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问题 单项选择题


以下每道试题有2～3个提问，每个提问有5个备选答案，请选择1个最佳答案。

男性，54岁。有慢性支气管炎病史，醉酒后突起畏寒高热不愈，咳嗽、咳痰加重，2d来咳大量脓痰并带鲜血，胸片右上肺有大片密度增高的阴影，其中并有透光区。

如做痰培养结果最可能是

A．链球菌

B．葡萄球菌

C．结核杆菌

D．厌氧菌

E．大肠埃希菌

答案

参考答案：D

单项选择题 A3/A4型题

患者，男性，被1万伏高压电击伤双上肢、双下肢，否认外伤及呼吸心跳停止病史。于伤后16小时就诊，体检发现：患者极度烦躁，心率158次／分，血压90/80mmHg，双上肢肿胀明显，桡动脉搏动微弱，皮温低，尿液呈酱油色。

此患者应考虑电击伤并发（）

A.脑外伤

B.多发骨折

C.烧伤休克

D.心源性休克

E.失血性休克
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填空题

A Great Friendship


Thomas Jefferson and James Madison met in 1776. Could it have been any other year They worked together starting then to further American Revolution and later to shape the new scheme of government. From the work sprang a friendship perhaps incomparable in intimacy and the trustfulness of collaboration and induration. It lasted 50 years. It included pleasure and utility but (1) and above them, there were shared purpose, a common end (2) an enduring goodness on both sides. Four and a half months (3) he died, when he was ailing, debt-ridden, and worried about his impoverished (4) , Jefferson wrote to his longtime friend. His words and Madison’s reply remind us (5) friends are friends until death. They also remind us that (6) a friendship has a bearing on things larger than the (7) itself, for has there ever been a friendship of (8) public consequence than this one
"The friendship which has subsisted (9) us now half a century, the harmony of our political (10) and pursuits have been sources of constant happiness to me through (11) long period. It’s also been a great solace to me to believe that you’re (12) in vindicating to posterity the course that we’ve pursued for preserving to them, (13) all their purity, their blessings of self-government, (14) we had assisted in acquiring for them. If ever the earth has beheld a (15) of administration conducted with a single and steadfast eye to the general (16) and happiness of those committed to it, one (17) , protected by truth, can never known reproach, it is that to which our (18) have been devoted. To myself you have been a pillar of (19) throughout life. Take care of me when dead and be assured that I (20) leave with you my last affections." A week later Madison replied—"You cannot look back to the long period of our private friendship and political harmony with more affecting recollections than I do. If they are a source of pleasure to you, what aren’t they not to be to me We cannot be deprived of the happy consciousness of the pure devotion to the public good with which we discharge the trust committed to us and I indulge a confidence that sufficient evidence will find in its way to another generation to ensure, after we are gone, whatever of justice may be withheld whilst we are here.\
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