山东大学外科学(普外)2013年考博真题试卷
外科学博士试题集锦
去年在小木虫、百度文库、丁香园、爱爱医收集的博士入学考试外科学简答题，是好几个学校在一块的，北医、上交、协和、山大,301，华科的，受益颇大，当时下载也花了不少心血，总结费了不少时间，分享给大家，一份耕耘，一份收获，但愿好运常相随！！！考博问答题整理无菌术1.什么是无菌术？无菌术的内容包括那些？无菌术是针对微生物及感染途径所采取的一系列预防措施。
无菌术的内容包括灭菌、消毒法、操作规则及管理制度。
2.无菌术、灭菌？所谓灭菌就是杀灭一切活的微生物。
而消毒是指杀灭病原微生物和其他活动有害微生物，但不要求奢靡额和清除所有微生物3.常用的灭菌消毒法有：(1)高压蒸汽法。
(2)煮沸法。
(3)火烧法。
(4)药液浸泡法。
(5)甲醛蒸汽熏蒸法。
4.手术过程中的无菌原则(1)手术人员穿无菌手术衣和戴无菌手套之后，手不能接触背部、腰部以下和肩部以上部位，这些区域属于有菌地带；同样，也不要接触手术台边缘以下的布单。
(2)不可在手术人员的背后传递手术器械及用品。
坠落到无菌巾或手术台边以外的器械物品，不准拾回再用。
(3)手术中如手套破损或接触到有菌地方，应更换无菌手套。
如前臂或肘部触碰有菌地方，应更换无菌手术衣或加套无菌袖套。
如无菌巾、布单等物已被湿透，其无菌隔离作用不再完整，应加盖干的无菌布单。
(4)在手术过程中，同侧手术人员如需调换位置，一人应先退后一步，背对背地转身到达另一位置，以防触及对方背部不洁区。
(5)手术开始前要清点器械、敷料，手术结束时，检查胸、腹等体腔，待核对器械、敷料数无误后，才能关闭切口，以免异物遗留腔内产生严重后果。
(6)切口边缘应以无菌大纱布垫或手术巾遮盖，并用巾钳或缝线固定，仅显露手术切口。
术前手术区粘贴无菌塑料薄膜可达到相同目的。
(7)做皮肤切口以及缝合皮肤之前，需再消毒皮肤一次。
(8)切开空腔脏器前，要先用纱布垫保护周围组织，以防止或减少污染。
(9)参观手术的人员不可太靠近手术人员或站得太高，也不可经常在室内走动，以减少污染的机会。
2013年全国医学博士外语统一考试英语试题及详解【圣才出品】
2013年全国医学博士外语统一考试英语试题及详解试卷一（Paper One）Part I Listening Comprehension (30%)Section ADirections: In this section you will hear fifteen short conversations between two speakers. At the end of each conversation, you will hear a question aboutwhat is said. The question will be read only once. After you hear thequestion, read the four choices marked A, B, C and D. Choose the bestanswer and mark the letter of your choice on the ANSWER SHEET. Listen to the following example.You will hear:Woman: I feel faint.Man: No wonder. You haven’t had a bite all day.Question: What’s the matter with the woman?You will read:A. She is sick.B. She was bitten by an ant.C. She is hungry.D. She spilled her paint.Now let’s begin with question Number 1.1. A. A cough.B. Diarrhea.C. A fever.D. Vomiting.【答案】B【解析】录音中女士说“He has a chesty cough all the time”，“His temperature is high”，“He just brings up (呕吐) bile (胆汁)”，由此可知，这个小男孩生病的症状有咳嗽，发烧和呕吐，并没有腹泻（diarrhea），故答案为B项。
2013年山东大学考博英语真题
2013年山东大学博士研究生入学考试英语真题Part I Grammar and Vocabulary1. The discussion was so prolonged and exhausting that the speakers stopped for deferments.A. at largeB. at intervalsC. at easeD. at random2. When traveling, you are advised to take travelers’checks, which provide a secure to carrying your money in cash.A. substituteB. selectionC. inferenceD. alternative3. I never trusted him because I always thought of him as such a character.A. graciousB. suspiciousC. uniqueD. particular4. Changing from solid to liquid, water takes in heat from all substances near it, and this produces artificial cold surrounding it.A. absorptionB. transitionC. consumptionD. interaction5. Language, culture, and personality may be considered of each other in thought, but they are inseparable in fact.A. IndistinctlyB. separatelyC. irrelevantlyD. independently6. Christmas is a Christian holy day usually celebrated on December 25th the birth of Jesus Christ.A. in accordance withB. in terms ofC. in favor ofD. in honor of7. To survive in the intense trade competition between countries, we must the qualities and varieties of products we make to the world market demand.A. improveB. enhanceC. guaranteeD. gear8. To give you a general idea of our products, we enclose the catalogues showing various products handled by us with detailed and means of packing.A. specimensB. inspectionsC. samplesD. specifications9. Many of the conditions that population pressures --- overcrowding, unemployment, poverty, hunger and illness --- lead to dissatisfaction.A. bring forwardB. give rise toC. feed up withD. result from10. Arriving anywhere with these possessions, he might just as easily for a month or a year as for a single day.A. put upB. stay upC. speed upD. make up11. The fact that the earth’s surface heats provides a convenient way to divide it into temperature region.A. infrequentlyB. irregularlyC. unsteadilyD. uneverny12. If a cat comes too close to its nest, the mockingbird a set of actions to protect its offspring.A. hastensB. releasesC. devisesD. initiates13. How large a proportion of the sales of stores in or near resort areas can be to tourist spending?A. attributedB. appliedC. contributedD. attached14. Knowledge is a comfortable and necessary retreat and for us in an advanced age; and if we do not plant it while young, it will give us no shade when we grow old.A. ingredientB. relianceC. shelterD. inclination15. Some people would like to do shopping on Sundays since they expect to wonderful bargains in the market.A. pick upB. bump intoC. pile upD. bring back16. Scientists are searching for the oldest tree because it can teach them a great deal about many issues related with climate change.A. livelyB. aliveC. livingD. live17. The destruction of the Twin Towers in New York City shock and anger throughout the world.A. temptedB. provokedC. summonedD. enveloped18. A 1994 World Bank report concluded that girls in school was probably the single most effective anti-poverty policy in the developing world today.A. enrollingB. assigningC. involvingD. consenting19. The UN official said aid programs will be until there is adequate protection for relief personnel.A. multipliedB. arrestedC. spannedD. suspended20. Despite almost universal of the vital importance of women’s literacy, education remains a dream for many women in far too many countries of the world.A. confessionB. identificationC. acknowledgementD. compliment21. Since the island soil has been barren for so many years, the natives must now much of their food.A. deliverB. importC. produceD. develop22. Because Jenkins neither nor defends either management or the striking workers, both aides admire his journalisticA. criticizes...acumenB. attacks…neutralityC. confronts…aptitudeD. dismisses…flair23. Some anthropologists claim that a few aps have been taught a rudimentary sign languages, but skeptics argue that the apes are only their trainers.A. imitatingB. condoningC. instructingD. acknowledging24. It is ironic that the insights of the great thinkers are voiced so often that they have become mereA. oriinal… clichesB. banal… beliefsC. dubious… habitsD. philosophical-questions25. The most frustrating periods of any diet are the inevitable , when weight loss if not stops.A. moods… acceleratesB. feasts… haltsC. holidays… contractsD. plateaus… slows26. Since the author’s unflattering references to her friends were so , she was surprised that her were recognized.A. laudatory… stylesB. obvious… anecdotesC. oblique… allusionsD. critical… eulogies27. If it is true that morality cannot exist without religion, then does not the erosion of religion herald the of moraliy?A, regulation B. basis C. belief D. collapse28. Certain animal behaviors, such as mating rituals, seem to be , and therefore external factors such as climate changes, food supply, or the presence of other animals of the same species.A. learned… immune toB. innate… unaffected byC. intricate… belong toD. specific… confused with29. Shaken by two decades of virtual anarchy, the majority of people were ready to buy at any price.A. orderB. emancipationC. hopeD. liberty30. As a person who combines care with , Marisa completed her duties with as well as zeal.A. levity… resignationB. enthusiasm… meticulousnessC. vitality… willingnessD. empathy… rigorPartⅡCloseThe study of genetics has given rise to a profitable new industry called biotechnology. As the name __31__ , it combines biology and modern technology through such __32__ as genetic engineering. Some of the new biotech companies, as they are called, __33__ in agriculture and are working enthusiastically to patent (取得专利) seeds that give a high yield (产量), that __34__ disease, drought and frost, and that reduce the need for dangerous chemicals. __35__ such goals could be achieved, it would be most beneficial. But some have raised __36__ about genetically engineered crops."In nature, genetic diversity (多样性) is created within certain limits," says the book Genetic Engineering, Food and Our Environment. "A rose can be crossed(杂交) with a different kind of rose, but a lose will __37__ cross with a potato ..." Genetic engineering, on the other hand, usually involves taking genes from one species and inserting them into another in an attempt to __38__ a desired property or character. This could mean, __39__ , selecting a gene which leads to the production of a chemical with antifreeze properties from an arctic fish, and joining it into a potato or strawberry to make it frost-resistant. It is now possible for plants to be engineered with genes __40__ from bacteria, viruses, insects, animals or even humans. __41__ , then, biotechnology allows humans to break the genetic walls that __42__ species.Like the green revolution, (43)what some call the gene revolution (44)contributes to the problem of genetic uniformity (千篇一律) –some say even more so (45)because geneticists can employ techniques such (46)as cloning and organ culture, processes that produce perfectly (47)identical copies, or clones. Concerns about the biodiversity, therefore, remain. Genetically altered plants, however, raise new(48) issues, such as the effects that they may have on us and the environment. ―We are flying blindly into a new (49) of agricultural biotechnology with high hopes, few constraints, and little idea of the potensial (50) , ‖ said science writer Jeremy Rifkin.31. A. suggests B. recalls C. concerns D. advises32. A. concepts B. views C. techniques D. courses33. A. participate B. focus C. specialize D. involve34. A. treat B. avoid C. oppose D. resist35. A. If B. Unless C. Since D. As36. A. demands B. topics C. concerns D. lessons37. A. sometimes B. never C. frequently D. eventually38. A. convey B. transfer C. select D. collect39. A. for example B. for one thing C. on one hand D. in any case40. A. resulted B. evolved C. injected D. taken41. A. In contrast B. In that C. In case D. In essence42. A. separate B. form C. create D. vary43. A. what B. where C. as D. so44. A. combines B.contributes mands D. breaks45. A. that B.because C. if D. when46. A. like B. for example C. as D. is47. A. resembling B. alike C. similar D. identical48. A. issues B. height C. difficulties D. goals49. A. spot B. era C. deadline D. scheme50. A. navigations B. mystery C. outcomes D. destinationsPart ⅢReading ComprehensionPassage 1The Carnegie Foundation report says that many colleges have tried to be ―all things to all people‖. In doing s o, they have increasingly catered to a narrow minded careerism while failing to cultivate a global vision among their students. The current crisis, it contends, does not derive from a legitimate desire to put learning to productive ends. The problem is that in too many academic fields, the work has no context; skills, rather than being means, have become ends. Students are offered a variety of options and allowed to pick their way to a degree. In short, driven by careerism, ―the nation’s colleges and univer sities are more successful in providing credentials (文凭) than in providing a quality education for their students. ―The report concludes that the special challenge confronting the undergraduate college is one of shaping an integrated core of common learning. Such a core would introduce students to essential knowledge, to connections across the disciplines, and in the end, to application of knowledge to life beyond the campus. ―Although the key to a good college is a high-quality faculty, the Carnegie study found that most colleges do very little to encourage good teaching. In fact, they do much to undermine it. As one professor observed: ―Teaching is important, we are told, and yet faculty know that research and publication matter most.‖ Not surprisingly, over the last twenty years colleges and universities have failed to graduate half of their four-year degree candidates. Faculty members who dedicated themselves to teaching soon discover that they will not be granted tenure (终身任期), promotion, or substantial salary increases. Yet 70 percent of all faculties say their interests lie more in teaching than in research. Additionally, a frequent complaint among young scholars is that ―There is pressure to publish, although there is virtually no interest among administrators or colleagues in the content of the publications.‖51. When a college tries to be ―all things to al people‖ (Lines 1-2, Para. 1) it aims to ________.A) satisfy the needs of all kinds of students simultaneouslyB) focus on training students in various skillsC) encourage students to take as many courses as possibleD) make learning serve academic rather than productive ends52. By saying that ―in too many academic fields, the work has no context‖ (Lines 4-5, Pare.1) the author means that the teaching in these areas ________.A) ignores the actual situationB) is not based on the right perspectiveC) only focuses on an integrated core of common learningD) gives priority to the cultivation of a global vision among students53. One of the reasons for the current crisis in American colleges and universities is that ________.A) a narrow vocationalism has come to dominate many collegesB) students don’t have enough freedom in choosing what they want to learnC) skills are being taught as a means to an endD) students are only interested in obtaining credentials54. American colleges and universities failed to graduate half of their four-year degree candidates because ________.A) most of them lack high-quality facultiesB) the interests of most faculty members lie in researchC) there are not enough incentives for students to study hardD) they attach greater importance to research and publication than to teaching55. It can be inferred from the passage that high-quality college education calls for ________.A) putting academic work in the proper context来源：B) a commitment to students and effective teachingC) the practice of putting leaning to productive endsD) dedication to research in frontier areas of knowledge51. C 52. B 53. A 54. D 55. BPassage 2Endangered SpeciesEndangered species are plants and animals that are in immediate danger of extinction. Extinction is actually a normal process in the course of evolution. Since the formation of the earth, many more species have become extinct than those exist today. These species slowly disappeared because of changes of climate and their failure to adapt to such conditions as competition and predation (捕食). Since the 1600s, however, the process of extinction has greatly accelerated as a result of both human population growth and technological encroachment (侵犯) on natural ecology systems. Today the majority of the world’s environments are changing faster than the ability of most species to a dapt to suchchanges through natural selection.Species become extinct or endangered for a number of reasons, but the primary cause is the destruction of natural habitats (栖息地). Drainage of wetlands (沼泽地), cutting and clearing of forests, growth of cities, and highway and dam construction have seriously reduced available natural habitats. As the various surroundings become fragments, the remaining animal populations crowd into smaller areas, causing further destruction of natural surroundings. Species i n these small islands‖ lose contact with other populations of their own kind, thus reducing their genetic variation and making them less adaptable to environment changes.Since the 1600s, commercial exploitation of animals for food and other products has caused many species to become extinct or endangered. Introduced diseases and parasites have also greatly reduced some species. Pollution is another important cause of their extinction.Some private and governmental efforts have been organized to save declining species. Laws were made in some countries in the early 1900s to protect wild animals from commercial trade and killing. International endeavors are shown in the Convention on International Trade in Endangered Species. approved by 51 nations. Its purpose is to restrict exploitation of wild animals and plants by regulating and restricting trade in certain species. How effective such laws will be in various countries, however, depends on enforcement (实施) and support by the people and the courts. Because of a lack of law enforcement, the willingness of some segments of society to trade in endangered species, the activities of people who catch and kill animals illegally and dealers who supply the trade, the future of many species is in doubt in spite of legal protection.56 According to the passage, which of the following is the most important factor causing the rapid extinction ofman species since the 17th century?A Human beings are not aware of the importance of preserving endangered species.B Some endangered species have already reached the end of their life span in evolution.C The development of human society has greatly affected natural ecology systems.D The world’s climate has changed so greatly that most species can not survive.57 In the last sentence of the second paragraph, the word islands refers toA the lands that are completely surrounded by water.B the wild animals’ breeding grounds protected by lawC the pieces of land separated by modern buildings and roads.D the small and isolated areas inhabited by certain species.58 This passage mentions all of the following reasons that cause the extinction of man species exceptA natural selection of species.B various natural disasters.C commercial trade and killing.D destruction of natural surroundings.59 According to the passage, which of the following is most important in saving decliningspecies?A Governments should make some laws to protect endangered species.B People should pay more attention to the protection of natural surroundings.C Relevant laws must be made and enforced with the support of the people.D Some organizations should warn people not to trade in endangered animals.60 How does the author feel about the prospect of protecting endangered species from being extinct?A Worried.B Optimistic.C Indifferent.D Confident.Passage 3Those who welcomed the railway saw it as more than a rapid and comfortable means of passing. They actually saw it as afactor in world peace. They did not foresee that the railway would be just one more means for the rapid movement of aggressive armies. None of them foresaw that the more weare together-the more chances there are of war. Any boy or girl who is one of a large family knows that.Whenever any new invention is put forward, those for it and those against it can always find medical men to approve or condemn. The anti-railway group produced doctors who said that tunnels would be most dangerous to public health: they would produce colds, catarrhs (粘膜炎) and consumptions. The deafening noise and the glare of the engine fire, would have a bad effect on the nerves. Further, being moved through the air at a high speed would do grave injury to delicate lungs. In those with high blood-pressure, the movement of the train might produce apoplexy (中风). The sudden plunging of a train into the darkness of a tunnel, and the equally sudden rush into full daylight, would cause great damage to eyesight. But the pro-railway group was of course able to produce equally famous medical men to say just the opposite. They said that the speed and swing of the train would equalize the circulation, promote digestion, tranquilize the nerves, and ensure good sleep.The actual rolling-stock was anything but comfortable. If it was a test of endurance to sit for four hours outside a coach in rain, or inside in dirty air, the railway offered little more in the way of comfort. Certainly the first-class carriages had cushioned seats; but the second-class had only narrow bare boards, while the third-class had nothing at all; no seats and no roof; they were just open trucks. So that third-class passengers gained nothing from the few mode except speed. In the matter of comfort, indeed they lost; they did, on the coaches, have a seat, but now they had to stand all the way, which gave opportunities to the comic (滑稽的) press. This kind of thing: A man was seen yesterday buying a third-class ticket for the new London and Birmingham Railway. The state of his mind is being enquired into.A writer in the early days of railways wrote feelingly of both second-and third-class carriages. He made the suggestion that the directors of the railways must have sent all over the world to find the hardest possible wood. Of the open third-class trucks he said that they had the peculiar property of meeting the rain from whatever quarter it came. He described them as horizontal shower-baths, from whose searching power there was no escape.61. All boys and girls in large families know that.A) a boy and a girl usually fight when they are togetherB)people tend to be together more than they used to beC) a lot of people being together makes fights likelyD)Railway leads the world to peace62. According to those who welcomed the railway, the railway itself should include all the following except.A)the railway enables people travel fastB)the railway brings comfort to peopleC)the railway makes the world peacefulD)the railway leads the world to war as well.63. According to the anti-railway group, all the followings are true but.A)tunnels are dangerous to public healthB)the noise and the glare of the engine fire may affect people's nervesC)the rapid speed through the air does damage to people's lungsD)to those with high blood-pressure, the rapid speed of the train causes them to die64. We may safely conclude that.A)the author belongs to the anti-railway groupB)the author belongs to the for-railway groupC)the author speaks highly of the railwayD)the author may never take train because of its potential dangers65. What is the tone of this passage?A)PracticalB)SatiricalC)HumorousD)Exaggerated61.C62.D63.D64.A65.CPassage 4The Myth of CollegeMany of you young persons out there are seriously thinking about going to college. (That is, of course, a lie. The only things you young persons think seriously about are loud music and sex. Trust me: these are closely related to college). College is basically a bunch of rooms where you sit for roughly two thousand hours and try to memorize things. The two thousand hours are spread out over four years; you spend the rest of the time sleeping and trying to get dates.Basically, you learn two kinds of things in college:Things you need to know later in life (two hours). These include how to make collect telephone calls and get beer and crepe-paper stains out of your pajamas.Things you will not need to know in later life (1,998 hours). These are the things you learn in classes whose names end in -ology, -osophy, -istry, -ics, and so on. The idea is you memorize these things, then write them down in little exam books, then forget them. If you fail to forget them, you become a professor and have to stay in college for the rest ofyour life.It's very difficult to forget everything. For example, when I was in college, I had to memorize - don't ask me why - the names of the metaphysical poets other than John Donne. I have managed to forget one of them, but I still remember that the other two were named Vaughan and Crashaw.Sometimes, when I'm trying to remember something important, like whether my wife told me to get tuna packed in oil or tuna packed in water, Vaughan and Crashaw just pop up in my mind, right there in the supermarket. It's a terrible waste of brain cells.After you've been in college for a year or so, you're supposed to choose a major, which is the subject you intend to memorize and forget the most things about. Here is a very important piece of advice: be sure to choose a major that does not involve Known Facts and Right Answers.This means that you must not major in mathematics, physics, biology or chemistry, because these subjects involve actual facts. If, for example, you major in mathematics, you're going to wander into class one day and the professor will say: "Define the cosine integer of the quadrant of the rhomboid binary axis, and extrapolate your result to five significant vertices." If you don't come up with exactly the answer the professor has in mind, you fail. The same is true of chemistry: if you write in your exam book that carbon and hydrogen combine to form oak, your professor will flunk you. He wants you to come up with the same answer he and all the other chemists have agreed on. Scientists are extremely snotty about this.68. When should the college students choose a major?A. The moment they go to collegeB. After they have been in college for nearly two yearsC. After they have been in college for a year or soD. When they become a senior69. The word ―flunk‖ in the last paragraph meansA. floatB. failC. ridiculeD. dupe70. What is the beat title for the passage?A. The Myth of CollegeB. What Can You Learn in College?C. How to Enjoy Your College LifeD. The Importance of CollegePart ⅣUse of LanguageThe psychology of warranties保单心理学Protection racket保护之诈If extended guarantees are overpriced, why are they so popular?CUSTOMERS tend to agonise over the relative merits of different models of electronic goods such as digital cameras or plasma televisions. But when they get to the till, manyspend freely on something they barely think about at all: an extended warranty, which is often more profitable to the retailer than the device it covers.Shoppers typically pay 10-50% of the cost of a product to insure it beyond the term covered by the manufacturer’s guarantee. 71 . Yet products rarely break within the period covered, and repairs tend to cost no more than the warranty itself. 72 l.So why, asks a paper published in the December issue of the Journal of Consumer Research, do so many consumers still buy extended warranties? The authors—Tao Chen of the University of Maryland, Ajay Kalra of Rice University and Baohong Sun of Carnegie Mellon University—examined purchase data from a big electronics retailer for over 600 households from November 2003 to October 2004. 73 .If a customer is about to buy something fun (ie, a plasma television rather than a vacuum cleaner), he will be more inclined to splash out on extra insurance. This is because consumers value ―hedonic‖ items over utilitarian ones, regardless of the actual price tag. 74 . The study also found that poorer consumers are more likely to buy ―potentially unnecessary and overpriced insurance‖, because they are more worried about the expense of replacing a product if it breaks.75 . But although most policies go unused, he admits that the emotional tranquillity that comes with buying a new warranty is not in itself without value, even i f ―rationally, it doesn’t make sense‖.A. This is especially true if the item is on sale, as finding an unexpected bargain leaves buyers feeling flush and pleased.B. The terms of these deals vary (and there is often a great deal of fine print), but they usually promise to repair or replace a faulty device for between one and four years.C. Only in the present century has one species man acquired significant power to alter the nature of his world.D. Only in the present century has one species man acquired significant power to alter the nature of his world.E. They concluded that the decision to buy a warranty had a great deal to do with a shopper’s mood.F. The popularity of warranties should logically depend on the likelihood of a product’s failure, says Mr Kalra.G. That makes warranties amazingly profitable: they generate over $16 billion annually for American retailers, according to Warranty Week, a trade journalB G E A FPart ⅤTranslation1. Until such time as mankind has the sense to lower its population to the points where the planet can provide a comfortable support for all, people will have to accept more “unnatural food.”2. According to a growing body of exidence, the chemicals that make up many plastics may migrate out of the material and into foods and fluids, ending up in your body.3. Consider the survey evidence, which shows that while most Americans want to have both science and religion in their lives, they’ ll only go so far to preserve the former at the expense of the latter.4. The bodies who play major professional sports have changed dramatically over the years, and managers have been more than willing to adjust team uniforms to fit the growing numbers of bigger, longer frames.5. This will be particularly true since energy pinch will make it difficult to continue agriculture in the high-energy American fashion that makes it possible to combine few farmers with high yieds.Part ⅥWritingAs the society develops, interpersonal relationships are getting more and more indifferent. Please make comment on the phenomena。
考博外科学试题及答案
考博外科学试题及答案一、选择题（每题2分，共20分）1. 以下哪项不是外科手术的基本原则？A. 无菌操作B. 无创原则C. 快速切除D. 保护组织2. 外科手术中，以下哪项不是常用的止血方法？A. 压迫止血B. 电凝止血C. 药物止血D. 物理止血3. 以下哪种情况不适合进行手术治疗？A. 急性阑尾炎B. 慢性胆囊炎C. 严重营养不良D. 早期乳腺癌4. 外科手术中，以下哪项不是术后并发症？A. 感染B. 出血C. 疼痛D. 血栓形成5. 以下哪项是腹腔镜手术的优点？A. 切口大B. 恢复快C. 视野差D. 并发症多6. 以下哪项是外科手术前的常规准备？A. 禁食禁水B. 立即手术C. 无需体检D. 无需心理辅导7. 以下哪种麻醉方式适用于短小手术？A. 全身麻醉B. 局部麻醉C. 椎管内麻醉D. 神经阻滞麻醉8. 以下哪项是外科手术中常见的感染类型？A. 细菌性感染B. 真菌性感染C. 病毒性感染D. 寄生虫感染9. 以下哪项是外科手术中常见的并发症？A. 心律失常B. 肾功能衰竭C. 肺栓塞D. 以上都是10. 以下哪项是外科手术中的无菌操作原则？A. 无菌区域与非无菌区域分离B. 手术器械随意摆放C. 手术人员可以随意进出手术室D. 手术人员可以不戴口罩答案：1-5 C, D, C, D, B；6-10 A, B, A, D, A二、简答题（每题10分，共30分）1. 简述外科手术前的基本准备流程。
答：外科手术前的基本准备流程包括：患者体检、病情评估、术前讨论、手术方案制定、患者及家属的知情同意、禁食禁水、皮肤准备、术前用药等。
2. 请列举三种常见的外科手术并发症，并简要说明其预防措施。
答：常见的外科手术并发症包括感染、出血和血栓形成。
预防措施分别为：严格遵守无菌操作原则、术中控制出血、术后使用抗凝药物和鼓励患者早期活动。
3. 描述腹腔镜手术与传统开腹手术的主要区别。
答：腹腔镜手术与传统开腹手术的主要区别在于：腹腔镜手术切口小、创伤小、恢复快、疼痛轻、住院时间短；而传统开腹手术切口大、创伤大、恢复慢、疼痛重、住院时间较长。
2013年外科学真题回忆版(外科学+普通外科+[1]....
