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[单选题](单选题,0.7 分)
男性患者,65岁,有20年高血压的病史。最近体检发现尿中有蛋白(++)无下肢和眼睑水肿。 肾活检检查, 病理主要的变化是肾小球毛细血管基底膜弥漫性的增厚,入球动脉和小动脉壁增厚,透明变性。
根据该患目前的病变可能患有
A.急进行肾小球肾炎
B.毛细血管内增生性肾小球肾炎
C.膜性肾小球肾炎
D.脂性肾病
E.膜性增生性肾小球肾炎
[判断题]电话闭塞法行车时，站前折返的闭塞解除条件为列车整列到达折返线并停稳。
A.正确
B.错误
[单选题] 向左转走时,指挥口令的动令落在( )。
A.左脚
B.右脚
C.都可以
[单项选择]有功功率表示电路实际消耗的（）。
A. 平均功率
B. 实际功率
C. 视在功率
D. 瞬时功率
[不定项选择题]（2015年）根据《环境影响评价技术导则声环境》，下列内容中，属于声环境现状调查内容的是（）。
A.评价范围内地形地貌特征
B.评价范围内经济发展程度
C.评价范围内人口流动情况
D.评价范围内产业结构特征
[单选题]建设管理单位组织审查招标文件、施工合同和（）中按规定计列工程项目安全文明施工费。
A.施工组织设计
B.监理规划
C.安全协议
D.施工方案
E./
F./
[单项选择]整体安装的泵，纵向安装水平偏差不应大于（）。
A. 1/1000
B. 0.5/1000
C. 0.3/1000
D. 0.10/1000
[单项选择]肘窝处静脉注射硫喷妥钠麻醉时立即出现上肢剧烈烧灼痛、皮肤苍白、脉搏消失，下列哪种措施不是有效方法（）
A. 原注射点注射普鲁卡因、罂粟碱蓟妥拉佐林
B. 静注甘露醇
C. 肝素治疗
D. 臂丛或星状神经节阻滞
E. 静脉注射肾上腺皮质激素
[判断题]«中国铁路上海局集团有限公司高铁车站站台端部防穿越入侵报警系统管理办法»(上铁客〔2019〕281号)规定，车站综控室工作人员接到防穿越系统的报警提示，应立即查看监控视频。发生闲杂人员穿越站台端部，立即通知站台相关工作人员。
A.正确
B.错误
[单选题]早期肺癌最重要的治疗措施是
A.放疗
B.化疗
C.手术治疗
D.支持治疗
E.生物免疫治疗
[多选题]施工机具应定期进行（）。
A.试用
B.保养
C.维护
D.修理
[单选题]Ⅳ型变态反应起关键作用的细胞是
A.肥大细胞
B.CD8+T细胞
C.B细胞
D.CD28+T细胞
E.嗜酸性细胞
[多选题]货车装载的货物重量包括（）
A.货物包装
B.防护物
C.装载加固材料及装置
D.货物自身重量
[单选题]“一票否决”这一择案规则又称为( )。
A.全体一致原则
B.赞成投票制
C.多数原则
D.少数服从多数
[单项选择]肝脏局部脂肪浸润的常见部位是（）
A. 邻近胆囊窝的肝实质
B. ReiDel’s叶
C. 邻近右肾上腺的肝实质
D. 邻近右肾的肝实质
E. 邻近膈顶的肝实质
[单选题]患者，女，72岁，因冠心病服用阿司匹林100mg／d预防血栓栓塞性风险，服用3个月后出现烧心、反酸、呕吐，粪便潜血阳性，诊断为消化性溃疡。针对患者的病情，建议患者的首选治疗药物是 (单选题)
A. 雷尼替丁
B. 奥美拉唑
C. 氯吡格雷
D. 塞来昔布
E. 米索前列醇
[多选题]作业前，应通过改善（ ）、法等要素，降低施工作业风险。
A.A-机
B.B-人
C.C-料
D.D-环
[判断题]机头机尾滚筒不平行会引起输送带跑偏。
A.正确
B.错误
[多项选择]病历摘要：患者男性，24岁。从三楼坠下，脑外伤、下颌骨粉碎性骨折。急行下颌骨固定，术后，在ICU病房观察治疗。3日后，感腹痛、穿刺腹腔有淤血。查体：一般情况差、神志恍惚、头部肿大、口不能张开、心率120次／min、律齐、两肺呼吸音正常、血压130／80mmHg。B超提示：肝脏右叶脏面破裂，再急行剖腹探查。该患者在插管过程中下列哪些药物一定不能用（）。
A. 抗菌素
B. 阿曲库铵
C. 维库溴铵
D. 利多卡因表面麻药
E. 生理盐水
F. 贺斯
G. 阿托品
[单项选择]下列哪项不属于表皮内良性黑色素细胞增生疾病（）。
A. 雀斑
B. 蒙古斑
C. 黄褐斑
D. 咖啡牛奶斑
E. 单纯性雀斑样痣
[单项选择]
