问题 单项选择题 共用题干题

中年男性,患慢性乙型病毒性肝炎多年,抽血化验呈"小三阳"。近半年来肝功能呈持续下降趋势,患者多方寻求配型,终于在一脑死亡患者中寻找到合适的供肝,欲行肝脏移植手术。

患者行肝脏移植手术,下列可选择的手术方式中标准的为()。

A.原位肝移植

B.减体积性肝移植

C.活体部分肝移植

D.劈离式肝移植

E.背驮式原位肝移植

答案

参考答案:A

阅读理解与欣赏

文学作品阅读(22分)

我 的 同 班

冰 心

L女士是我们全班男女同学所最敬爱的一个人。大家都称呼她“L大姐”。她是闽南人,皮肤很黑,眼睛很大,说话作事,敏捷了当。在同学中间,疏通调信、排难解纷,无论是什么集会,什么娱乐,只要L大姐登高一呼,大家都是拥护响应的。

在医预科的末一年,有一天,我们的班导师忽然叫我去见他。在办公室里,他很客气的叫我坐下,婉转的对我说,校医发现我的肺部有些毛病,学医于我不宜,劝我转系。这真是一个晴天霹雳!我要学医,是十岁以前就决定的。因我的母亲多病,服中医的药不大见效,西医诊病的时候,总要听听心部肺部,母亲又不愿意,因此,我就立下志愿要学医,学成了好替我的母亲医病。在医预科三年,成绩还不算坏,眼看将要升入本科了,如今竟然功亏一篑!从班导师的办公室里走出来的时候,我几乎是连路都走不动了。

在生理学实验室。我说:“L大姐,我不能同你们在一起了,导师不让我继续学医,因为校医说我的肺有毛病……”L大姐愕然,说“不是肺痨吧?”我摇头说:“不是,据说是肺气枝涨大……无论如何,我要转系了,你看!”L大姐沉默了一会,便走过来安慰我说:“可惜得很,像你这么一个温和细心的人,将来一定可以做个很好的医生,不过假如你自己身体不好,学医不但要耽误自己,也要耽误别人。同时我想信你若改学科,也会有成就的。人生的路线,曲折得很,塞翁失马,安知非福?”

她赶紧又加上一句:“你素来对文学就极感兴趣,我常常觉得你学医是太可惜了。”我听了大姐的话,转入了文学系。在她指导鼓励之下,我渐渐地消灭了被逼改行的伤心,而增加了写作的勇气。至今回想,当时若没有大姐的勉励和劝导,恐怕在那转变的关键之中,我要做一个颓废而不振作的人吧!在我教书的时候,L大姐已是一个很有名的产科医生了。在医院里,和在学校里一样,她仍是保持着领袖的地位,作一班大夫和护士们敬爱的中心。在那个大医院里,我的同学很多,我每次进城去,必到那里走走,看他们个个穿着白衣,挂着听诊器,在那整洁的甬道里,忙忙地走来走去。闻着一股清爽的药香,我心中常有一种说不出的感觉,如同一个受伤退伍的兵士,裹着绷带,坐在山头,看他的伙伴们在广场上操练一样,也许是羡慕,也许是伤心,虽然我对于我的职业,仍是抱着与时俱增的兴趣。

抗战前一个月,我从欧洲回来,正赶上校友返校日。那天晚上,我们的同级有个联欢会,真是济济一堂!十余年中,我们一班同学,差不多个个名成业就,儿女成行(当然我是一个例外),大家携眷莅临,很大的一个厅堂都坐满了。觥筹交错,童稚欢呼,大姐坐在 * * 的右边,很高兴地左顾右盼,说这几十个孩子之中,有百分之九十五是她接引降生的。酒酣耳热,大家谈起学生时代的笑话,气氛愈加热烈了。 * * 忽然起立,敲着桌子提议:“现在请求大家轮流述说,假如下一辈子再托生,还能做一个人的时候,你愿意做一个什么样的人?”大家哄然大笑。于是有人说他愿意做一个元帅,有人说愿做个百万富翁……轮到我的时候,大姐忽然大笑起来,说:“×××教授,我知道你下一辈子一定愿意做一个女人。”大家听了都笑得前仰后合;当着许多太太们,我觉得有点不好意思,我也笑着反攻说:“L大夫,我知道你下一辈子,一定愿意做一个男人。”L大姐说:“不,我仍愿意做一个女人……”

盛会不常,佳时难再,那次欢乐的聚会,同班们三三两两的天涯重聚,提起来都有些怅惘。事变后,我还在北平,心里烦闷得很,到医院里去的时候,L大姐常常深思的皱着眉对我们说:“我呆不下去了。这里不是‘生’着,只是‘活’着!我们都走吧,走到自由中国去,大家各尽所能,你用你一枝笔,我们用我们的一双手,我相信大后方还用得着我们这样的人!”大家都点点头。我说:“你们医生是当今第一等人材,我这拿笔杆的人,做得了什么事?假若当初……”大姐正色拦住我说:“×××,我不许你再说这些无益的话。你自己知道你能做些什么事,学文学的人还要我们来替你打气,真是!”

