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问题 单项选择题 A3/A4型题

患者男，74岁。突发剧烈心前区疼痛、胸闷、气憋，心界向左扩大，心尖区Ⅲ级吹风样收缩期杂音，心率96次/分，律不齐。双肺底湿性啰音。心电图示Ⅰ、aVL、V5、V6导联ST段抬高，Ⅰ、aVL导联有异常Q波，室性期前收缩；血清CK-MB200U。

诊断为（）

A.风湿性心脏病二尖瓣狭窄

B.急性前侧壁心肌梗死

C.扩张型心肌病、心力衰竭

D.风湿性心脏病二尖瓣关闭不全

E.急性心包炎，肺部感染

答案

参考答案：B

解析：心肌梗死的症状可有胸痛、心力衰竭、心律失常，以室性心律失常最多见，尤其是室性期前收缩。Ⅰ、aVL、V、V导联ST段抬高，Ⅰ、aVL导联有异常Q波，提示前侧壁心肌梗死。且血清CK-MB增高。故选B。

单项选择题

3年内有下列哪种行为的人不得申请机动车驾驶证？

A．吸烟成瘾

B．注射毒品

C．注射胰岛素

D．酒醉经历
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填空题



The Commission is expected to propose allowing people to choose which legal jurisdiction they would come under, based on their (1) or their residency. But the proposal is set to (2) because of the very different laws on divorce that apply across the EU. The Commission wants to (3) problems over which law to apply when, for example, a married couple from one member state is (4) in another member state or when the couple is of different EU nationalities.
The (5) of member states are said to be (6) the idea and responded positively to a (6) which followed the (8) of a Commission Green Paper. With 15 percent of German divorces each year involving couples of different nationalities, the government of Berlin (9) see resolved the issue of which laws should apply.
But some member states are expected to resist the (10) which would involve allowing different divorce laws to be applied in their countries. For example, in Ireland where the divorce law states a couple must have been separated for four years, establish that their marriage has broken down and be offered (11) , a couple from Sweden could apply to an Irish court to allow them to divorce under Swedish law, where divorce can be (12) quickly.
The Irish government’s (13) to the Commission on the Green Paper stated: "Ireland is not in favor of allowing (14) to choose the applicable law, as this could be open to abuse.., such abuse would be likely to (15) most on divorce regimes, such as that of Ireland, which require a relatively long separation period." Ireland, like the UK, however, is allowed to choose whether to "opt-in" to such a proposal under rules agreed in the Amsterdam treaty. Malta has no such (16) but could (17) the proposal in the Council of Ministers since (18) approval will be required.
"It is going to lead to (19) ," said Geoffrey Shannon, Irish expert on the Commission on European Family Law, which examines the (20) of EU family law.
The proposal would also mean that judges would have to be trained in the divorce law of all 25 member states.
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