The Red Cross is an international organization, which cares for people who are in need of help. A man in a Paris (56) who needs blood, a woman in Mexico who was (57) in an accident, and (58) in India that lost their (59) in a storm may all be (60) by the Red Cross.The Red Cross (61) in almost every country around the (62) . The world Red Cross organizations are sometimes (63) the Sun or the Red Lion. All of these organizations (64) a common aim of (65) to help people in need.
The idea of (66) an organization to help the sick and wounded during a war was (67) by Joan Dunant.In 1859, he (68) how people were (69) on a battlefield in Italy. He wanted to help all the wounded people (70) which side they were fighting for. The most important (71) of his work was an international treaty (条约). It (72) prisoners of war, the sick and
A. on
B. for
C. no matter
D. about
[单项选择]普通平板玻璃不允许有（）存在。
A. 弯曲
B. 缺陷
C. 偏差
D. 裂口
[单项选择]轧制中厚板时，最初几道（）是限制压下量的主要因素。
A. 咬入
B. 主电机最大许用力矩
C. 轧辊强度
[判断题]制动装置是用以实现列车减速和停车，保证行车安全的设备。车辆上装备的制动装置是整个列车制动系统的一部分。( )
A.正确
B.错误
[单选题] 80 km/h＜υmax≤120 km/h 正线，线路轨道静态几何不平顺容许偏差管理值中，三角坑（直线和圆曲线）的临时补修标准为( )mm。 （1分）
A.14
B.6
C.11
D.13
[单选题] 电缆接头故障抢修时不需要使用以下哪种机具（）。
A. 电锯
B. 压接机
C. 直流发生器
D. 扳弯机
[单选题].【下列物质中( )的导热系数相对小一些。 】
A.铁
B.铜
C.二氧化碳
D.钢
[多项选择]以下关于寻常狼疮的临床表现描述正确的有（ ）
A. 是红斑狼疮的临床类型之一
B. 有探针贯通现象
C. 典型皮损为苹果酱结节
D. 病程呈急性过程
[多选题]抗菌药物的不良反应包括( )
A.二重感染
B.毒性反应
C.细菌产生耐药性
D.过敏反应
E.治疗效果差
[单选题]在同步传输方式中,( )是数据传输的单位.
A.字符
B.比特
C.电平
D.帧
[单项选择]In ancient Greek, the term euthanatos meant "easy death". Today euthanasia (安乐死) generally refers to mercy killing, the voluntary (自愿) ending of the life of someone who is terminally ill. Like abortion, euthanasia has become a legal, medical, and moral issue over which opinion is divided.
Euthanasia can be either active or passive. Active euthanasia means that a physician or other medical personnel takes an action that will result in death, such as giving an overdose of deadly medicine. Passive euthanasia means letting a patient die for lack of treatment, or stopping the treatment that has begun. Examples of passive euthanasia include taking patients off a breathing machine or removing other life-support systems. Stopping the food supply is also considered passive.
