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问题 单项选择题

患者，男，55岁，乙肝病史6年，10d前出现阵发性高热、寒战，体温最高达39.5℃，3d前出现右上腹持续性胀痛，伴持续性高热。查体：T 39℃，BP 110/60mmHg，P 118/min，R 25/min，急性面容，巩膜轻度黄染，结膜无苍白，右肺下野呼吸音弱，双肺未闻及干湿啰音，右上腹压痛、反跳痛及肌紧张，肝区叩痛阳性，移动性浊音阴性。化验血常规：WBC 16.2×109/L，N 85%，Hb112g/L，PLT 165×109/L；肝功：ALT 96 U/L，TB 36μmol/L；AFP120μg/L。超声示见肝内有一低密度灶。目前首先考虑的诊断是

A．原发性肝癌
B．肝脓肿
C．活动性肝硬化
D．慢性活动性肝炎
E．肝硬化合并自发性腹膜炎

答案

参考答案：B

单项选择题

构成作业治疗的基础是：（）.

A.活动

B.劳作

C.从事的工作

D.事件

E.以上都是
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填空题

When I was growing up, I was embarrassed to be seen with my father. He (1) severely crippled and very short, and when we would walk together, his hand on my arm (2) balance, people would stare. I would inwardly be afraid (3) squirm at the unwanted attention. If he ever noticed or was bothered, he never let (4) .
It was difficult to coordinate (5) steps - his halting, mine impatient - and because of that, we didn’t say much as we went along. But as we started out, he always said, "You (6) the pace. I will try to adjust to you. "
Our usual walk was to or (7) the subway, which was how he got to (8) . He went to work sick, and (9) nasty weather. He almost never missed a day, and would (10) it to the office even if (11) could not: a matter of pride!
He never talked about himself as an object of pity, (12) did he show any envy of the more fortunate or able. What he looked for in others was a "good heart", and if he found one, the owner was good enough for him.
Now that I am older, I believe that is a proper standard (13) which to judge people, even though I still don’t know precisely (14) a "good heart" is. But I know the times I don’t have one myself.
He has (15) gone many years now, but I think (16) him often. I wonder if he sensed my reluctance to be seen with him during our (17) . If he did, I am (18) I never told him how sorry I was, how unworthy I was, how I regretted it. I think of him when I complain about trifles, when I am (19) of another’s good fortune, when I don’t have a "good heart".
At such times I put my hand on his arm to regain my (20) , and say, "You set the pace, I will try to adjust to you.\
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