问题 单项选择题 A3/A4型题

女,32岁。发热伴下腹坠痛2天,3天前因不孕症行宫腔镜检查,术后出现腹部坠痛, * * 分泌物增多,伴发热。查体:T39.2℃.下腹部压缩痛阳性,反跳痛阳性,双合诊可触及右侧附件区包块直径约5cm,触痛明显。血常规显示:WBC18×109/L,NO.87。

该患者最可能的诊断是()

A.盆腔结核

B.宫外孕

C.盆腔脓肿

D.阑尾炎

E.子宫穿孔

答案

参考答案:C

单项选择题

Should we care if over 150 known species of animals have (91) from the earth in the last fifty years Should we be concerned that there are (92) thousands of species whose very existence is (93) endangered—largely because of our activities (94) , after all, is the natural end of populations. Species are born, then (95) , and then die. Some live a (96) time, perhaps millions of years; some die more quickly. We have (97) the extinction of many species we know about, and we have undoubtedly sealed the (98) of others. In fact, there are undoubtedly many other species that have lived among us during our time on earth, but that have disappeared as a (n) (99) of our activities without our ever having known they existed.
It is hard to explain the rationale of many of us who are concerned about such matters. I have never seen a sea whale, (100) I don’t want them to become extinct. Moreover, I felt this way long before I understood anything about how they might be an important part of an ecosystem. Possibly such feelings merely reflect the cultural attitude that it is "nice" to wish other living things well; thus, the attitude is (101) . I feel nice.
There are, of course, more rational reasons for (102) the extermination of any species. For one thing, the kind of attitude that encourages or sanctions the destruction of other species is a threat (103) our own wellbeing. If such an attitude exists, we ourselves might (104) victim to it. living things (including us) might be expected to fare better where there is (105) for life. The extinction of other species could also threaten us (106) by simplifying the system of which we are a part or by destroying parts of the ecosystem (107) which we directly rely. For example, if we continue to poison the oceans (108) we are willing to believe only a few bottom dwellers are affected, we might (109) overstep some critical threshold and trigger the wholesale death of plankton, thus finding ourselves without a major (110) of the world’s food and with our oxygen supplies dwindling.

A.for

B.to

C.at

D.with

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