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问题 单项选择题

若患者症见大便干结，数日一行，便时疼痛点滴下血，裂口深红，口干咽燥，五心烦热。舌红少苔，脉细数，其治疗原则是：

A．清热润肠通便
B．养阴清热润肠
C．理气活血，润肠通便
D．活血化瘀止痛
E．益气润肠通便

答案

参考答案：B

单项选择题

53岁女性患者，因摔倒时手掌着地，感右肘关节肿痛、畸形，X线摄片如图所示，下列正确的诊断是（）

A.右肱骨外髁骨折

B.右肱骨内上髁骨折

C.右肱骨外上髁骨折

D.右肱骨小头骨骺分离

E.右肱骨内髁骨折
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问答题

Radiation occurs from three natural sources: radioactive material in the environment, such as in soil, rock, or building materials; cosmic rays; and substances in the human body, such as radioactive potassium in bone and radioactive carbon in tissues. These natural sources account for an exposure of about 100 millirems a year for the average American.
The largest single source of man-made radiation in medical x-rays, yet most scientists agree that hazards from this source are not as great as those from weapons-test fallout, since strontium-90 and carbon-14 become incorporated into the body, hence delivering radiation for an entire lifetime. (46) The issue is, however, by no means uncontroversial; indeed, the last two decades have witnessed intensified examination and dispute about the effects of low-level radiation.
A survey conducted in Britain confirmed that an abnormally high percentage of patients suffering from arthritis of the spine who had been treated with x-rays contracted cancer. Another study revealed a high incidence of childhood cancer in cases where the mother had been given x-rays. (47) These studies have pointed to the need to re-examine the assumption that exposure to low linear energy transfer presented only a minor risk.
Recently, examination of the death certificates of former employees of a West Coast plant which produces plutonium for nuclear weapons revealed markedly higher rates for cancers of the pancreas, lung, bone marrow and lymph systems than would have been expected in a normal population.
(48) While the National Academy of Sciences committee attributes these differences to chemical or other environmental causes, rather than radiation, other scientists maintain that any radiation exposure, no matter how small, leads to an increase in cancer risk. (49) It is believed by some that a dose of one rem, if sustained over many generations, would lead to an increase of one percent in the number of 1,000 disorders per million births.
In the meantime, regulatory efforts have been disorganized, fragmented, and inconsistent, characterized by internecine strife and bureaucratic delays. A Senate freport concluded that coordination of regulation among involved departments and agencies was not possible because of jurisdictional disputes and confusion. (50) One Federal agency has .been unsuccessful in its efforts to obtain sufficient funding and manpower for the enforcement of existing radiation laws, and the chairperson of a panel especially created to develop a coordinated Federal program has resigned.
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