Increasingly, the development of tourism is seen to have an effect on the environment. Erosion (磨损) is one problem. The steps and stones of major popular (51) like Shakespeare’s birthplace or Stonehenge (巨石阵) are literally being worn away by millions of foreign feet. The (52) in the case of Britain’s best known prehistoric monument has been to use railings to keep visitors at a distance. Such measures can hardly be (53) in the house of the Bard, however, where tourists want to enter the actual building.

Overcrowding in cities, towns and villages is (54) problem. Traffic jams are an outcome. In narrow roads, tourist vehicles cause congestion. (55) traders and residents cannot get around to do their work. Car parks fill up, (56) strangers park their cars where they can: in streets, across gateways, in lay-bys, or even in (57) driveways. This causes obstruction. The sheer weights of in-comers can be a hazard. Thus Venice, a city built for half a million inhabitants, is (58) by another half million who populate the city daily in the tourist (59) —eight million visits each year. The mayor recently decided to (60) visitors to 90,000 a day. the only way to save the city from overcrowding.

55().

A.Urban 

B.Local 

C.Rural 

D.Foreign

女性，32岁，已婚，原发不孕伴进行性痛经5年，平时月经规律。1周前曾妇科检查：子宫正常大小，后壁下段有触痛性结节；左侧附件区扪及6cm×5cm×5cm大小粘连性的包块，与子宫紧密粘连，右侧附件区未扪及包块。月经来潮1天，晨起突然左下腹剧痛，伴恶心，检查：下腹部明显压痛及反跳痛，其诊断可能是（）

A.盆腔炎急性发作

B.异位妊娠

C.卵巢囊肿蒂扭转

D.卵巢巧克力囊肿破裂

E.急性阑尾炎