解放军文职招聘考试2014年6月英语四级真题(第三套)听力文本-解放军文职人员招聘-军队文职考试-红师教育
发布时间:2017-06-18 18:54:362014年6月英语四级真题(第三套)听力文本Section A1.A) He has proved to be a better reader than the woman.B) He has difficulty understanding the book.C) He cannot get access to the assigned book.D) He cannot finish his assignment before the deadline.A) She will drive the man to the supermarket.B) The man should buy a car of his own.C) The man needn t go shopping every week.D) She can pick the man up at the grocery store.A) Get more food and drinks.B) Ask his friend to come over.C) Tidy up the place.D) Hold a party.A) The talks can be held any day except this Friday.B) He could change his schedule to meet John Smith.C) The first-round talks should start as soon as possible.D)The woman should contact John Smith first.A) He understands the woman s feelings.B) He has gone through a similar experience.C) The woman should have gone on the field trip.D) The teacher is just following the regulations.A) She will meet the man halfway.B) She is sorry the man will not come.C) She will ask David to talk less.D) She has to invite David to the party.A) Few students understand Prof. Johnson s lectures.B) Few students meet Prof. Johnson s requirements.C) Many students find Prof. Johnson s lectures boring.D) Many students have dropped Prof. Johnson s class.A) Check their computer files.B) Make some computations.C) Study a computer program.D) Assemble a computer.Questions 9 to 12 are based on the conversation you have just heard.A) It allows him to make a lot of friends.B) It requires him to work long hours.C) It enables him to apply theory to practice.D) It helps him understand people better.A) It is intellectually challenging.B) It requires him to do washing-up all the time.C) It exposes him to oily smoke all day long.D) It demands physical endurance and patience.A) In a hospital.B) At a coffee shop.C) At a laundryD) In a hotelA) Getting along well with colleagues.B) Paying attention to every detail.C) Planning everything in advance.D) Knowing the needs of customers.Questions 13 to 15 are based on the conversation you have just heard.A) The pocket money British children get.B) The annual inflation rate in Britain.C) The things British children spend money on.D) The rising cost of raising a child in Britain.A) It enables children to live better.B) It goes down during economic recession.C) It often rises higher than inflation.D) It has gone up 25% in the past decade.A) Save up for their future education.B) Pay for small personal things.C) Buy their own shoes and socks.D) Make donations when necessary.Section BPassage oneQuestions 16 to 19 are based on the passage you have just heard.A) District managers.B) Regular customers.C) Sales directors.D) Senior clerks.A)The support provided by the regular clients.B)The initiative shown by the sales representatives.C)The urgency of implementing the company^ plans.D)The important part played by district managers.A) Some of them were political-minded.B) Fifty percent of them were female.C) One third of them were senior managers.D) Most of them were rather conservative.A) He used too many quotations.B) He was not gender sensitive.C) He did not keep to the point.D) He spent too much time on details.Passage TwoQuestions 20 to 25 are based on the passage you have just heard.A) State your problem to the head waiterB) Demand a discount on the dishes ordered.C) Ask to see the manager politely but firmly.D) Ask the name of the person waiting on you.A) Your problem may not be understood correctly.B) You don t know if you are complaining at the right time.C)Your complaint may not reach the person in charge.D)You can t tell how the person on the line is reacting.A) Demand a prompt response.B) Provide all the details.C) Send it by express mail.D) Stick to the point.A) Fashion designer.B) Architect.C) City planner.D) Engineer.A) Do some volunteer