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问题 单项选择题 A2型题

人工流产负压吸引术中，受术者突然感剧烈腹痛，可能出现于（）。

A.扩宫颈口时牵拉反应

B.子宫穿孔

C.盆腔炎症时

D.流产不全时

E.羊水栓塞

答案

参考答案：B

单项选择题 A3/A4型题

患者，男，50岁，因膀胱全切，回肠代膀胱术后20天，畏寒、发热6小时入院。患者20天前因膀胱癌行膀胱全切，回肠代膀胱术。1天前拔除双侧输尿管支架管后3小时出现全身不适，恶心，呕吐，高热40℃，后逐渐神志不清，躁动，低血压，少尿，遂收入SICU治疗。既往：18年前因车祸致脑部受伤（具体不详），后恢复。入SICU后测中心静脉压5mmHg，有创血压99/53mmHg，心率126次/分，血气pH7.52，PaCO217.7mmHg，PaO284.4mmHg，HCO-314.2mmo/L，BE-5.5mmol/L，血糖10mmol/L。查体：双侧瞳孔等大等圆，对光反射敏感。颈静脉无充盈，双肺呼吸音清，心律齐，各瓣膜听诊区未闻及心脏杂音，双下肢不肿，双侧巴氏征阴性。血常规：WBC18.4×109/L，N91%，Hb11g/L，Plt80×109/L。

患者出现上述临床表现最可能的原因是（）。

A.急性左心衰

B.继发于泌尿系的严重感染、感染性休克

C.肺部感染、急性呼吸衰竭

D.急性脑卒中

E.晚期肿瘤转移
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填空题



In the early 1970’s, Citibank of New York City became one of the first financial institutions to install ATM’s on a large scale. Since then, the (1) of automated teller machines has increased dramatically. At the time, the bank hoped (2) their operating costs by replacing human tellers with machines. Little did they (3) that the cash machines would become so successful. However, as more banks added (4) automated service through ATM’s, the machines mushroomed all over the world.
To use an ATM, all you need is a (5) issued by your bank. Your bank may also (6) through a credit card, such as MasterCard or Visa. To begin a (7) , you need to insert the card into an ATM and punch in a personal identification number on the (8) . The personal ID number may consist of (9) and can prevent anyone from using the card.
The ATM next flashes instructions on its (10) for carrying out transaction. To get cash, for example, you are instructed to (11) that indicate whether the money should be withdrawn from a checking or a savings account and the (12) . This request is then displayed on the screen. After you press a button to (13) that the information is correct, the ATM goes to (14) .
How safe, you may ask, is banking by ATM The (15) is meant to prevent anyone, no matter who you are, from using a cash card (16) . If you enter the wrong ID number for a card, a message on the screen will (17) . If you fail to produce the correct number for three times, most machines will (18) .As another precaution against (19) , the bank generally limits the amount that may be withdrawn by cash card (20) , say, to $ 200.
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