问题 多项选择题 案例分析题

患者男,66岁,因“右侧腰部疼痛不适,伴间隙性血尿6个月”来诊。无尿频、尿急、尿痛、发热。查体:T36.2℃,P76次/min,R18次/min,BP121/75mmHg;身高165cm,体重62.8kg;意识清楚,营养中等,全身皮肤无水肿,口唇红润;腹部平软,无压痛、反跳痛。实验室检查:Hb131g/L,血清清蛋白为37.5g/L。PET:右肾及右肾盂内较大团块状高代谢病灶,考虑为肾盂癌多发性转移。诊断:右肾盂癌多发性转移。遂收入肿瘤科治疗。患者入院第7天11:30突然排出鲜红色血尿约400ml,查P121次/min,R22次/min,BP110/67mmHg;经止血、输血、升压等对症处理,14:30查P133次/min,R28次/min,BP100/52mmHg,即送手术室行膀胱镜检查,并予右肾切除。术后P120~146次/min,BP(80~95)/(52~70)mmHg,动脉血氧饱和度85%左右,于19:00转入ICU。目前患者留置伤口引流管1条,引出鲜红色液,尿尿管引出红色尿液,经口气管内插管接呼吸机辅助呼吸,心电监护,留置锁骨下静脉三腔管插管,持续胃管负压引流,并予止血、输血补液及使用镇静、镇痛等治疗。入院第8天,ICU护士及实习学生参加本次临床护理教学查房。

关于临床护理教学查房,叙述正确的是()

A.是临床工作中为了提高护理质量及临床教学水平而采取的一种较好的教学方式

B.是为了提高临床护士及护生的认识能力而采取的一种加深对某个问题认识的一种教学方法

C.是一种常规、有效的护理工作方式,可由护士长或资深护士主持

D.临床护理查房常用的形式为临床护理技能查房、典型护理案例查房、临床护理教学查房

E.由带教老师负责组织,护士与实习生参加;重点是护理的基础知识和理论,根据实习护生的需要确定查房的内容和形式

F.典型护理案例查房是由病区的高级责任护士以上人员或带教老师组织的护理教学活动

答案

参考答案:A, B, C, D, E, F

阅读理解

It seems to be strange to you that there is a blind spot (盲点)on the eyes. Here is an interesting experiment (实验) that can make something disappear, when one eye is open.

Make a card about the size of a postcard and write two English letters L and R on it, L on the left and R on the right. First, hold the card about 80 cm away and you see both the letters. Then close your right eye and look at the letter R only with your left eye. And now, as you move the card slowly towards you, you’ll find the letter L disappearing. But if you move the card nearer to your face, the letter will be seen again. Now do the same experiment with your left eye closed, you’ll find the letter R disappearing.

Why does the letter disappear? It is because there is a blind spot on the eyes. When the image (影像) of the letter falls on the blind spot, it won’t be seen. That is why either of the letters disappears.

小题1:The writer of the passage thinks that ________ there is a blind spot on the eyes.

A.few people know

B.no one knows

C.most people know

D.all the people know小题2:The word “disappear” in the passage means ________ in Chinese.

A.出现

B.远离

C.消失

D.靠近小题3:You fail to see the letter L in the experiment because ________.

A.your eyes are poor

B.its image falls on the blind spot

C.your left eye is not open

D.you move it close to your eye小题4:In which order (顺序) should you do the experiment?

①Hold the card

②Move the card nearer

③Close your right eye

④Write two English letters

⑤Look at the letter R

⑥Make a card

A.④⑥①②③⑤

B.①③⑥④⑤②

C.⑥①④③②⑤

D.⑥④①③⑤②小题5:The passage mainly (主要) tells us ________.

A.the blind spot can move

B.an interesting experiment

C.where the blind spot is

D.there is a blind spot on the eyes

不定项选择

宏伟化工有限公司(以下简称宏伟公司)主营化妆品生产,红保超市(具有金银首饰经营资质)为商业企业,均为增值税一般纳税人。2014年9月发生以下业务:

(1)宏伟公司外购一批化妆品,不含税进价345万元,取得专用发票,该批化妆品由某运输公司负责运输,支付运费12万元,尚未取得运输公司开具的发票;该批货物全部领用,用于连续生产高档化妆品一批;(2)宏伟公司将本月生产的高档化妆品的80%批发给红保超市,售价720万元(不含税价)开具专用发票。由某专业运输公司(增值税一般纳税人)负责运送,红保超市支付不含税运输费15万元,并取得了运输公司开具的增值税专用发票;

(3)宏伟公司将上述剩余化妆品与护肤品组成套装出售给红保超市,每套单价1000元,开具专用发票,注明价款100万元;

(4)宏伟公司本月购进原料、修理配件取得专用发票上注明的价款、税金分别为200万元、34万元,本月货到入库,上月留抵税款23万元;

(5)红保超市本月销售化妆品取得零售收入620万元,出售套装化妆品取得零售收入140万元。开展促销活动赠送小礼品的零售价4万元。从果园购进鲜水果,收购凭证上注明已支付的价款28万元,水果已入库中;

(6)宏伟公司取得本期电费专用发票,注明税金18万元,尚未认证;

(7)红保超市将库存的精制茶叶作为福利发放给职工,账面成本2万元,经查,该批茶叶已经抵扣进项税。又将库存的饮料、食品等赠送宏伟公司,该批商品对外销售的含税销售价格共计23.52万元,宏伟公司将这批商品作为福利发给职工;

(8)红保超市零售金银首饰收取128万元,零售玉石饰品收取86万元;

(9)红保超市本期购进金银首饰的专用发票注明增值税为38.45万元,上期留抵增值税为34.89万元。(除特殊说明外,假定上述其他专用发票均在当月通过认证)

根据上述资料,回答下列问题:

宏伟公司当月应纳增值税为()万元。

A.23.75

B.-0.83

C.120

D.10.83