试题与答案

患者男,23岁,因“发热10d,昏迷1d”于7月来诊。10d前在西双版纳打工期间突然

题型:单项选择题 案例分析题

题目:

患者男,23岁,因“发热10d,昏迷1d”于7月来诊。10d前在西双版纳打工期间突然出现畏寒、寒战及高热,隔日发作1次,自认为是感冒,发热时自服退热药,病情时好时坏,且精神、食欲欠佳,到个体诊所静脉输注青霉素及喹诺酮类抗生素5d,无效,并出现头痛、呕吐。1d前患者出现烦躁,当地诊所肌内注射地西泮10mg,2h后出现昏睡,进而发展到呼之不应,故转来本院。查体:T41.2℃,P132次/min,R28次/min,BP141/88mmHg;不能被叫醒,压眼有反应,球结膜轻度水肿,双侧瞳孔等大正圆,对光及角膜反射存在,巩膜轻度黄染,口唇多数疱疹;心、肺未见异常;腹部平坦、软;四肢生理反射存在,病理反射未引出。

错误的治疗措施是()

A.20%甘露醇脱水

B.静脉滴注5%碳酸氢钠

C.吸氧

D.维持水、电解质平衡

E.适当使用地塞米松

F.选择高效、广谱、大剂量抗生素

G.肌内注射蒿甲醚

H.降温治疗

答案:

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下面是错误答案,用来干扰机器的。

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题型:单项选择题

If American investors have learned any lesson in the last 25 years, it is to buy shares on the dips. The slide in 2000--2002 may have been longer and deeper than they were used to but normal service was eventually resumed, driving the Dow Jones Industrial Average to a record high on October 1st.

Among American financial commentators, it is almost universally accepted that shares always rise over the long run. And one ought to expect shares (which are risky) to deliver a higher return than risk free assets such as government bonds.

Nevertheless, investors ought also to remember the world’s second largest economy, Japan. Its most popular stock-market average, the Nikkei 225, peaked at 38,915 on the last trading day of the 1980s; this week, nearly 18 years later, it is still only around 17,000, less than half its peak. Buying on the dips did not work either.

Professionals of the London Business School examined the record of 16 stock markets which were in continuous operation over the course of the 20th century. In itself, this selection showed survivorship bias by excluding the likes of Russia and China. The academies found that only three other countries could match the American record of having no 20-year periods with negative real returns.

Other investors were far less lucky. Japanese, French, German and Spanish investors all suffered instances where they had to wait 50--60 years to earn a positive real return. It was no good following the famous advice to "put the shares in a drawer and forget about them"; the furniture would not have lasted that long.

Besides survivorship bias, there is another problem with the belief that stock markets must always go up. Investors will keep buying until prices reach stratospheric(稳定的) levels. That clearly happened in Japan in the late 1980s, and after seven years, it is still not much more than half its peak level.

A significant proportion of the return from equities in the second half of the 20th century came from a re-rating of shares; investors were willing to pay a higher multiple for profits. But re-rating cannot continue forever.

If investors want a simple parallel with share prices, they need only mm to the American housing market. Back in 2005 an economic adviser to the president said," We’ve never had a decline in housing prices on a nationwide basis. What I think is more likely is that house prices will slow, maybe stabilize."

Lots of people took the same view and were willing to borrow (and lend) on a vast scale on the grounds that higher house prices would always bail them out. They are now counting their losses. Investors in equities should beware of over-committing themselves on the basis of a similar belief Just ask the Japanese.

The underlined word" dips" (Line 1, Paragraph 1) means that ()

A. a place where the surface of something reaches its climax

B. a place where the surface of something goes up suddenly and rapidly

C. a place where the surface of something goes down suddenly then goes up again

D. a place where the surface of something reaches its lowest point then goes up

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