一年内,我们都悄然的离开了沦陷的故都,我从那时起,便没有看见过我们的L大姐,不过这个可敬的名字,常常在人们口里传说着,说L大姐在西南的一个城市里换上军装,灰白的头发也已经剪短了。她正在和她的环境,快乐地、不断地奋斗,在蛮烟瘴雨里,她的敏捷矫健的双手,又接下了成千累百的中 * * 的孩童。她不但接引他们出世,还指导他们的父母,在有限的食物里,找出无限的滋养料。她正在造就无数的将来的民族斗士!

我希望在不久的将来,我们回到故都重开级会的时候,我能对她说:“L大姐,下一辈子我情愿做一个女人,不过我一定要做像你这样的女人!”

(选自《冰心散文》浙江文艺出版社1999年版。有删节)

小题1:下列对文章的赏析,不正确的两项是(   )(   )(6分)

A.“如同一个受伤退伍的士兵,裹着绷带,坐在山头,看他的伙伴们在广场上操练一样”,形象地表现了我被逼改行以后的颓废而不振作的状态。

B.“L大夫,我知道你下一辈子,一定愿意做一个男人。”是以世俗的眼光看妇产科医生职业,以为不如“大元帅”、“百万富翁”、“教授”等伟大荣耀。

C.文章开头说“L大姐是我们最敬爱的一个人”,结尾说“下一辈子我情愿做一个女人,不过我一定要做像你这样的女人!”首尾呼应,深化了文章的主题。

D.作者文笔清新婉丽,语言质朴典雅,主要运用肖像描写、细节描写来刻画L大姐可亲可爱的形象。E.我从小就立志学医,但并不是像鲁迅先生那样学医是为了救治像亲人似的被庸医所误的病人的疾苦,战争时候便去当军医。

小题2:对文中“这里不是‘生’着,只是‘活’着!”这句话如何理解?请做简要阐释。(4分)

小题3:简要分析文中L大姐这一人物形象。(8分)

小题4:请简要概括文章后半部分所反映的当时中国的社会现实。(4分)

填空题

[A] However, the production of TG is controlled by an enzyme that is, in turn, encoded by a gene called UGT2B17. This gene comes in two varieties, one of which has a part missing and therefore does not work properly. A person may thus have none, one or two working copies of UGT2B17, since he inherits one copy from each parent. Dr Schulze guessed that different numbers of working copies would produce different test results. She therefore gave healthy male volunteers whose genes had been examined a single 360mg shot of testosterone (the standard dose for legitimate medical use) and checked their urine to see whether the shot could be detected.

[B] Dr Schulze also says there is substantial ethnic variation in UGT2B17 genotypes. Two-thirds of Asians have no functional copies of the gene (which means they have a naturally low ratio of TG to EG), compared with under a tenth of Caucasians--something the anti-doping bodies may wish to take into account.

[C] The test usually employed for testosterone abuse relies on measuring the ratio of two chemicals found in the urine, testosterone glucuronide (TG) and epitestosterone glucuronide (EG). The former is produced when testosterone is broken down, while the latter is unrelated to testosterone metabolism, and can thus serve as a reference point for the test. Any ratio above four of the former to one of the latter is, according to official Olympic policy, considered suspicious and leads to more tests.

[D] The result was remarkable. Nearly half of the men who carried no functional copies of UGT2B17 would have gone undetected in the standard doping test. By contrast, 14% of those with two functional copies of the gene were over the detection threshold before they had even received an injection. The researchers estimate this would give a false-positive testing rate of 9% in a random population of young men.

[E] The agencies have had remarkable success. Testing for anabolic steroids (in other words, artificial testosterone) was introduced in the 1970s, and the incidence of cheating seems to have fallen dramatically as a result (see chart). The tests, however, are not foolproof. And a study just published in the Journal of Clinical Endocrinology & Metabolism by Jenny Jakobsson Schulze and her colleagues at the Karolinska Institute in Sweden suggests that an individual’s genetic make-up could confound them in two different ways. One genotype, to use the jargon, may allow athletes who use anabolic steroids to escape detection altogether. Another may actually be convicting the innocent.

[F] Cheating in sport is as old as sport itself. The athletes of ancient Greece used potions to fortify themselves before a contest, and their modern counterparts have everything from anabolic steroids and growth hormones to doses of extra red blood cells with which to invigorate their bodies. These days, however, such stimulants are frowned on, and those athletes must therefore run the gauntlet of organisations such as the World Anti-Doping Agency, which would rather they competed without resorting to them.

[G] In the meantime, Dr Schulze’ s study does seem to offer innocents a way of defending themselves. Athletes travelling to Beijing for the Olympic games later this year may be wise to travel armed not only with courage and the "spirit of Olympianism", but also with a copy of their genetic profile, just in case.

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