患者，女，56岁。平素嗜食肥甘厚腻，咳嗽反复发作，咳声重浊，痰多稠厚成块，晨起为多，

当事人对医疗事故鉴定的首次鉴定结论不服的，可以（）

A.自收到首次鉴定结论之日起5日内向医疗机构所在地卫生行政部门提出再次鉴定的申请

B.自收到首次鉴定结论之日起10日内向医疗机构所在地卫生行政部门提出再次鉴定的申请

C.自收到首次鉴定结论之日起15日内向医疗机构所在地卫生行政部门提出再次鉴定的申请

D.自收到首次鉴定结论之日起20日内向医疗机构所在地卫生行政部门提出再次鉴定的申请

E.自收到首次鉴定结论之日起30日内向医疗机构所在地卫生行政部门提出再次鉴定的申请

患者男，50岁，因“咳黄痰、喘息伴低热5d”来诊。慢性咳喘10余年，冬春季发作。吸烟史22年，15～20支/d。查体：T37.9℃，P89次/min，BP120/85mmHg；双肺呼吸音粗糙，可闻及散在干、湿性啰音。血常规：WBC9.5×10⁹/L，嗜酸粒细胞0.69×10⁹/L。胸部X线片：双上肺透光度增强，双下肺纹理重。

出院后的长期治疗方案应选择（）。（提示血气分析：pH7.32，PaCO₂50mmHg，PaO₂55mmHg，SO₂87%。给予面罩吸氧＋无创呼吸机辅助通气治疗3d后症状逐渐缓解，脱机后继续给予静脉输液，吸入糖皮质激素＋支气管扩张药联合治疗，病情缓解后出院。出院时复查肺功能：FEV₁占预计值的80%，FEV₁/FVC为86%。）

A.按需使用短效支气管扩张药

B.长期规律吸入长效支气管扩张药

C.长期规律吸入糖皮质激素＋长效支气管扩张药

D.规律门诊随访，进行自我病情监测

E.无症状时停药，病情发作后到医院就诊

F.定期服用广谱抗生素预防肺部感染

在国际货物买卖中，卖方只将代表货物所有权的提单、发票等交到买方手中，以完成货物所有权转移的交货方式称为下列哪种方式( )。

A．象征性交货

B．目的港交货

C．工厂交货

D．实际交货

C

Where do you want to travel this year? What are some of your favorite vacation spots? See some places we have picked as the top destinations for 2010．

● Sri Lanka

The island feels like one big tropical zoo: elephants roam freely, water buffaloes （水牛） idle in paddy fields and monkeys swing from trees．And then there's the beautiful coastline．Among the most scenic is Nilaveli Beach in the Tamil north．Vacationers can lie on poolside hammocks （吊床） under palm trees or swim in its crystal-clear waters．Or they can order cocktails at the Nilaveli Beach Hotel．

● Shanghai

Following up on Beijing's successful Olympics, Shanghai is expecting 70 million visitors to its World Expo．From May 1 to Oct．31, more than 200 nations and regions will turn a two-square-mile site by the city's Huangpu River into an architectural playground: Switzerland will be represented by a building shaped like a map of that country, while England is in the celebrated hands of the designer Thomas Heatherwick．However, by contrast, the United States pavilion might be mistaken for a suburban （郊区的） office park．

● Copenhagen

Last year, thousands of environmentalists challenged world leaders in Copenhagen for the climate summit, but the Danish capital has already emerged as one of the world's greenest, and maybe coolest, cities．In Copenhagen, long, flat roads all have bicycle paths where locals cycle around the city．Away from all the modernism and the happy cyclists, cultural thrill-seekers are being attracted to the district of Norrebro, where the city's young crowd the cafes and galleries or dance in local clubs until the early hours．

64．According to the passage, visitors to the place with natural beauty can have ______．      

A．a vacation on the palm beach                                                      

B．a great time in busy local clubs                                                             

C．a feast for the eyes of architectural wonders                                                      

D．a chance to see an environmentally friendly city

65．Which of the following statements is TRUE about the 2010 World Expo?               

A．Millions of people will visit Shanghai in seven months．                     

B．Switzerland has built something that looks like a map of the world．                                

C．The building of England is designed by Thomas Heatherwick．                                                                

D．The US pavilion reminds people of downtown New York．

66．This passage is probably printed on the ______ page of a newspaper．                  

A．real estate    B．entertainment     C．travel     D．weekend

67．Which of the following can be the best title for this passage?                          

A．A Trip to the World Expo                  B．The Places to Go in 2010                     

C．Join the Copenhagen Climate Summit    D．The Most Visited Travel Destinations

有关实性肿瘤声像图的特点中，下列错误的是（）。

A.边界均不整齐、不光滑或不规则

B.外形常呈圆形、椭圆形或不规则

C.内部出现无回声

D.可有后方组织回声衰减或声影，少数后方回声增强

E.侧方声影可有可无