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问题 单项选择题

女，35岁，月经规律，16天，量中，无痛经，近3年出现经期腹痛，且进行性加重，需服止痛剂止痛，影响正常工作生活，妇科检查：子宫后倾固定，双附件区均可及肿物，边界不清，活动差，B超示：双附件区均可见6.0cm×5.8cm×5.1cm的包块，包块内回声不均。

对此患者最佳治疗方案为（）

A.药物治疗

B.手术治疗

C.手术+药物治疗

D.止痛剂治疗

E.抗感染治疗

F.继续观察

答案

参考答案：C

单项选择题

The effect of the baby boom on the schools helped to make possible a shift in thinking about the role of public education in the 1920’s. In the 1920’s, but especially (1) the Depression of the 1930’s, the United States experienced a (2) birth rate. Then with the prosperity (3) on by the Second World War and the economic boom that followed it, young people married and (4) households earlier and began to (5) larger families than had their (6) during the Depression. Birth rates rose to 102 per thousand in 1946, 106.2 in 1950, and 118 in 1955. (7) economics was probably the most important (8) , it is not the only explanation for the baby boom. The increased value placed (9) the idea of the family also helps to (10) this rise in birth rates. The baby boomers began streaming (11) the first grade by the mid-1940’s and became a (12) by 1950. The public school system suddenly found itself (13) The wartime economy meant that few new schools were buih between 1940 and 1945. (14) , large numbers of teachers left their profession during that period for better-paying jobs elsewhere.

(15) , in the 1950’s, the baby boom hit an antiquated and inadequate school system. Consequently, the custodial rhetoric of the 1930’s no longer made (16) ; keeping youths ages sixteen and older out of the labor market by keeping them in school could no longer be a high (17) for an institution unable to find space and staff to teach younger children. With the baby boom, the focus of educators (18) turned toward the lower grades and back to basic academic skills and (19) . The system no longer had much (20) in offering nontraditional, new, and extra services to older youths.

2().

A. accelerating

B. strengthening

C. declining

D. fluctuating
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单项选择题

急性阑尾炎的体征中最有诊断意义的是（）

A.右腹肌紧张

B.转移性腹痛和右下腹部压痛

C.右腹Murphy征阳性

D.腰大肌试验阳性

E.闭孔内肌试验阳性
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