问题 单项选择题 案例分析题

患者女性,16岁,流涕、咽痛1周,咳嗽、咳黄色黏痰1天。查体:体温38℃,血压120/70mmHg,咽部充血明显,扁桃体Ⅰ度肿大,充血,无脓性分泌物,双肺呼吸音稍粗,胸部X片示双肺纹理稍粗,血常规白细胞11.4×109/L,中性87%。予青霉素800万u静脉滴注治疗1天后突发高热、皮疹、关节疼痛,并出现尿量进行性减少

已停用青霉素,患者血压100/60mmHg,心率110次/分,体温39℃,呼吸21次/分,血常规白细胞11.9×109/L,中性78%,尿常规蛋白(+),白细胞(++),红细胞10~16个/HP,血钾4.1mmol/L,血Cr619μmol/L。初步诊为青霉素所致急性药物过敏性间质性肾炎,临床上常见致病药物还有()

A.先锋霉素类

B.非固醇类抗炎药

C.利尿药

D.磺胺类药

E.以上均是

答案

参考答案:E

单项选择题 A1/A2型题
单项选择题

What began with the invention of the telephone in 1876 has today become a global net of cables, satellites, transmitters, and receivers that enables half the population of the planet to exchange works, data, and images in seconds. It could take less than 25 years more to give the other half of the world’s people this same power.

The unified global telecommunications system, which is called "the Meganet", represents the greatest construction project ever undertaken. If present trends continue, by early in the 21st century the Meganet will link every computer terminal, fax machine, databank, and telephone instrument on earth.

Unlike its anarchic (无政府主义的) cousin the Internet, which evolved from free interaction among interest groups of computer users. the Meganet of local telephone service, long-distance lines, communications satellites, and mobile relays has been planned, constructed, regulated and largely sponsored by governments and for-profit business interests. As new materials and technologies bring reliable voice and data links to formerly isolated or closed communities, political and economic power struggles grow.

The Meganet breaks long-established patterns of social identity and responsibility. Where private individuals have uncensored access to global information sources, local standards of legality or decency become difficult even to set, let alone to enforce. Economic values may shift, too. Public utility companies have long supplied electric power over miles of high-tension lines, or pumped water through underground pipelines into thousands of homes. Now they are finding that their power-line rights-of-way and physical into-home connections let them compete with cable TV and phone companies to supply information services as well.

Meganet impacts are often double-edged for finance and business, too. New York’s Wall Street district lost 20% of its work force—some 100000 jobs—in less than a decade, as computers took over tasks once performed by clerks and banks did more of their business by phone transfers and automated teller machines.

Meganet is changing human life largely because ()。

A. the individuals are able to link to the global information sources without any control

B. people accept the standards of legality consciously

C. it is not necessary to set some standards of decency

D. lots of people needn’t work any more