某男,52岁。腰背疼痛半年,牙龈出血2周就诊。体检:中度贫血貌,肝肋下1cm,脾肋下刚及。化验:Hb80g/L,WBC3.8×10/L,血小板56×10/L。尿蛋白(+++),ESR105mm/1h末,骨骼X线摄片L,L有楔形压缩,多根肋骨有虫蚀样破坏。血钙3.25mmol/L,IgG5.0g/L,IgA2.1g/L,IgM0.5s/L,IgD0.003g/L,尿本周蛋白(-)。

本例检查结果BUN20.5mmol/L,肌酐400μmol/L,AKP50U,骨髓涂片原浆加幼浆细胞0.05(5%),成熟浆细胞0.07(7%),患者最可能的诊断是

A:反应性浆细胞增多症 B:轻链型多发性骨髓瘤 C:非分泌性多发性骨髓瘤 D:IgG型多发性骨髓瘤 E:IgD型多发性骨髓瘤

某女患儿,9岁,因“右膝、右颈痛9个月”来诊。伴右膝关节微热、肿,晨僵明显,颈部活动受限制。血常规:Hb 102 g/L,WBC 10.9×10/L,PLT 342×10/L;CRP 775 mg/L;ESR 110 mm/h;补体:C 392 mg/L,IgG 18.4 g/L;ASO、RF、ANA、抗dsDNA、HLA-B均(-)。诊断:幼年类风湿关节炎。

除已用药物外,还可采用的治疗措施包括(提示 给予该患儿甲氨蝶呤5 mg/周,双氯芬酸钠(扶他林)12.5 mg,2次/d治疗。)

A:急性期后应适当运动 B:可采用理疗、热敷、红外线照射 C:尽早采用阿司匹林和丙种球蛋白,以控制炎症 D:静脉滴注大剂量青霉素 E:全面保护患儿,防止其受伤 F:可加用糖皮质激素等进行抗JRA治疗

Across the Deserts

  The SaharaDesertis the largest desert in the world. It stretches across Africa fromSenegaltoEgypt. TheSaharaDesertis an unfriendly environment. During the day it"s very hot, and at night it’s sometimes very cold. It is also difficult to find water in theSahara.

  In 2006, Kevin Lin, Ray Zahab, and Charlie Engle decided to do something very difficult. They made the decision to run across the Sahara Desert 4,300 miles (6,920km). It seemed impossible to do, but they wanted to try. The three men liked to test themselves, and this would be a very big test.

  On the morning of November 2, Kevin, Ray, and Charlie started their trip across theSahara. Every morning they began running at 5:00. At11 a.m. they stopped and rested until 5 p.m. Then they ran again until 9:30 in the evening. Each day they ran about 40 miles (64 km). Every day it was the same thing. They got up and ran. They listened to music on their iPods, and they ran and ran.

  Kevin, Ray, and Charlie needed to eat a lot of food during their trip. Most people need about 2,000 calories of food each day. Kevin, Ray, and Charlie needed between 6,000 and 9,000 calories every day. That"s a lot of food! They also needed to drink a lot of water.

  The three men had some problems on their trip, and many times they wanted to quit and go home. It was often very hot (140°F/60°C) during the day, and the heat made them sick. Their legs and feet hurt. Sometimes it was very windy, and they couldn"t see. One time they got lost. But they didn"t quit. After 111 days, Kevin, Ray; and Charlie successfully finished their trip across theSaharaDesert. They hugged each other and put their hands in the water of theRed Sea. Then they ran to a hotel to take a long shower.

  词汇:

  Stretch / strɛtʃ / v. 延伸,伸展

  Calorie / "kælərɪ / n. (路里),小卡,大卡

  Quit / kwɪt / v. 停止,放

  注释:

  1. ... made the decision to run across .........决正跑步横跨......

They sometimes felt sick because it was so hot.

A:Right B:Wrong C:mentioned

设命题公式G=(P→4Q),H=P→(),则G与H的关系是()。

A: B: C:G=H D:以上都不是

2011年的总人口中,“65岁及以上”的人口比“0-14岁”的人口大约多( )万人。

A:7910 B:8850 C:9320 D:9970

  

下图表示2006、2008、2010三年金砖国家GDP情况,5个顶点1、2、3、4、5代表的国家依次是( )。

A:中、南、俄、印、巴 B:中、俄、南、巴、印 C:巴、俄、印、中、南 D:中、巴、南、俄、印

  

下图为2010年金砖国家GDP的比重构成图,环形部分2与5对应的国家是( )。

A:俄罗斯、巴西 B:南非、巴西 C:南非、俄罗斯 D:中国、俄罗斯

下列饼状图中,阴影部门最能体现2011年Z省对欧盟的出口额占当年Z对8个主要市场出口总额比重的是:

A:见题干 B:见题干 C:见题干 D:见题干

  根据以下资料,回答以下问题。2008~2012年国家电网公司机组并网容量  

下列哪一张图能反映2012年清洁能源机组并网容量中水电、核电和新能源发电的构成?()

A:A B:B C:C D:D

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