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Section BDirections: In this section, you will hear 3 short passages. At the end of each p

Section B

Directions: In this section, you will hear 3 short passages. At the end of each passage, you will hear some questions. Both the passage and the questions will be spoken only once. After you hear a question, you must choose the best answer from the four choices marked A, B, C and D.

听力原文: Darwin was a great scientist. He studied living things in the world.

He said, "There are thousands of living things. But in the past, the number was smaller. In the far past, a still smaller number. In the beginning perhaps only one."

Darwin waited a long time before he put these things in to a book. He always tried to add more and more facts: he wanted his ideas about evolution to be right.

It took him many years to write the book. On the first day, people bought every copy. The men of the churches fought against Darwin's ideas. His story of the world was different from theirs. So either Darwin or the men of the churches must be wrong. But the churches did not bring any new frets, or better ideas. They only brought angry words.

Later, Darwin wrote a book about the evolution of man. He said that man is also a kind of animal. And again, Dar win did not just write down his own ideas. He filled his book with facts. We know now that he was right. There have been men for more than a million years. We have found some of their bones. Bones have told us a lot about the evolution of living things.

Like any other animals, man slowly changed through time. But we cannot find the bones of man from a few mil lion years ago. There were not any men at that time. The world's animals were different then.

But the bones can take us backwards through time into the past. And they can help us with our study of the evolution of life.

(27)

A.Nothing but conjecture.

B.Studying hard.

C.Facts,

D.Wisdom.

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第1题

患者女性,38岁。双眼视物易疲劳,眼胀半年就诊。眼部检查:右眼视力0.3,-3.25D矫正1.0;左眼视力0.3,-
3.75D矫正1.0。眼压:右眼29.3mmHg(1mmHg=0.133kPa),左眼30.1mmHg。双眼角膜清,前房角开放;瞳孔直径3mm,对光反应正常;眼底检查:右眼C/D=0.3,左眼C/D=0.4。双眼视野检查正常。患者最可能的诊断是()A、双眼高眼压症

B、右眼高眼压症

C、左眼开角型青光眼

D、双眼开角型青光眼

E、双眼屈光不正

F、双眼视疲劳

对患者的进一步检查和治疗包括()A、检查角膜中央厚度,对眼压进一步评估

B、进行眼底立体照相

C、检查视网膜神经纤维层厚度

D、一年后复查

E、激光治疗

F、药物治疗

若给予患者药物治疗,常规选择药物是()A、胆碱能药物

B、高渗剂

C、非选择性肾上腺素能激动剂

D、碳酸苷酶抑制剂

E、前列腺素衍生物

F、β受体阻滞剂

[提示]患者眼部复查:右眼视力0.3,-3.50D矫正1.0;左眼视力0.25,-4.50D矫正1.0。眼压:右眼28.7mmHg,左眼32.3mmHg。双眼角膜清,前房角开放;瞳孔直径3mm,对光反应正常;眼底检查:右眼C/D=0.3,左眼C/D=0.5。右眼视野检查正常,左眼视野上方出现旁中心暗点。 目前患者的诊断是()A、双眼高眼压症

B、右眼高眼压症

C、左眼开角型青光眼

D、双眼开角型青光眼

E、双眼屈光不正

F、双眼视疲劳

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第2题

患者,女性,65岁,与邻居吵架后出现左眼痛、头痛,视力减退,伴恶心、呕吐。检查左眼视力眼前手动,结膜混合性充血,角膜上皮水肿,角膜后色素沉着,前房极浅,瞳孔中度大,眼后节看不清,眼压65mmHg。假设患者右眼从未有过酸胀、虹视,则左眼首选的治疗是()

A.小梁切除术

B. 虹膜周边切除术

C. β肾上腺素受体阻滞剂

D. 缩瞳剂

E. 随访观察

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第3题

假设患者右眼从未有过酸胀、虹视,则左眼首选的治疗是()

A.小梁切除术

B. 虹膜周边切除术

C. β肾上腺素受体阻滞剂

D. 缩瞳剂

E. 随访观察

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第4题

患者,女性,65岁,与邻居吵架后出现左眼痛、头痛,视力减退,伴恶心、呕吐。检查左眼视力眼前手动,结膜混合性充血,角膜上皮水肿,角膜后色素沉着,前房极浅,瞳孔中度大,眼后节看不清,眼压65mmHg。假设患者右眼从未有过酸胀、虹视,则左眼首选的治疗是()

A.小梁切除术

B.虹膜周边切除术

C.肾上腺素受体阻滞剂

D.缩瞳剂

E.随访观察

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第5题

患者男性,45岁,双眼胀。检查;双眼视力1.0,双眼角膜透明,瞳孔对光反应好,周边前房1个角膜厚度,视乳头杯盘比右眼0. 6,左眼0.4,眼压右眼35mmHg、左眼28mmHg。左眼曾患虹膜睫状体炎.下列哪项治疗是不合适的

A.卡替洛尔(美开朗)

B.噻吗洛尔(噻吗心安)

C.肾上腺素

D.甘露醇

E.左布诺洛尔(贝他根)

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