第27题: [单项选择]患者男性，25岁。因突发头晕、心慌、面色苍白就诊。查体：神志清醒、面色苍白，P120/min，BP 70/50mmHg，上腹部压痛，反跳痛。B超提示腹腔积液，脾脏增大并不均质回声；腹腔穿刺抽出不凝血。9天前患者不慎自4m高处坠落，左侧身体先落地，感左侧腹疼痛，休息2天后继续工作。最可能的诊断是 A. 肝破裂 B. 肝被膜下破裂 C. 延迟性脾破裂 D. 胃、十二指肠破裂 E. 上消化道出血 参考答案:C 答案解析:明确左上腹外伤史，神志清醒、面色苍白，P120/rain，BP 70/50mmHg，上腹部压痛，反跳痛。考虑为延迟性脾破裂引起失血性休克。
第29题: [多项选择]根据我国刑事诉讼法及相关司法解释，下列案件中，应由人民检察院直接立案侦查的有( ) A. 监管人员虐待被监管人案 B. 帮助犯罪分子逃避处罚案 C. 非法处置查封、扣押、冻结的财产案 D. 国有公司、企业、事业单位人员滥用职权案 参考答案:A,B 答案解析:[考点] 渎职罪和国家工作人员利用职权实施的犯罪的立案管辖问题 [解析] 要正确解答本题，考生必须熟知《刑事诉讼法》、《最高人民法院、最高人民检察院、公安部、国家安全部、司法部、全国人大常委会法
第32题: [简答题]Good management can help the organization achieve its desired results．This is particularly true of the management of an organization full of scientists and research workers．What is your idea about a good management or a good manager of such a group of people 参考答案:[参考范文] Good Management Can Help the Organization Achieve Its Desired Results Nowadays，people are increasingly aware of the importance of good management in various fields．Good management is essential for an organization to achieve its expectant resuits． As far as I am concerned，there are several aspects that need to be considered with respect to management．First of all，the manager should avoid simple and rather straightforward approaches when communicating with his staff，because the staff are usually learned and highly educated with their own independent thinking．If the manager wants to solve problems，he must know what the researchers are doing，thinking and talking about．Secondly，the manager must show his sincerity whenever discussing something with his staff，because they are sensitive to the way that they are treated． All the discussion above indicates that a good manager should do his best to create a harmonious working environment and offer the best living conditions to his staff．
第33题: [单项选择]临床实验室管理的首要活动是（） A. 调查 B. 计划 C. 领导 D. 组织 E. 控制 参考答案:B
第35题: [单项选择]患者男性，25岁。市政下水道管理工人，5天来发热、畏寒，1天来头痛，呕吐2次，检查：体温39.3℃，球结膜充血，颈抵抗，腹股沟淋巴结肿大伴压痛，尿蛋白(++)，最有助于诊断的检查为 A. 脑脊液细菌培养 B. 肾功能检查 C. 出血热病毒抗体检测 D. 钩端螺旋体血清凝集试验 E. 乙脑IgM抗体 参考答案:D 答案解析:[解析] 本题要点为钩端螺旋感染的临床特点和检测方法，其中毒症状包括发热。乏力、头痛、肌痛、眼结膜充血、浅表淋巴结肿大等，其诊断主要依据血清学抗体检测，一般在病初和发病第3～5周采集双份血清，检测抗体
第36题: [单项选择]在和解法的应用上，下列哪项提法是错误的（） A. 分消走泄、开达膜原法均可用于热在半表半里之证 B. 和解法一般可分为"清泄少阳"、"分消走泄"、"开达募原"三种 C. 和解法常根据病情需要.配合清热化湿、利胆退黄等法使用 D. 本法不适用于里热炽盛的证候 参考答案:A
