问题
单项选择题
患者男，21岁。春季发病，突起发热、头痛、呕吐、咳嗽3天，烦躁不安1天人院。查体：颈有抵抗感，胸腹部可见散在出血点。结合化验检查临床诊断为流行性脑脊髓膜炎，下列各项处理中不恰当的是（）
A．密切监测病情变化
B．及时隔离并用大剂量青霉素治疗
C．尽快转大医院治疗
D．及时填写传染疫情卡上报
E．酌情用甘露醇降低颅压
答案
参考答案：C
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患者男，21岁。春季发病，突起发热、头痛、呕吐、咳嗽3天，烦躁不安1天人院。查体：颈有抵抗感，胸腹部可见散在出血点。结合化验检查临床诊断为流行性脑脊髓膜炎，下列各项处理中不恰当的是（）
A．密切监测病情变化
B．及时隔离并用大剂量青霉素治疗
C．尽快转大医院治疗
D．及时填写传染疫情卡上报
E．酌情用甘露醇降低颅压
参考答案：C
The requirements for high school graduation have just changed in my community. As a result, all students must 36 sixty hours of service learning, 37 they will not receive a diploma（文凭）. 38 of service learning include cleaning up a polluted river, working in a soup kitchen, or tutoring a student. During a service experience, students must keep a journal and then write a 39 about what they have learned. Supporters state that there are many 40 of service learning. Perhaps most importantly, students are forced to think 41 their own interests and become aware of the needs of others. Students are also able to learn real-life skills that 42 responsibility, problem-solving, and working as part of a team. Finally, students can explore possible careers 43 service learning. For example, if a student wonders what teaching is like, he or she can choose to work in a primary school classroom a few afternoons each month. 44 there are many benefits, opponents （反对者） point out problems with the new requirement. First, they 45 that ,because service learning is time-consuming, students spend 46 time studying the core subjects. Second, they believe that forcing students to work without 47 goes against the law. In my view, service learning is a great way to 48 to the community, learn new skills, and explore different careers. 49 , I don’ t believe you should force people to help others – the 50 to help must come from the heart. I think the best solution is one that gives students choices. Choice encourages both freedom and responsibility.
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