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2013年外科学真题回忆版(外科学+普通外科+骨外科+心胸外科+整形外科+泌尿外科)2013年外科主治医师考试相关专业知识真题2013年外科主治医师考试相关专业知识真题，考生回忆版，试题供各位考生参考。
1、距骨颈骨折手术入口：2、甲状腺手术后出现切口内出血：及时剪开缝线，迅速去除血肿。
3、17岁女生甲状腺二度肿大治疗方案：碘剂后手术。
4、硬膜外血肿：脑膜中动脉。
5、青年女生，洗澡时发现右乳外上象限一肿物，无痛：乳房纤维腺瘤。
6、乳腺癌患者乳房表面皮肤凹陷：累能Cooper韧带。
7、纵隔上、下两部：以胸骨角与第4胸椎下缘水平线为界。
8、脾切除后并发症除了：胰瘘。
9、十二指肠破裂最常见于：降部和水平部。
10、急性血源性骨髓炎最常见细菌：溶血性金葡菌。
11、胃十二指肠溃疡穿孔最常发生部位：胃小弯和十二指肠球部前壁。
12、病例：毕二式胃切除术后出现腹痛、发热、腹膜刺激征，腹穿秀胆汁样液体：十二指肠残端破裂。
13、成人肠套叠病因多见于：病理因素（肿瘤、肠息肉）。
14、阑尾炎保守治疗：化脓性阑尾炎。
15、直肠癌距肛门10cm，手术方案：经腹会阴联合直肠癌根治术。
16、下肢静脉曲张潘氏试验：深静脉是否通畅17、上消化道大出血最常见的原因：胃十二指肠溃疡。
18、可诱发急性胰腺炎：ERCP19、直径2cm的胆囊结石治疗方法：胆囊切除术。
20、有胆道回虫病史30年，近日出现发热、黄疸、腹痛，血象高，考虑诊断：急性化脓性胆管炎。
21、内分泌肿瘤中最常见的是：甲状腺。
22、壶腹癌与胰头癌的鉴别最可能是壶腹癌的是：肝内外胆管均扩张。
23、胃溃疡病人上消化道大出血，血压：80/60mmHg，选择止血方案是：三腔二囊管压迫止血。
24、急性胰腺炎出血坏死型，增强CT不仅可以明确诊断，而且可以发现坏死的胰腺组织。
25、膀胱憩室结石治疗方案：耻骨上膀胱切开取石。
26、耻骨支、坐骨支骨折后尿道滴血，属于哪种骨折？开放性骨折。
27、骨折后血肿吸收热一般不超过：38度。
外科学普外专业攻读博士学位研究生培养方案
外科学（普外）专业攻读博士学位研究生培养方案（专业代码：100210 ）一培养目标1、热爱祖国，品德优良，具有强烈的事业心和团队精神。
2、培养博学多才，在普外科领域具有坚实宽广的理论基础和系统深入的专门知识；熟悉本学科的最新研究状况及发展趋势；具有独立从事科学研究工作能力，在本领域中做出创新性的成果的高层次创造性人才。
3、精通一门外语，能熟练地阅读本专业的外文资料并具有一定的外语写作和国际学术交流的能力。
如果第一外语不是英语，则第二外语必须选英语。
4、身心健康。
二研究方向1.乳癌的基础与临床研究乳癌的生物学特性研究，乳癌外科手术及合理综合疗法的研究探讨，乳癌预后因素分析及预防策略等。
2.胃、肠道肿瘤主要研究胃癌、结直肠癌的生物学特性，淋巴和腹腔种植的发生机制，肿瘤早期诊断方法和技术探讨，外科手术方式及合理综合疗法疗效的判定等。
3.胆石病、胆囊息肉病重点研究胆石成因、结石成分分析及预防，胆石病治疗方法的选择及效果判定，胆石病与胆系肿瘤的关系探讨等；术前胆囊息肉性质诊断及处理。
4.肝、胆、胰肿瘤肝、胆、胰肿瘤基因检测及实验性基因疗法探讨，肿瘤细胞培养及实验性研究，外科手术及综合疗法在肝、胆、胰肿瘤中的应用及疗效等。
5.微创外科包括腹腔镜、内窥镜、介入疗法、物理疗法等诊疗技术在普外科疾病中的应用研究，探讨微创外科技术应用的可行性、适应症和疗效评价。
6.器官移植进行肝移植、小肠移植、胰腺移植、甲状旁腺移植等器官移植的实验研究和临床应用，探讨移植器官的保存与保护、免疫调节、术前准备和术后并发症的治疗及手术适应症的选择和手术方式方法改进。
7.门静脉高压症和血管外科门静脉高压症的病理生理机制研究，断流术、分流术及联合手术术式探讨。
8.甲状腺疾病的基础及临床研究。
9. 计算机网络系统在临床医学中的应用。
三学习年限博士研究生的学习年限一般为3~5年，基本学习年限掌握在3年。
四应修总学分数应修总学分不少于15学分，其中必修不少于13学分，选修不少于2学分。
2013年全国医学博士外语统一考试英语试卷-完整版
2013MD全国医学博士外语统一考试英语试卷答题须知1．请考生首先将自己的姓名、所在考点、准考证号在试卷一答题纸和试卷二标准答题卡上认真填写清楚，并按“考场指令”要求，将准考证号在标准答题卡上划好。
2．试卷一(Paper One)答案和试卷二(Paper Two)答案都作答在标准答题卡上，不要做在试卷上。
3．试卷一答题时必须使用2B铅笔，将所选答案按要求在相应位置涂黑；如要更正，先用橡皮擦干净。
书面表达一定要用黑色签字笔或钢笔写在标准答题卡上指定区域。
4．标准答题卡不可折叠，同时答题卡须保持平整干净，以利评分。
5．听力考试只放一遍录音，每道题后有15秒左右的答题时间。
国家医学考试中心PAPER ONEPart 1 ：Listening comprehension（30%）Section ADirections:In this section you will hear fifteen short conversations between two speakers, At the end of each conversation, you will hear a questionabout what is said, The question will be read only once, After you hearthe question, read the four possible answers marked A, B, C, and D.Choose the best answers and mark the letter of your choice on theANSWER SHEET.Listen to the following exampleYou will hearWoman: I feel faint.Man: No wonder. You haven’t had a bite all day.Question: What’s the matter with the woman?You will read:A. She is sick.B. She was bitten by an ant.C. She is hungry.D. She spilled her paint.Here C is the right answer.Sample AnswerA B C DNow let’s begin with question Number 1.1. A. A cough B. Diarrhea C. A fever D. V omiting2. A. Tuberculosis B. Rhinitis C. Laryngitis D. Flu3. A. In his bag. B. By the lamp.C. In his house.D. No idea about where he left it.4. A. He’s nearly finished his work.B. He has to work for some more time.C. He wants to leave now.D. He has trouble finishing his work.5. A. A patient B. A doctor C. A teacher D. A student6. A. 2.6 B. 3.5 C. 3.9 D. 1367. A. He is the head of the hospital. B. He is in charge of Pediatrics.C. He went out looking for Dan.D. He went to Michigan on business.8. A. He has got a fever. B. He is a talented skier.C. He is very rich.D. He is a real ski enthusiast.9. A. To ask local people for help.B. To do as Romans do only when in Rome.C. Try to act like the people from that culture.D. Stay with your country fellows.10.A. She married because of loneliness.B. She married a millionaire.C. She married for money.D. She married for love.11.A. Aspirant B. Courageous C. Cautious D. Amiable12.A. He was unhappy. B. He was feeling a bit unwell.C. He went to see the doctor.D. The weather was nasty.13.A. You may find many of them on the bookseller’ shelves.B. You can buy it from almost every bookstore.C. It’s a very popular magazine.D. It doesn’t sell very well.14.A. A general practitioner. B. A gynecologist.B. An orthopedist D. A surgeon.15.A. Chemotherapy B. Radiation C. Injections D. Surgery Section BDirection:In this section you will hear one conversation and two passages, after each of which, you will hear five questions. After each question, readthe four possible answers marked A, B, C and D, Choose the bestanswer and mark the letter of your choice on the ANSWER SHEET. Dialogue16.A. It is a genetic disorder.B. It is a respiratory condition in pigs.C. It is an illness from birds to humans.D. It is a gastric ailment.17.A. Eating pork.B. Raising pigs.C. Eating chicken.D. Breeding birds.18.A. Running nose.B. Inappetence.C. Pains all over.D. Diarrhea.19.A. To stay from crowds. B. To see the doctor immediately.C. To avoid medications.D. To go to the nearby clinic.20.A. It is a debate.B. It is a TV program.C. It is a consultation.D. It is a workshop.Passage One21.A. About 10,000,000.B. About 1,000,000.C. About 100,000.D. About 10,000.22.A. A cocktail of vitamins.B. A cocktail of vitamins plus magnesium.C. The combination of vitamins A, C and E.D. The combination of minerals.23.A. The delicate structures of the inner ear. B. The inner ear cells.C. The eardrums.D. The inner ear ossicles.24.A. General Motors. B. The United Auto Workers.C. NIH.D. All of above.25.A. An industrial trial in Spain.B. Military trials in Spain and Sweden.C. Industrial trials in Spain and Sweden.D. A trial involving students at the University of Florida.Passage Two26.A. The link between obesity and birth defects.B. The link between obesity and diabetes.C. The risk of birth abnormalities.D. The harmful effects of obesity.27.A. Neural tube defects. B. Heart problems.C. Cleft lip and palate.D. Diabetes.28.A. 20 million. B. 200 million.C. 400 million.D. 40 million.29.A. A weight-loss surgery. B. A balanced diet.C. A change of life style.D. More exercise.30.A. Why obesity can cause birth defects.B. How obesity may cause birth defects.C. Why obesity can cause diabetes.D. How obesity may cause diabetes.Part II Vocabulary (10%)Section ADirection:In this section, all the sentences are incomplete. Four words or phrases, marked A B C and D .are given beneath each of them. You are tochoose the word or phrase that best completes the sentence. Then markyour answer on the ANSWER SHEET.31. Having a bird’s eye view from the helicopter, the vast pasture was __________ with beautiful houses.A. overlappedB. segregatedC. intersectedD. interspersed32. As usual, Singapore Airlines will reduce trans-pacific capacity in _________ seasons this year.A. sternB. slackC. sumptuousD. glamorous33. As to the living environment, bacteria’s needs vary, but most of them grow best ina slightly acid ___________.A. mechanismB. miniatureC. mediumD. means34. Under an unstable economic environment, employers in the construction industry place great value on ___________ in hiring and laying off workers as their volumes of work wax and wane.A. flexibilityB. moralityC. capacityD. productivity35. In a stark _________ of fortunes, the Philippines – once Asia’s second richest country – recently had to beg Vietnam to sell its rice for its hungry millions.A. denialB. reversalC. intervalD. withdrawal36. Web portal Sohu has gone a step further and called for netizens to join in an all-out boycott of __________ content.A. wholesomeB. contagiousC. vulgarD. stagnant37. Experts urge a reforesting of cleared areas, promotion of reduced-impact logging, and _____________ agriculture, to maintain the rain forest.A. sustainableB. renewableC. revivableD. merchandisable38. In the U.S., the Republican’s doctrines were slightly liberal, whereas the Democrats’ were hardly _____________.A. rationalB. radicalC. conservativeD. progressive39. Officials from the Department of Agriculture confirmed that the __________ floods and drought this summer did not affect the country’s grain output.A. ripplingB. waningC. fluctuatingD. devastating40. It is believed that the Black Death, rampant in the Medieval Europe __________, killed 1/3 of its population.A. at largeB. at randomC. on endD. on averageSection BDirections:Each of the following sentences has a word or phase underlined. There are four words or phases beneath each sentence, Choose the word orphase which can best keep the meaning of the original sentence if it issubstituted for the underlined part, Mark your answer on theANSWER SHEET.41. Christmas shoppers should be aware of the possible defects of the products sold ata discount.A. deficitsB. deviationsC. drawbacksD. discrepancies42. The goal of this training program is to raise children with a sense of responsibility and necessary courage to be willing to take on challenges in life.A. despiseB. evadeC. demandD. undertake43. After “9.11”, the Olympic Games severely taxed the security services of the host country.A. improvedB. burdenedC. inspectedD. tariffed44. The clown’s performance was so funny that the audience, adults and children alike, were all thrown into convulsions.A. a fit of enthusiasmB. a scream of frightC. a burst of laughterD. a cry of anguish45. We raised a mortgage from Bank of China and were informed to pay it off by the end of this year.A. loanB. paymentC. withdrawalD. retrieval46. The advocates highly value the “sport spirit”, while the opponent devalue it, asserting that it’s a sheer hypocrisy and self-deception.A. fineB. suddenC. finiteD. absolute47. Whenever a rattlesnake is agitated, it begins to move its tail and make a rattling noise.A. irritatedB. tamedC. stampedD. probed48. The detective had an unusual insight into criminal’s tricks and knew clearly how to track them.A. inductionB. perceptionC. interpretationD. penetration49. My little brother practices the speech repeatedly until his delivery and timing were perfect.A. presentationB. gestureC. rhythmD. pronunciation50. In recent weeks both housing and stock prices have started to retreat from their irrationally amazing highs.A. untimelyB. unexpectedlyC. unreasonablyD. unconventionallyPart III Cloze (10%)Directions: In this section there is a passage with ten numbered blanks. For each blank, there are four choices marked A, B, C, and D on the right side.Choose the best answer and mark the letter of your choice on theANSWER SHEET.Video game players may get an unexpected benefitfrom blowing away bad guys—better vision. Playing “action” video games improves a visual ability __51__ tasks like reading and driving at night, a new study says. The ability, called contrast sensitivity function, allows people to discern even subtle changes __52__ gray against a uniformly colored backdrop. It’s also one of the first visual aptitudes to fade with age. __53__ a regular regimen of action video game training can provide long-lasting visual power, according to work led by Daphne Bavelier of the University of Rochester.Previous research shows that gaming improves other visual skills, such as the ability to track several objects at the same time and __54__ attention to a series of fast-moving events. Bavelier said, “A lot of different aspects of the visual system are being enhanced, __55__.”The new work suggests that playing video games could someday become part of vision-correction treatments, which currently rely mainly on surgery or corrective lenses. “__56__ you’ve had eye surgery or get corrective lenses, exposing yourself to these games should help the optical system to recover faster and better, you need to retrain the brain to make use of the better, crisper information that’s coming in __57__ your improved eyesight,” Bavelier said.Expert action gamers in the study played first-person shooters Unreal Tournament 2004 and Call of Duty 2. A group of experienced nonaction gamers played The Sims 2, a “life simulation” video game. The players of nonaction video games didn’t see the same vision __58__, the study says. Bavelier and others are now trying to figure out exactly why action games __59__ seem to sharpen visual skill. It may be that locating enemies and aiming accurately is a strenuous, strength-building workout for the eyes, she said. Another possible __60__ is that the unpredictable, fast-changing environment of the typical action game requires players to constantly monitor entire landscapes and analyze optical data quickly.51. A. crucial forB. available inC. resulting fromD. ascribed to52. A. in disguise ofB. in shades ofC. in search ofD. in place of53. A. This is howB. That’s whyC. It is not thatD. There exists54. A. paidB. paysC. payD. paying55. A. thoughB. not to sayC. not just oneD. as well56. A. UntilB. WhileC. UnlessD. Once57. A. as opposed toB. in addition toC. as a result ofD. in spite of58. A. benefitsB. defectsC. approachesD. risks59. A. in caseB. in advanceC. in returnD. in particular60. A. effectB. reasonC. outcomeD. conclusionPart IV Reading Comprehension (30%)Directions:In this part there are six passages, each of which is followed by five questions. For each question there are four possible answers marked A, B,C, and D. Choose the best answer and mark the letter of your choice onthe ANSWER SHEET.Passage oneThere is plenty we don’t know about criminal behavior. Most crime goes unreported so it is hard to pick out trends from the data, and even reliable sets of statistics can be difficult to compare. But here is one thing we do know: those with a biological predisposition to violent behavior who are brought up in abusive homes are very likely to become lifelong criminals.Antisocial and criminal behavior tends to run in families, but no one was sure whether this was due mostly to social-environmental factors or biological ones. It turns out both are important, but the effect is most dramatic when they act together. This has been illustrated in several studies over the past six years which found that male victims of child abuse are several times as likely to become criminals and abusers themselves if they were born with a less-active version of a gene for the enzyme monoamine oxidase A (MAO-A), which breaks down neurotransmitters crucial to the regulation of aggression.Researchers recently made another key observation: kids with this “double whammy” of predisposition and an unfortunate upbringing are likely to show signs of