患儿，男，生后28天，拒乳，嗜睡3天，体温 39.2℃，面色青灰，前囟张力高，

Word spelling(满分10分)

1.He did the work with his teacher's________(指导).

2.She is my n_______ from America, the daughter of my eldest sister.

3.Jane and Sarah used to be friends but now they are bitter e________.

4. The teacher _________(惩罚) the noisy children by making them stay after school.

5.He made a f_______ by selling houses.

6.If you make any more noise I shall o_______ you out of the hall!

7.The three goals we scored in the first half gave us a useful c________ against defeat.

8.There was a s_______ with trees and grass in it in the center of the city.

9. What is the _______(平均的)rainfall for August in your country

10. We all wore m_____ at the party and no one knew who we were.

十二指肠溃疡大出血的患者行胃大部切除术后出现黄疸的可能原因不包括（）

A.胆道损伤

B.胃空肠吻合输入襻梗阻

C.大量输血后溶血反应

D.肝炎

E.胆管癌

遗传性着色性干皮病的发病机制是（）

A.细胞膜通透性升高引起失水

B.温度敏感性转移酶类失活

C.紫外线照射诱导有毒力的前病毒

D.DNA修复系统缺陷

E.细胞不能合成类胡萝卜素

下列不是创伤后局部表现情况的是（）。

A.休克皮温降低

B.疼痛、肿胀

C.伤口

D.创面

E.伤道

英译汉：“place of origin；place of issue；port of call”，正确的翻译为( )。

A．途经口岸；签证地点；产地
B．产地；签证地点；途经口岸
C．签证地点；产地；途经口岸
D．产地；途经口岸；签证地点