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问题 单项选择题 A3/A4型题

男，42岁。油腻饮食后腹胀、腹痛4小时。持续性上腹痛，伴有恶心、呕吐、发热、腰背部不适查体：T38.4℃，P124次/分，BP90/60mmHg，急性痛苦貌，巩膜无黄染，腹饱满，全腹肌紧张，有压痛和反跳痛，上腹为主，肠鸣音消失。右下腹穿刺抽出淡红色血性液体。血WBC16.2×109/L，NO.9。血清淀粉酶6000U/L（Somogyi法）。

出现这种病变的主要发病机制是（）。

A.细菌侵入胰周围和胰腺内

B.胰腺供血动脉栓塞引起供血障碍

C.穿透性十二直肠溃疡导致胰腺炎性反应

D.胆囊炎、胆囊结石堵塞胆囊管，梗阻

E.胰腺中的消化酶被激活后导致胰腺自身消化

答案

参考答案：E

单项选择题

Teachers need to be aware of the emotional, intellectual, and physical changes that young adults experience. And they also need to give serious (51) to how they can be best accommodate such changes. Growing bodies need movement and (52) , but not just in ways that emphasize competition. Because they are adjusting to their new bodies and a whole host of new intellectual and emotional challenges, teenagers are especially self-conscious and need the (53) that comes from achieving success and knowing that their accomplishments are admired by others. However, the typical teenage lifestyle is already filled with so much competition that it would be (54) to plan activities in which there are more winners than losers, for example, publishing newsletters with many student-written book reviews, (55) student artwork, and sponsoring book discussion clubs. A variety of small clubs can provide multiple opportunities for leadership, as well as for practice in successful (56) dynamics. Making friends is extremely important to teenagers, and many shy students need the (57) of some kind of organization with a supportive adult (58) visible in the background.

In these activities, it is important to remember that the young teens have (59) attention spans. A variety of activities should be organized (60) participants can remain active as long as they want and then go on to something else without feeling guilty and without letting the other participants down.

53().

A.assistance 

B.guidance 

C.confidence 

D.tolerance
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填空题

单车试验器做“安定试验”时，手柄应移至（）进行减压。
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