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男性，15岁，因高热、头痛、频繁呕吐3天，于1月10日来诊，患者3天前突然高热达39℃，伴发冷和寒战，同时出现剧烈头痛，频繁呕吐，呈喷射性，吐出食物和胆汁，无上腹部不适，进食少，二便正常。既往体健，无胃病和结核病史，无药物过敏史，所在学校有类似患者发生。查体：T39．1℃，P110次／分，R22次／分，BP120／80mmHg，急性热病容，神志清楚，皮肤散在少量出血点，浅表淋巴结未触及，巩膜不黄，咽充血（+），扁桃体（-），颈有抵抗，两肺叩清，无啰音，心界叩诊不大，心率110次／分，律齐，腹平软，肝脾肋下未触及，下肢不肿，Brudzinski征（+），’Kernig征（+），Babinski征（-）。化验：血HGB124g／L，WBC14．4×109／L，N84％，L16％，PLT210×109／L，尿常规（-），大便常规（-）

下列不是必需的检查项目是（）

A.腰穿

B.胸片

C.血培养或皮肤瘀点涂片

D.脑电图

E.头颅CT

答案

参考答案：D

单项选择题

Standard English is the variety of English which is usually used in print and which is normally taught in schools and to non-native speakers learning the language. It is also the variety which is normally (1) by educated people and used in news broadcasts and other (2) situations. The difference between standard and nonstandard, it should be noted, has (3) in principle to do with differences between formal and colloquial (4) ; standard English has colloquial as well as formal variants.

(5) , the standard variety of English is based on the London (6) of English that developed after the Norman Conquest resulted in the removal of the Court from Winchester to London. This dialect became the one (7) by the educated, and it was developed and promoted (8) a model, or norm, for wider and wider segments of society. It was also the (9) that was carried overseas, but not one unaffected by such export. Today, (10) English is arranged to the extent that tile grammar and vocabulary of English are (11) the same everywhere in the world where English is used; (12) among local standards is really quite minor, (13) the Singapore, South Africa, and Irish varieties are really very (14) different from one another so far as grammar and vocabulary are (15) .Indeed, Standard English is so powerful that it exerts a tremendous (16) on all local varieties, to the extent that many of long-established dialects of England have (17) much of their vigor and there is considerable pressure on them to be (18) . This latter situation is not unique (19) English: it is also true in other countries where processes of standardization are (20) .But it sometimes creates problems for speakers who try to strike some kind of compromise between local norms and national, even supranational ones.

5（）

A.Surprisingly

B.Historically

C.Interestingly

D.Generally
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单项选择题

某班级学生《C++程序设计》成绩表如下图所示。若学生作业成绩、上机成绩和笔试成绩分别占综合成绩的15%、25%和60%，那么可先在E3单元格中输入（），再向垂直方向拖动填充柄至E10单元格，则可自动算出这些学生的综合成绩。若要将及格和不及格的人数统计结果显示在B11和E11单元格中，则应在B11和E11中分别填写（）。

若学生作业成绩、上机成绩和笔试成绩分别占综合成绩的15%、25%和60%，那么可先在E3单元格中输入（），再向垂直方向拖动填充柄至E10单元格，则可自动算出这些学生的综合成绩。

A．=B3*15%+C3*25%+D3*60%

B．=B$3*15%+C$3*25%+D$3*60%

C．=SUM(B3*15%+C3*25%+D3*60%)

D．=SUM(B$3*15%+C$3*25%+D$3*60%)
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