采用绩点制综合衡量学生的学习质量。绩点为1.7，百分制参考标准为（）。 A.75-7

患者，男性，28岁。施工时不慎从4米高处跌下，半小时后被送入急诊室。体检：血压4/2kPa（30/15mmHg），神清、气促、面色苍白、四肢发凉、脉细弱，左侧胸压痛明显，胸廓塌陷、有骨擦感及反常呼吸征，左胸有一2cm×2.5cm创口，可听到气体出入创口响声，左侧呼吸音消失，右侧呼吸音减低

积极的处理措施应是（）

A.压迫气管，刺激咳嗽排痰

B.鼻导管吸痰

C.经气管切口导管吸痰或纤支镜吸痰

D.肺灌洗

E.加强抗生素

F.停止进食

G.静脉高营养

病历摘要：患者，男，20岁，主诉发现颈部包块1月。无鼻塞和鼻涕带血，亦无回吸性血涕。不伴头痛及耳鸣，无耳闷和堵塞感。咽喉轻微疼痛，吞咽时咽喉异物感，以吞口水为重，吞咽食物无阻碍。包块位于右侧胸锁乳突肌上1/3处，大小为4×6cm，边界尚清晰，质中，无压痛，皮肤无潮红及发热。左侧颈部未及包块。双侧扁桃体Ⅱ度，无脓点，口腔和口咽未见异常。患者发病前无上呼吸道感染史，无咳嗽和咳血，无午后低及热盗汗.

为了下一部治疗方案，可选择执行下列哪项检查？提示：患者三个月后颈部肿物消失，但该处组织较硬，治疗后随访，于放疗后8个月出现鼻涕带血，间接鼻咽镜检查见鼻咽顶菜花样新生物突起，左侧鼻腔后端靠中隔及嗅裂处可见暗红色肿物。（）

A.鼻咽和颈部增强CT扫描

B.鼻咽和颈部增强MR扫描

C.鼻咽和颈部CT平扫

D.单纯鼻咽CT平扫

E.单纯鼻咽CT增强扫描

F.单纯颈部CT增强扫描

G.头颅CT增强扫描

H.头颅MR扫描

当自身生命受到侵害时，未成年人有权实行正当防卫。[ ]

第三部分　阅读理解（共两节。满分30分）

第一节：（共11小题；每小题2分，满分22分）

阅读下列短文，从每题所给的四个选项（A、B、C和D）中，选出最佳选项，并在答题卡上将该项涂黑。

On a recent morning in Clearwater, Florida, Maja Kazazic jumped down into water. From a distance, the dolphin seemed friendly enough. Still, Kazazic felt a little panic slide into her excitement. In spite of her fear, she felt strong wearing her new leg.

In second grade in Bosnia, Kazazic lost her cousin, Jasmina. Kazazic promised she would honor Jasmina by swimming with a dolphin, an animal that both girls loved. “Jasmina never got the chance to do it,” says Kazazic, “so I decided that someday I’d do it for her.”

However, in 1993, during the Bosnian civil war, Kazazic was badly injured. Her left leg was cut just below the knee and she received her first artificial(人工的) leg in the US. Because there was so little bone left, and with her right leg also damaged, walking was rather painful, but she managed to graduate from college. She was able to play golf or tennis.

Then one day a young dolphin, Winter, who had lost her tail, caught Kazazic’s eye. Trainers were fitting Winter with a high-tech tail. When they were done, Winter dashed off through the water.

Kazazic was excited. If she can do this, there’s no way I can’t, she thought. Within ten days, she had a new leg with the help of the inventor. Eight months later, Kazazic was ready to keep the promise. “After being in a war, this should be a piece of cake,” Kazazic said as she lowered herself into the tank. Then and there the two went on an hour-long swim around the pool.

When Kazazic climbed out, she quietly said, “I feel like I owed(欠) somebody something, and now I’ve paid my debt.” Out in the parking lot, she got into her car and cried till she lost her voice.

52. Which of the following might serve as the best title of the passage?

A. Kazazic’s Promise.              B. Jasmina’s Death.

C. Kazazic’s Debt.                           D. A Dolphin’s Tail.

53. What does the underlined word “panic” mean in the first paragraph?

A. Fear.          B. Surprise.        C. Excitement.    D. Satisfaction.

54. Which is the correct order of the following events?

a. Kazazic was treated and received a new leg in the US.

b. Kazazic made a promise to swim with a dolphin.

c. Jasmina died in Bosnia when Kazazic was in second grade.

d. Kazazic overcame difficulties and carried out her promise.

e. Kazazic was badly injured in her legs during the war.

A. b, c, e, a, d     B. b, e, c, d, a      C. c, b, e, a, d      D. c, e, b, d, a

55. Kazazic cried in her car after she swam with the dolphin because ______.

A. she was sad her cousin couldn’t do it with her.

B. she was excited her promise had come true.

C. she was afraid she would lose the other leg.

D. she was proud she didn’t owe money to anybody.

* * 溢血，乳晕下可扪及1Cm大小结节，最常见的是()

A．乳腺癌

B．乳腺囊性增生

C． * * 结核

D．乳管内 * * 状瘤

E．乳腺小叶增生