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问题 单项选择题 A1/A2型题

患者，女，9岁，头部外伤后触及头皮下波动，护士分析其原因时，下列哪项是错误的（）。

A.头皮下血肿

B.头皮下积液

C.头皮挫伤

D.帽状腱膜下血肿

E.骨膜下血肿

答案

参考答案：C

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For more than two centuries, American’s colleges and universities have been the backbone of the country’s progress. They have educated the technical, managerial, (1) and provided generation after generation of national leaders. Today educators from around the globe are turning to U. S. institutions of higher learning (2) . They are apt to find many reasons for the excellence of American universities, but (3) stand out as watersheds:
Education (4) : In 1862 Congress enacted the Land-Grant College Act, which essentially extended the opportunity of higher education (5) , including such disenfranchised groups as women and minorities. Each state was permitted to sell large tracts of (6) and use the proceeds to endow at least one public college.
(7) : Over the years, the decentralization and diversity of the America’s colleges and universities have promoted competition for students and resources. Competitive pressure first arose (8) . The academy’s impact really grew after World War II, when (9) commissioned by President Roosevelt argued that it was the federal government’s responsibility to (10) for basic research. Instead of being centralized in government laboratories, scientific research (11) in American universities and generated increasing investment. It also gave graduate students research opportunities and helped (12) far and wide, to the benefit of industry, medicine and society as a whole.
(13) : The end of the World War II saw passage of the Servicemen’s Readjustment Act of 1944. The law, which provided for (14) for returning veterans, made an already democratic higher-education system accessible in ways that were (15) in Europe, opening the doors of the best universities to men and women who had (16) of going to college.
(17) : The creation of federal loan guarantees and subsidy programs, as well as outright grants for college students brought (18) to higher education and further helped to democratize access. Since its founding (19) , the Federal Family Education Loan Program has funded more than 74 million student loans worth more than (20) .
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单项选择题 A1/A2型题

男性，70岁。大便秘结半年，后逐渐大便变细，近4个月来反复解脓血样便，3～4次／天。近5天以来未排便，伴腹胀、呕吐，不能进食。查体：全腹胀，对称，肠鸣音不亢进，未扪及肿块，肛门指诊未触及肿块。纤维结肠镜检：距肛门11cm可见环形狭窄，呈"菜花样"外观，肠镜不能通过。根据患者情况，首先要考虑的诊断是（）。

A.直肠绒毛状腺瘤

B.直肠癌

C.乙状结肠癌

D.溃疡性结肠炎

E.直肠炎伴瘢痕狭窄
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