what’s to come at a very early age. The risk factors for long-term criminality – attention deficit hyperactivity disorder, low IQ, language difficulties – can be spotted in kindergarten. So given what we now know, shouldn’t we be doing everything to protect the children most at risk?No one is suggesting testing all boys to see which variant of the MAO-A gene they have, but what the science is telling us is that we should redouble efforts to tackle abusive upbringings, and even simple neglect. This will help any child, but especially those whose biology makes them vulnerable. Thankfully there is already considerable enthusiasm in both the US and the UK for converting the latest in behavioral science into parenting and social skills: both governments have schemes in place to improve parenting in families where children are at risk of receiving poor care.Some people are uncomfortable with the idea of early intervention because it implies our behavior becomes “set” as we grow up, compromising the idea of free will. That view is understandable, but it would be negligent to ignore what the studies are telling us. Indeed, the cost to society of failing to intervene －in terms of criminal damage, dealing with offenders and helping victims of crime －is bound to be greater than the cost of improving parenting. The value to the children is immeasurable.61. Researchers have come to a consensus: to explain violent behavior ________.A. in terms of physical environmentB. form a biological perspectiveC. based on the empirical dataD. in a statistical way62. When we say that antisocial and criminal behavior tends to run in families, asindicated by the recent findings, we can probably mean that ___________.A. a particular gene is passed on in familiesB. child abuse will lead to domestic violenceC. the male victims of child abuse will pass on the tendencyD. the violent predisposition is exclusively born of child abuse63. The recent observation implicated that to check the development of antisocialand criminal behavior ___________.A. boys are to be screened for the biological predispositionB. high-risk kids should be brought up in kindergartenC. it is important to spot the genes for the risk factorsD. active measures ought to be taken at an early age64. To defend the argument against the unfavorable idea, the author makes it apoint to consider ___________.A. the immeasurable value of the genetic research on behaviorB. the consequences of compromising democracyC. the huge cost of improving parenting skillsD. the greater cost of failing to intervene65. Which of the following can be the best title for the passage?A. Parenting Strategies for KidsB. The Making of a CriminalC. Parental EducationD. Abusive ParentingPassage twoAfter 25 years battling the mother of all viruses, have we finally got the measure of HIV? Three developments featured in this issue collectively give grounds for optimism that would have been scarcely believable a year ago in the wake of another failed vaccine and continuing problems supplying drugs to all who need them.Perhaps the most compelling hope lies in the apparent “cure” of a man with HIV who had also developed leukemia. Doctors treated his leukemia with a bone marrow transplant that also vanquished the virus. Now US Company Sangamo Biosciences is hoping to emulate the effect patients being cured with a single shot of gene therapy, instead of taking antiretroviral drugs for life.Antiretroviral therapy (ART) is itself another reason for optimism. Researchers at the World Health Organization have calculated that HIV could be effectively eradicated in Africa and other hard-hit places using existing drugs. The trick is to test everyone often, and give those who test positive ART as soon as possible. Because the drugs rapidly reduce circulating levels of the virus to almost zero, it would stop people passing it on through sex. By blocking the cycle of infection in this way, the virus could be virtually eradicated by 2050.Bankrolling such a long-term program would cost serious money – initially around $3.5 billion a year in South Africa alone, ring to $85 billion in total. Huge as it sounds, however, it is peanuts compared with the estimated $1.9 trillion cost of the Iraq war, or the $700 billion spent in one go propping up the US banking sector. It also look small beer compared with the costs of carrying on as usual, which the WHO says can only lead to spiraling cases and costs.The final bit of good news is that the cost of ART could keep on falling. Last Friday, GlaxoSmithKline chairman Andrew Witty said that his company would offer all its medicines to the poorest countries for at least 25 per cent less than the typical price in rich countries. GSK has already been doing this for ART, but the hope is that the company may now offer it cheaper still and that other firms will follow their lead.No one doubt the devastation caused by AIDS. In 2007, 2 million people died and 2.7 million more contracted the virus. Those dismal numbers are not going to turn around soon – and they won’t turn around at all without huge effort and investment. But at least there is renewed belief that, given the time and money, we can finally start riddling the world of this most fearsome of viruses.66. Which is the following can be most probably perceived beyond the first paragraph?A. The end of the world.B. A candle of hope.C. A Nobel prize.D. A Quick Fix.67. According to the passage, the apparent “cure” of the HIV patient who had alsodeveloped leukemia would ___________.A. make a promising transition from antiretroviral medication to gene therapyB. facilitate the development of effective vaccines for the infectionC. compel people to draw an analogy between AIDS and leukemiaD. would change the way we look at those with AIDS68. As another bit of good news, ___________.A. HIV will be virtually wiped out first in AfricaB. the cycle of HIV infection can be broken with ARTC. the circulating levels of HIV have been limited to almost zeroD. the existing HIV drugs will be enhanced to be more effective in 25 years69. The last reason for optimism is that ___________.A. governments will invest more in improving ARTB. the cost of antiretroviral therapy is on the declineC. everybody can afford antiretroviral therapy in the worldD. the financial support of ART is coming to be no problem70. The whole passage carries a tone of ___________.A. idealismB. activismC. criticismD. optimismPassage ThreeArchaeology can tell us plenty about how humans looked and the way they lived tens of thousands of years ago. But what about the deeper questions? Could early humans speak, were they capable of self-conscious reflection, did they believe in anything?Such questions might seem to be beyond the scope of science. Not so. Answering them is the focus of a burgeoning field that brings together archaeology and neuroscience. It aims to chart the development of human cognitive powers. This is not easy to do. A skull gives no indication of whether its owner was capable of speech, for example. The task then is to find proxies (替代物)for key traits and behaviors that have stayed intact over millennia.Perhaps the most intriguing aspect of this endeavor is teasing out the role of culture as a force in the evolution of our mental skills. For decades, development of the brain has been seen as exclusively biological. But increasingly, that is being challenged.Take what the Cambridge archaeologist Colin Renfrew calls “the sapient (智人的) paradox (矛盾)”. Evidence suggests that the human genome, and hence the brain, has changed little in the past 60,000 years. Yet it wasn’t until about 10,000 years ago that profound changes took place in human behavior: people settled in villages and built shrines. Renfrew’s paradox is why, if the hardware was in place, did it take so long for humans to start changing the world?His answer is that the software – the culture – took a long time to develop. In particular, the intervening time saw humans vest (赋予) meaning in objects and symbols. Those meanings were developed by social interaction over successive generations,passed on through teaching, and stored in the neuronal connections of children.Culture also changes biology by modifying natural selection, sometimes in surprising ways. How is it, for example, that a human gene for making essential vitamin C became blocked by junk DNA? One answer is that our ancestors started eating fruit, so the pressure to make vitamin C “relaxed” and the gene became unnecessary. By this reasoning, early humans then became addicted to fruit, and any gene that helped them to find it was selected for.Evidence suggests that the brain is so plastic that, like genes, it can be changed by relaxing selection pressure. Our understanding of human cognitive development is still fragmented and confused, however. We have lots of proposed causes and effects, and hypotheses to explain them. Yet the potential pay-off makes answers worth searching for. If we know where the human mind came from and what changed it, perhaps we can gauge where it is going. Finding those answers will take all the ingenuity the modern human mind can muster.71. The questions presented in the first paragraph ___________.A. seem to have no answers whateverB. are intended to dig for ancient human mindsC. are not scientific enough to be answered hereD. are raised to explore the evolution of human appearance72. The scientists find the proxy to be ___________.A. the role of cultureB. the passage of timeC. the structure of a skullD. the biological makeup of the brain73. According to Renfrew’s paradox, the transition from 60,000 to 10,000 years agosuggests that ___________.A. human civilization came too lateB. the hardware retained biologically staticC. it took so long for the software to evolveD. there existed an interaction between gene and environment74. From the example illustrating the relation between culture and biology, wemight conclude that ___________.A. the mental development has not been exclusively biologicalB. the brain and culture have not developed at the same paceC. the theory of natural selection applies to human evolutionD. vitamin C contributes to the development of the brain75. Speaking of the human mind, the author would say that ___________.A. its cognitive development is extremely slowB. to know its past is to understand its futureC. its biological evolution is hard to predictD. as the brain develops, so as the mindPassage FourDespite the numerous warnings about extreme weather, rising sea levels and mass extinctions, one message seems to have got lost in the debate about the impact of climate change. A warmer world won’t just be inconvenient. Huge swathes (片) of it, including most of Europe, the US and Australia as well as all of Africa and China will actually be uninhabitable--- too hot, dry or stormy to sustain a human population.This is no mirage. It could materialize if the world warms by an average of just 4°C, which some models predict could happen as soon as 2050. This is the world our children and grandchildren are going to have to live in. So what are we going to do about it?One option is to start planning to move the at-risk human population to parts of the world where it will still be cool and wet. It might seem like a drastic move, but this thought experiment is not about scaremongering (危言耸听). Every scenario is extrapolated from predictions of the latest climate models, and some say that 4°C may actually turn out to be a conservative estimate.Clearly this glacier-free, desertified world---with its human population packed into high-rise cities closer to the poles---would be a last resort. Aside from anything else, it is far from being the most practical option: any attempt at mass migration is likely to fuel wars, political power struggles and infighting.So what are the alternatives? The most obvious answer is to radically reduce carbon dioxide levels now, by fast-tracking green technologies and urgently implementing energy-efficient measures. But the changes aren’t coming nearly quickly enough and global emissions are still rising. As a result, many scientists are now turning to “Earth’s plan B”.Plan B involves making sure we have large scale geoengineering technologies ready and waiting to either suck CO2 out of the atmosphere or deflect the sun’s heat. Most climate scientists were once firmly against fiddling with the Earth’s thermostat, fearing that it may make a bad situation even worse, or provide politicians with an excuse to sit on their hands and do nothing.Now they reluctantly acknowledge the sad truth that we haven’t managed to reorder the world fast enough to reduce CO2 emissions and that perhaps, given enough funding research and political muscle, we can indeed design, test and regulate geoengineering projects in time to avert the more horrifying consequences of climate change.Whatever we do, now is the time to act. The alternative is to plan for a hothouse world that none of us would recognize as home.76. To begin with, the author is trying to remind us of ____________.A. the likelihood of climate change making life inconvenientB. the warning against worsening climate changeC. the inevitable consequence of global warmingD. the misconception of a warmer world77. As the thought experiment shows, those at risk from global warming will ____________.A. live with the temperature raised by an average of 4°CB. have nowhere to go but live in the desertC. become victims as soon as 2050D. move closer to the poles78. It is clear from the passage that a practical approach to global warming is _________.A. to reduce massively CO2 emissionsB. to take protective measures by 2025C. to prepare a blueprint for mass migrationsD. to launch habitual constructions closer to the poles。
解放军医学院(301医院)外科学(普外科)2013年考博真题考博试卷
攻 读 博 士 学 位 研 究 生 入 学 考 试 试 卷
医学考博真题试（301 医院）
2013 年攻读博士学位研究生入学考试试题
考试科目：外科学（普外科） 注意：所有答案一律写在答题纸上，写在试题纸上或其他地方一律不给分。 一、选择题（2 分*10 题） 低钾血症、高钾血症病因 休克的特殊检测，效果最理想的是？ 甲亢手术并发症，最危急 甲状腺癌病理分型和各自特点，最常见 乳腺肿瘤凹陷原因，临床病例 乳房红色溢液最常见疾病 临床病例，无特殊病因反复癫狂 4 年，易晕厥，恢复后仍反复发生，判断疾病 ---胃泌素瘤、胰岛素瘤、精神病、？ 临床病例，年轻女性，反复便血，便后滴血，血、便不相连，诊断最佳辅助仪 器是---纤维结肠镜、乙状结肠镜、肛门镜、？ 反复肛瘘，治疗的根源在于？ 二、名词解释（4 分*5 题） 1.acute respiratory distress syndrome 2.tumor marker 3.inflammatory breast cancer 4.total mesorectal excision 5.strangulated obstruction 三、问答题（15 分*4 题） 1.简述普外科急腹症的诊断与处理 2.区分单纯性肠梗阻与绞窄性肠梗阻 3.简述胃癌的术后并发症及处理 4.直肠癌手术方式及适应症