work.B) Get a well-paid part-time job.C) Work flexible hours.D) Go back to her previous post.A) Few baby-sitters can be considered trustworthy.B) It will add to family s financial burden.C) A baby-sitter is no replacement for a mother.D) The children won t get along with a baby-sitter.Section CAlmost every child, on the first day he sets foot in a school building, is smarter, more 26 , less afraid of what he doesn t know, better at finding and 27 ,more confident, resourceful (机敏的), persistent and 28 than he will ever be again in his schooling-or, unless he is very unusual and very lucky, for the rest of his life. Already, by paying close attention to and 29 the world and people around him, and without any school-type formal instruction, he has done a task far more difficult, complicated and 30 than anything he will be asked to do in school, or than any of his teachers has done for years. He has solved the 31 of language. He has discovered it-babies don t even know that language exists-and he has found out how it works and learnt to use it32 . He hasdone it by exploring, by experimenting, by developing his own model of the grammar of language, by33 and seeing whether it works by gradually changing it and 34 it until it does work. And while he has been doing this, he has been learning other things as well, including many of the 35 that the schools think only they can teach him, and many that are more complicated than the ones they do try to teach him.Section ADirections: In this section, you will hear 8short conversations and 2 long conversations. At the end of each conversation, oneor more questions will be asked about what was said. Both the conversation andthe questions will be spoken only once. After each question there will be apause. During the pause, you must read the four choices marked A), B), C), andD), and decide which is the best answer. Then mark the corresponding letter onAnswer Sheet 1 with a single line through the centre.Now let s begin with the eight shortconversations.W: Just imagine! We have to finish reading 300 pages before Monday! How can the professor expect us todo it in such a short time?M: Yeah, but what troubles me is that I can t find the book in the library or in the university bookstore.Q:What does the man mean?M:Do you think I could borrow your car to go grocery shopping? The supermarkets outside the city are somuch cheaper. I d also be happy to pick up anything you need.W:Well, I don t like to let anyone else drive my car. Tell you what, why don t we go together?Q:What does the woman mean?M: Forgive the mess in here. We had a party last night. Here were a lot of people and they all brought food. W: Yeah,I can tell. Well, I guess it s pretty obvious what you ll be doing most of today.Q: What does the woman think the man will do?W:What time would suit you for the first-round talks with John Smith?M:Well, you know my schedule. Other than this Friday, one day is as good as the nextQ:What does the man mean?W:I was so angry yesterday! My biology teacher did not even let me explain why I missed the field trip. Hejust wouldn t let me pass!M:That doesn t seem fair,I d feel that way too if I were you.Q:What does the man imply?M: I really can t stand the way David controls the conversation all the time. If he is going to be at your Christmas party, I just won t come.W: I m sorry you feel that way, but my mother insists that he come.Q: What does the woman imply?W: You re taking a course with Prof. Johnson. What s your impression so far?M: Well, many students could hardly stay awake in his class without first drinking a cup of coffee.Q: What does the man imply?W: Have you ever put a computer together before?M: No, never. But I think if we follow these instructions exactly, we won t have much trouble.Q: What are the speakers going to do?Now you ll hear the two long conversations.Conversation