女性,32岁。因劳力性心慌、气急3年,体检确诊为风湿性心脏瓣膜病,超声心动图显示二尖

题型:单项选择题 案例分析题

问题:

女性,32岁。因劳力性心慌、气急3年,体检确诊为风湿性心脏瓣膜病,超声心动图显示二尖瓣瓣膜轻度增厚,开放呈鱼嘴状,瓣口面积0.8cm2,腱索稍增粗,其他瓣膜正常。

如果病人合并有轻度主动脉瓣关闭不全进一步治疗首选()

A.药物治疗

B.经皮球囊导管二尖瓣成形术

C.二尖瓣分离术

D.人工瓣膜置换术

E.人工心脏置换术

考点:重庆住院医师心血管内科Ⅱ阶段重庆住院医师心血管内科Ⅱ阶段综合练习重庆住院医师心血管内科Ⅱ阶段综合练习题库
题型:单项选择题 案例分析题

(1)图(a)为“验证机械能守恒定律”的实验装置示意图,现有的器材为:铁架台、电磁打点计时器、纸带、复写纸、直尺、带铁夹的重物.为完成本实验,除了所给的器材,还需要4~6V______电源(填直流或交流)

(2)在实验中,已知电磁打点计时器工作周期T=0.02S,自由下落的重物质量m=2kg,如图(b)所示为某同学实验后选出的一条理想的纸带,O点是打出的第一个点,A、B、C是在纸带上取出的三个计数点,AB、BC间各有一个点未画出.经测得A、B、C三点到O点的距离分别为:S1=12.9cm,S2=20.5cm,S3=28.9cm,g=10m/s2,完成以下问题:(计算结果均保留两位有效数字)

①纸带的______端与重锤连接(填左或右).

②打点计时器打下计数点B时,物体的速度vB=______m/s.

③从起点O到打下计数点B的过程中,重力势能的减少量△EP=______J,此过程中物体动能的增量△EK=______J.

题型:单项选择题 案例分析题

案例背景材料:

某承包商通过竟标取得某标段公路建设项目后,立即组织施工队伍进场施工。为保证工期和控制成本,同时考虑到自身特点及业主和监理工程师要求,承包商决定将一部分防护工程和部分通道与涵洞工程分包给另外承包商施工,报业主或监理工程师审查后,该承包商与分包商签订了分包合同,在分包合同中明确了分包合同的主要内容。

分包商施工完成后,经监理工程师检查其质量存在严重缺陷,下达监理通知要求返工处理。总包商认为其选择分包商时得到监理工程师的批准,认为应由分包商负责,与总包商无关。

问题:

(1)请指出工程分包合同的主要分类及其之间的区别,并指明该承包商的分包合同属于哪类工程分包。

(2)请说明各类工程分包合同的主要内容。

(3)总包商认为该质量问题与总包商无关是否正确?说明理由。

题型:单项选择题 案例分析题

根据国家有关劳动法规的规定,以下哪种说法是正确的()

A.化工行业从事有毒有害作业的工人,根据生产的特点和条件分别实行“三工一休”制

B.煤矿井下作业实行四班六小时工作制

C.纺织企业实行三班四运转制度

D.建筑等从事繁重体力劳动的行业,根据本行业的特点实行不同程度缩短工作时间制

题型:单项选择题 案例分析题

混凝操作时,水与药剂的反应时间需要()。

A.1~2分钟

B.20~30分钟

C.50~60分钟

D.<1分钟

题型:单项选择题 案例分析题

Every newborn baby is dealt a hand of cards which helps to determine how long he or she will be allowed to play the game of life. Good cards will help those who have them to have a long and healthy existence, while bad cards will bring to those who have them terrible diseases like high blood pressure and heart disease. Occasionally, cards are dealt out that doom their holders to an early death. In the past, people never knew exactly which cards they had been dealt. They could guess at the future only by looking at the kind of health problems experienced by their parents or grandparents.

Genetic testing, which makes it possible to find dangerous genes, has changed all this. But, until recently, if you were tested positive for a bad gene you were not obliged to reveal this to anyone else except in a few extreme circumstances. This month, however, Britain became the first country in the world to allow life insurers to ask for test results.

So far, approval has been given only for a test for a fatal brain disorder known as Huntington’s disease. But ten other tests (for seven diseases) are already in use and are awaiting similar approval.

The independent body that gives approval, the Department of Health’s genetics and insurance committee, does not have to decide whether the use of genetic information in insurance is ethical. It must judge only whether the tests are reliable to insurers. In the case of Huntington’s disease the answer is clear-cut. People unlucky enough to have this gene will die early, and cost life insurers dearly.

This is only the start. Clear-cut genetic answers, where a gene is simply and directly related to a person’s risk of death, are uncommon. More usually, a group of genes is associated with the risk of developing a common disease, dependent on the presence of other genetic or environmental factors. But, as tests improve, it will become possible to predict whether or not a particular individual is at risk. In the next few years researchers will discover more and more about the functions of individual genes and what health risks — or benefits — are associated with them.

Health authorities allow insurers to use genetic information for the purpose of()

A. improving genetic testing technology

B. safeguarding patients’ interests

C.promoting disease prevention

D. reducing insurance payments

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