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问题 单项选择题 A2型题

患者，女性，60岁。因车祸致严重面部创伤1小时入院，半小时前出现反应迟钝，呼吸40次／分，在使用高流量面罩给氧的情况下查血气示pH7.22，PaCO267mmHg，PaO255mmHg，值班医师决定建立人工气道并使用呼吸机，你认为这种情况下最佳的方式是（）

A.纤支镜经鼻插管

B.颈圈固定后经口插管

C.环甲膜切开术

D.经口插管

E.紧急气管切开

答案

参考答案：E

解析：患者有严重面部创伤，因此无法确定鼻腔结构是否完整，同时可能有筛骨骨折，在此情况下不宜行经鼻腔插管。另因为有创伤病史，因此必须考虑颈椎受伤的可能性，最好的方式为紧急气管切开。

单项选择题

直接关系到企业素质提高、高效率管理职能系统建立的管理咨询工作方式是（）.

A.引进介绍

B.教育培训

C.推进变革

D.诊断建议
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单项选择题

In every cultivated language there are two great classes of words which, taken together, comprises the whole vocabulary. First, there are those words (1) which we become acquainted in daily conversation, which we (2) , that is to say, from the (3) of our own family and from our familiar associates, and (4) we should know and use (5) we could not read or write. They (6) the common things of life, and are the stock in trade of all who (7) the language. Such words may be called "popular", since they belong to the people (8) and are not the exclusive (9) of a limited class.

On the other hand, our language (10) a multitude of words which are comparatively (11) used in ordinary conversation. Their meanings are known to every educated person, but there is little (12) to use them at home or in the market-place. Our (13) acquaintance with them comes not from our mother’s (14) or from the talk of our school-mates, (15) from books that we read, lectures that we (16) , or the more (17) conversation of highly educated speakers who are discussing some particular (18) in a style appropriately elevated above the habitual (19) of everyday life. Such words are called "learned", and the (20) between them and the "popular" words is of great importance to a right understanding of linguistic process.

11（）

A.seldom

B.much

C.never

D.often
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