试题与答案

患者女性,63岁,3年来劳累时心慌气短,有时夜间憋醒,咳嗽。1年来腹胀、尿少、水肿。

题型:单项选择题

题目:

患者女性,63岁,3年来劳累时心慌气短,有时夜间憋醒,咳嗽。1年来腹胀、尿少、水肿。一直服用呋塞米与地高辛治疗,1周来上感后症状加重,心悸,纳差。查体:血压130/80mmHg。心界扩大,心尖区舒张期雷鸣样杂音与3/6级收缩期吹风样杂音,心率 68/min,期前收缩,二联律,双肺底少许湿啰音,颈静脉怒张,肝肋下3cm,脾未及,双下肢水肿。

做心电图检查示时室性期前收缩二联律,该例心律失常最可能的原因是

A.心肌缺血
B.心力衰竭
C.电解质紊乱
D.洋地黄中毒
E.感染

答案:

参考答案:D

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题型:阅读理解

阅读理解。

     With more and more wineries (酿酒厂) offering organic varieties to lower their eco-footprint

(生态足迹), it's no surprise that they're looking at the environmental impacts of their packaging as

well. The making of conventional glass bottles and the corks (软木塞) uses large quantities of natural

resources and causes a lot of pollution.

     Beyond manufacturing, the transport of wine in glass bottles across the country and around the

world also has its environmental effect. Trucking all the heavy glass bottles causes a much larger carbon

footprint than the transportation of much lighter boxed wine. Almost half the weight of an ordinary case

of wine comes from the bottles; about 95 percent of the weight of a case of boxed wine is the wine itself.

     "A standard wine bottle holds 750 milliliters of wine and causes about 5.2 pounds of carbon dioxide

when it travels from a farm in California to a store in New York," reports Colman, a researcher. "A

3-liter box causes about half the carbon dioxide per 750 milliliters."

     According to the Wine Group, the third largest wine company in the world and a big advocate for

switching away from glass bottles, there are other advantages to boxed wine (which typically includes

a plastic bag within a cardboard box). The vacuum (真空的) packaging of boxed wine allows it to stay

fresh for up to six weeks in the fridge once the seal is broken and the first glass has been poured.

     Still, despite the benefits, boxed wine may still be a tough pill to swallow for many wine experts.

"Even those traditionalists who are coming around to the idea that maybe screw caps (螺旋盖) are fine

for some wines, would not like the idea of a cellar (酒窖) full of cardboard boxes," says wine writer Lee

Asbell. "It is difficult to imagine how wine service at fine-dining establishments would handle such a

change." For now, boxed wine is still the field of cheaper brands. But that could all change as more and

more wine makers and drinkers take responsibility for saving the Earth.

1. Compared with glass bottled wine, boxed wine _______.

A. wastes more natural resources

B. is difficult to transport

C. causes less eco-footprint

D. takes up more space

2. What do we know about boxed wine from the passage?

A. Corks are still needed to close it

B. It's not suitable for long-distance transport

C. It must be kept in the fridge during the transport

D. The special packaging makes it stay fresh longer once it's opened

3. From the last paragraph, we can infer that _______.

A. wine drinkers think boxed wine has a different taste

B. a cellar isn't a good place to store cardboard boxed wine

C. boxed wine is more expensive than glass bottled wine

D. many wine experts still find it hard to accept boxed wine

4. The author writes this passage to _______.

A. call on people to drink less wine

B. advise packaging wine with different materials

C. advocate using boxes to store wine

D. introduce how to keep wine fresh after the bottle is opened

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题型:单项选择题 案例分析题

税务稽查局张悦与李雪2009年5月12日,到方圆公司开展税务检查,获取如下资料:

资料一:2007年方圆公司销售一批商品给正大公司(股份有限公司,与方圆公司属非关联方),价款936000元(含增值税)。2008年正大公司发生财务困难,双方协议,正大公司以一批产品偿还债务的一部分,剩下的部分转为方圆公司对正大公司的投资。正大公司转让的该批产品的成本为300000元,市价为340000元(不含增值税);用于抵债的普通股为100000股,每股面值1元(交易税费略),股票市价为每股5元。正大公司没有对转让的产品计提减值准备,方圆公司也未对债权计提坏账准备。方圆公司和正大公司均为增值税一般纳税人,适用的税率为17%,其他相关税费略。

资料二:2006年方圆公司对已足额提取折旧的房屋进行更新改造,共计发生支出90万元,估计延长3年使用期,每年已经摊销金额为30万元,经检查实际的使用期间为5年。

针对资料一,2008年正大公司用资产还债,获得的债务重组收益为()。

A.0元

B.38200元

C.40000元

D.538200元

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