女性,54岁,颈肩.痛伴左手麻木加重2个月,咳嗽时明显,左手做精细动作困难,检查:颈

题型:单项选择题

问题:

女性,54岁,颈肩.痛伴左手麻木加重2个月,咳嗽时明显,左手做精细动作困难,检查:颈部活动受限,压颈试验阳性,左侧神经根牵拉试验阳性,左手肌肉萎缩,左手握力明显减弱,大拇指及前臂感觉减退,肱三头肌腱反射减弱,该病人诊断考虑为

A.肩周炎
B.胸廓出口综合征
C.颈肌筋膜炎
D.颈椎病(神经根型)
E.肌萎缩型侧索硬化症

考点:住院医师骨科主治医师专业实践能力
题型:单项选择题

与免疫调节无关的因素是

A.Ag在体内被降解
B.体内产生过高或过低浓度的IgG抗体
C.胸腺细胞的增殖
D.体内抑制性T细胞的存在
E.HLA分子

题型:单项选择题

公安机关在查处违反治安管理行为时,首先应当告知当事人应有的权利,并保障当事人充分享有陈述权、申辩权、要求举行听证权、申请行政复议权、提起行政诉讼权和要求行政赔偿等权利。( )

题型:单项选择题

在同一平面内下列说法:①过两点有且只有一条直线;②两条直线不平行必相交;③过一点有且只有一条直线与已知直线垂直;④过一点有且只有一条直线与已知直线平行。其中正确的有[ ]

A.1个  

B.2个   

C.3个  

D.4个

题型:单项选择题

第II卷(非选择题,共35分)

注意事项:

1. 用黑色墨水的钢笔或签字笔将答案写在答题纸上。

2. 本卷共6小题,共35分。

第三部分:写作

第一节   阅读表达(共5小题;每小题2分,满分10分)

阅读下面短文,并根据题目要求用英语回答问题(请注意问题后的字数要求)。

Sleepless in Seattle? Hardly. West Virginia is where people are really staying awake, according to the first government study to monitor state-by-state differences in sleeplessness. West Virginians’ lack of sleep was about double the national rate, perhaps a side effect of health problems such as obesity(肥胖), experts said.

Nearly 1 in 5 West Virginians said they did not get a single good night’s sleep in the previous month. The national average was about 1 in 10, according to a federal health survey. Tennessee, Kentucky and Oklahoma also were notably above average with nearly 1 in 7 people reporting in a lack of sleep. In contrast, North Dakota was below average, with only 1 in 13 reporting that degree of sleeplessness. Health officials do not know the exact reasons for the differences.

In the survey, people weren’t required to answer the question why they were not able to get enough rest or sleep. But experts noted several possible explanations: West Virginia ranks at or near the bottom of the nation in several important measurements of health, including obesity, smoking, heart disease and the proportion of adults with disabilities.

Studies have increasingly found that sleeping problems often occurred among people with certain health problems, including obesity. “You would expect to see poorer sleep within a chronically (慢性地) diseased population,” noted Dr Ronald Chervin, a sleep disorders expert in University of Michigan.

Financial stress and work shifts(倒班)can play roles in sleeplessness, too, Chervin added. He suggested those may be contributing factors in West Virginia, an economically depressed state with tens of thousands of people working in coal mining.

The report was based on results of an annual telephone survey of more than 400,000 Americans, including at least 3,900 in each state. The survey did not include people who use only cellphones.

56. What is the main idea of Paragraph 1? (No more than 15 words.)

___________________________________________________________________________

57. What does the underlined word “notably” in Paragraph 2 mean? (No more than 3 words.)

___________________________________________________________________________

58. What was the possible reason for the high rate of sleeplessness in West Virginia according to Paragraph 3?  (No more than 12 words.)

___________________________________________________________________________

59. List three factors that contribute to sleeplessness based on the passage.

(No more than 8 words.)

①____________________ ②_____________________ ③______________________

60. How was the research carried out? (No more than 10 words.)

___________________________________________________________________________

题型:单项选择题

一个完整的应急救援预案的文件体系包括()

A、总预案

B、程序

C、说明书

D、记录

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