男性,49岁。车祸致头外伤,昏迷2小时,醒后对伤情记忆不清,呕吐3次。查体:嗜睡,颜

题型:单项选择题 案例分析题

问题:

男性,49岁。车祸致头外伤,昏迷2小时,醒后对伤情记忆不清,呕吐3次。查体:嗜睡,颜面部肿胀明显,鼻腔有血性脑脊液流出。神经系统检查阴性。提示:头颅CT检查:双侧额极脑挫裂伤伴脑内血肿,量约25ml,双侧侧脑室额角轻度受压。

海绵窦内颈动脉与海绵窦内脑神经的毗邻关系是()

A.位于脑神经内侧

B.位于脑神经下方

C.位于脑神经外侧

D.位于脑神经上方

E.位于脑神经后方

F.位于脑神经前方

考点:上海住院医师康复医学科神经外科神经外科题库
题型:单项选择题 案例分析题

阅读下面的文字,完成问题。

希望人能听懂大自然的语言

乔新生

  2004年岁末,印度洋发生空前的海啸,国际社会在积极展开救援行动的同时,也在反思:人类能否依靠自身力量躲过这场灾难?在种种不切实际的议论中,人类至上主义论调甚嚣尘上。有学者认为,只要依靠各国共同协作,建立完善的预警机制,就一定能避免类似的悲剧发生。这种事后诸葛亮式的言论在许多大灾难后都出现过。其实,人类只是暂居在这个星球上,无法主宰自己的命运,只能在有限时间和空间里,改善生存质量,或在较短时问内,延续人类的存在。这是一种非常令人悲观的结局。当印度洋的海浪拍打着生命堤岸的时候,正是那些被人称作低等动物的小爬虫们率先迷离自己的家园。

  人类自称万物之灵,可是在灾难面前却一无所知。

  从人本主义到动物主义再到生态主义,人类认识不断飞跃着。但是,即使爱护动物和大自然,人类也是以改善自身生存质量为目的来对待自然万物的。这种自命不凡的本性,决定了人类言行不一,也决定了人类许许多多荒谬举动。在热带阳光下,人们赤诚相见,感受大自然的恩赐,可是转过身来,表冠楚楚,又自相残杀。人类仿佛要印证,世界上从没有真正的动物主义和生态观念,有的只是人类需求与供给。在现时短暂的需求得到满足之后,人们会妨碍他人得到同样的财富,正是这种以自我为中,心的行为哲学,妨碍了人类和睦相处。

  在地球生命之树上,人类只是随风飘扬的叶片。在宇宙轮回中,地球寒暑改变着人类树叶的颜色,当地球充满阳光时,人类绚丽多彩;当地球进入漫长寒冬时,人类的飘零也就难免。这是人类的宿命,也是大自然的宿命。

  人类耗费着地球有限的资源,试图改变寒暑,可是,人类几千年文明积累抵不上大自然一次震怒。在大自然的漫长所程中,人类还处在摇篮里,知识、财富,一切都只是挂在摇篮中随风飘荡的小铃铛,它让人类欢乐、痛苦、奋斗、失望。人类正是在满足自己内心感受的过程中度过一生。

  印度洋海啸摧毁了人们的家园,也给了人类重新审视自己的机会。在自然生态中·人类其实只是很小的一环,分属于不同国家,且相互争斗,可是在大自然的愤怒之下,终于有机会搁置争议,共同思考今后的生活。这场灾难也是一个契机,相信人类能在付出沉重代价之后,有所醒悟。

  人类共同面对苦难,个人的苦难将有人分担;我们无法避免苦难,但可以减轻他人的苦难,这就是人本主义的至高境界。在人类进化过程中,还有许多未知的东西,在其他动物本能感知的地方,人类懵懂无知。所以,即使奉行人类中心主义,也要对大自然心存敬畏。这是为了人类自己,为了随时随地能够感受到大自然对我们的启示。

  在印度洋的涛声中,有的国家国土缩小了,有的国家会民失踪了。这或许是大自然在暗示我们,要更加紧密地联系在一起,用每个人的体温来温暖全人类。

  在浩瀚的大洋,在无际的星空,每个人都是一滴水、一粗沙,只有融入走海,才有生命的价值;只有浪淘水洗,才会显出自己的亮度。大自然将人类一次次地团结在一起,人们又-次次地相互挣脱遮离。印度洋海啸似乎在告诫我们,人类不仅有了新的时间起点,而且还应有新的空间。希望人类能听懂大自然的语言。(选自《杂文选刊》2005年第3期)

1.语言是人们交流思想、传递信息的工具,大自然也有它的“语言”。作者希望人类能听懂它的“语言”。文中大自然的语言指的是什么?