OneW : What sort of hours do you work, Steve?M: (9) Weil, I have to work very long hours, about eleven hours a day.W: What time do you start?M: I work 9 to3, then I start again at5:30 and work until 11,six days a week. So I have to work very unsocial hours.W : And do you have to work at the weekend?M: Oh, yes. That s our busiest time. I get Wednesdays off.W : What are the things you have to do and the things you don t have to do?M: Uh, I don t have to do the washing-up, so that s good. I have to wear white, and I have to keep everything in the kitchen totally clean.W: (10) What s hard about the job?M: (10) You are standing up all the time. When we are busy, people get angry and sharp, but that s normal.W: How did you learn the profession?M: Well, I did a two-year course at college. In the first year we had to learn the basics, and then we had totake exams.W: Was it easy to find a job?M: (11) I wrote to about six hotels and one of them gave me my first job, so I didn t have to wait too long. W:(12) And what s the secret of being good at your job?M: (12) Attention to detail. You have to love it You have to show passion for it W: And what are your plans for the future?M: I want to have my own place when the time is right.9.What does the man say about his job?10.What does the man think is the hardest part of his job?11.Where did the man get his first job after graduation?12.What does the man say is important to being good at his job?Conversation TwoW: (13) Now you ve seen this table of figures about the pocket money children in Britain get?M: Yes. I thought it was quite interesting, but I don t quite understand the column entitled Change. Can you explain what it means?W: Well, I think it means the change from the year before. I am not a mathematician, but I assume the rise from 70p to 90p is a rise of 25 percent.M: Oh, yes, I see. And the inflation rate is there for comparison.W: Yes. (14) Why do you think the rise in pocket money is often higher than inflation?M: I am sorry I ve no idea. Perhaps parents in Britain are too generous.W: Perhaps they are. But it looks as if children were a lot better off in 2001 than they were in 2002. That s strange, isn t it? And they seem to have been better off in 2003 than they are now. I wonder why that is.M: Yes, I don t understand that at all.W: Anyway, if you had children, how much pocket money would you give them?M: I don t know. I think HI probably give them two pounds a week.W: Would you? And what would you expect them to do with it?M: (15) Well, out of that they have to buy some small personal things, but I wouldn t expect them to save to buy their own socks, for example.W: Yes. By the way, do most children in your country get pocket money?M: Yeah, they do.Questions 13 to 15 are based on the conversation you have just heard.13.What is the table of figures about?14.What do we learn from the conversation about British children s pocket money?15.Supposing the man had children, what would lie expect them to do with their pocket money?Section BDirections: In this section, you will hear3 short passages. At the end of each passage, you will hear some questions. Boththe passage and the questions will be spoken only once. After you hear aquestion, you must choose the best answer from the four choices marked A), B),C), and D).Then mark the corresponding letter on Answer Sheet 1with a singleline through the centre.Passage One(16) As the new sales director for a national computer firm,Alex Gordon was looking forward to his first meeting with the company s district managers. Everyone arrived on time, and Alex s presentation went extremely well. (17) He decided to end the meeting with the conversation about the importance of the district managers to the company s plans. I believe we are going to continue to increase our share of the market, he began, because of the quality of the