Wegener肉芽肿型恶性肉芽肿的病理表现可为（） A.多发性肉芽肿 B.无动脉周围

Is the customer always right The answer, it seems, depends on which country you are in. Shopping is very much a part of a country’s culture, and attitudes to shopping and consumers vary from country to country just as much as climate or taste in food. From the air-conditioned American shopping centers to the street market of African towns, the way we shop shows the way we see ourselves and our relationships with other people.
Business competition in Europe has given consumers increased power. This has meant falling prices, plenty of special offers and a re-examination of what customer service really means. People often point to America as an example of excellent customer service. In restaurants in the south of the USA, for example, waiters compliment you on your clothes, ask about your day, compliment you on the wisdom of your order and then return every ten minutes to refill your glass and make sure that everything is to your satisfaction.
Anyone who has waited 30 minutes to be served in a restaurant might well dream of such attention, but do Europeans really want US style service As a friend of mine once told me, "By the end of the evening I had spent as much time talking to the waiter as to my wife. " It is a question of expectations. Different nationalities expect different types of service.
A Chinese-American friend loves telling people about how her Chinese mother shops for clothes: "First of all she waits until they are on sale, then she bargains until she gets an even better price and then she finds some small fault with the product and demands a further reduction. She never buys anything at the regular price. " Could you imagine trying such tricks in a department store in your country
Attitudes to service are, of course, affected by employers’ attitudes to their workers. As American sales and service personnel are heavily reliant on commission and tips, they have more motives to provide more service. But is this fair Do we think it is fair to ask shop assistants to work late evenings, Sundays and 12 hour shifts It might not be a case of "Is the customer always right" but a case of "How much service is it fair to expect\

The way people shop ______.

A. reflects the developmental stage of a country
B. carries social and cultural values
C. determines the way they socialize
D. reveals their social status

患者女性，60岁。糖尿病史6年。1周前开始出现高热、寒战，继之出现咳嗽，少量黄痰，痰中偶带血丝，在家静脉滴注青霉素800万，2次/日，5天无效就诊。查体：呼吸略促，双肺呼吸音略减弱。血常规：WBC12×10⁹/L，中性粒细胞80%。痰涂片革兰染色为阳性球菌。胸片示双肺多发不规则片影，阴影内有空洞及液平。

提示用足量二代头孢加氨基糖苷类抗生素治疗一周，体温不降，症状不见好转当排除脓胸等并发症时，首先考虑应用的药物是（）

A.氯霉素

B.林可霉素

C.大扶康

D.红霉素

E.万古霉素

F.利福平

药物过量出现的对机体损害是：（）

A.治疗作用

B.不良反应

C.副作用

D.毒性反应

E.耐受性

典型流行性出血热的临床特征是（）

A．发热、出血、腓肠肌疼痛

B．发热、出血、皮疹

C．发热、出血、休克、肾损害

D．发热、出血、昏迷

E．发热、出血、休克、肝损害

腹部反跳痛的发生机制是（）

A.肠腔胀气

B.内脏肿大、充血

C.肿瘤淋巴结转移

D.炎症波及腹膜壁层

E.胆管结石并梗阻