问题 单项选择题

The collapse of Enron, the largest bankruptcy in American history, has rung out a banner year for American business failures. In Europe, the fallout from the Swissair and Sabena insolvencies continues. In the current global slump, more companies are likely to go under. Now is a perfect time to reconsider how to handle such failures: let them sink, or give them a chance to swim

In America, bankruptcy has come to mean a second chance for bust businesses. The famous "Chapter 11" law aims to give a company time to get back on its feet, by shielding it from debt payments and prodding banks to negotiate with their debtor. It even allows an insolvent company to receive fresh finance after it goes bust. On the other side of the Atlantic, when companies stumble, almost as much effort is spent in fingering the guilty as in trying to salvage a viable business. British and French laws, for example, can make a failing company’s directors face criminal penalties and personal liability. Moreover, bankers have the power, at the first sign of trouble, to push a company into the arms of the receivers. Some modest changes are afoot, however. Britain is considering moves that would bring its rules closer to America’s. New laws in Germany should also make it easier to revive sick companies, although trade unions still have their say.

But even with the arrival of the euro and moves towards a single financial market, going bust in Europe is a strictly local affair. Long before America had a single currency, the American constitution provided uniform bankruptcy laws, observes Elizabeth Warren of the Harvard Law School. Europe’s patchwork of national laws, according to Bill Brandt of " Development Specialists", a consultancy, inhibits lending and makes it difficult to fix ailing firms.

Transatlantic insolvencies are even harder, as a Belgian-based software company, Lernout and Hauspie, discovered this year. Its American reorganization plan was thwarted by a Belgian judge, who ordered a sale of the firm’s assets. As the European Union inches toward greater harmonization, should it try to mimic America

Critics of Chapter 11 think not. They argue that America’s bankruptcy system is wasteful, lets failed managers go unpunished, and gives some companies an unfair advantage. In Chapter 11, admittedly, lawyers and advisers gobble up fees, but a recent study argues that the fees are no larger than those for most mergers and acquisitions. One common complaint, that managers enjoy the high life while creditors go begging, fails to stand up to the data from America’s previous wave of bankruptcies in the early 1990s. Stuart Gilson of the Harvard Business School found that more than two-thirds of top managers were ousted within two years of a bankruptcy filing. More troubling is that some American firms seem to enjoy second and third trips to bankruptcy court, cheekily termed Chapters 22 and 33. Some see this as evidence that, ton often, they use Chapter 11 to keep running. But there is more to the story.

The last paragraph is mainly()

A. to accuse the lawyers and advisers of making big money by helping those insolvent companies

B. to introduce the changes of the bankruptcy law—Chapter 11

C. to prove the accusation is groundless that the managers of bust businesses lead a comfortable life at the cost of creditors

D. to argue that the European Union should not follow the American example in their effort to revive sick companies

答案

参考答案:D

解析:

本题是段落主旨题。解题时考生要注意段落之间的衔接和连贯。第四段末作者提出问题——在处理破产案件时,为了更好地处理惩罚与援助之间的矛盾,欧洲是否应该模仿美国的做法(As the Eurppean union inches Ioward greater harmonization,should it try to mimic America)第五段承上启下地回答了这个问题(Crities of chapter 11 think not)。此后作者引述了反对派提出的各种理由,充分说明模仿美国的做法是不可取的。A、B、C三个选项都是具体的论据或事实。只有D选项概括了本段的中心观点。故正确选项为D。

单项选择题
多项选择题 案例分析题

患者女性,79岁,因“心悸、胸闷,伴周身乏力6个月,加重1个月”来诊。患者慢性喘息性支气管炎8余年,每年发作3个月以上,长期口服氨茶碱;高血压病史20余年,长期口服厄贝沙坦氢氯噻嗪片,血压控制于(120~150)/(60~80)mmHg(1mmHg=0.133kPa)。查体:体温36.7℃,脉搏83次/分,呼吸25次/分,血压151/84mmHg。口唇发绀,桶状胸。双肺呼吸音粗,呼气末可闻及喘鸣音,未闻及湿啰音,心率85次/分,心律绝对不齐,第1心音强弱不等,各瓣膜听诊区未闻及病理性杂音。双下肢轻度水肿。实验室检查:脑钠肽1193ng/L;三酰甘油1.85mmol/L;高密度脂蛋白胆固醇0.89mmol/L;血糖7.19mmol/L;糖化血红蛋白7.4%;尿酸566μmol/L。心电图示:心房颤动。肺功能检查:轻度限制性通气功能障碍,最大自主通气量重度下降,通气储量百分比重度不足。诊断:慢性喘息性支气管炎,慢性阻塞性肺疾病,肺源性心脏病,心律失常-心房颤动,高血压病3级(高危),高脂血症,高尿酸血症,2型糖尿病。

高尿酸血症和痛风的药学监护应注意()

A.急性发作期以秋水仙碱、非甾体抗炎药等消炎镇痛治疗为主

B.应避免使用降尿酸药物别嘌呤醇及苯溴马隆,防止关节疼痛等症状加重

C.应注意对秋水仙碱所致不良反应的防护,一旦出现腹痛、腹泻应立即停药,并予以对症处理

D.在急性炎症症状消失后的缓解期,应使用降尿酸药物别嘌呤醇或苯溴马隆,长期甚至终身维持治疗,控制血尿酸<357μmol/L(6mg/dl),同时配合NaHCO3碱化尿液,促进尿酸的排泄

E.可选择兼具降尿酸作用的氨氯地平、氯沙坦及非诺贝特等,避免使用β受体阻滞剂和钙通道阻断剂

F.做好患者用药教育,告知各种药物的服用方法、注意事项等,改善生活方式,增强降尿酸治疗的效果