A good deal of the debate about mercy killing originates from the decision-making process. Who decides whether a patient is to die This issue has not been solved legally in the United States. The matter is left to
A. there is an action that speeds up the death of the patient
B. the breathing machine is taken off the patient
C. an overdose of deadly medicine is used
D. the patient is denied food supply
[不定项选择题]共用题干
Semco
At 21,Ricardo Semler became boss of his father's business in Brazil,Semco,which sold parts for ships.
Semler Junior worked like a madman,from 7:30 a. m.until midnight every day.One afternoon,while touring
a factory in New York,he collapsed.The doctor who treated him said,"There's nothing wrong with you.But
if you continue like this,you'll find a new home in our hospital." Semler got the message.He changed the
way he worked.In fact,he changed the way his employees worked too.
He let his workers take more responsibility so that they would be the ones worrying when things went
wrong. He allowed them to set their own salaries,and he cut all the jobs he thought were unnecessary,like re--
ceptionists and secretaries._______________ (46)"Everyone at Semco,even top managers,meets guests in recep-
tion,does the photocopying,sends faxes,types letters and dials the phone."
He completely reorganized the office:instead of walls,they have plants at Semco,so bosses can't shut
themselves away from everyone else._______________ (47)As for uniforms,some people wear suits and others
wear T-shirts.
Semler says,"We have a sales manager named Rubin Agater who sits there reading the newspaper hour
after hour. He doesn't even pretend to be busy.But when a Semco pump on the other side of the world fails
and millions of gallons of oil are about to spill into the sea,Rubin springs into action.______________(48)
That's when he earns his salary. No one cares if he doesn't look busy the rest of the time."
Semco has flexible working hours;the employees decide when they need to arrive at work.The employees
also evaluate their bosses twice a year.______________ (49)
It sounds perfect,but does it work?The answer is in the numbers:in the last six years,Semco's revenues
have gone from$35 million to $212 million.The company has grown from eight hundred employees to
3,000.Why?
Semler says it's because of"peer pressure".Peer pressure makes employees work hard for everyone
else._______________ (50)In other words,Ricardo Semler treats his workers like adults and expects them to act
like adults.And they do.
__________（49）
A.This saved money and brought more equality to the company.
B.He knows everything there is to know about our pumps and how to fix them.
C.And the workers are free to decorate their workspace as they want.
D.Most managers spend their time making it difficult for workers to work.
E.If someone isn't doing his job well,the other workers will not allow the situation to continue.
F.Also,Semco lets its workers use the company's machines for their own projects,and makes them take holidays for at least thirty days a year.
[单选题]建设单位对承包商员工离开工作区域（ ）个月以上的员工，应当要求承包商对其进行专门的安全教育和培训。
A.1
B.3
C.4
D.6
[多选题]抢救一开始，应即向伤员先吹气两口，吹气时胸廓隆起者，人工呼吸有效；吹气无起伏者，则气道通畅不够，或鼻孔处漏气、或吹气不足、或气道有梗阻，应及时纠正。需要注意的是（）
A.A.每次吹气量不要过大，约600mL（6～7mL/kg），大于1200mL会造成胃扩张；
B.B.吹气时不要按压胸部；
C.C.儿童伤员需视年龄不同而异，其吹气量约为500mL，以胸廓能上抬时为宜；
D.D.抢救一开始的首次吹气两次，每次时间1～1.5s；
[单选题]545.图。
A.P1/2EA,4P1/3EA
B.0.，P1/EA
C.P1/2EA,P1/(√3EA)
D.P1/EA,0
[多选题]关于重新印发《南昌铁路局动车组列车旅客运输管理细则》的通知（南铁客〔2017〕76号），列车乘务组由动车组司机和（ ）组成。
A.列车长
B.列车员
C.乘警（安全员）
D.随车机械师
[不定项选择题]A.判断药物的纯度是否符合标准的限量规定
A.在规定的条件下，同一个均匀样品，经过多次取样测定所得结果之间接近程度
B.测定结果与真实值或参考值接近的程度
C.试样中被测物能被检测出的最低量
D.在其他成分可能存在的情况下，分析方法能准确测定出被测物的能力
E.精密度
[判断题]时间同步装置更换硬件、升级软件时，应将本设备设置为检修状态。
A.正确
B.错误