people in this room. The district manager is the key to the success of the sales representatives in his district. He sets the term for everyone else. If he has ambitious goals and is willing to put in long hours, everyone in his unit will follow his example. (19) When Alex has finished, he received polite applause, but hardly the warm response he had hoped for. Later he spoke with one of the senior manager. Things were going so well until the end ,Alex said disappointedly. Obviously, I said the wrong thing. Yes, the district manager replied. (18) Half of our managers are women. Most have worked their way up from sales representatives, and they are very proud of the role they played in the company s growth. (19) They don t care at all about political correctness. But they were definitely surprised and distressed to be referred to as he in your speech.16.Who did Alex Gordon speak to at the first meeting?17.What did Alex want to emphasize at the end of his presentation?18.What do we learn about the audience at the meeting?19.Why did Alex fail to receive the warm response he had hoped for?Passage TwoThe way to complain is to act business-like and important. (20) If your complaint is immediate, suppose you got the wrong order at a restaurant, make a polite but firm request to see the manager. When the manager comes, ask his or her name. And then state your problem and what you expect to have done about it. Be polite! Shouting or acting rude will get you nowhere. But also be firm in making your complaint. Besides, act important. This doesn t mean to put on airs and say do you know who I am? What it means is that people are often treated the way they expect to be treated. If you act like someone who expects a fair request to be granted, chances are it will be granted. (21) The worst way to complain is over the telephone- You are speaking to a voice coming from someone you cannot see. So you can t tell how the person on the line is reacting. It is easy for that person to give you the run-around. Complaining in person or by letter is generally more effective. If your complaint does not require an immediateresponse, it often helps to complain by letter. If youhave an appliance that doesn t work, send a letter to the store that sold it. (22) Be business-like and stick to the point. Don t spend a paragraph on how your uncle John tried to fix the problem and couldn t.20.What does the speaker suggest you do when you are not served properly at a restaurant?21.Why does the speaker say the worst way to complain is over the telephone?22.What should you do if you make a complaint by letter?Passage ThreeBarbara Sanders is a wife and the mother of two children, ages 2 and 4. Her husband, Tom, is an engineer and makes an excellent salary. (23) Before Barbara had children, she worked as an architect for the government, designing government housing. She quit her job when she became pregnant, but is now interested in re-turning to work. She s been offered an excellent job with the government her husband feels it s unnecessary for her to work since the family does not need the added income. He also thinks that a woman should stay home with her children. (24) If Barbara feels the need to do socially important work, he thinks that she should do volunteer work one or two days a week. Barbara, on the other hand, has missed the excitement of her profession and does not fed she would be satisfied doing volunteer work. She would also like to have her own income, so she does not have to ask her husband for money whenever she wants to buy something. She does not think it s necessary to stay home every day with the childrenand she knows a very reliable baby-sitter who s willing to come to her house. (25) Tom does not think a baby-sitter can replace a mother and thinks it s a bad idea for the children to spend so much time with someone who s not