全国医学博士外语统一考试英语真题2013年
全国医学博士外语统一考试英语真题2013年(总分：100.00，做题时间：180分钟)一、Part 1 ：Listening comprehension（30%） (总题数：15，分数：15.00)A.A coughB.Diarrhea √C.A feverD.Vomiting解析：A.TuberculosisB.RhinitisryngitisD.Flu √解析：A.In his bag.B.By the lamp.C.In his house. √D.No idea about where he left it.解析：A.He’s nearly finished his work.B.He has to work for some more time. √C.He wants to leave now.D.He has trouble finishing his work.解析：A.A patientB.A doctorC.A teacherD.A student √解析：A.2.6B.3.5C.3.9D.136 √解析：A.He is the head of the hospital.B.He is in charge of Pediatrics.C.He went out looking for Dan.D.He went to Michigan on business. √解析：A.He has got a fever.B.He is a talented skier.C.He is very rich.D.He is a real ski enthusiast. √解析：A.To ask local people for help.B.To do as Romans do only when in Rome.C.Try to act like the people from that culture. √D.Stay with your country fellows.解析：A.She married because of loneliness.B.She married a millionaire.C.She married for money. √D.She married for love.解析：A.AspirantB.Courageous √C.CautiousD.Amiable解析：A.He was unhappy.B.He was feeling a bit unwell. √C.He went to see the doctor.D.The weather was nasty.解析：A.You may find many of them on the bookseller’ shelves.B.You can buy it from almost every bookstore.C.It’s a very popular magazine.√D.It doesn’t sell very well.解析：A.A general practitioner.B.A gynecologist. √C.An orthopedistD.A surgeon.解析：A.ChemotherapyB.RadiationC.Injections √D.Surgery解析：二、Section B (总题数：3，分数：15.00)A.It is a genetic disorder.B.It is a respiratory condition in pigs. √C.It is an illness from birds to humans.D.It is a gastric ailment.解析：A.Eating pork.B.Raising pigs. √C.Eating chicken.D.Breeding birds.解析：A.Running noseB.Inappetence √C.Pains all overD.Diarrhea解析：A.To stay from crowds. √B.To see the doctor immediately.C.To avoid medications.D.To go to the nearby clinic.解析：A.It is a debate.B.It is a TV program. √C.It is a consultation.D.It is a workshop.解析：A.About 10,000,000. √B.About 1,000,000.C.About 100,000.D.About 10,000.解析：A.A cocktail of vitamins.B.A cocktail of vitamins plus magnesium. √C.The combination of vitamins A, C and E.D.The combination of minerals.解析：A.The delicate structures of the inner ear. √B.The inner ear cells.C.The eardrums.D.The inner ear ossicles.解析：A.General Motors.B.The United Auto Workers.C.NIH √D.All of above.解析：A.An industrial trial in Spain.itary trials in Spain and Sweden.C.Industrial trials in Spain and Sweden. √D.A trial involving students at the University of Florida. 解析：A.The link between obesity and birth defects. √B.The link between obesity and diabetes.C.The risk of birth abnormalities.D.The harmful effects of obesity.解析：A.Neural tube defects.B.Heart problems.C.Cleft lip and palateD.Diabetes √解析：A.20 million.B.200 million.C.400 million. √D.40 million.解析：A.A weight-loss surgery. √B.A balanced diet.C.A change of life style.D.More exercise.解析：A.Why obesity can cause birth defects.B.How obesity may cause birth defects. √C.Why obesity can cause diabetes.D.How obesity may cause diabetes.解析：三、Part II Vocabulary (10%) (总题数：10，分数：5.00)16.Having a bird’s eye view from the helicopter, the vast pasture was __________ with beautiful houses.（分数：0.50）A.overlappedB.segregatedC.intersectedD.interspersed √解析：17.As usual, Singapore Airlines will reduce trans-pacific capacity in _________ seasons this year. （分数：0.50）A.sternB.slack √C.sumptuousD.glamorous解析：18.As to the living environment, bacteria’s needs vary, but most of them grow best in a slightly acid ___________.（分数：0.50）A.mechanismB.miniatureC.medium √D.means解析：19.Under an unstable economic environment, employers in the construction industry place great value on ___________ in hiring and laying off workers as their volumes of work wax and wane. （分数：0.50）A.flexibility √B.moralityC.capacityD.productivity解析：20.In a stark _________ of fortunes, the Philippines –once Asia’s second richest country –recently had to beg Vietnam to sell its rice for its hungry millions.（分数：0.50）A.denialB.reversal √C.intervalD.withdrawal解析：21.Web portal Sohu has gone a step further and called for netizens to join in an all-out boycott of __________ content.（分数：0.50）A.wholesomeB.contagiousC.vulgar √D.stagnant解析：22.Experts urge a reforesting of cleared areas, promotion of reduced-impact logging, and_____________ agriculture, to maintain the rain forest.（分数：0.50）A.sustainable √B.renewableC.revivableD.merchandisable解析：23.In the U.S., the Republican’s doctrines were slightly liberal, whereas the Democrats’ were hardly _____________.（分数：0.50）A.rationalB.radicalC.conservative √D.progressive解析：24.Officials from the Department of Agriculture confirmed that the __________ floods and drought this summer did not affect the country’s grain output.（分数：0.50）A.ripplingB.waningC.fluctuatingD.devastating √解析：25.It is believed that the Black Death, rampant in the Medieval Europe __________, killed 1/3 of its population.（分数：0.50）A.at large √B.at randomC.on endD.on average解析：四、Section B (总题数：10，分数：5.00)26.Christmas shoppers should be aware of the possible defects of the products sold at a discount. （分数：0.50）A.deficitsB.deviationsC.drawbacks √D.discrepancies解析：27.The goal of this training program is to raise children with a sense of responsibility and necessary courage to be willing to take on challenges in life.（分数：0.50）A.despiseB.evadeC.demandD.undertake √解析：28.After “9.11”, the Olympic Games severely taxed the security services of the host country. （分数：0.50）A.improvedB.burdened √C.inspectedD.tariffed解析：29.The clown’s performance was so funny that the audience, adults and children alike, were all thrown into convulsions.（分数：0.50）A.a fit of enthusiasmB.a scream of frightC.a burst of laughter √D.a cry of anguish解析：30.We raised a mortgage from Bank of China and were informed to pay it off by the end of this year.（分数：0.50）A.loan √B.paymentC.withdrawalD.retrieval解析：31.The advocates highly value the “sport spirit”, while the opponent devalue it, asserting that it’s a sheer hypocrisy and self-deception.（分数：0.50）A.fineB.suddenC.finiteD.absolute √解析：32.Whenever a rattlesnake is agitated, it begins to move its tail and make a rattling noise. （分数：0.50）A.irritated √B.tamedC.stampedD.probed解析：33.The detective had an unusual insight into criminal’s tricks and knew clearly how to track them.（分数：0.50）A.inductionB.perception √C.interpretationD.penetration解析：34.My little brother practices the speech repeatedly until his delivery and timing were perfect. （分数：0.50）A.presentation √B.gestureC.rhythmD.pronunciation解析：35.In recent weeks both housing and stock prices have started to retreat from their irrationally amazing highs.（分数：0.50）A.untimelyB.unexpectedlyC.unreasonably √D.unconventionally解析：五、Part III Cloze (10%) (总题数：1，分数：10.00)Video game players may get an unexpected benefit from blowing away bad guys—better vision. Playing “action” video games improves a visual ability __51__ tasks like reading and driving at night, a new study says. The ability, called contrast sensitivity function, allows people to discern even subtle changes __52__ gray against a uniformly colored backdrop. It’s also one of the first visual aptitudes to fade with age. __53__ a regular regimen of action video game training can provide long-lasting visual power, according to work led by Daphne Bavelier of the University of Rochester. Previous research shows that gaming improves other visual skills, such as the ability to track several objects at the same time and __54__ attention to a series of fast-moving events. Bavelier said, “A lot of different aspects of the visual system are being enhanced, __55__.” The new work suggests that playing video games could someday become part of vision-correction treatments, which currently rely mainly on surgery or corrective lenses. “__56__ you’ve had eye surgery or get corrective lenses, exposing yourself to these games should help the optical system to recover faster and better, you need to retrain the brain to make use of the better, crisper information that’s coming in __57__ your improved eyesight,” Bavelier said. Expert action gamers in the study played first-person shooters Unreal Tournament 2004 and Call of Duty 2. A group of experienced nonaction gamers played The Sims 2, a “life simulation” video game. The players of nonaction video games didn’t see the same vision __58__, the study says. Bavelier and others are now trying to figure out exactly why action games __59__ seem to sharpen visual skill. It may be that locating enemies and aiming accurately is a strenuous, strength-building workout for the eyes, she said. Another possible __60__ is that the unpredictable, fast-changing environment of the typical action game requires players to constantly monitor entire landscapes and analyze optical data quickly. （分数：10.00）A.crucial for √B.available inC.resulting fromD.ascribed to解析：A.in disguise ofB.in shades of √C.in search ofD.in place of解析：A.This is howB.That’s why√C.It is not thatD.There exists解析：A.paidB.paysC.payD.paying √解析：A.thoughB.not to sayC.not just one √D.as well解析：A.UntilB.WhileC.UnlessD.Once √解析：A.as opposed toB.in addition toC.as a result of √D.in spite of解析：A.benefits √B.defectsC.approachesD.risks解析：A.in caseB.in advanceC.in returnD.in particular √解析：A.effectB.reason √C.outcomeD.conclusion解析：六、Part IV Reading Comprehension (30%) (总题数：6，分数：30.00)Passage one There is plenty we don’t know about criminal behavior. Most crime goes unrepor ted so it is hard to pick out trends from the data, and even reliable sets of statistics can be difficult to compare. But here is one thing we do know: those with a biological predisposition to violent behavior who are brought up in abusive homes are very likely to become lifelong criminals.Antisocial and criminal behavior tends to run in families, but no one was sure whether this was due mostly to social-environmental factors or biological ones. It turns out both are important, but the effect is most dramatic when they act together. This has been illustrated in several studies over the past six years which found that male victims of child abuse are several times as likely to become criminals and abusers themselves if they were born with a less-active version of a gene for the enzyme monoamine oxidase A (MAO-A), which breaks down neurotransmitters crucial to the regulation of aggression. Researchers recently made another key observation: kids with this “double whammy” of predisposition and an unfortunate upb ringing are likely to show signs of what’s to come at a very early age. The risk factors for long-term criminality –attention deficit hyperactivity disorder, low IQ, language difficulties –can be spotted in kindergarten. So given what we now know, should n’t we be doing everything to protect the children most at risk? No one is suggesting testing all boys to see which variant of the MAO-A gene they have, but what the science is telling us is that we should redouble efforts to tackle abusive upbringings, and even simple neglect. This will help any child, but especially those whose biology makes them vulnerable. Thankfully there is already considerable enthusiasm in both the US and the UK for converting the latest in behavioral science into parenting and social skills: both governments have schemes in place to improve parenting in families where children are at risk of receiving poor care. Some people are uncomfortable with the idea of early intervention because it implies our behavior becomes “set” as we grow up, compromising the idea of free will. That view is understandable, but it would be negligent to ignore what the studies are telling us. Indeed, the cost to society of failing to intervene －in terms of criminal damage, dealing with offenders and helping victims of crime －is bound to be greater than the cost of improving parenting. The value to the children is immeasurable. （分数：5.00）(1).Researchers have come to a consensus: to explain violent behavior ________. （分数：1.00）A.in terms of physical environmentB.form a biological perspective √C.based on the empirical dataD.in a statistical way解析：(2).When we say that antisocial and criminal behavior tends to run in families, as indicated by the recent findings, we can probably mean that ___________. （分数：1.00）A.a particular gene is passed on in familiesB.child abuse will lead to domestic violenceC.the male victims of child abuse will pass on the tendency √D.the violent predisposition is exclusively born of child abuse解析：(3).The recent observation implicated that to check the development of antisocial and criminal behavior ___________. （分数：1.00）A.boys are to be screened for the biological predispositionB.high-risk kids should be brought up in kindergartenC.it is important to spot the genes for the risk factorsD.active measures ought to be taken at an early age √解析：(4).To defend the argument against the unfavorable idea, the author makes it a point to consider ___________. （分数：1.00）A.the immeasurable value of the genetic research on behaviorB.the consequences of compromising democracyC.the huge cost of improving parenting skillsD.the greater cost of failing to intervene √解析：(5).Which of the following can be the best title for the passage? （分数：1.00）A.Parenting Strategies for KidsB.The Making of a Criminal √C.Parental EducationD.Abusive Parenting解析：Passage two After 25 years battling the mother of all viruses, have we finally got the measure of HIV? Three developments featured in this issue collectively give grounds for optimism that would have been scarcely believable a year ago in the wake of another failed vaccine and continuing problems supplying drugs to all who need them. Perhaps the most compelling hope lies in the apparent “cure” of a man wit h HIV who had also developed leukemia. Doctors treated his leukemia with a bone marrow transplant that also vanquished the virus. Now US Company Sangamo Biosciences is hoping to emulate the effect patients being cured with a single shot of gene therapy, instead of taking antiretroviral drugs for life. Antiretroviral therapy (ART) is itself another reason for optimism. Researchers at the World Health Organization have calculated that HIV could be effectively eradicated in Africa and other hard-hit places using existing drugs. The trick is to test everyone often, and give those who test positive ART as soon as possible. Because the drugs rapidly reduce circulating levels of the virus to almost zero, it would stop people passing it on through sex. By blocking the cycle of infection in this way, the virus could be virtually eradicated by 2050. Bankrolling such a long-term program would cost serious money – initially around $3.5 billion a year in South Africa alone, ring to $85 billion in total. Huge as it sounds, however, it is peanuts compared with the estimated $1.9 trillion cost of the Iraq war, or the $700 billion spent in one go propping up the US banking sector. It also look small beer compared with the costs of carrying on as usual, which the WHO says can only lead to spiraling cases and costs. The final bit of good news is that the cost of ART could keep on falling. Last Friday, GlaxoSmithKline chairman Andrew Witty said that his company would offer all its medicines to the poorest countries for at least 25 per cent less than the typical price in rich countries. GSK has already been doing this for ART, but the hope is that the company may now offer it cheaper still and that other firms will follow their lead. No one doubt the devastation caused by AIDS. In 2007, 2 million people died and 2.7 million more contracted the virus. Those dismal numbers are not going to turn around soon –and they won’t turn around at all without huge effort and investment. But at least there is renewed belief that, given the time and money, we can finally start riddling the world of this most fearsome of viruses. （分数：5.00）(1).Which is the following can be most probably perceived beyond the first paragraph? （分数：1.00）A.The end of the world.B.A candle of hope. √C.A Nobel prize.D.A Quick Fix.