【单选题】

女,22岁。喘息、呼吸困难6小时。既往曾有多次类似发作史。查体:发绀、气促,双肺可闻及广泛哮鸣音,心率135次/分,律齐,未闻及杂音。院外应用氨茶碱、特布他林治疗无效。除吸氧外,该患者应首选的治疗是(    )

A.

给予抗生素治疗

B.

静滴机械通气

C.

5%碳酸氢钠

D.

琥珀酸氢化可的松静脉滴注

E.

给予沙丁胺醇雾化吸入

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【单选题】

下列可以被看作是无风险收益率的是(    )。

A.
投资报酬率
B.
贷款利率
C.
国债收益率
D.
名义利率
【单选题】

下列属于中国农业发展银行主要任务的是(  )。

A.
承担国家规定的农业政策性金融业务
B.
向国家大中型基本建设和技术改造发放贷款
C.
执行国家外贸政策,为资本性货物出口提供政策性金融支持
D.
吸收公众存款
【单选题】

Passage 1

Scientistshave found that although we are prone to snap overreactions, if we take amoment and think about how we are likely to react, we can reduce or eveneliminate the negative effects of our quick, hard-wired responses.

Snapdecisions can be important defense mechanisms; if we are judging whethersomeone is dangerous, our brains and bodies are hard-wired to react veryquickly, within milliseconds. But we need more time to assess other factors. Toaccurately tell whether someone is sociable, studies show, we need at least aminute, preferably five. It takes a while to judge complex aspects ofpersonality, like neuroticism or open-mindedness.

Butsnap decisions in reaction to rapid stimuli aren't exclusive to the interpersonalrealm. Psychologists at the University of Toronto found that viewing a fast-foodlogo for just a few milliseconds primes us to read 20 percent faster, eventhough reading has little to do with eating. We unconsciously associate fastfood with speed and impatience and carry those impulses into whatever elsewe're doing. Subjects exposed to fast-food flashes also tend to think a musicalpiece lasts too long.

  Yet we can reverse suchinfluences. If we know we will overreact to consumer products or housingoptions when we see a happy face  (onereason good sales representatives and real estate agents are always smiling),we can take a moment before buying. If we know female job screeners are morelikely to reject attractive female applicants, we can help screeners understandtheir biases-or hire outside screeners.

John  Gottman,the marriage expert, explains that we quickly "thin slice" information reliably only after we ground suchsnap reactions in  "thicksliced" long-term study. When Dr. Gottman really wants to assess whether a couple will stay together, he invitesthem to his island retreat for a much longer evaluation: two days, not twoseconds.

Our ability to mute our hard-wired reactionsby pausing is what differentiates us from animals dogs can think about thefuture only intermittently or for a few minutes. But historically we have spentabout 12 percent of our days contemplating the longer term. Although technologymight change the way we react, it hasn't changed our nature. We still have theimaginative capacity to rise above temptation and reverse the high-speed trend.



The time needed in making decisions may_______.

A.
vary according to the urgency of the situation
B.
prove the complexity of our brain reaction
C.
depend on the importance of the assessment
D.
predetermine the accuracy of our judgment
【单选题】

患儿,男,6个月,体重9.0kg,平素健康,近日出现多汗、夜哭、易惊。体检:前囟平软,颅骨有乒乓球感,枕秃,肋骨串珠。人工喂养,尚未添加任何辅食,平素较少出门。患儿经治疗进入恢复期后,应使用的药物剂量为( )

A.
400IU
B.
4000IU
C.
6000IU
D.
10000IU
E.
30000IU
【单选题】

现代学制最早出现在(    )

A.
美国
B.
欧洲
C.
中国
D.
英国
【单选题】

依据《艾滋病防治条例》的规定,为自愿接受艾滋病咨询的人员免费提供咨询服务的机构是

A.
县级以上地方人民政府卫生行政部门指定的疾病预防控制机构
B.
省级以上地方人民政府卫生行政部门指定的疾病预防控制机构
C.
省级以上地方人民政府卫生行政部门指定的医疗卫生机构
D.
县级以上地方人民政府卫生行政部门指定的医疗卫生机构
E.
县级以上疾病预防控制机构指定的医疗卫生机构
【C型选择题】

患者,女,65 岁。体重 62 kg。因乏力、呼吸困难半年,加重 7 日入院治疗。半年前诊断为心衰,目前患者病情稳定,休息时自觉无症状,双下肢无水肿,但一般活动时可出现乏力、呼吸困难,查体:血压 136/85 mmHg, 心率 58 次 / 分;实验室检查:糖化血红蛋白 8%, 左室射血分数 50%, 血尿素氮 7.1mmol/L, 血肌酐 110μmol/L, 估算肾小球滤过率 55 mL/(min・1.73m²), 血钾 5.0 mmol/L;B 超提示双侧肾动脉狭窄。既往有高血压、高脂血症、2 型糖尿病病史及头孢菌素和青霉素过敏性休克史。

患者目前用药:

赖诺普利片 20 mg qd

卡维地洛片 25mg bid

盐酸二甲双胍肠溶片 1000 mg bid

甘精胰岛素注射液 30Uqd

瑞舒伐他汀钙片 10mg qd

呋塞米片 40mg qd

为进一步改善该患者的心衰症状,减少心衰急性发作,宜使用的药物治疗方案是(    )

A.

 加用达格列净片 5mg qd

B.

 增加呋塞米片的剂量至 40mg bid

C.

 增加卡维地洛片的剂量至 50 mg bid

D.

 加用螺内酯片 25mg qd

E.

 加用单硝酸异山梨酯片 10 mg tid

【单选题】

《大同书》是()的代表作。

A.
孙中山
B.
谭嗣同
C.
太平天国
D.
康有为
【单选题】

我国居民碳水化合物的主要来源是

A.
葡萄糖
B.
蔗糖
C.
淀粉
D.
糖原
E.
纤维素
【单选题】

根据我国宪法和法律,下列关于地方各级人民政府的表述,不正确的是( )。

A.

 地方各级人民政府必须依法行政

B.

 地方各级人民政府实行集体负责制

C.

 地方各级人民政府均受国务院的统一领导

D.

 地方各级人民政府是地方各级人大的执行机关