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病人男性,30岁。主诉昨晚与朋友喝完酒回家休息3h后,发现双下肢无力,很快上肢乃至全身无力,当时意识清楚,大小便不受影响。7h后躯体、上肢逐渐恢复正常,下肢也明显好转,10h后全部恢复正常;2周前曾发生相同症状1次。急诊化验血钾为2.5mmol/L。
该病人可能的诊断是

A. 急性感染性多发性神经根炎
B. 重症肌无力
C. 脑出血
D. 周期性瘫痪
E. 脑梗死

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Under no______whatsoever will I support Mr. Baldwin.

A. circumstances
B. surroundings
C. settings
D. environments

病人,男性,65岁,既往体健。近1年来经常出现头晕、单肢无力并有麻木感,一般持续10~20min后症状完全消失,未予重视。今日午睡醒来突然发现右侧肢体无力,不能说话,但意识清楚。家人迅速将其送至医院。
分析病史,考虑对病人此次发病最有提示意义的危险因素是

A. 年龄、性别
B. 高脂血症
C. 短暂性脑缺血发作
D. 高血压
E. 糖尿病

张先生,48岁,患糖尿病10年,每日早餐前1h皮下注射精蛋白锌胰岛素。护士应估计到该病人易发生低血糖的时间是

A. 晨间
B. 中餐前
C. 晚间
D. 临睡前
E. 夜间

Carmen Arace Middle School is situated in the pastoral town of Bloomfield, Connecticut, but four years ago it faced many of the same challenges as inner-city schools in nearby cities: low scores on standardized tests, dropping enrollment and high rates of detention. Then the schools principal, Delores Bolton, persuaded her board to buy a laptop computer for each student and teacher to use, in school and at home. The board also provided wireless Internet access at school. Total cost: $ 2. 5 million. Now, an hour before classes start, every seat in the library is taken by students eager to get online. After school, students on buses pull laptops from backpacks to get started on homework. Since the computers arrived, enrollment is up 20%. Disciplinary suspensions are down 80%. Scores on state achievement tests are up 35%. Bolton, who is black, is proud to run "a school with 90% black enrollment that is on the cutting edge. " School systems in rural Maine and New York City are eager to follow Arace Middle Schools example. Governor Angus King has proposed using $ 50 million from an unexpected budget surplus to buy a laptop for all of Maines 17 000 seventh-graders—and for new seventh-graders each fall. The plan, scaled back to $ 30 million in a compromise with the legislature, will be voted on soon. The New York City board of education voted unanimously on April 12, 2000, to create a school Internet portal, which would make money by selling ads and licensing e-commerce sites. The portal will also provide e-mail service for the citys 1. 1 million public school students. Profits will be used to buy laptops for each of the school systems 87 000 fourth-graders. Within nine years, all students in grades 4 and higher will have their own computers. Back in Bloomfield, the school board is seeking federal grant money to expand its laptop program to high school students. In the meantime, most of the kinks have been worked out. Some students were using their computers to goof off or visit unauthorized websites. But teachers have the ability to track where students have been on the Web and to restrict them. "That is the worst...when they disable you," says eighth-grade honors student Jamie Bas-sell. "You go through laptop withdrawal. " The habit is rubbing off on parents. "I taught my mom to use e-mail," says another eighth-grader. "And now shes taking computer classes, Im so proud of her!"
Which of the following is not mentioned as one of the challenges the inner-city schools faced years ago?

A. There were not enough computers for both teachers and students to use.
B. The students could not obtain high scores on standardized exams.
C. Many students could not continue their study in the following grades.
D. Fewer and Fewer children would register to start schools.

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