SD序列与AUG之间的距离是影响转录效率的重要因素之一。 ( )

肝肾综合征描述正确的是（）

A.肝硬化患者血性腹水，经积极治疗而病情恶化

B.自发性少尿或无尿，尿素氮增高

C.肿大的脾脏暂时缩小

D.不规则发热，腹水快速增长

E.严重黄疸

LKJ系统设备维护实行预防修与故障修相结合的体制，坚持（）的原则。

制定小组规范，塑造信任的小组气氛，是小组（）阶段的工作任务。

A.小组工作准备

B.小组工作开始

C.小组工作中期转折

D.小组工作后期成熟

患者女，68岁，因“食欲减退，饭后饱胀，体重减轻”来诊。胃镜：胃窦下弯处隆起，黏膜皱襞变平坦。行胃大部切除术，大体检查：肿瘤位于胃壁，4.5cm×4.8cm，切面呈灰红鱼肉状，界限清楚，无明确的包膜。组织学检查：肿瘤由小上皮样细胞组成，呈团巢状排列，细胞异型性轻，胞质中等量，嗜伊红色。核分裂象偶见，（1～2）个/50HPF。间质富于胶原，血管中等。

如果本例病理诊断是胃肠道间质肿瘤，其生物学行为应归在（）。

A.高度危险组

B.中度危险组

C.低度危险组

D.极低度危险组

E.未能确定

      完形填空（共20小题，每小题1.5分，满分30分）

Picture this situation. It is late afternoon and you are    36   . You have an important dinner engagement that evening so you    37    to take an hour nap. Instead of setting your alarm you ask a friend who is visiting to wake you in an hour. He   38   .

Two hours later, your friend wakes you. You ask, “Why didn’t you wake me after one hour?” He    39    that he thought you asked him to wake you in two hours and that is what he said. You then have to run around and get ready    40  , muttering to yourself about how you    41   have set the alarm rather than asking your friend to wake you. Had you done that, you would not have been so    42    to get ready.

Your conclusion is correct. Your    43   of what happened looked at the system you used. Your friend’s   44   to wake you resulted from a miscommunication.   45   he didn’t hear you correctly or you misspoke.

46   at the situation from the point of view of being personally responsible is always better than blaming yourself or another. So how do you best be “responsible” in this situation? The answer is   47   in systems thinking.

Dr. W. Edward Deming is the American statistician who is credited with   48   the quality practices to Japan.   49   his arrival in that country in 1950, the label “made in Japan” was synonymous with inferior(劣等的) quality. Now the same “made in Japan” label is synonymous(等同) with   50   quality.

So what did Dr. Deming teach the Japanese that made such a  51   to the quality of their products? The answer is quite simple, yet profound.   52   on years of statistical analysis, Deming was able to validate(证明) that 94 % of all failures are not because people don’t want to do a good job. The fact is that   53   people want to do a good job.

What, then, is the   54   if it’s not the people?

It’s the system. The system failed in 94% of the    55   , not the people.

36. A. relaxed          B. puzzled            C. concerned          D. tired

37. A. try              B. decide             C. promise            D. expect

38. A. agrees        B. admits                C. accepts            D. adopts

39. A. wonders        B. doubts             C. replies             D. requests

40. A. carelessly         B. quickly            C. angrily            D. suddenly

41. A. should          B. could              C. might             D. would

42. A. slow           B. rushed              C. uncertain           D. satisfied

43. A. understanding B. presentation       C. description          D. analysis

44. A. forgetfulness B. unwillingness      C. failure             D. fault

45. A. Either        B. Neither              C. Both                D. Whether

46. A. Glaring        B. Staring            C. Glancing           D. Looking

47. A. left              B. found             C. received           D. completed

48. A. bringing        B. turning            C. fetching            D. leading

49. A. Until          B. After              C. Before             D. Since

50. A. different     B. poor            C. best               D. high

51. A. difference    B. destruction       C. decoration        D. distinction

52. A. Based        B. Relied                 C. Focused            D. Counted

53. A. few            B. fewer             C. more              D. most

54. A. reason       B. cause                 C. effect              D. result

55. A. incidents     B. accidents              C. cases               D. actions