足月婴儿出生时全身皮肤青紫，Apgar评分为3分。查体：昏迷，反射消失，肌张力低下。

阅读下面的问题，完成小题。

“天人合一”的医学模式

王庆其

中国古代先人们无论探讨宇宙的生成或寻找生命的奥秘，都是围绕着“天人关系”这个核心展开的。天人之学是中国哲学的思维起点，也是中国人最基本的思维方式。

《内经》是从研究天到研究人，从探讨人到探讨天，提出“人与天地相参”， “善言天者，必验于人”的观点。可以认为，《内经》是以“天人一体”为理论核心，探讨人体生命活动规律的医学经典。

所谓医学模式是指人们认识和处理健康与疾病的基本观点和方法。《内经》确立了“天人合一”的医学模式，认为人是自然界的产物，人的生命现象是自然现象的一部分，人与自然是一个不可分割的整体，它们遵循着同一自然规律。于是，《内经》将人体放在自然环境和社会环境这些大背景下来考察生命的活动规律。

《内经》要求每一个医生应该“上知天文，下知地理，中知人事”。“天文”、“地理”，概指自然环境种种影响因素；“人事”，泛指社会人际之事，大而至于社会政治、经济、文化、民风习俗等，小而至于病人的政治经济地位、家境际遇及个人经历等，这些内容均与人体身心健康有着密切的关系。“天人合一”医学模式贯穿于整个中医学理论体系之中，指导人们认识人体生理病理及诊治疾病和预防保健等医疗实践活动。

基于上述思路，《内经》关于健康的定义可以归纳为：①躯体无异常变化，所谓“平人者不病也”；②内部机能和谐，“形与神俱”；③对外界环境适应，“顺四时而适寒暑，和喜怒而安居处”。简单地说，健康的本质就是和谐，人与自然的和谐、形与神（生理和心理）的和谐。人们的医疗实践活动就是为了调整和维护这种和谐。《内经》的医学模式告诫医生不仅要注意患者的“病”，更要注意生病的“人”，知道谁生了病，有时比了解生了什么病更为重要。疾病不过是致病因素作用于机体的一种反应，不同个体对疾病的反应是不同的，个体总是按照自身的反应和体验呈现出种种临床症状。

《内经》“天人合一”医学模式的基本观点，与近年医学界提出的“社会－心理－生物医学模式”的基本观点是相通的。两者都不把“人”作为一个超然独立的实体，而是看作自然社会环境中的一员。因此，认识健康与疾病，不仅着眼于个体，更着眼于人与自然社会环境的相互联系。其次，两者都注意到精神心理因素在个体健康与疾病中所起的作用，强调社会心理因素的重要性，这就使得人们对于健康和疾病的认识及处理，不至于陷入单纯生物因素的死胡同。这对推动中医学术发展和提高诊治疾病、预防疾病的效果，具有深远的指导意义。

（选自《<黄帝内经>的现代魅力》，2010年1月2日《文汇报》，有删改）

小题1:下列对作品有关内容的分析和概括，正确的两项是（5分）

A．《内经》“天人合一”理论的基本观点是，只要人研究清楚了“天”，也就清楚了解了“人”。反之亦然。

B．要求医生“上知天文，下知地理，中知人事”可视为《内经》“天人合一”理论在诊治疾病时的具体运用。

C．《内经》中“人事”，是指病人的政治经济地位、家境际遇及个人经历等，即指人体身心健康状况。

D．《内经》认为诊断“人”的病，不仅要关注“人”的生理状况、心理因素．还要考察“人”生活的社会、自然环境。E.近年医学界提出“社会——心理——生物医学模式”，证明《内经》时代的医学比现代更发达。   

小题2:作者为什么说“人们的医疗实践活动就是为了调整和维护这种和谐”？请简析。

小题3:文章最后说：“《内经》天人合一医学模式的基本观点，与近年医学界提出的社会——心理——生物医学模式的基本观点是相通的”。这句话给你什么启示?请结合全文，谈谈你感受最深的一点。（6分）

准备时间短，准备费用低的情况下，宜采用的合同类型为______。

A．固定总价合同
B．可调总价合同
C．单价合同
D．成本加酬金合同

在Fast Ethernet中，为了使物理层在实现100Mbps速率时所使用的传输介质和信号编码方式的变化不会影响MAC子层，100BASE-T标准定义了

A．RS-498接H

B．AUI接口

C．介质专用接HMll

D．USB接口

最可能的诊断是

A．脑震荡

B．脑挫裂伤

C．硬膜外血肿

D．硬膜下血肿

E．脑内血肿

The professor stood before his class of 30 senior biology students, about to pass out the final exam. “I have been honored to be your instructor this term, and I know how hard you have all worked to prepare for this test. I also know most of you are off to medical school or graduate school next fall,” he said to them.

“I can well understand how much pressure you are under to keep your grades up, and because I know you are able to understand this material, I am prepared to offer an automatic(自动的) “B” to anyone who would prefer not to take the final.”

In relief a number of students jumped up to thank the professor and left the class. The professor looked at the students who remained, and offered again, “Any other takers? This is your last chance.” One more student decided to go.

There were seven students left. The professor closed the door. Then he handed out the final exam. There were only two sentences typed on the paper: “Congratulations, you have just received an “A” in this class. Keep believing in yourself.”

I never had a professor who gave a test like that. It may seem like the easy way out of grading (评分) a lot of exams, but it’s a test that any teacher in any subject could and should give. Students who don’t have confidence in what they’ve learned are “B” students at best.

The same is true for students of real life. The “A” students are those who believe in what they’re doing because they’ve learned from both successes and failures. They have learned life’s lessons, whether from formal education or the school of hard knocks, and become better people.

Take your cue(榜样) from Sir Edmund Hillary, the first person to reach the top of Mount Qomolangma: “It’s not the mountain we conquer (征服), but ourselves.” Don’t let the biggest limit be yourself.

53. The professor offered an automatic “B” to those who would prefer not to take the final exam because _________.

A. he liked the students who wanted to get a “B”

B. he believed they were able to pass the exam

C. he thought any teacher should give them a “B”

D. he thought it was the easy way of grading exams

54. According to the text, which of the following statements is TRUE?

A. 22 students got a “B” in the final test without doing the paper.

B. Most of the students would go to medical school shortly after the exam.

C. There were actually no problems on the test papers for the students to work out.

D. The way the professor tested his students would not be suitable for other subjects.

55. According to the writer, the test given by the professor was ________.

A. funny        B. meaningful       C. difficult            D. harmful

56. The point of the story is to advise readers _________.

A. to pay attention to what they can do

B. not to miss any final exam at school

C. not to let themselves limit their growth

D. to surround themselves with confident people