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病历摘要：患者男性，63岁。左肢体抖动6年，右肢体抖动3年，行走困难1年。外院诊断为“帕金森病”，给予左旋多巴制剂治疗，早期效果好，近期疗效减退，现口服美多巴250mg，每日3次。既往无特殊病史。体检：神清，面具脸，言语含糊不清，四肢静止性震颤，左侧为重。四肢肌张力明显增高。行走起步困难，步幅小，呈前冲步态。

帕金森病的临床表现包括下列哪些？（）

A.静止性震颤

B.肌僵直

C.运动减少

D.姿势平衡障碍

E.锥体束征（+）

F.慌张步态

G.面具脸

H.写字过小症

I.共济失调

答案

参考答案：A, B, C, D, F

单项选择题

Dear Sirs,
Your shipment of twelve thousand ’Smart’ watches was received by our company this morning. However, we wish to make a number of complaints concerning the serious delay in delivery and your failure to carry out our specific instructions with regard to this order.
It was stressed from the beginning that the delivery date had to be less than six weeks from the initial order in order to meet our own customers’ requirements. While we understand that delays in production are occasionally inevitable, we must point out that the major reason why the order was placed with your company was because we were assured by you of its speed of delivery, and that your existing stocks were sufficiently high to ensure immediate shipment. Late delivery of the goods has caused US to disappoint several of our most valued customers, and is bound to have a negative effect on potential future orders.
The second complaint concerns the difference in color between the watches we ordered and those delivered. It was stated clearly in the original order that watches in combinations of green/purple and orange/purple only were required. However, only half the watches in the delivery received are of the colors specified. Our Hong Kong agent assures US that she stressed to you the importance of following our instructions precisely, since we consider there to be only a limited market in this country for watches of other colors at the present time. Any watches that are not of the specified colors will, of course, be returned to you.
We are also somewhat concerned about the rather poor quality of the goods received, since it is apparent that the watches that finally arrived have been produced from inferior materials and have been manufactured to a lower standard than those in the sample. We have also found that a number of the watches do not appear to be functioning. Whether the latter problem is due to poor manufacture, damage during transportation or bad batteries is not yet clear, but we should like to point out that we feel this matter to be entirely your responsibility.

The manufacturers of "Smart" watches were given the order because ______.
A. they produced the best watches of its kind in the world
B. the watches would be easy to make and the designs were already prepared
C. they promised they could produce enough stocks quite quickly
D. they claimed the order would be easy since the watches were already in stock

As a result of the above problems, therefore, we feel that the most suitable course of action is to return to you unpaid any of the goods considered unsatisfactory, and to subtract any resultant costs from our final settlement. We shall also, of course, be forced to reconsider whether any further orders should be placed with your company.
We look forward to your prompt reply.


Yours sincerely,


John Smith
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根据短文内容,从短文后的选项中选出能填入空白处的最佳选项。选项中有两项为多余选项。

Shoopping for clothes is not the same experience for a man as it is for a woman. A man goes shopping because he needs something. His purpose is settled and decided in advance. ____小题1:____. All men simply walk into a shop and ask the assistant for what they want. If the shop has it in stock, the salesman immediately produces it and the business of trying it on takes place at once. _____小题2:____.

Now how does a woman go about buying clothes? In almost every respect she does so in the opposite way.  小题3:  . She has never fully made up her mind what she wants, and she is only “having a look around”.    小题4:  . She will try on any number of things. The most important thing in her mind is the thought of finding something that everyone thinks suits her. They are always on the look-out for the unexpected bargain. Faced with a roomful of dresses, a woman may easily spend an hour going from one rail(挂衣杆) to another before selecting the dresses she wants to try on. It is a painful process for husbands, but obviously an enjoyable one for wives.  小题5:  .

A．Her shopping is not often based on need.

B．Few men have patience with this treatment.

C．So most dress shops provide chairs for the waiting husbands.

D．He knows what he wants and his goal is to find it and buy it.E. For a man, slight problems may begin when the shop does not have what he wants.

F. She is “always open to persuasion”; indeed she even takes seriously what the saleswoman tells her.

G. Finally the deal is often completed in less than five minutes with hardly any chat and to everyone’s satisfaction.
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