男性2岁，左侧完全性腭裂拟行腭裂修复术。腭裂术中凿断翼钩的目的是 A．松弛腭帆张肌的

男性，54岁，因举重物时突感腰部剧烈疼痛就诊，查体：肝脾不大，血常规HGB100g／L，血小板和白细胞未见异常。肝功球蛋白152g／L，免疫蛋白提示IgA35g／L。X线片提示肋骨、胸椎多发性溶骨性破坏，腰椎压缩性骨折。

3年后患者外周血中发现浆细胞计数为3.1×10⁹／L，该患者应是（）

A.急性髓性白血病

B.多发性骨髓瘤骨转移

C.浆细胞反应性增多

D.浆细胞白血病

E.发展为MDS

阅读理解。

     Have you ever been to the beautiful country of Holland and its capital Amsterdam? Anyone who has traveled

to Amsterdam would probably agree on one thing: Amsterdam's story is a tale of two cities-one during the day

and a completely different one at night.

     During the day, the largest city in the Netherlands sits quietly on the Amstel River. You can rent a bicycle,

visit the Van Gogh or Anne Frank museum, or take a water taxi. But when the sun goes down, the partying

begins. In the big clubs and in coffee shops, tourists gather to hang out, talk politics and smoke. Several areas

of the city clearly show the two worlds that rule Amsterdam. And they're all within a short cab ride of each

other. For example, Dam Square attracts daytime sightseers to its festivals, open markets, concerts and other

events.

     Several beautiful and very popular hotels can be found there. And there's the Royal Palace and the Magna

Plaza shopping mall.

     But at night party-seekers come to the square. Hip hop or funk music is heard there. So if you come, be

ready to dance. The clubs don't shut down until 4 am. And while you're there, check out the various

inexpensive ways to tour the city. Don't worry about getting lost. Although Dutch is the official language, most

people in Amsterdam speak English and are happy to help you with directions.

     And you'll notice that half the people in the streets are on bicycles they rent.

     Amsterdam also has a well-planned canal system. For about 10 dollars, you can use the canal bus or a

water taxi to cruise (巡游) the "Venice of the North".

     The city has a historic past. One impressive place to visit is the Anne Frank House on Nine Streets. It was

there that the young Jewish girl wrote her famous diary during World War II. Visitors can view Anne's original

diary and climb behind the bookcase to the room where she and her family hid from the Nazis for two years.

1. What means of transport is not available to visitors in Amsterdam?

A. A carriage.

B. A bicycle.

C. A canal bus.

D. A water taxi.

2. When getting lost, a visitor can ask natives for directions in _______.

A. only Dutch

B. Dutch or English

C. only English

D. Spanish and English

3. What can you learn about by visiting the Anne Frank House?

A. The experience of a beautiful girl survivor.

B. The glorious past of Amsterdam.

C. The life of Jewish during World War Ⅱ.

D. The suffering of the Dutch in wars.

4. The passage is intended to _______.

A. call up people's memories of World War Ⅱ

B. tell readers what A Tale of Two Cities is about

C. instruct visitors what to do and see in Holland

D. offer readers some information about Amsterdam

高渗盐水试验用于鉴别精神性烦渴、多尿、主要根据（）

A.抗利尿激素受药物影响

B.抗利尿激素受血浆渗透压影响

C.抗利尿激素受血压影响

D.抗利尿激素受有效血容量调节

E.抗利尿激素受情绪影响

伴有胃溃疡的风湿性关节炎患者最好选用（）

A.吲哚美辛

B.布洛芬

C.阿司匹林

D.保泰松

E.对乙酰氨基酚

能不能说管理信息系统结构就是管理职能中的组织社构？