解析：(2).According to the passage, the apparent “cure” of the HIV patient who had also developed leukemia would ___________. （分数：1.00）A.make a promising transition from antiretroviral medication to gene therapy √B.facilitate the development of effective vaccines for the infectionpel people to draw an analogy between AIDS and leukemiaD.would change the way we look at those with AIDS解析：(3).As another bit of good news, ___________. （分数：1.00）A.HIV will be virtually wiped out first in AfricaB.the cycle of HIV infection can be broken with ART √C.the circulating levels of HIV have been limited to almost zeroD.the existing HIV drugs will be enhanced to be more effective in 25 years解析：(4).The last reason for optimism is that ___________. （分数：1.00）ernments will invest more in improving ARTB.the cost of antiretroviral therapy is on the decline √C.everybody can afford antiretroviral therapy in the worldD.the financial support of ART is coming to be no problem解析：(5).The whole passage carries a tone of ___________. （分数：1.00）A.idealismB.activismC.criticismD.optimism √解析：Passage Three Archaeology can tell us plenty about how humans looked and the way they lived tens of thousands of years ago. But what about the deeper questions? Could early humans speak, were they capable of self-conscious reflection, did they believe in anything? Such questions might seem to be beyond the scope of science. Not so. Answering them is the focus of a burgeoning field that brings together archaeology and neuroscience. It aims to chart the development of human cognitive powers. This is not easy to do. A skull gives no indication of whether its owner was capable of speech, for example. The task then is to find proxies (替代物) for key traits and behaviors that have stayed intact over millennia. Perhaps the most intriguing aspect of this endeavor is teasing out the role of culture as a force in the evolution of our mental skills. For decades, development of the brain has been seen as exclusively biological. But increasingly, that is being challenged. Take what the Cambridge archaeologist Colin Renfrew calls “the sapient (智人的) paradox (矛盾)”. Evidence suggests that the human genome, and hence the brain, has changed little in the past 60,000 years. Yet it wasn’t until about 10,000 years ago that profound changes took place in human behavior: people settled in villages and built shrines. Renfrew’s paradox is why, if the hardware was in place, did it take so long for humans to start changing the world? His answer is that the software – the culture – took a long time to develop. In particular, the intervening time saw humans vest (赋予) meaning in objects and symbols. Those meanings were developed by social interaction over successive generations, passed on through teaching, and stored in the neuronal connections of children. Culture also changes biology by modifying natural selection, sometimes in surprising ways. How is it, for example, that a human gene for making essential vitamin C became blocked by junk DNA? One answer is that our ancestors started eating fruit, so the pressure to make vitamin C “relaxed” and the gene became unnecessary. By this reasoning, early humans then became addicted to fruit, and any gene that helped them to find it was selected for. Evidence suggests that the brain is so plastic that, like genes, it can be changed by relaxing selection pressure. Our understanding of human cognitive development is still fragmented and confused, however. We have lots of proposed causes and effects, and hypotheses to explain them. Yet the potential pay-off makes answers worth searching for. If we know where the human mind came from and what changed it, perhaps we can gauge where it is going. Finding those answers will take all the ingenuity the modern human mind can muster. （分数：5.00）(1).The questions presented in the first paragraph ___________. （分数：1.00）A.seem to have no answers whateverB.are intended to dig for ancient human minds √C.are not scientific enough to be answered hereD.are raised to explore the evolution of human appearance解析：(2).The scientists find the proxy to be ___________. （分数：1.00）A.the role of culture √B.the passage of timeC.the structure of a skullD.the biological makeup of the brain解析：(3).According to Renfrew’s paradox, the transition from 60,000 to 10,000 years ago suggests that ___________. （分数：1.00）A.human civilization came too lateB.the hardware retained biologically staticC.it took so long for the software to evolve √D.there existed an interaction between gene and environment解析：(4).From the example illustrating the relation between culture and biology, we might conclude that ___________. （分数：1.00）A.the mental development has not been exclusively biologicalB.the brain and culture have not developed at the same paceC.the theory of natural selection applies to human evolution √D.vitamin C contributes to the development of the brain解析：(5).Speaking of the human mind, the author would say that ___________. （分数：1.00）A.its cognitive development is extremely slowB.to know its past is to understand its future √C.its biological evolution is hard to predictD.as the brain develops, so as the mind解析：Passage Four Despite the numerous warnings about extreme weather, rising sea levels and mass extinctions, one message seems to have got lost in the debate about the impact of climate change.A warmer world won’t just be inconvenient. Huge swathes (片) of it, including most of Europe, the US and Australia as well as all of Africa and China will actually be uninhabitable--- too hot, dry or stormy to sustain a human population. This is no mirage. It could materialize if the world warms by an average of just 4°C, which some models predict could happen as soon as 2050. This is the world our children and grandchildren are going to have to live in. So what are we going to do about it? One option is to start planning to move the at-risk human population to parts of the world where it will still be cool and wet. It might seem like a drastic move, but this thought experiment is not about scaremongering (危言耸听). Every scenario is extrapolated from predictions of the latest climate models, and some say that 4°C may actually turn out to be a conservative estimate. Clearly this glacier-free, desertified world---with its human population packed into high-rise cities closer to the poles---would be a last resort. Aside from anything else, it is far from being the most practical option: any attempt at mass migration is likely to fuel wars, political power struggles and infighting. So what are the alternatives? The most obvious answer is to radically reduce carbon dioxide levels now, by fast-tracking green technologies and urgently implementing energy-efficient measures. But the changes aren’t coming nearly quickly enough and global emissions are still rising. As a result, many scientists are now turning to “Earth’s plan B”. PlanB involves making sure we have large scale geoengineeringtechnolo gies ready and waiting to either suck CO2 out of the atmosphere or deflect the sun’s heat. Most climate scientists were once firmly against fiddling with the Earth’s thermostat, fearing that it may make a bad situation even worse, or provide politicians with an excuse to sit on their hands and do nothing. Now they reluctantly acknowledge the sad truth that we haven’t managed to reorder the world fast enough to reduce CO2 emissions and that perhaps, given enough funding research and political muscle, we can indeed design, test and regulate geoengineering projects in time to avert the more horrifying consequences of climate change. Whatever we do, now is the time to act. The alternative is to plan for a hothouse world that none of us would recognize as home.（分数：5.00）(1).To begin with, the author is trying to remind us of ____________. （分数：1.00）A.the likelihood of climate change making life inconvenient √B.the warning against worsening climate changeC.the inevitable consequence of global warmingD.the misconception of a warmer world解析：(2).As the thought experiment shows, those at risk from global warming will ____________. （分数：1.00）A.live with the temperature raised by an average of 4°CB.have nowhere to go but live in the desertC.become victims as soon as 2050D.move closer to the poles √解析：(3).It is clear from the passage that a practical approach to global warming is _________. （分数：1.00）A.to reduce massively CO2 emissions √B.to take protective measures by 2025C.to prepare a blueprint for mass migrationsD.to launch habitual constructions closer to the poles解析：(4).Earth’s plan B is ambitious enough ___________. （分数：1.00）A.to stop climate scientists making a bad situation even worseB.to remove the sources of CO2 emissions altogetherC.to regulate geoengineering projects for efficiencyD.to manage the Earth’s thermostat√解析：(5).Which of the following statements are the supporters of “Earth’s plan B” for? （分数：1.00）A.It’s Time to Go GreenB.Energy-efficient measures must be taken √C.Mass migration to the poles is inevitableD.For the Planet’s Geoengineer or Catatrophe解析：Passage Five Brittany Donovan was born 13 years ago in Pennsylvania. Her biological father was sperm donor G738. Unbeknownst to Brittany’s m other, G738 carried a genetic defect known as fragile X-a mutation that all female children born from his sperm will inherit, and which causes mental impairment, behavioral problems and atypical social development. Last week, Brittany was given the green l ight to sue the sperm bank, Idant Laboratories of New York, under the state’s product liability laws. These laws were designed to allow consumers to seek compensation from companies whose products are defective and cause harm. Nobody expected them to be applied to donor sperm.Thousands of people in the US have purchased sperm from sperm banks on the promise that the donor’s history has been carefully scrutinized and his sample rigorously tested, only for some of them to discover that they have been sold a batch of bad seed. Some parents learn about genetic anomalies after their disabled child is born and they press the sperm bank for more information. Others realize it when they contact biological half-siblings who have the same disorder. So will Donovan vs Idant laboratories open the floodgates? It seems unlikely. New York’s product liability laws are highly unusual in that they consider donor sperm to be a product just like any other. Most other US states grant special status to blood products and body parts, including sperm. In these states, donor sperm is not considered a “product” in the usual sense, despite the fact that it is tested, processed, packaged, catalogued, marketed and sold. Similarly, European Union product liability law could not be used in this way. Even if this lawsuit is an isolated case, it still raises some difficult questions. First, to what lengths should sperm banks go to ensure they are supplying defect-free sperm? As we learn more and more about human genetics, there is growing list of tests that could be performed. Nobody would deny that donor sperm carrying the fragile X mutation should be screened out--- and there is a test that can do so ---but what about more subtle defects, such as language impairment or susceptibility to earl y Alzheimer’s? Donovan vs Idant Laboratories also serves as a reminder of the nature of the trade in human gametes. Sperm bank catalogues can give the impression that babies are as guaranteed as dishwashers. The Donovans are entitled to their day in court, but in allowing the product liability laws to be used in this way, the legal system is not doing much to dispel that notion. （分数：5.00）(1).Donovan sued Idant Laboratories for ______________. （分数：1.00）A.a cheat in boasting its biological productsB.donor sperm as a productC.problematic donor sperm √D.a breach of confidentiality解析：(2).It can be inferred from the passage that thousands of people in the US purchase sperm_____________. （分数：1.00）A.without knowing its potential dangers √B.regardless of repeated warningsC.for the reason of quality supplyD.for their desperate needs解析：(3).The question from the case is whether ___________. （分数：1.00）A.people are entitled to donor spermB.donated sperm should be just a product √C.Donovan is allowed to sue the sperm bankD.Donovan’s health problems have been clinically certified解析：(4).It seems that sperm banks are in no position to _______________. （分数：1.00）A.treat donor sperm as a productB.screen out the fragile X mutationC.manage their business as others do in NYD.guarantee sperm absolutely free of any defect √解析：(5).The statement Sperm bank catalogues can give the impression that babies are as guaranteed as dishwashers implies that _____________. （分数：1.00）A.Donovan will surely win the case in courtB.any product could have a defect in one way or another。
