determined that she never will.“Sometimes I wish I could stop,because then the pain would be over,but I am afraid that if I let myself stop just once,I would be tempted(诱惑) to do it again.”Such doggedness draws admiration from Steve Trew,the sport’s director of coaching.“I’ve just been testing her fitness,” he says, “and she worked so hard on the running machine that it finally threw her off and into a wall.She had given it everything,and she just kept on.”

Melanie was top junior in this year’s European Triathlon Championships,finishing 13th.“I was almost as good as the top three in swimming and running,but much slower in cycling.That’s why I’m working very hard at it.” She is trying to talk her long­suffering parents,who will carry the £1,300 cost of her trip to New Zealand for this year’s world championships,into buying a £2,000 bike,so she can try 25km and 100km races later this year.

But there is another price to pay.“I don’t have a social life,”she says.“After two hours’ hard swimming on Friday night,I just want to go to sleep.But I phone and write to the other girls in the team.” What does she talk about?Boys?Clothes?“No,what sort of times they are achieving.”

小题1:How does Melanie differ from other athletes,according to the writer?

A.She worries less than they do.

B.She expresses herself differently.

C.Her family background is not like theirs.

D.Her aims are different from theirs.小题2:What upset Melanie during the National Championships?

A.She was tricked by another competitor.

B.She felt she had let her team­mates down.

C.She made a mistake during part of the race.

D.She realized she couldn’t cycle as fast as she thought.小题3:What is Melanie trying to persuade her parents to do?

A.Buy an expensive bike for her.

B.Give her half the cost of a bike.

C.Let her compete in longer races.

D.Pay for her to go to New Zealand.小题4:What does Melanie say about her relationships with her team­mates?

A.She would like to see them more often.

B.She only discusses the triathlon with them.

C.She thinks they find her way of life strange.

D.She dislikes discussing boys or clothes with them.

题型:单项选择题
对括号前的字注音无误的一项是

[ ]

A.诞(dàn)癸(guǐ)殊(shú)峻(jùn)
B.殇(shāng)稽(jī)骸(hái)悟(wù)
C.悼(dǎo)禊(xì)骋(chéng)契(qì)
D.嗟(jiē)觞(shāng)湍(tuān)曲(qǔ)水
题型:单项选择题

【旅游地理】敦煌莫高窟是已有一千六百多年的大型石窟,保留有精美绝伦的壁画、彩塑及从晋到宋近十个朝代的各种佛经、文书、帛画等珍贵文物,是驰名中外的艺术宝库。

鸣沙山、月牙泉:以“沙岭晴鸣”和“月泉晓澈”而著称于世。

嘉峪关:万里长城西端终点,地势险要,巍峨宏伟,是古丝绸之路的必经关隘。

酒泉:泉水清澈见底,澄碧如酒。有汉武帝赐御酒为霍去病击败匈奴庆功,将酒倾倒于泉水之中,泉水化为美酒的传说,并以出产名贵工艺品夜光杯著称。下图为西宁-兰州-敦煌一线旅游资源分布示意图。结合上述材料,回答问题。(10分)

(1)根据旅游资源的本质属性分类,敦煌莫高窟属于 资源,其最突

出的资源价值是 价值。

(2)试对敦煌地区的旅游资源开发条件进行评价。

(3)为发展敦煌的旅游业,当地可采取哪些措施。

题型:单项选择题

女,54岁,因车祸造成颅底骨折,临床表现为左侧不能闭眼,微笑时口角偏向右侧。可能损伤了哪条脑神经()

A.左侧面神经

B.右侧面神经

C.左侧三叉神经

D.右侧三叉神经

E.左侧迷走神经

题型:单项选择题

测定农药或除草剂等项目的样品瓶按一般规则清洗后,在烘箱内()℃下烘干4小时。冷却后再用纯化过的已烷或石油醚冲洗数次

A.150

B.180

C.200

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