男,48岁,右上腹痛3个月,体重减轻5kg,查体:蜘蛛痣,肝肋下4cm,质硬,脾肋下

题型:单项选择题 案例分析题

问题:

男,48岁,右上腹痛3个月,体重减轻5kg,查体:蜘蛛痣,肝肋下4cm,质硬,脾肋下2cm,白细胞3.8×109/L,中性粒细胞0.6,AKP24IU/L。

如果腹部CT检查发现肝右叶4cm×5cm占位,甲胎蛋白72ng/ml,肝功能正常。进一步的检查首选()

A.肝脏血管造影

B.核磁共振

C.B超引导下肝活检

D.腹腔镜检查

E.剖腹探查

考点:上海住院医师精神科消化内科消化内科题库
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早在10世纪,我国就有人将轻症的天花病人的痘浆接种到健康人的身上,使人能预防天花。这里的痘浆和这种方法分别属于

A.抗原、特异性免疫

B.抗体、特异性免疫

C.抗原、非特异行性免疫

D.抗体、非特异性免疫

题型:单项选择题 案例分析题

卫生部和国家工商行政管理总局对某国有企业共同作出一项行政处罚,该企业不服欲申请行政复议,应当如何处理( )

A.该企业应当向国务院申请行政复议,由国务院作出行政复议决定

B.该企业可以同时向两个机构申请行政复议,由国务院作出行政复议决定

C.该企业可以同时向这两个机构申请行政复议,由作出具体行政行为的国务院机构共同作出行政复议决定

D.该企业可以向其中任何一个机构申请行政复议,由作出具体行政行为的国务院机构共同作出行政复议决定

题型:单项选择题 案例分析题

我国人口普查采用的是()。

A.直接观察法

B.报告法

C.采访法

D.被调查者自填法

题型:单项选择题 案例分析题

Passage Three

Watching movie stars light up on screen may increase the odds a child or young teen will try smoking, study findings suggest.
In this latest study, researchers at Dartmouth Medical School in Lebanon, New Hampshire found that the odds of a child smoking increased in tandem (一前一后,紧密相连) with the number of films with smoking scenes he or she had seen.
This pattern remained regardless of other smoking risk factors such as having parents or friends who smoked, poor school performance or a self-reported "rebellious" nature.
Dr. James D. Sargent and his colleagues report the findings in the December 15th issue of the British Medical Journal.
In response to the findings, the British Medical Association (BMA) called on the UK film industry to "stub out" on-screen smoking.
"When smoking is glamorized in movies, young people are encouraged to experiment with a lethal (致命的) habit," the BMA’s Dr. Vivienne Nathanson said in a statement.
And an editorial accompanying the journal report made the same challenge to Hollywood. "It is time for the entertainment industry to accept responsibility for its actions and stop serving the interests of tobacco companies," writes Dr. Stanton A. Glantz of the University of California, San Francisco.
Sargent’s team based the findings on a survey of nearly 5 000 Vermont and New Hampshire students aged 9 to 15. Students were asked whether they had seen any of 50 recent movies that the researchers had screened for the number of smoking scenes. They also answered questions about environmental risk factors for smoking, their personality traits and perceptions of their parents’ views on smoking.
The investigators found that the number of smoking instances students had seen in the movies was correlated with their odds of having tried smoking. Kids who had seen 51 to 100 smoking occurrences were 70% more likely than those who had seen fewer to have smoked. And the odds were nearly three times greater among those who had seen 150-plus smoking scenes.
According to the researchers, the effects of on-screen smoking were similar to those of having parent or sibling who smoked.
"The results indicate that exposure to tobacco use in films is pervasive," Sargent’s team writes. "More importantly, such exposure is associated with trying smoking, which supports the hypothesis that films have a role in the initiation of smoking. "
In his editorial, Glantz agrees, writing that the study "provides powerful new evidence" that smoking in movies does contribute to adolescent smoking.

The editorial accompanying the journal report ______.

A.challenged Hollywood to produce more movies for children

B.appealed to Hollywood film makers to eliminate on-screen smoking

C.called on the entertainment industry to cooperate with tobacco companies

D.doesn’t agree that the study provides powerful evidence that smoking in movies contributes to adolescent smoking

题型:单项选择题 案例分析题

上电缆时,要严格控制盘电缆的速度,一般应小于()。

A、2000m/h

B、1000m/h

C、800m/h

D、500m/h

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