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问题 单项选择题

女性，60岁，剑突下持续性疼痛6小时，寒战、高热伴黄疸。既往有类似发作史。查体：神志淡漠，体温39℃，血压10.7/8kPa(80/60mmHg)，脉搏120次/分，剑突下压痛，肌紧张，白细胞26×109/L，中性95%。肝区叩击痛，血清淀粉酶240索氏单位。

目前最关键的治疗原则是( )。

A．及时使用抗菌药

B．应用肾上腺皮质激素

C．及时用升压药

D．紧急胆道减压手术

E．及时补充血容量

答案

参考答案：D

解析：[知识点] 胆管结石与胆管炎的治疗原则

单项选择题 1.0

骨盆底作用除外（）

A.支撑作用

B.控制排尿

C.协助分娩完成

D.保持盆腔脏器的正常位置

E.封闭骨盆出口
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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．scales
B．cuts
C．slows
D．measures
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