part of the family.23.What was Barbara s profession before she had children?24.What does Barbara s husband suggest she do if she wants to work?25.What does Tom think about hiring a baby-sitter?Section CDirections: In this section, you will heara passage three times. When the passage is read for the first time, you shouldlisten carefully for its general idea. When the passage is read for the secondtime, you are required to fill in the blanks with the exact words you have justheard. Finally, when the passage is read for the third time, you should checkwhat you have written.Now listen to the passage.Almost every child, on the first day he sets foot in a school building, is smarter, more curious, less afraid of what he doesn t know, better at finding andfiguring things out ,more confident, resourceful (机敏的), persistent and independent than he will ever be again in his schooling-or, unless he is very unusual and very lucky, for the rest of his life. Already, by paying close attention to and interacting with the world and people around him, and without any school-type formal instruction, he has done a task far more difficult, complicated andabstract than anything he will be asked to do in school, or than any of his teachers has done for years. He has solved the mystery of language. He has discovered it-babies don t even know that language exists-and he has found out how it works and learnt to use it appropriate . He hasdone it by exploring, by experimenting, by developing his own model of the grammar of language, bytrying it out and seeing whether it works by gradually changing it andrefining it until it does work. And while he has been doing this, he has been learning other things as well, including many of theconcepts that the schools think only they can teach him, and many that are more complicated than the ones they do try to teach him.每天15分钟英语听力ID:shrj520小伙伴关注了之后,听力变成送分题▲微信扫描以上二维码Section AShort ConversationC)。未听先知四个选项都以he作主语,且出现了 reader, book, assignment等,故推测本题考查的内容与读书有关。详解对话中,女士说周一前必须读完300页的书,对教授要求在这么短的时间内完成表示不理解,但困扰他的问题是他在图书馆或学校书店根本找不到那本书。由此可知,男士找不到教授要求读的书,故答案为C)。A)。(未听先知:选项中提到了 supermarket,car, go shopping, store等,故推测本题与购物和汽车有关。详解:对话中,男士询问女士是否可以借她的车去购物,并乐意为女士购买她所需要的东西;女士表示不愿意把车借给别人,但是可以一起去。由此可知,女士将开车和男士一起去购物,故答案为A)C)。未听先知:选项中出现了 food, drinks, party等,故推测本题考查与聚会有关的内容。详解:对话中,男士首先说明这里乱七八糟的原因:昨晚有个聚会,人很多,而且都带了吃的。女士表示理解:说能猜出男士今天大部分时间都将在做什么了.即收拾这个地方,故答案为C)。A)。未听片先知:选项中出现了 talks, schedule, first-round talks等,故推测本题考杏的内容与谈判的时间安排有关。详解:对话中,女士询问男士与约翰o史密斯第一轮谈判的合适时间,男士说除了本周五,其他任何一天都可以,故答案为A)。A)。未听先知:项中出现了 field trip, teacher, regulations等,可推测本题是关于教师和学生的话题。详解:女士说她昨天很生气,因为生物老师不让她解释她没有参加校外实习的原因,而是直接不让她通过考试;男士说如果自己是女士,他也会有相同的感受。由此可知,男士很理解女士现在的心情,故答案为A)。D)。未听先知:每四个选项均以she作主语,其中出现了 come, invite, party等,由此可以推测本题考查的内容与聚会有关。详解:对话中,男士抱怨说自己实在无法忍受戴维主导谈话的方式,并说如果戴维参加女士的圣诞晚会,自己就不去了;女士感到遗憾,说是她母亲坚持请戧维来。言外之意是,女士不得不请戯维来参加圣诞晚会,故答案为D)。C) 未听先知:选项中出现了 Students, Prof. Johnson, lectures, boring等,并根据各选项意思,可以推测本题考查学生对约翰逊教授的课程的反应。详解:对话中,女士询问男士对约翰逊教授的课程的印象;男士回答说要是课前不先喝一杯咖啡的话,许多学生几乎无法保持淸醒。由此可知,约翰逊教授的课程比较枯燥,故答案为C)。未听先知:选项中出现了 computer files, computer program, assemble a computer 等,可以推测本题考查的内容与使用电脑或组装电脑有关。详解:对话中,女士问男士是否组装过电脑;男士说从来没有,不过完全按照说明来操作应该不会有太大问题。由此可知,两人谈论的话题是组装电脑,故答案为D)。Long Conversation One预览四道题各选项,其中出现了 work, colleagues, customers等,根据各选项意思,可以推测对话可能与某种工作相关。9. What does the man say about his job?详解:对话开头,女士问男士的工作时间,男士回答说工作时间很长,每天大约工作11个小时,故B)为答案。10. What does the man think is the hardest part of his job?详解:对话中,女士问男士工作中最难的是什么,男士回答说必须长时间站着,在客流髙峰期,顾客变得易怒且尖刻。由此可知,男士的工作不仅需要体力,还要有耐心,故D)为答案。11. Where did the man get his first job after graduation?详解:对话中,女士询问男士是否容易找到工作,男士说他写信给六家酒店,其中一家给了他第一份工作。由此可知,他的第一份工作是在酒店里,故D)为答案。12. What does the man say is important to being good at his job?详解:对话末尾部分,女士问男士做好这份工作的秘诀是什么,男士说要注意细节,故B)为答案。Long Conversation Two未听先知:预览三道题各选项,其中提到了 Pocket money, British children等,由此推测对话可能与英国儿童的零用钱相关。13. What is the table of figures about?A)。