问题 单项选择题 A3/A4型题

男性,20岁家中安装了煤气热水器,2小时前在洗澡时昏倒在浴室内,送至医院时病人处于昏迷状态,小便失禁,瞳孔缩小,对光反射消失,角膜反射迟钝,呼吸浅快,32次/分,心率102次/分,口唇樱红,拟诊"急性一氧化碳中毒"。

经多方积极抢救病人病情有所好转,逐渐苏醒,部分反射恢复,但3天后突然发生口唇紧闭、四肢抽搐,检查肌张力增高,巴宾斯基征试验阳性。病人可能出现了()

A.脑出血

B.癫痫大发作

C.迟发性脑病

D.蛛网膜下腔出血

E.急性颅内感染

答案

参考答案:C

选择题
阅读理解

B

Modern Manners

Philip Howard answers your questions on contemporary etiquette (礼仪)

Philip Howard,

When my friend and I (two ladies of a certain age) go out to have a meal, she always leaves an extremely large tip. At times, the tip will equal the amount of one of the main dishes—sometimes it comes to about 30 per cent of the bill. I feel 15—20 per cent is adequate for services offered and depending on the type of restaurant. At a cafe I would like to leave 15 per cent or a bit more depending on the service and etc. A larger tip would be appropriate if we are in a big city or a nicer place. My friend says “Well, I am sure they are not driving a Mercedes (奔驰汽车).” Well, neither am I, and how does she know? Who is correct and how can I make changes? I might add I do truly feel tipping should be based on good service, and also if you frequent a place and know the staff a larger tip is OK. I would never hesitate to tip a waitperson. I always leave to the higher side.  

Yours,

Barbara Bade

Barbara Bade,

Americans are more generous tippers than the British. I suspect that 10 per cent for a tip is about normal in the UK. Tipping is a strange survival in our age of supposed equality and minimum wages. Your friend has a generous nature and deep purse. I do not see why you cannot let her tip whatever she wants, and do your own thing. I agree that a tip should be a reward for good service and general good feeling. If the service is rotten and the meal a disaster, we should withhold a tip and explain why we are doing so. Few of us have the chutzpah (厚颜) to do this. Sensible restaurants have a box for tips, so that they are shared out among the staff, including those in the kitchens whom we do not see. (I trust that the management does not receive the money as extra profit.) I look forward to the day when waiters and other servants are paid a good enough living wage, so that they do not have to depend on the generosity of strangers to survive. To wait at table is just as honorable a way to earn a living in this wicked world. If you are pleased with the meal and cheerful service, you should tip as handsomely as your purse affords. I don’t suppose that your waiter / waitress is driving a Mercedes, even in the States. 

Yours,

Philip Howard

60. We can learn from the first letter that Barbara prefers ___________.

A. changing her own ideas on how to tip waiters

B. leaving a bigger tip to the familiar waitpersons

C. eating at a café rather than in a nice restaurant

D. saving as much money as possible for herself

61. It can be inferred that Barbara’s friend tips waiters heavily ________.

A. to show that she is well off                              B. because they are thought to be poorly paid

C. to show that she is generous                          D. because they have offered her full service

62. Besides quality of service, Philip regards __________ as principles of tipping.

A. taste of food and amount of one’s money

B. taste of food and the number of servants

C. generosity of strangers and the number of servants

D. amount of one’s money and generosity of strangers