男性,65岁,吸烟45年。咳嗽,近一月余偶有血痰,伴乏力、低热。体格检查发现:左胸饱

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问题:

男性,65岁,吸烟45年。咳嗽,近一月余偶有血痰,伴乏力、低热。体格检查发现:左胸饱满,语颤减弱,叩诊为浊音,左中下肺呼吸音消失。

最佳确诊方法是()

A.血常规

B.全身PET

C.纤维支气管镜检查

D.痰涂片或痰培养

E.超声波检查+胸腔穿刺抽液送检

考点:医院评审三基考试内科学三基考试内科基础知识模拟题二2014年
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恩格斯在谈到古代雅典社会时曾说:“现在社会制度和政治制度所赖以建立的阶级对立,已经不再是贵族和平民之问的对立,而是奴隶和自由民之间的对立,被保护民和公民之间的对立。”他评论的是

A.梭伦改革的作用

B.克利斯提尼改革的作用

C.伯利克里改革的作用

D.马其顿王国征服的作用

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某,女性,45岁,主因口渴多饮3月余来诊。烦渴多饮,尿频量多,口干舌燥,舌红,苔薄黄,脉洪数。中医诊断为消渴病。

那么,根据患者的临床特点及中医辨证,下列治疗方法中最为恰当的是()

A.清热润肺,生津止渴

B.清胃泻火,生津止渴

C.滋养肺肾,泻热生津

D.清泻肺胃,益气生津

E.清泻肺胃,生津止渴

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在以下哪种情况下,出卖人应承担标的物毁损、灭失的风险( )。

A.合同约定卖方代办托运,出卖人已将标的物发运,即将到达约定的交付地点

B.买受人下落不明,出卖人将标的物提存

C.标的物已运抵交付地点,买受人因标的物质量不合格而拒收货物

D.合同约定在标的物所在地交货,约定时间已过,买受人仍未前往提货

题型:单项选择题

某砂砾石料料场的砂砾石储量为45×104m3,则详查阶段全分析取最少组数为()组。

A.6

B.8

C.9

D.12

题型:单项选择题

It is no longer just dirty blue-collar jobs in manufacturing that are being sucked offshore but also white-collar service jobs, which used to be considered safe from foreign competition. Telecoms charges have tumbled, allowing workers in far-flung locations to be connected cheaply to customers in the developed world. This has made it possible to offshore services that were once non-tradable. Morgan Stanley’s Mr. Roach has been drawing attention to the fact that the "global labour arbitrage" is moving rapidly to the better kinds of jobs. It is no longer just basic data processing and call centres that are being outsourced to low-wage countries, but also software programming, medical diagnostics, engineering design, law, accounting, finance and business consulting. These can now be delivered electronically from anywhere in the world, exposing skilled white-collar workers to greater competition.

The standard retort to such arguments is that outsourcing abroad is too small to matter much. So far fewer than lm American service-sector jobs have been lost to off-shoring. Forrester Research forecasts that by 2015 a total of 3.4m jobs in services will have moved abroad, but that is tiny compared with the 30m jobs destroyed and created in America every year. The trouble is that such studies allow only for the sorts of jobs that are already being off-shored, when in reality the proportion of jobs that can be moved will rise as IT advances and education improves in emerging economies.

Alan Blinder, an economist at Princeton University, believes that most economists are underestimating the disruptive effects of off-shoring, and that in future two to three times as many service jobs will be susceptible to off-shoring as in manufacturing. This would imply that at least 30% of all jobs might be at risk. In practice the number of jobs off-shored to China or India is likely to remain fairly modest. Even so, the mere threat that they could be shifted will depress wages:

Moreover, says Mr. Blinder, education offers no protection. Highly skilled accountants, radiologists or computer programmers now have to compete with electronically delivered competition from abroad, whereas humble taxi drivers, janitors and crane operators remain safe from off-shoring. This may help to explain why the real median wage of American graduates hat fallen by 6% since 2000, a bigger decline than in average wages.

In the 1980s and early 1990s, the pay gap between low-paid, low-skilled workers and high-paid, high-skilled workers widened significantly. But since then, according to a study by David Autor, Lawrence Katz and Melissa Kearney, in America, Britain and Germany workers at the bottom as well as at the top have done better than those in the middle-income ’group. Office cleaning cannot be done by workers in India. It is the easily standardised skilled job in the middle, such as accounting, that are now being squeezed hardest. A study by Bradford Jensen and Lori Kletzer, at the Institute for International Economics in Washington D. C., confirms that workers in tradable services that are exposed to foreign competition tend to be more skilled than workers in non-tradable services and tradable manufacturing industries.

The narrative of the text in the last three paragraphs concentrates on ()

A. the standard retort to the arguments

B. off-shoring and the resulting income

C. the future off-shoring

D. the counter-measures at hand

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