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问题 单项选择题 A3/A4型题

女性，30岁，癫痫大发作半年，每月4～5次。既往：10年前(14岁时)左侧头部外伤史，当时左额顶部凹陷性骨折，下凹0.8cm，当时无阳性体征，未行手术。此次入院CT示左额顶区有一高密度影，直径0.6cm大小，其周围有低密度区，无占位效应。

结合该患者情况，你的治疗方案是()

A．脱水降颅压

B．抗癫痫药物口服

C．腰穿

D．开颅手术

E．继续观察

答案

参考答案：D

填空题



After its (1) to the (2) in 2001, China has taken steps towards opening up its (3) . As a condition for joining the WTO, China (4) itself to a (5) of trade liberalization, including the reduction of tariffs on cars and agricultural products. These tariffs reductions are both (6) and there is (7) for China to (8) at a faster pace.
A (9) of (10) and a more rapid and profound reduction of import tariffs would (11) of those Chinese consumers who would (12) imported products at lower prices. Second, a higher (13) into China would take away much upward pressure on the Renminbi and provide a true and lasting (14) to solving current global (15) . Indeed, even a modest (16) in the opening-up process would go a long way towards solving the problem.
The opening up of China’s markets to international competition should (17) deep reforms. Banks should be recapitalized, bad loans provisioned fully and state-owned companies’ runaway indebtedness (18) . Only when real progress in these areas is made should China begin to consider a reform to its (19) . Doing it any earlier would be highly (20) .
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多项选择题 案例分析题

病历摘要：患者女，36岁，主诉20年前因妊娠后发现右耳听力差，伴轰鸣，已在医院检查耳膜增厚，混浊，稍内陷，经耳咽管吹张治疗似有好转，但进步不明显，因尚不影响社交活动而未进行治疗。10年前因上感后觉左耳听力亦下降，伴蝉鸣，有时轻度眩晕。因症状持久不愈，听力下降影响工作，前来就诊，据家人说，幼年曾有耳流脓历史，记事后未再流脓，姑母听力亦不好。当时，患者言语轻柔，双耳膜完整，较菲薄，右耳膜前上有小钙化斑不内陷，Siegle's耳镜检查，鼓膜活动度好，音叉检查：Ｃ256Weber'stest居中，Rinnee'stest双耳骨导大于气导。Schwabach'stest双耳均延长。 上述病历特点： 1．青年女性病人， 2．双耳听力下降，伴耳鸣，右耳20年，左耳10年，妊娠后右耳明显。 3．有时有轻度眩晕感。 4．患者言语轻柔， 5．其姑母听力亦不好。 6．记事后无耳流脓史。 7．鼓膜完整，较菲薄。 8．音叉检查：Ｃ256Weber'stest居中，Rinnee'stest双耳骨导大于气导。Schwabach'stest双耳均延长。 提示：根据病史及音叉检查，诊断传导性耳聋。

应考虑出现什么并发症？（）

A.足板周围粘膜剔除不彻底发生外淋巴瘘

B.鼓室积血

C.镫骨之膺复物坠入前庭池

D.并发Meniere’s病，内淋巴高压引起眩晕

E.伴发急性迷路炎

F.消化道功能不全，迷走神经反射引起眩晕

G.外耳道填塞物压力过大

H.覆盖前庭窗之脂肪陷入前庭池

I.脑膜脑炎
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