问题 单项选择题 A1/A2型题

下列关于肝损伤的描述,不正确的是()。

A.右侧季肋部外伤病史

B.不一定有休克

C.有肝区叩痛

D.腹腔穿刺可抽出不凝血

E.患者均表现腹部压痛、反跳痛、肌紧张

答案

参考答案:E

解析:

肝损伤时可造成三种可能,即肝被膜下破裂、中心型破裂及真性破裂,只有在真性破裂时,才会造成血性腹膜炎,表现为腹部压痛、反跳痛、肌紧张,此时腹腔穿刺可抽出不凝血;其余两种均未造成血性腹膜炎,且因失血相对少不一定造成休克;A和C是肝损伤时必有的。故答案应选E。

单项选择题
单项选择题

Weak dollar or no, $ 46,000-the price for a single year of undergraduate instruction amid the red brick of Harvard Yard-is (1) But nowadays cost is (2) barrier to entry at many of America’s best universities. Formidable financial-assistance policies have (3) fees or slashed them deeply for needy students. And last month Harvard announced a new plan designed to (4) the sticker-shock for undergraduates from middle and even upper-income families too.

Since then, other rich American universities have unveiled (5) initiatives. Yale, Harvard’s bitterest (6) , revealed its plans on January 14th. Students whose families make (7) than $60,000 a year will pay nothing at all. Families earning up to $ 200,000 a year will have to pay an average of 10% of their incomes. The university will (8) its financial- assistance budget by 43%, to over $ 80m.

Harvard will have a similar arrangement for families making up to $180,000. That makes the price of going to Harvard or Yale (9) to attending a state-run university for middle-and upper-income students. The universities will also not require any student to take out (10) to pay for their (11) , a policy introduced by Princeton in 2001 and by the University of Pennsylvania just after Harvard’s (12) . No applicant who gains admission, officials say, should feel (13) to go elsewhere because he or she can’t afford the fees.

None of that is quite as altruistic as it sounds. Harvard and Yale are, after all, now likely to lure more students away from previously (14) options, particularly state-run universities, (15) their already impressive admissions figures and reputations.

The schemes also provide a (16) for structuring university fees in which high prices for rich students help offset modest prices for poorer ones and families are less (17) on federal grants and government-backed loans.

Less wealthy private colleges whose fees are high will not be able to (18) Harvard or Yale easily. But America’s state-run universities, which have traditionally kept their fees low and stable, might well try a differentiated (19) scheme as they raise cash to compete academically with their private (20) . Indeed, the University of California system has already started to implement a sliding-fee scale.

8()

A.enhance

B.expand

C.increase

D.elevate