_______________________________________________________

2.作者对印度洋海啸灾难进行了深刻反思,从中得到的三点启示是什么?

(1)__________________________________________________

(2)__________________________________________________

(3)__________________________________________________

3.在作者看来,人类在善待自己的同时,还应怎样善待自然界的万物生灵?

________________________________________________________

4.研读下面资料,在文中第四段找出揭示全球环境状况持续恶化原因的一句话。在过去30年里,全球年平均温度升高了0.6摄氏度;20世纪80年代,全球每年受灾害影响的人数平均为1.47亿,90年代上升到2.11亿。在今后30年内,55%以上的人口将面临水荒;全球12%的鸟类和四分之一的哺乳动物濒临灭绝,三分之一的鱼类资源枯竭。

________________________________________________________

5.印度洋海啸使20多万人顷刻间灰飞烟灭,南京大屠杀使30多万同胞惨遭日本侵略军杀害。请你针对其中的一种灾难写一条警世语。

警世语:________________________________________________

题型:单项选择题 案例分析题

  “普天布衣”是一家为百姓服务的餐饮公司的招牌,这一招牌常令人误解为其他待业。请你根据该公司的行业特点和服务宗旨,向公司负责人得体地指出“招牌”存在的问题,并建议公司选用你为其拟写的招牌。

标书内容:_______________________________

拟写的招牌名称:_________________________

题型:单项选择题 案例分析题

算法能正确的实现预定功能的特性称为______。

A.正确性

B.易读性

C.健壮性

D.高效性

题型:单项选择题 案例分析题

注册会计师函证期末应付账款的余额是不必要的,原因是()。

A.函证同截止测试重复

B.报表日应付账款余额在审计完成前或许仍未付给债权人

C.和被审计单位的法律顾问联系,以提示供货方因未收到货款而采取的一切法律行动,采取这一替代程序获取的证据更可靠

D.应付账款更多的存在低估的可能

题型:单项选择题 案例分析题

If the opinion polls are to be believed, most Americans are coming to trust their government more than they used to. The habit has not yet spread widely among American Indians, who suspect an organization which has so often patronized them, lied to them and defrauded them. But the Indians may soon win a victory in a legal battle that epitomizes those abuses.

Elouise Cobell, a banker who also happens to be a member of the Blackfeet tribe in Montana, is the leading plaintiff in a massive class-action suit against the government. At issue is up to $10 billion in trust payments owed to some 500,000 Indians. The suit revolves around Individual Indian Money (11M) accounts that are administered by the Interior Department’s Bureau of Indian Affairs (BIA). Back in the 1880s, the government divided more than 11m acres of tribal land into parcels of 80 to 160 acres that were assigned to individual Indians. Because these parcels were rarely occupied by their new owners, the government assumed responsibility for managing them. As the Indians’ trustee, it leased the land out for grazing, logging, mining and oil drilling--but it was supposed to distribute the royalties to the Indian owners.

In fact, officials admit that royalties have been lost or stolen. Records were destroyed, and the government lost track of which Indians owned what land. The plaintiffs say that money is owing to 500,000 Indians, but even the government accepts a figure of about 300,000. For years, Cobell heard Indians complain of not getting payment from the government for the oil-drilling and ranching leases on their land. But nothing much got done. She returned to Washington and, after a brush-off from government lawyers, filed the suit.

Gale Norton, George Bush’s interior secretary was charged with contempt in November because her department had failed to fix the problem. In December, Judge Lam berth ordered the interior Department to shut down all its computers for ten weeks because trust-fund records were vulnerable to hackers. The system was partly restored last month and payments to some Indians, which had been interrupted l resumed.

And that is not the end of it. Ms Norton has proposed the creation of a new Bureau of Indian Trust Management, separate from the BIA. Indians are cross that she suggested this without consulting them. Some want the trust funds to be placed in receivership, under a , neutral supervisor. Others have called for Congress to establish an independent commission, including Indians, to draw up a plan for reforming the whole system. A messy injustice may at last be getting sorted out.

What is implied but not stated in the first sentence is that American Indians()

A. expressed their gratitude for their lawyers

B. won a victory by use of legal weapons

C. have lost confidence in their government

D. came to believe the public opinion polls

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