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问题 单项选择题 B型题

患者，女性，61岁，口干、舌痛4年，渐出现双眼磨砂感，伴四肢乏力、关节痛。1年前出现双下肢紫癜。尿pH多次检查≥6.5。化验：RF1：320阳性，ANA1：160阳性，抗SSA抗体阳性，抗SSB抗体阳性。该患者最可能的诊断是（）

A.系统性红斑狼疮

B.白塞病

C.显微镜下多血管炎

D.原发性干燥综合征

E.结节性多动脉炎

答案

参考答案：D

单项选择题

下列主动脉瓣关闭不全的诊断要点，错误的是

A．主动脉瓣区舒张期吹风样杂音

B．主动脉弓纡曲、延长，搏动增强

C．心尖圆钝、上抬

D．侧位胸片示食管和心后下缘间的透亮间隙消失

E．心尖向左下方移位
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单项选择题

A narrowing of your work interests is implied in almost any transition from a study environment to managerial or professional work. In the humanities and social sciences you will at best reuse only a fraction of the material (1) in three or four years’ study. In most career paths academic knowledge only (2) a background to much more applied decision-making. Even with a " training " form of degree, (3) a few of the procedures or methods (4) in your studies are likely to be continuously relevant in your work. Partly this (5) the greater specialization of most work tasks compared (6) studying. Many graduates are not (7) with the variety involved in (8) from degree study in at least four or five subjects a year to very standardized job (9) . Academic work values (10) inventiveness, originality, and the cultivation of self-realization and self-development. Emphasis is placed (11) generating new ideas and knowledge, assembling (12) information to make a " rational " decision, appreciating basic (13) and theories, and getting involved in fundamental controversies and debates. The humanistic values of higher (14) encourages the feeling of being (15) in a process with a self-developmental rhythm. (16) , even if your employers pursue enlightened personnel development (17) and invest heavily in " human capital " —for example, by rotating graduate trainees to (18) their work experiences—you are still likely to notice and feel (19) about some major restrictions of your (20) and activities compared with a study environment.

（5）（）

A.reflects

B.affects

C.checks

D.reduces
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