详解:对话开头部分,女士询问男士是否看到英国儿童零用钱的数据表格,由此可知,该表格内容与英国儿童的零用钱有关,故A)为答案。14. What do we learn from the conversation about British children s pocket money?C)详解:对话中,两人讨论了表格中的数据,女士问男士儿童零用钱的增长率要高于通货膨胀率的原因,故答案为C)。15. Supposing the man had children, what would lie expect them to do with their pocket money?B)详解:对话末尾部分,女士问男士希望孩子们用零用钱做什么,男士回答说希望他们买些小件的个人物品,故答案为B)。Section BPassage One预览四道题各选项,由选项中的managers,sales representatives等可以推測,短文可能与公司的管理及销售人员相关。16. Who did Alex Gordon speak to at the first meeting?A)详解:短文开头提到,一家全国性的电脑公司的新任销售总监艾里克斯o戈登期望着与区域经理的第一次会面。由此可知,艾里克斯o戈登讲话的对象是区域经理,故A)为答案。17. What did Alex want to emphasize at the end of his presentation?D)详解:短文中提到,艾里克斯o戈登决定最后以区域经理对公司规划的重要性来结束会议,故D)为答案。18. What do we learn about the audience at the meeting?B)详解:短文主要介绍了新任销售总监艾里克斯o戈登在区域经理会议上的讲话,所以会议的参加者是经理。其中,一位髙级经理提到,一半的区域经理是女性,故B)为答案。19. Why did Alex fail to receive the warm response he had hoped for?B)详解:-位髙级经理在解释艾里克斯的讲话没有得到预期的热烈回应的原因时说,-半的区域经理是显然对于在讲话中被称为 he 而感到惊讶和忧虑,即他对性别问题不够敏感,故B)为答案。Passage Two20. What does the speaker suggest you do when you are not served properly at a restaurant?21. Why does the speaker say the worst way to complain is over the telephone?22. What should you do if you make a complaint by letter?D)。详解:短文在最后部分提到如何写投诉信,指出投诉信要务实、切题,不要谈论无关的内容,故D)为答案。Passage Three预览三道题各选项,第23题涉及不同职业,第24题涉及具体的工作形式,第25题提到了 baby-sitter -词,由此推断短文可能是关于工作与照看孩子的问题。23. What was Barbara s profession before she had children?B)。详解:短文一开始提到,芭芭拉.桑德斯现在是两个孩子的母亲,在有孩子之前,她曾是政府部门的建筑设计师,设计政府大楼,故答案为B)。24. What does Barbara s husband suggest she do if she wants to work?A)。详解:短文中间部分提到,芭芭拉o桑德斯的丈夫不希望她重新工作,而是希望她照顾孩子,如果她想做有社会意义的工作,他建议她每周做一两天的志愿者工作,故答案为A)。25. What does Tom think about hiring a baby-sitter?C)。详解:短文末尾部分提到,芭芭拉o桑德斯想请一位靠得住的保姆照看孩子,汤姆认为,保姆无法取代母亲,孩子长时间与非家庭成员接触并非好事,故答案为C)。Section C26.curious。详解:此处应该填一个形容词与more共同构成比较级结构。curious意为 好奇的,求知的 。27.figuring things out。详解:此处应该填一个动名词短语,与finding构成并列结构。figure things out 意为 把事情弄明白 。28.independent。详解:此处应该填一个形容词,与前面的形容词confident,resourceful, persistent构成并列结构。independent意为 独立的,不受约束的 。29.interacting with。详解:此处应该填一个动名词短语,与paying dose attention to构成并列结构。interact with意为 交流,交往30.abstract。详解:此处应该填一个形容词,与difficult, complicated并列构成比较级结构。abstract意为 抽象的 。31.mystery。详解:由冠词the可知此处应该填一个名同D mystery意为 秘密,奥秘32.appropriately。详解:此处应该填入一个副同,修饰前面的use。Appropriately意为 适当地,合适地33.trying it out。详解:此处应该填一个动名词短语,作前面介词by的宾语,并与空格后面的seeing 并列。Trysth. out意为 试验,检验 。34.refining。详解:此处应该填一个动名词,与空格前面的changing并列。refine意为 改进,完善 。35.concepts。详解此处应该填一个名同的复数形式,被后面that引导的定语从句所修饰。concept意为 观念,想法 。
2016年11月军队文职人员招聘(药学)能力提高训练题及答案一-解放军文职人员招聘-军队文职考试-红师教育
发布时间:2017-09-24 17:28:201). 关于直肠给药栓剂的正确表述有A.对胃有刺激性的药物可直肠给药B.药物的吸收只有一条途径C.药物的吸收比口服干扰因素少D.既可以产生局部作用,也可以产生全身作用E.中空栓剂是以速释为目的的直肠吸收制剂正确答案:ACDE答案解析:本题考查栓剂的作用及其特点。直肠给药栓剂既可以产生局部作用,也可以产生全身作用;全身作用的栓剂吸收途径有两条,一条是通过直肠上静脉,经门静脉进入肝脏,进行代谢后再由肝脏进入大循环;另一条是通过直肠下静脉和肛门静脉,经髂内静脉绕过肝脏进入下腔大静脉,而进入大循环。用于全身治疗的栓剂与口服给药相比有以下特点:①药物不受胃肠pH或酶的破坏而失去活性;②对胃黏膜有刺激性的药物可用直肠给药,可免受刺激;③药物直肠吸收,不像口服药物受肝脏首过效应破坏;④直肠吸收比口服干扰因素少;⑤栓剂的作用时间比一般口服片剂长;⑥对不能或者不愿吞服片、丸及胶囊的患者,尤其是婴儿和儿童可用此法给药;⑦对伴有呕吐的患者的治疗为一有效途径。中空栓剂是近年来出现的以速释为目的直肠吸收制剂。故本题答案应选ACDE。2). 关于经皮吸收制剂的特点,叙述错误的是A.药物的剂量不受限制B.药物由皮肤吸收进入全身血液循环并达到有效血药浓度C.避免了口服给药可能发生的肝首过效应及胃肠灭活D.维持恒定的血药浓度,减少用药次数E.患者可自行用药,并随时终止正确答案:A
2016年军队文职人员招聘考试(护理学)能力提高训练题及答案二-解放军文职人员招聘-军队文职考试-红师教育
2016年军队文职人员招聘考试(护理学)能力提高训练题及答案二发布时间:2017-08-27 13:35:021). 急性乳腺炎的主要病因是A.乳头破损B.乳头内陷C.乳汁淤积D.不良卫生习惯E.乳管堵塞正确答案:C答案解析:乳汁淤积是急性乳腺炎的主要病因,淤积的乳汁为侵入乳管的细菌提供良好的培养基,细菌能够大量繁殖,使乳腺发生炎症。2). 阑尾周围脓肿的病人作阑尾切除的最佳时间是A.立即手术切除B.症状消退两周后手术切除C.症状消退3个月后手术切除D.数年后手术切除E.无需手术切除正确答案:C答案解析:阑尾周围脓肿先应用抗生素控制症状,一般症状消退3个月后再行手术切除阑尾,此时手术不容易引起切口感染。
2016年军队文职人员招聘考试(护理学)能力提高训练题及答案一-解放军文职人员招聘-军队文职考试-红师教育
2016年军队文职人员招聘考试(护理学)能力提高训练题及答案一发布时间:2017-08-27 13:34:391). 女性,8岁,阵发性剑突下钻顶样痛半天,伴恶心、呕吐,既往有类似发作史。查体:体温为37.5℃,剑突下深压痛,无腹肌紧张。拟诊为A.肝内胆管结石B.胆道蛔虫症C.胆总管结石D.急性胆管炎E.胆囊结石正确答案:B答案解析:病人为8岁女童,不考虑胆道系统结石,出现阵发性剑突下钻顶样痛半天,伴恶心、呕吐,体温37.5℃,剑突下深压痛,但无腹肌紧张,说明无腹部炎症,且以往有类似病史,因此首先考虑为胆道蛔虫症。2). 下列不属于社会因素对健康影响的是( )A.劳动条件B.大气污染C.经济状况D.文化背景E.人际关系正确答案:B