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问题 单项选择题 A1型题

G1P0，孕39周，骨盆外测量：骶耻外径18．5cm，髂棘间径23cm，坐骨结节间径7．5cm，坐骨结节间径+出口后矢状径为14cm。肛诊：骶骨曲度可，盆壁内聚，坐骨棘间径约9cm，坐骨切迹可容2指，胎儿估计3000g，儿头浮，胎心140次／分。此孕妇孕39周在家规律宫缩5h急诊入院，在门诊肛诊检查：宫口开大3cm，产妇阵阵向下屏气用力，此时最可能的胎方位是（）

A.枕前位

B.枕后位

C.前不均倾位

D.儿头高直位

E.枕横位

答案

参考答案：B

单项选择题

For many people today, reading is no longer relaxation. To keep up their work they must read letters, reports, trade publications, interoffice communications, not to mention newspapers and magazines: a never ending flood of words. In (1) a job or advancing in one, the ability to read and comprehend (2) can mean the difference between success and failure. Yet the unfortunate fact is that most of us are (3) readers. Most of us develop poor reading (4) at an early age, and never get over them. The main deficiency (5) in the actual stuff of language itself—words. Taken individually, words have (6) meaning until they are strung together into phrases, sentences and paragraphs. (7) , however, the untrained reader does not read groups of words. He laboriously reads one word at a time, often regressing to (8) words or passages. Regression, the tendency to look back over (9) you have just read, is a common bad habit in reading. Another habit which (10) down the speed of reading is vocalization—sounding each word either orally or mentally as (11) reads.
To overcome these bad habits, some reading clinics use a device called an (12) , which moves a bar(or curtain) down the page at a predetermined speed. The bar is set at a slightly faster rate (13) the reader finds comfortable, in order to "stretch" him. The accelerator forces the reader to read fast, (14) word by word reading, regression and subvocalization practically impossible. At first (15) is sacrificed for speed. But when you learn to read ideas and concepts, you will not only read faster, (16) your comprehension will improve. Many people have found (17) reading skill drastically improved after some training. (18) Charlie Au, a business manager, for instance. His reading rate was a reasonably good 172words a minute (19) the training; now it is an excellent 1,378 words a minute. He is delighted that how he can (20) a lot more reading material in a short period of time.

A．meaning
B．comprehension
C．gist
D．regression
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单项选择题

符合温抗体自身免疫性溶血性贫血实验室检查的是（）

A.呈小细胞低色素贫血

B.骨髓中网织红细胞减少

C.骨髓中幼红细胞增生，可见轻度巨幼样变

D.Coombs试验多呈阴性

E.冷凝集试验阳性
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