女性,30岁,2个月来无痛性颈部淋巴结肿大,间断发热38℃以上3个月。查体:双侧颈部各触及1个2cmx1cm大小淋巴结,脾肋下4cm。

如果其他检查均正常,最可能的临床分期为( )

A:I1B B:I2A C:I3A D:I3B E:ⅣB

某女性患者,61岁,汉族,工人,已婚。主诉"失眠20年,加重2个月"入院。患者于20年前生气出现夜眠差,每晚睡眠3~4个小时,主要表现为入睡难、多梦、早醒,白天感困乏。发病3个月后来院治疗,服用地西泮5~10mg/d,阿米替林5mg/d等药物治疗,睡眠比较满意,10余天出院。以后每当睡眠差时就服用地西泮5~10mg,好转时停药。2年前换用艾司__1~2mg/d,睡眠正常。2个月前因生气病情反复自服氯硝西泮6~8mg/d,仍觉睡眠表浅而就诊。

CCMD-3诊断标准中失眠症的病程应为

A:每周至少发生3次,并持续3个月以上 B:每周至少发生2次,并持续2个月以上 C:每周至少发生2次,并持续1个月以上 D:每周至少发生3次,并持续1个月以上 E:每周至少发生2次,并持续6个月以上 F:每周至少发生3次,并持续6个月以上

某男性患者,21岁。3个月前的一次考试中突然发生原因不明的恐惧害怕,心慌,心率达每分钟100次以上,为时10分钟后即消失。以后又发作10余次,时间地点均无规律可循,亦无发作预兆。发作时头脑清楚,客观环境并无相应可怕的事物或情景。不发作时,生活、学习均正常。

根据CCMD-3,该疾病的病程标准为

A:一个月内至少1次惊恐发作 B:半年内至少3次惊恐发作 C:一个月内至少3次惊恐发作 D:半年内至少1次惊恐发作 E:一周内至少1次惊恐发作

Aspirin — a New Miracle Drug

    1. Using aspirin, an over-the-counter pill on sale1 in every supermarket without a prescription, to treat serious circulatory disease may seem almost like quackery. But today doctors recognize this drug as a potent compound as important as antibiotics, digitalis and other miracle drugs.

    2. In its natural form as willow bark and leaves, this remarkable remedy dates back to Hippocrates2. In 1829 the chemical in the willow tree that can relieve pain and reduce fever was discovered to be salicin. By 1899 the Bayer Company in Germanyhad marketed a variant, acetylsalicylic acid,3 under the name of aspirin.

    3. Since then, aspirin and confounds containing aspirin have been taken by tens of millions of arthritis patients. As a pain killer aspirin is, according to one study, more effective than all other analgesics and narcotics available for oral use. It also acts on4 the body’s thermostat, turning down fever.

    4. But some of its powers remained unsuspected until recently. In 1950 the late Dr. Craven wrote to a small western medical journal about 400 overweight, sedentary male patients to whom he had given one or two aspirin tablets a day. None had had a heart attack. He enlarged his group to 8,000 and in 1956 reported”Not a single case of detectable coronary or cerebral thrombosis5 ” and “no major stroke” had occurred in patients who had taken one or two tablets daily for from one to ten years. But his observations were largely ignored.

    5. Then Dr. Vane proved that aspirin turned off the body’s prostaglandins6 hormonelike chemicals that can be secreted by every cell. Some potent prostaglandins are harmful compounds that create fever, pain and arthritis. One of them stimulates platelets in the blood to begin forming clots inside arteries. Aspirin blocks this dangerous effect.

    6. Vane’s finding caused some researchers to recall Craven’s 1956 observations, which now had a possible scientific explanation. Numerous studies were begun to find out whether aspirin could indeed inhibit heart attacks and stroke.

    7. In 1972, tenUSmedical institutions began two “double-blind” trials7 of 303 patients who suffered from transient ischemic attacks (TIAs)8. Four aspirin tablets a day were given to 153 patients, while placebo tablets were given to 150. Neither patients nor doctors knew which was which. After six months, the patients on aspirin had experienced much fewer TIAs, and fewer strokes and deaths from strokes than the “controls”. The results were so conclusive that aspirin has been used for this purpose widely.

