问题 多项选择题 案例分析题

患者女性,57岁,因“摔倒致左髋部疼痛伴活动受限9日”来诊。患者9日前走路时不慎摔伤左髋部,当时即感左髋部疼痛,活动受限。外院X线片示“左侧股骨颈骨皮质不连续,骨折断端分离错位”,未给予特殊治疗。以“左侧股骨颈骨折”入院。既往无高血压、心脏病及糖尿病病史,无药物及食物过敏史,无肝炎、结核等传染病史,近期无低热、盗汗、体重下降情况。查体:体温36.7℃,脉搏87次/分,呼吸20次/分,血压110/70mmHg(1mmHg=0.133kPa)。脊柱生理弯曲尚存在,各椎体棘突及棘突旁压痛阴性,骨盆挤压分离试验阳性。左下肢短缩外旋畸形,短缩约3cm,左髋部轻度肿胀,压痛阳性,左髋关节活动受限,左下肢皮肤感觉正常,肌力正常,肌张力不高,足背动脉搏动良,足背伸可,各足趾活动自如,生理反射存在,病理反射未引出。给予5kg皮牵引,预防深静脉血栓及补钾等对症治疗。血、尿、粪常规,血生化,血气分析,心电图,心脏及下肢血管彩色多普勒超声,胸部X线片等未见异常。拟在珠网膜下腔麻醉联合硬膜外麻醉下行左侧人工全髋关节置换术(生物型)。术前静脉滴注头孢哌酮2.0g,手术时间100分钟,术中出血约200ml,术后静脉滴注头孢哌酮2.0g,每日2次,共5日。

根据《2013年全国抗菌药物临床应用专项整治活动要求》(卫办医政发〔2013〕37号),患者原则上不预防使用抗菌药物的手术有()

A.腹股沟疝修补术(包括补片修补术)

B.甲状腺和乳腺疾病手术

C.关节镜检查手术

D.颈动脉内膜剥脱手术

E.颅骨肿物切除手术

F.经血管途径介入诊断手术

G.白内障摘除术

H.胆囊摘除术

I.骨折内固定术

J.剖宫产手术

K.心血管手术

L.泌尿外科手术

答案

参考答案:A, B, C, D, E, F

单项选择题 A1/A2型题
填空题

Good afternoon, everybody. I’m pleased to be here with you, graduates of 2007. I’m a (1) , and students often approach me with (2) . You see, we are living in a society of great changes. With the presence of (3) , the process of getting a job in today’s world has changed for (4) .
Well, how can you use new technologies to help you First, let’s look at how you (5) . The traditional method of hunting for a job in the past required first, doing research on jobs that were (6) , typically by looking in newspapers, periodicals and magazines, as well as TV ads, and (7) . Then you decided where and for what post you were going to apply, put your resume (8) in a stamped envelope, and waited anxiously for someone to (9) .
Well, today, maybe the job search and (10) are very much the same, but the tools used are much more advanced, and they (11) . In fact, technology has not so much changed the process as enhanced it. The benefit, both for (12) , is that this makes the search more open to people of (13) from all over the world. But as more people are involved, it becomes (14) for the applicant than it ever was before.
The (15) for the working world today is learning these new and (16) and combining them with the older methods people have been using for years. For example, (17) , you can research employment not just in your city, but also in your state, your country, and (18) . You can copy information from a web page and paste it into a Microsoft Word document that’s easy to (19) . In many ways, it’s easier now: Just type your job application, click, and (20) ; it gets there in an instant.