2013年山东大学考博英语真题试题
2013年山东大学考博英语真题Part I Grammar and V ocabulary1. The discussion was so prolonged and exhausting that __________ the speakers stopped for deferments.A. at largeB. at intervalsC. at easeD. at random2. When traveling, you are advised to take travelers’ checks, which provide a secure__________ to carrying your money in cash.A. substituteB. selectionC. inferenceD. alternative3. I never trusted him because I always thought of him as such a character.A. graciousB. suspiciousC. uniqueD. particular4. Changing from solid to liquid, water takes in heat from all substances near it, and this__________produces artificial cold surrounding it.A. absorptionB. transitionC. consumptionD. interaction5. Language, culture, and personality may be considered__________of each other in thought, but they are inseparable in fact.A. IndistinctlyB. separatelyC. irrelevantlyD. independently6. Christmas is a Christian holy day usually celebrated on December 25th__________the birth of Jesus Christ.A. in accordance withB. in terms ofC. in favor ofD. in honor of7. To survive in the intense trade competition between countries, we must __________the qualities and varieties of products we make to the world market demand.A. improveB. enhanceC. guaranteeD. gear8. To give you a general idea of our products, we enclose the catalogues showing various products handled by us with detailed __________and means of packing.A. specimensB. inspectionsC. samplesD. specifications9. Many of the conditions that __________population pressures --- overcrowding, unemployment, poverty, hunger and illness --- lead to dissatisfaction.A. bring forwardB. give rise toC. feed up withD. result from10. Arriving anywhere with these possessions, he might just as easily__________for a month or a year as for a single day.A. put upB. stay upC. speed upD. make up11. The fact that the earth’s surface heats__________provides a convenient way to divide it into temperature region.A. infrequentlyB. irregularlyC. unsteadilyD. uneverny12. If a cat comes too close to its nest, the mockingbird __________a set of actions to protect its offspring.A. hastensB. releasesC. devisesD. initiates13. How large a proportion of the sales of stores in or near resort areas can be__________to tourist spending?A. attributedB. appliedC. contributedD. attached14. Knowledge is a comfortable and necessary retreat and __________for us in an advanced age; and if we do not plant it while young, it will give us no shade when we grow old.A. ingredientB. relianceC. shelterD. inclination15. Some people would like to do shopping on Sundays since they expect to __________wonderful bargains in the market.A. pick upB. bump intoC. pile upD. bring back16. Scientists are searching for the oldest tree __________because it can teach them a great deal about many issues related with climate change.A. livelyB. aliveC. livingD. live17. The destruction of the Twin Towers in New York City __________shock and anger throughout the world.A. temptedB. provokedC. summonedD. enveloped18. A 1994 World Bank report concluded that __________girls in school was probably the single most effective anti-poverty policy in the developing world today.A. enrollingB. assigningC. involvingD. consenting19. The UN official said aid programs will be __________until there is adequate protection for relief personnel.A. multipliedB. arrestedC. spannedD. suspended20. Despite almost universal__________of the vital importance of women’s literacy, education remains a dream for many women in far too many countries of the world.A. confessionB. identificationC. acknowledgementD. compliment21. Since the island soil has been barren for so many years, the natives must now __________much of their food.A. deliverB. importC. produceD. develop22. Because Jenkins neither __________nor defends either management or the striking workers, both aides admire his journalisticA. criticizes...acumenB. attacks…neutralityC. confronts…aptitudeD. dismisses…flair23. Some anthropologists claim that a few aps have been taught a rudimentary sign languages, but skeptics argue that the apes are only __________their trainers.A. imitatingB. condoningC. instructingD. acknowledging24. It is ironic that the__________insights of the great thinkers are voiced so often that they have become mereA. oriinal… clichesB. banal… beliefsC. dubious… habitsD. philosophical-questions25. The most frustrating periods of any diet are the inevitable__________, when weight loss if not stops.A. moods… acceleratesB. feasts… haltsC. holidays… contractsD. plateaus… slows26. Since the author’s unflattering references to her friends were so__________, she was surprised that her__________were recognized.A. laudatory… stylesB. obvious… anecdotesC. oblique… allusionsD. critical… eulogies27. If it is true that morality cannot exist without religion, then does not the erosion of religion herald the __________of moraliy?A, regulation B. basis C. belief D. collapse28. Certain animal behaviors, such as mating rituals, seem to be __________, and therefore external factors such as climate changes, food supply, or the presence of other animals of the same species.A. learned… immune toB. innate… unaffected byC. intricate… belong toD. specific…confused with29. Shaken by two decades of virtual anarchy, the majority of people were ready to buy __________at any price.A. orderB. emancipationC. hopeD. liberty30. As a person who combines care with _________, Marisa completed her duties with__________as well as zeal.A. levity…resignationB. enthusiasm…meticulousnessC. vitality…willingnessD. empathy…rigorPartⅡCloseThe study of genetics has given rise to a profitable new industry called biotechnology. As the name __31__ , it combines biology and modern technology through such __32__ as genetic engineering. Some of the new biotech companies, as they are called, __33__ in agriculture and are working enthusiastically to patent (取得专利) seeds that give a high yield (产量), that __34__ disease, drought and frost, and that reduce the need for dangerous chemicals. __35__ such goals could be achieved, it would be most beneficial. But some have raised __36__ about genetically engineered crops. "In nature, genetic diversity (多样性) is created within certain limits," says the book Genetic Engineering, Food and Our Environment. "A rose can be crossed(杂交) with a different kind of rose, but a lose will __37__ cross with a potato ..." Genetic engineering, on the other hand, usually involves taking genes from one species and inserting them into another in an attempt to __38__ a desired property or character. This could mean, __39__ , selecting a gene which leads to the production of a chemical with antifreeze properties from an arctic fish, and joining it into a potato or strawberry to make it frost-resistant. It is now possible for plants to be engineered with genes __40__ from bacteria, viruses, insects, animals or even humans. __41__ , then, biotechnology allows humans to break the genetic walls that __42__ species. Like the green revolution, (43)what some call the gene revolution (44)contributes to the problem of genetic uniformity (千篇一律) –some say even more so (45)because geneticists can employ techniques such (46)as cloning and organ culture, processes that produce perfectly (47)identical copies, or clones. Concerns about the biodiversity, therefore, remain. Genetically altered plants, however, raise new(48) issues, such as the effects that they may have on us and the environment. ―We are flying blindly into a new (49) of agricultural biotechnology with high hopes, few constraints, and little idea of the potensial (50) , ‖said science writer Jeremy Rifkin.31. A. suggests B. recalls C. concerns D. advises32. A. concepts B. views C. techniques D. courses33. A. participate B. focus C. specialize D. involve34. A. treat B. avoid C. oppose D. resist35. A. If B. Unless C. Since D. As36. A. demands B. topics C. concerns D. lessons37. A. sometimes B. never C. frequently D. eventually38. A. convey B. transfer C. select D. collect39. A. for example B. for one thing C. on one hand D. in any case40. A. resulted B. evolved C. injected D. taken41. A. In contrast B. In that C. In case D. In essence42. A. separate B. form C. create D. vary43. A. what B. where C. as D. so44. A. combines B.contributes mands D. breaks45. A. that B.because C. if D. when46. A. like B. for example C. as D. is47. A. resembling B. alike C. similar D. identical48. A. issues B. height C. difficulties D. goals49. A. spot B. era C. deadline D. scheme50. A. navigations B. mystery C. outcomes D. destinationsPart ⅢReading ComprehensionPassage 1The Carnegie Foundation report says that many colleges have tried to be ―all things to all people‖. In doing so, they have increasingly catered to a narrow minded careerism while failing to cultivate a global vision among their students. The current crisis, it contends, does not derive from a legitimate desire to put learning to productive ends. The problem is that in too many academic fields, the work has no context; skills, rather than being means, have become ends. Students are offered a variety of options and allowed to pick their way to a degree. In short, driven by careerism, ―the nation’s colleges and uni versities are more successful in providing credentials (文凭) than in providing a quality education for their students. ―The report concludes that the special challenge confronting the undergraduate college is one of shaping an integrated core of common learning. Such a core would introduce students to essential knowledge, to connections across the disciplines, and in the end, to application of knowledge to life beyond the campu s. ― Although the key to a good college is a high-quality faculty, the Carnegie study found that most colleges do very little to encourage good teaching. In fact, they do much to undermine it. As one professor observed: ―Teaching is important, we are told, and yet faculty know that research and publication matter most.‖Not surprisingly, over the last twenty years colleges and universities have failed to graduate half of their four-year degree candidates. Faculty members who dedicated themselves to teaching soon discover that they will not be granted tenure (终身任期), promotion, or substantial salary increases. Yet 70 percent of all faculties say their interests lie more in teaching than in research. Additionally, a frequent complaint among young scholars is that ―There is pressure to publish, although there is virtually no interest among administrators or colleagues in the content of the publications.‖51. When a college tries to be ―all things to al people‖(Lines 1-2, Para. 1) it aims to ________.A) satisfy the needs of all kinds of students simultaneouslyB) focus on training students in various skillsC) encourage students to take as many courses as possibleD) make learning serve academic rather than productive ends52. By saying that ―in too many academic fields, the work has no context‖(Lines 4-5, Pare. 1) the author means that the teaching in these areas ________.A) ignores the actual situationB) is not based on the right perspectiveC) only focuses on an integrated core of common learningD) gives priority to the cultivation of a global vision among students53. One of the reasons for the current crisis in American colleges and universities is that________.A) a narrow vocationalism has come to dominate many collegesB) students don’t have enough freedom in choosing what they want to learnC) skills are being taught as a means to an endD) students are only interested in obtaining credentials54. American colleges and universities failed to graduate half of their four-year degree candidates because ________.A) most of them lack high-quality facultiesB) the interests of most faculty members lie in researchC) there are not enough incentives for students to study hardD) they attach greater importance to research and publication than to teaching55. It can be inferred from the passage that high-quality college education calls for ________.A) putting academic work in the proper context来源：B) a commitment to students and effective teachingC) the practice of putting leaning to productive endsD) dedication to research in frontier areas of knowledge51. C 52. B 53. A 54. D 55. BPassage 2Endangered Species Endangered species are plants and animals that are in immediate danger of extinction. Extinction is actually a normal process in the course of evolution. Since the formation of the earth, many more species have become extinct than those exist today. These species slowly disappeared because of changes of climate and their failure to adapt to such conditions as competition and predation (捕食). Since the 1600s, however, the process of extinction has greatly accelerated as a result of both human population growth and technological encroachment (侵犯) on natural ecology systems. Today the majority of the world’s environments are changing faster than the ability of most species to adapt to such changes through natural selection.Species become extinct or endangered for a number of reasons, but the primary cause is the destruction of natural habitats (栖息地). Drainage of wetlands (沼泽地), cutting and clearing of forests, growth of cities, and highway and dam construction have seriously reduced available natural habitats. As the various surroundings become fragments, the remaining animal populations crowd into smaller areas, causing further destruction of natural surroundings. Species in these small islands‖lose contact with other populations of their own kind, thus reducing their genetic variation and making them less adaptable to environment changes.Since the 1600s, commercial exploitation of animals for food and other products has caused many species to become extinct or endangered. Introduced diseases and parasites have also greatly reduced some species. Pollution is another important cause of their extinction.Some private and governmental efforts have been organized to save declining species. Laws were made in some countries in the early 1900s to protect wild animals from commercial trade and killing. International endeavors