（19~22题共用题干)患者，女性，18岁。l周前上感发热，胃纳不佳，时有恶心呕吐。近日下肢突然出现淤点、

(18~19题共用题干)

患者，女性，45岁，有1子。近3年痛经并逐渐加重，经量增多，经期延长，需服强止痛药。检查：子宫均匀增大如孕8周，质硬，有压痛，经期压痛明显。

痛经逐渐加重的原因可能是

A．功能性痛经

B．子宫腺肌病

C．子宫内膜结核

D．子宫内膜癌

E．子宫黏膜下肌瘤

(72～73题共用题干)

患者，女性，30岁，Hb 80g／L，涂片可见椭圆形红细胞增多

72．若椭圆形红细胞占18％，主要见于

A．正常人

B．缺铁性贫血

C．大细胞性贫血

D．镰形细胞贫血

E．遗传性椭圆形细胞增多症

(19~21题共用题干)

患者，女性，21岁，为保持身材饮食节制1年，近日自感疲乏，心悸、气短，头晕、头痛，注意力不集中来院就医。实验室检查：WBC5．4？109/L，Hb 989/L，MCV 67，肝功能及肾功能均正常。

该病人最大可能的诊断是

A．肾性贫血

B．巨幼红细胞性贫血

C．缺铁性贫血

D．地中海贫血

E．叶酸缺乏性心脏病

(17~18题共用题干)

患者，女性，38岁，肘关节对称性疼痛伴压痛，鹰嘴突附近可触及一个直径1cm大小的结节，疑拟类风湿关节炎。

不支持此诊断的实验室检查是

A．血沉加快

B．C一反应蛋白增高

C．类风湿因子阳性

D．血清补体水平增高

E．抗Scl-70抗体阳性

(54～55题共用题干) 患者女性，42岁，反复饱餐后右上腹胀痛7月余，1天前上述症状加重，伴恶心、呕吐数次。查体：体温39℃，皮肤巩膜无黄染，右上腹压痛。血常规：白细胞19×109／L，中性粒细胞88。 54.以下查体的体征中最可能存在的是

A.移动性浊音阳性

B.肝脾大

C.麦氏点压痛

D.右上腹可见肠型

E.Murphy征()

共用题干题AstuteserviceprovidersrealizethatthecontinuedsupportoflegacyX.25andasynchronousnetworkelementusingseparateoperationsnetworkiscost(16).Forexample,themaintenanceofmultiplenetworkscanrequireadditionalstaff.Often,thisstaffmustbetrainedonmultiplevendortechnologies,sometimesrequiringparallelgroupsspecializingineach(17).Hence,additionalmaintenanceproceduresmustbemaintainedandadministrativerecordsare(18).Theduplicationoftransportfacilitiestocarry(19)networktrafficisaninefficientuseofresources.Andnotsurprisingly,moretechnologiesinstalledinacentralofficemeansthenecessityformorephysicalspace,andanincreaseinpowerconnectionsandpowerconsumptionmigrationofthese(20)networkelementstoIP-basedDCnsisalogicalstrategy.

空白处（18）应选择（）

A.declined

B.proliferated

C.destroyed

D.produced

(51--53题共用题干) 患者，女性，40岁。上腹阵发性绞痛伴畏寒发热1天。查体：巩膜黄染，剑突下偏右部位压痛、反跳痛，轻度肌紧张，化验血白细胞18×109／L。 临床上应首先考虑诊断为

A.胰腺炎

B.急性病毒性肝炎

C.无菌性胆囊炎

D.肝内胆管结石

E.急性梗阻性化脓性胆管炎

共用题干题AstuteserviceprovidersrealizethatthecontinuedsupportoflegacyX.25andasynchronousnetworkelementusingseparateoperationsnetworkiscost(16).Forexample,themaintenanceofmultiplenetworkscanrequireadditionalstaff.Often,thisstaffmustbetrainedonmultiplevendortechnologies,sometimesrequiringparallelgroupsspecializingineach(17).Hence,additionalmaintenanceproceduresmustbemaintainedandadministrativerecordsare(18).Theduplicationoftransportfacilitiestocarry(19)networktrafficisaninefficientuseofresources.Andnotsurprisingly,moretechnologiesinstalledinacentralofficemeansthenecessityformorephysicalspace,andanincreaseinpowerconnectionsandpowerconsumptionmigrationofthese(20)networkelementstoIP-basedDCnsisalogicalstrategy.

空白处（19）应选择（）

A.overlook

B.overlie

C.overlay

D.overleap

共用题干题AstuteserviceprovidersrealizethatthecontinuedsupportoflegacyX.25andasynchronousnetworkelementusingseparateoperationsnetworkiscost(16).Forexample,themaintenanceofmultiplenetworkscanrequireadditionalstaff.Often,thisstaffmustbetrainedonmultiplevendortechnologies,sometimesrequiringparallelgroupsspecializingineach(17).Hence,additionalmaintenanceproceduresmustbemaintainedandadministrativerecordsare(18).Theduplicationoftransportfacilitiestocarry(19)networktrafficisaninefficientuseofresources.Andnotsurprisingly,moretechnologiesinstalledinacentralofficemeansthenecessityformorephysicalspace,andanincreaseinpowerconnectionsandpowerconsumptionmigrationofthese(20)networkelementstoIP-basedDCnsisalogicalstrategy.

空白处（20）应选择（）

A.raditional

B.dominancy

C.redundancy

D.legacy

共用题干题AstuteserviceprovidersrealizethatthecontinuedsupportoflegacyX.25andasynchronousnetworkelementusingseparateoperationsnetworkiscost(16).Forexample,themaintenanceofmultiplenetworkscanrequireadditionalstaff.Often,thisstaffmustbetrainedonmultiplevendortechnologies,sometimesrequiringparallelgroupsspecializingineach(17).Hence,additionalmaintenanceproceduresmustbemaintainedandadministrativerecordsare(18).Theduplicationoftransportfacilitiestocarry(19)networktrafficisaninefficientuseofresources.Andnotsurprisingly,moretechnologiesinstalledinacentralofficemeansthenecessityformorephysicalspace,andanincreaseinpowerconnectionsandpowerconsumptionmigrationofthese(20)networkelementstoIP-basedDCnsisalogicalstrategy.

空白处（17）应选择（）

A.line

B.platform

C.sever

D.switch