 

词汇:

quackery/ˈkwækəri/ n.江湖医术

narcotic/nɑ:ˈkɔtɪk/ n.麻醉药;adj.麻醉的

potent /ˈpəutənt/ adj.有效力的

thermostat/ˈθɜ:məˌstæt/ n.恒温器

antibiotic/ˌæntɪbaɪˈɔtɪkˌæntaɪ-/ n.抗生素;adj.抗生的

sedentary /ˈsednˌteri:/ adj.坐着的

digitalis/ˌdidʒiˈteilis/ n.毛地黄,洋地黄

prostaglandin/ˌprɔstəˈglændɪn/n. 前列腺素

willow/ˈwiləu/ n.柳树

platelet/ˈpleitlit/ n.(血)小板

bark/bɑ:k/n. 树皮

clot/klɒt/n. 凝块,血块

salicin/ˈsælisin/n. 水杨醇葡萄糖甙(镇痛药)

artery/ˈɑ:təri/n. 动脉

variant/ˈveəri:əntˈvær-/n. 变种;adj.变异的

placebo/pləˈsi:bəʊ/n. 安慰剂,安慰剂治疗

arthritis/ɑ:ˈθraɪtɪs/n. 关节炎

control/kənˈtrəul/n. 对照,对照物

analgesic/kənˈtrəul/ n.止痛药;adj.止痛的

 

注释:

1.an over-the-counter pill on sale:摆在柜台上(不需处方)出售的药丸pill:药丸,丸剂on sale:(商店的货物等供)出售的

2.this remarkable remedy dates back to Hippocrates:这种疗效显着的治疗剂可以回溯到希波克拉底时代date back to:追溯,回溯至Hippocrates:希波克拉底(公元前460 –公元前370),希腊医生,世称医学之父

3.acetylsalicylic acid:乙酰水杨酸

4.act on:对……起作用

5.coronary or cerebral thrombosis :冠状动脉血栓(形成)或者脑血栓(形成)

6.turn off the body’s prostaglandins:改变身体前列腺素的有害作用turn off:避开(问题等);使改变方向

7.“double-blind”trial双盲试验(指在药物临床评价时不让病人和医务人员知道所试药物究属何种)

8.transient ischemic attack (TIA):一次性缺血发作

A Confirmation of the New Effect

B Pain-relieving and Fever-reducing Effects of Aspirin

C The Ignored Significant Observations

D The Origin of Aspirin

E An Explanation of Craven’s Observations

F Further Findings of Dr. Vane

Paragraph 3       

A:A B:B C:C D:D E:E F:F

Dreams

  Everyone can dream. Indeed, everyone does dream. Those who    1    that they never dream at all actually dream    2    as frequently as the rest of us,    3    they may not remember anything about it. Even those of us who are perfectly     4     of dreaming night    5    night very seldom remember those dreams in    6    detail but1 merely retain an untidy mixture of seemingly unrelated impressions. Dreams are not simply visual-we dream with all our    7    , so that we appear to experience sound, touch, smell, and taste.
  One of the world’s oldest    8    written documents is the Egyptian Book of Dreams. This volume is about five thousand years old, so you can    9    that dreams were believed to have a special significance even then. Many ancient civilizations believed that you    10    never wake a sleeping person as, during sleep, the soul had left the body and might not be able to return     11     time if the sleeper were suddenly    12    .
  From ancient times to the present2    13    , people have been   14    attempts to interpret dreams and to explain their significance. There are many books available on the subject of dream interpretation, although unfortunately there are almost as many meanings for a particular dream    15     there are books.

 

词汇:
frequently /"friːkwəntlɪ/ adv.频繁地,经常地;时常,屡次

seldom /"seldəm/ adv.很少,不常

retain /riˈtein/ vt.保持,记住

significance /sɪg"nɪfɪkəns/ n.重要性,意义

civilisation /,sɪvɪlaɪ"zeɪʃən/ n.文明,文化

interpret /ɪn"tɜːprɪt/ vt.解释,说明,口译

interpretation /ɪntɜːprɪ"teɪʃən/ n.解释,口译


注释:

1...very seldom remember those dreams in detail but merely retain an untidy mixture...but...……而是……
2From ancient times to the present...从古至今……

空3

A:though B:besides   C:however D:despite

方先生在甲公司已工作6年,在到甲公司之前,方先生曾在乙公司工作了5年半。甲公司计划今年夏天集中安排职工休年休假。在方先生该休多长时间年休假的问题上,甲公司与方先生发生了争执。公司认为方先生今年初因身体不适请了3周病假,不应该再享受年休假。方先生觉得甲公司无理,遂向劳动争议仲裁委员会提出仲裁申请,请求裁决公司安排其休年假。仲裁委员会经开庭审理,很快作出了裁决。
根据以上资料,回答下列问题:

如果方先生今年请病假累计( ),则方先生不应享受今年的年休假。

A:10天以上  B:20天以上  C:2个月以上  D:3个月以上

设有两个事务T1、T2有如下调度,产生的不一致性是()
步骤             T1                T2
1              读A=100
2                                  读A=100
3.            A=A+10写回
4.                                 A=A-10

A:丢失修改  B:不可重复读  C:读脏数据  D:幻影读

把下面的6个图形分为两类,使每一类图形都有各自的共同特征或规律,分类正确的一项是         ①                 ②                  ③                   ④                 ⑤                ⑥

A:①③⑥,②④⑤  B:①③④,②⑤⑥  C:①③⑤,②④⑥  D:①④⑥,②③⑤

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