女性,50岁。乏力,活动后气急2年,近1月来出现腹部胀大伴下肢水肿入院。以往有乙型肝炎,体检:巩膜黄染,心界向两侧扩大,心尖搏动及第一心音减弱,心尖区有Ⅲ级收缩期杂音,两肺底少量湿性啰音。腹水明显,肝脾无法扪清,下肢水肿。血压120/70mmHg。肝功测定结果:TB20μmol/L,CB8μmol/L,ALT40U。心电图V1~V5呈rS。入院后给予西地兰及速尿、静滴硝酸甘油,呼吸困难好转。10天后随访心电图示高度房室传导阻滞,心室率60次/分,频发多源性室性早搏,血钾4.5mmol/L,此时考虑()
A. 洋地黄中毒
B. 心衰合并室性早搏
C. 电解质紊乱
D. 心衰加重
E. 洋地黄用量不足
F. 速尿过量
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《气象探测环境和设施保护办法》第九条规定所称源体,是指省级气象主管机构确定的对气象探测资料的()有影响的大型锅炉、废水、废气、垃圾场等干扰源或者其他源体。
A. 代表性
B. 准确性
C. 比较性
D. 连续性
Your network contains an Active Directory forest named contoso.com. You plan to deploy a new child domain named branch.contoso.com. The child domain will contain two domain controllers. Both domain controllers will have the DNS Server server role installed.All users and computers in the branch office will be members of the branch.contoso.com domain.You need to plan the DNS infrastructure for the child domain to meet the following requirements: èEnsure resources in the root domain are accessible by fully qualified domain names. èEnsure resources in the child domain are accessible by fully qualified domain names. èProvide name resolution services in the event that a single server fails for a prolonged period of time. èAutomatically recognize when new DNS servers are added to or removed from the contoso.com domain. What should you include in your plan?()
A. On both domain controllers, add a conditional forwarder for contoso.com and create a standard primary zone for branch.contoso.com.
B. On both domain controllers, modify the root hints to include the domain controllers for contoso.com. On one domain controller, create an Active Directory-integrated zone for branch.contoso.com.
C. On one domain controller create an Active Directory-integrated zone for branch.contoso.com and create an Active Directory-integrated stub zone for contoso.com.
D. On one domain controller, create a standard primary zone for contoso.com. On the other domain controller, create a standard secondary zone for contoso.com.
女性,45岁。两侧颈部淋巴结无痛性肿大1个月,发热3天入院。患者1个月前无意中发现两侧颈部淋巴结肿大,无痛,未进行任何治疗。3天前无明显诱因出现发热,T37.8~38.8℃。发病以来,饮食和睡眠尚好,无咳嗽及胸腹疼痛。既往体健,无药物过敏史。无遗传性疾病家族史。查体:T38.5℃,P88次/分,R18次/分,BP110/70mmHg。两侧颈部各触及2个肿大淋巴结,最大者为2.5×1.5cm,左腹股沟可触及1个1.5×1.0cm大小淋巴结,均活动,无压痛。巩膜无黄染。心肺检查未见异常,肝肋下0.5cm,脾肋下1cm。双下肢无水肿。辅助检查:外周血Hb115g/L,WBC8.2×10/L,Plt149×10/L。尿常规、粪常规均未见异常。颈部淋巴结活检病理见弥漫性小-中等大小细胞浸润,细胞免疫表型:CD5(+),CD20(+),CyclinDl(+)。染色体易位为t(11;14)。要求:根据以上病历摘要,请写出初步诊断、诊断依据(如有两个以上诊断,应分别写出各自诊断依据,未分别写出扣分)、鉴别诊断、进一步检查与治疗原则。
三乐说:“我想吃肉。” “三乐想吃肉,”许三观说,“我就给三乐做一个红烧肉。肉,有肥有瘦,红烧肉的话,最好是肥瘦各一半,而且还要带上肉皮,我先把肉切成一片一片,有手指那么粗,半个手掌那么大,我给三乐切三片……” 三乐说:“爹,给我切四片肉。” “我给三乐切四片肉……” 三乐又说:“爹,给我切五片肉。” 许三观说:“你最多只能吃四片…… …… …… 二乐说:“我也要吃红烧肉,我要吃五片。” “好,我现在给二乐切上五片肉,肥瘦各一半,放到水里煮一煮,煮熟了拿出来晾干,再放到……” 二乐说:“爹,一乐和三乐在吞口水。” “一乐,”许三观训斥道。“还没轮到你吞口水。” …… …… “一乐想吃什么?” 一乐说:“红烧肉。” 许三观有点儿不高兴了,他说: “三个小崽子都吃红烧肉,为什么不早说?早说的话,我就一起给你们做了……我给一乐切了五片肉……” ———《许三观卖血记》 分析以上段落的叙事手法。