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男，33岁。近5年来反复出现上腹部疼痛，尤以饱食后明显。今日出现右上腹剧痛，5小时后来院就诊。检查：生命体征平稳，腹部平坦，全腹压痛及反跳痛，腹肌紧张呈板状腹，移动性浊音可疑。

提示：患者术中探查发现胃窦部有2．5cm大小溃疡，质硬，其中部有约0．6cm穿孔，决定行胃大部切除，毕Ⅱ式吻合术。胃大部切除手术后早期的并发症为（）

A.吻合口出血

B.低血糖综合征

C.倾倒综合征

D.贫血

E.十二指肠残端破裂

F.胃排空障碍

答案

参考答案：A, E, F

单项选择题 A3/A4型题

患者，男性，42岁，数月来右下后牙常进食后疼痛，偶自发痛及冷、热刺激痛，自服抗生素可缓解，1天前进食后复发。检查：见口腔卫生差，龈上、下结石多，牙龈轻度充血水肿，右下6、7、8牙体完整，右下7叩（+），右下8颊向错位，伸长无对颌，右下8与右下7之间有较多食物残渣，龈 * * 中度充血水肿，压痛，未探及牙周袋，右下6、7、8X线片未见异常。

最关键的处理办法是（）

A.拔除右下8

B.拔除右下8，根管治疗右下7

C.全口龈上、下洁治

D.右下7、8牙周冲洗上药

E.以上都不对
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                                          Attend the Next Forum!
     For the last twelve years CPSB has had the pleasure of hosting a learning event
we call a Forum. We started offering programs in Sarasota in February in 1991 and
our first Forum was held in 1992 as a small group meeting.Being from the Northern
USA, this was a particularly good time to go south for the warmth of our friendships
with DR. Treffinger and Dr. Noller and to keep away from the cold winter.
     The Forum is the only chance to learn about various topics of the creativity and
innovation (革新) and from those who have rich experience and interest in the field.
The theme of the 2004 Forum includes searching for a few new methods, sharing
 lessons from experience, and learning and exchanging ideas on cutting-edge research.
Space is limited,so early registration (登记,注册) is welcome.
     Meeting the Innovation Challenge
     February 6 and 7,2004 The Lido Holiday Inn
     Sarasota, Florida
     $ 750 (registration includes some meals and materials)
      Interested in becoming qualified to use the VIEW assessment (评估) of Problem
Solving Style? The two days just before our Forum provides you just that chance.
For more information on VIEW see pages 24-25.
     VIEW Qualification Course
     February 4and 5,2004 The Lido Holiday Inn

1. According to this advertisement, at the Forum people ______.
A. come together in order to form an organization
B. express different opinions and discuss public matters
C. eat together to celebrate their success or victory
D. work together for the purpose of business or trade
2. If you register both the VIEW qualification course and the Forum at the same time, you will save _____.
A. $100
B. $300
C. $350
D. $400
3. "Space is limited, so early registration is welcome" means _____.
A. space is limited, so you can't register now
B. space is too limited for you to register
C. you'll lose the good chance if you don't register soon
D. you'll be given a special offer if you register now
4. The main purpose of this advertisement is to _____.
A. encourage more people to attend the Forum in time
B. promise everyone can pay less money to attend the Forum
C. call on the people in the north of the USA to go south for holidays
D. introduce some new activities and topics of the Forum
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