手术时切断何组织会引起肛门失禁（） A.外括约肌浅部 B.外括约肌深部 C.内括约肌

男性，29岁。右胫腓骨中段闭合性骨折，采用手法复位+石膏外固定24小时后出现患肢持续性剧烈疼痛，呈进行性加重。

所以首先应采取的措施是（）

A.肌注止痛药

B.立即解除石膏外固定

C.抬高患肢以减轻疼痛

D.更换石膏托或改用其他的外固定方法

E.以上都不是

In her new book, “The Smartest Kids in the World,” Amanda Ripley, an investigative journalist, tells the story of Tom, a high-school student from Gettysburg, Pennsylvania, who decides to spend his senior year in Wroclaw, Poland. Poland is a surprising educational success story: in the past decade, the country raised students’ test scores from significantly below average to well above it. Polish kids have now outscored American kids in math and science, even though Poland spends, on average, less than half as much per student as the United States does. One of the most striking differences between the high school Tom attended in Gettysburg and the one he ends up at in Wroclaw is that the latter has no football team, or, for that matter, teams of any kind.

That American high schools lavish more time and money on sports than on math is an old complaint. This is not a matter of how any given student who plays sports does in school, but of the culture and its priorities. This December, when the latest Program for International Student Assessment(PISA) results are announced, it’s safe to predict that American high-school students will once again display their limited skills in math and reading, outscored not just by students in Poland but also by students in places like South Korea, Belgium, the Netherlands, Finland, Singapore, and Japan. Meanwhile, they will have played some very exciting football games, which will have been breathlessly written up in their hometown papers.

Why does this situation continue? Well, for one thing, kids like it. And for another, according to Ripley, parents seem to like the arrangement, too. She describes a tour she took of a school in Washington D.C., which costs thirty thousand dollars a year. The tour leader—a mother with three children in the school—was asked about the school’s flaws. When she said that the math program was weak, none of the parents taking the tour reacted. When she said that the football program was weak, the parents suddenly became concerned. “Really?” one of them asked worriedly, “What do you mean?”

One of the ironies of the situation is that sports reveal what is possible. American kids’ performance on the field shows just how well they can do when expectations are high. It’s too bad that their test scores show the same thing. 

小题1:Tom decides to spend his senior year in Poland because _______.

A．he intends to improve his scores

B．Polish kids are better at learning

C．sports are not supported at schools in Gettysburg

D．there are striking differences between the 2 countries小题2:According to Paragraph 2, we know that _______.

A．PISA plays a very important role in America

B．little time is spent on sports in Japanese schools

C．American high schools complain about sports time

D．too much importance is placed on sports in America小题3:The underlined sentence in the last paragraph means _______.

A．low expectations result in American students’ poor PISA performance

B．high expectations push up American students’ academic performance

C．American students’ academic performance worries their parents a lot

D．lacking practice contributes to American students’ average performance小题4:The purpose of this article is to _______.

A．compare Polish schools with those in America

B．call on American schools to learn from the Polish model

C．draw public attention to a weakness in American school tradition

D．explain what is wrong with American schools and provide solutions

简述马克思主义关于人的全面发展思想的本质和核心。

什么是火法精炼？

患者，男，70岁。进行性排尿困难2年。症见精神不振，面色白，畏寒喜暖，腰膝冷，每日夜尿3～4次，舌苔薄白，脉沉细。其证候是（）

A.湿热下注，膀胱涩滞

B.中气下陷，膀胱失约

C.肾阴不足，水液不利

D.肾阳不足，气化无权

E.下焦蓄血，瘀阻膀胱