are shown in the Convention on International Trade in Endangered Species. approved by 51 nations. Its purpose is to restrict exploitation of wild animals and plants by regulating and restricting trade in certain species. How effective such laws will be in various countries, however, depends on enforcement (实施) and support by the people and the courts. Because of a lack of law enforcement, the willingness of some segments of society to tradein endangered species, the activities of people who catch and kill animals illegally and dealers who supply the trade, the future of many species is in doubt in spite of legal protection.56 According to the passage, which of the following is the most important factor causing the rapid extinction of man species since the 17th century?A Human beings are not aware of the importance of preserving endangered species.B Some endangered species have already reached the end of their life span in evolution.C The development of human society has greatly affected natural ecology systems.D The world’s climate has changed so greatly that most species cannot survive.57 In the last sentence of the second paragraph, the word islands refers toA the lands that are completely surrounded by water.B the wild animals’ breeding grounds protected by lawC the pieces of land separated by modern buildings and roads.D the small and isolated areas inhabited by certain species.58 This passage mentions all of the following reasons that cause the extinction of manspecies exceptA natural selection of species.B various natural disasters.C commercial trade and killing.D destruction of natural surroundings.59 According to the passage, which of the following is most important in saving decliningspecies?A Governments should make some laws to protect endangered species.B People should pay more attention to the protection of natural surroundings.C Relevant laws must be made and enforced with the support of the people.D Some organizations should warn people not to trade in endangered animals.60 How does the author feel about the prospect of protecting endangered species frombeing extinct?A Worried.B Optimistic.C Indifferent.D Confident.Passage 3Those who welcomed the railway saw it as more than a rapid and comfortable means of passing. They actually saw it as afactor in world peace. They did not foresee that the railway would be just one more means for the rapid movement of aggressive armies. None of them foresaw that the more weare together-the more chances there are of war. Any boy or girl who is one of a large family knows that.Whenever any new invention is put forward, those for it and those against it can always find medical men to approve or condemn. The anti-railway group produced doctors who said that tunnels would be most dangerous to public health: they would produce colds, catarrhs (粘膜炎) and consumptions. The deafening noise and the glare of the engine fire, would have a bad effect on the nerves. Further, being moved through the air at a high speed would do grave injury to delicate lungs. In those with high blood-pressure, the movement of the train might produce apoplexy (中风). The sudden plunging of a train into the darkness of a tunnel, and the equally sudden rush into full daylight, would cause great damage to eyesight. But the pro-railway group was of course able to produce equally famous medical men to say just the opposite. They said that the speed and swing of the train would equalize the circulation, promote digestion, tranquilize thenerves, and ensure good sleep.The actual rolling-stock was anything but comfortable. If it was a test of endurance to sit for four hours outside a coach in rain, or inside in dirty air, the railway offered little more in the way of comfort. Certainly the first-class carriages had cushioned seats; but the second-class had only narrow bare boards, while the third-class had nothing at all; no seats and no roof; they were just open trucks. So that third-class passengers gained nothing from the few mode except speed. In the matter of comfort, indeed they lost; they did, on the coaches, have a seat, but now they had to stand all the way, which gave opportunities to the comic (滑稽的) press. This kind of thing: A man was seen yesterday buying a third-class ticket for the new London and Birmingham Railway. The state of his mind is being enquired into.A writer in the early days of railways wrote feelingly of both second-and third-class carriages. He made the suggestion that the directors of the railways must have sent all over the world to find the hardest possible wood. Of the open third-class trucks he said that they had the peculiar property of meeting the rain from whatever quarter it came. He described them as horizontal shower-baths, from whose searching power there was no escape.61. All boys and girls in large families know thatA) a boy and a girl usually fight when they are togetherB) people tend to be together more than they used to beC) a lot of people being together makes fights likelyD) Railway leads the world to peace62. According to those who welcomed the railway, the railway itself should include all the following except .A) the railway enables people travel fastB) the railway brings comfort to peopleC) the railway makes the world peacefulD) the railway leads the world to war as well.63. According to the anti-railway group, all the followings are true but .A) tunnels are dangerous to public healthB) the noise and the glare of the engine fire may affect people's nervesC) the rapid speed through the air does damage to people's lungsD) to those with high blood-pressure, the rapid speed of the train causes them to die64. We may safely conclude that .A) the author belongs to the anti-railway groupB) the author belongs to the for-railway groupC) the author speaks highly of the railwayD) the author may never take train because of its potential dangers65. What is the tone of this passage?A)Practical B)Satirical C)Humorous D)Exaggerated61.C 62.D 63.D 64.A 65.C PassagePassage 4The Myth of College Many of you young persons out there are seriously thinking about going to college. (That is, of course, a lie. The only things you young persons think seriously about are loud music and sex. Trust me: these are closely related to college). College is basically a bunch of rooms where you sit for roughly two thousand hours and try to memorize things. Thetwo thousand hours are spread out over four years; you spend the rest of the time sleeping and trying to get dates.Basically, you learn two kinds of things in college:Things you need to know later in life (two hours). These include how to make collect telephone calls and get beer and crepe-paper stains out of your pajamas.Things you will not need to know in later life (1,998 hours). These are the things you learn in classes whose names end in -ology, -osophy, -istry, -ics, and so on. The idea is you memorize these things, then write them down in little exam books, then forget them. If you fail to forget them, you become a professor and have to stay in college for the rest of your life.It's very difficult to forget everything. For example, when I was in college, I had to memorize - don't ask me why - the names of the metaphysical poets other than John Donne. I have managed to forget one of them, but I still remember that the other two were named Vaughan and Crashaw.Sometimes, when I'm trying to remember something important, like whether my wife told me to get tuna packed in oil or tuna packed in water, Vaughan and Crashaw just pop up in my mind, right there in the supermarket. It's a terrible waste of brain cells. After you've been in college for a year or so, you're supposed to choose a major, which is the subject you intend to memorize and forget the most things about. Here is a very important piece of advice: be sure to choose a major that does not involve Known Facts and Right Answers.This means that you must not major in mathematics, physics, biology or chemistry, because these subjects involve actual facts. If, for example, you major in mathematics, you're going to wander into class one day and the professor will say: "Define the cosine integer of the quadrant of the rhomboid binary axis, and extrapolate your result to five significant vertices." If you don't come up with exactly the answer the professor has in mind, you fail. The same is true of chemistry: if you write in your exam book that carbon and hydrogen combine to form oak, your professor will flunk you. He wants you to come up with the same answer he and all the other chemists have agreed on. Scientists are extremely snotty about this.68. When should the college students choose a major?A. The moment they go to collegeB. After they have been in college for nearly two yearsC. After they have been in college for a year or soD. When they become a senior69. The word ―flunk‖in the last paragraph meansA. floatB. failC. ridiculeD. dupe70. What is the beat title for the passage?A. The Myth of CollegeB. What Can You Learn in College?C. How to Enjoy Your College LifeD. The Importance of CollegePart ⅣUse of LanguageThe psychology of warranties保单心理学Protection racket保护之诈If extended guarantees are overpriced, why are they so popular? CUSTOMERS tend to agonise over the relative merits of different models of electronic goods such as digitalcameras or plasma televisions. But when they get to the till, many spend freely on something they barely think about at all: an extended warranty, which is often more profitable to the retailer than the device it covers.Shoppers typically pay 10-50% of the cost of a product to insure it beyond the term covered by the manufacturer’s guarantee. 71 . Yet products rarely break within the period covered, and repairs tend to cost no more than the warranty itself.72 l.So why, asks a paper published in the December issue of the Journal of Consumer Research, do so many consumers still buy extended warranties? The authors—Tao Chen of the University of Maryland, Ajay Kalra of Rice University and Baohong Sun of Carnegie Mellon University—examined purchase data from a big electronics retailer for over 600 households from November 2003 to October 2004. 73 .If a customer is about to buy something fun (ie, a plasma television rather than a vacuum cleaner), he will be more inclined to splash out on extra insurance. This is because consumers value ―hedonic‖items over utilitarian ones, regardless of the actual price tag.74 . The study also found that poorer consumers are more likely to buy ―potentially unnecessary and overpriced insurance‖, because they are more worried about the expense of replacing a product if it breaks.75 . But although most policies go unused, he admits that the emotional tranquillity that comes with buying a new warranty is not in itself without value, even if ―rationally, it doesn’t make sense‖.A. This is especially true if the item is on sale, as finding an unexpected bargain leaves buyers feeling flush and pleased.B. The terms of these deals vary (and there is often a great deal of fine print), but they usually promise to repair or replace a faulty device for between one and four years.C. Only in the present century has one species man acquired significant power to alter the nature of his world.D. Only in the present century has one species man acquired significant power to alter the nature of his world.E. They concluded that the decision to buy a warranty had a great deal to do with a shopper’s mood.F. The popularity of warranties should logically depend on the likelihood of a product’s failure, says Mr Kalra.G. That makes warranties amazingly profitable: they generate over $16 billion annually for American retailers, according to Warranty Week, a trade journalB G E A FPart ⅤTranslation1. Until such time as mankind has the sense to lower its population to the points where the planet can provide a comfortable support for all, people will have to accept more “unnatural food.”2. According to a growing body of exidence, the chemicals that make up many plastics may migrate out of the material and into foods and fluids, ending up in your body.3. Consider the survey evidence, which shows that while most Americans want to have both science and religion in their live s, they’ ll only go so far to preserve the former at the expenseof the latter.4. The bodies who play major professional sports have changed dramatically over the years, and managers have been more than willing to adjust team uniforms to fit the growing numbers of bigger, longer frames.5. This will be particularly true since energy pinch will make it difficult to continue agriculture in the high-energy American fashion that makes it possible to combine few farmers with high yieds.Part ⅥWritingAs the society develops, interpersonal relationships are getting more and more indifferent. Please make comment on the phenomena。
外科学考博试题及答案
外科学考博试题及答案一、选择题（每题2分，共20分）1. 外科感染中最常见的致病菌是：A. 金黄色葡萄球菌B. 大肠杆菌C. 肺炎链球菌D. 真菌答案：A2. 以下哪项不是外科手术的基本原则？A. 无菌原则B. 无创原则C. 快速原则D. 安全原则答案：C3. 以下哪项是开放性骨折的特点？A. 骨折端不与外界相通B. 骨折端与外界相通C. 骨折线完全在皮肤下D. 骨折线完全在骨髓内答案：B4. 急性阑尾炎最典型的临床表现是：A. 腹痛B. 恶心呕吐C. 右下腹固定压痛D. 发热答案：C5. 以下哪项是乳腺癌的高危因素？A. 长期吸烟B. 长期饮酒C. 家族遗传史D. 长期素食答案：C二、简答题（每题10分，共30分）1. 简述外科手术切口的分类及其特点。
答案：外科手术切口根据其感染风险分为三类：清洁切口、可能污染切口和污染切口。
清洁切口是指手术区域无炎症，无感染，且手术过程中未进入呼吸道、消化道、泌尿生殖道及口咽部。
可能污染切口是指手术区域可能存在细菌，但无明显感染，如胃肠道手术。
污染切口是指手术区域有明显感染或手术过程中进入有菌环境，如脓肿切开引流。
2. 描述急性胆囊炎的诊断要点。
答案：急性胆囊炎的诊断要点包括：右上腹疼痛，尤其是Murphy征阳性；发热和白细胞计数升高；腹部超声检查发现胆囊壁增厚、胆囊内结石或胆囊周围积液；有时可伴有黄疸。
3. 解释何为“无菌技术”及其在外科手术中的重要性。
答案：无菌技术是指在手术过程中采取的一系列措施，以防止手术区域受到微生物污染。
这包括使用无菌器械、穿戴无菌手术衣和手套、保持手术区域清洁等。
无菌技术在外科手术中至关重要，因为它可以显著降低术后感染的风险，提高手术成功率。
三、论述题（每题25分，共50分）1. 论述外科手术前的准备要点。
答案：外科手术前的准备要点包括：详细的病史采集和体格检查，以评估患者的整体健康状况和手术风险；必要的辅助检查，如血常规、凝血功能、心电图、肝肾功能等；术前禁食和禁水，以减少术中呕吐和误吸的风险；术前抗生素的使用，以预防感染；心理支持和教育，以减轻患者的焦虑和恐惧。
医学考博--普外专业真题系列
第三军医大学2013年外科专业基础之人体解剖真题名词解释：胸骨角纵隔膜迷路动脉韧带肺段简答脑屏障的主要特点喉的结构，运动及功能的关系胆汁的产生，排出的主要特点问答皮质核束的主要特点内脏传导通路的主要特点迷走神经的主要特点腰丛的主要特点2013年中山大学外科学博士外科学试题（骨科部分）一、必答题：1.糖皮质激素运用于治疗感染性休克的机制是什么？2.胃癌腹腔镜治疗的禁忌症？3、黑色素瘤的临床特点？4. 糖尿病术前重点评估指标和围手术期血糖处理原则？5. AFP,CEA,PSA,CA199，CA125的中文名称是什么？用于检测什么肿瘤？6.防止术后伤口裂开的预防措施有哪些？7、先天性胆总管扩张的分型？8、食管静脉曲张的非手术治疗措施？喷门周围血管离断术为什么能治疗此疾病？9、低渗性缺水的病因？2013年南方医科大学外科学专业普通外科学真题（绝对真实）第一部分外科学总论（共28分）一、名词解释（每题2分，共8分）1、痈2、SIRS3、三期愈合4、急性肾衰竭二、简答题（每题5分，共20分）1、无菌术是什么，有何内容，灭菌和消毒的区别2、代谢性酸中毒的治疗原则3、肠外营养的指征4、肿瘤共同的临床表现三、问答题（共6题，每题8分，选答4题）1、腹主动脉瘤的五大症状？2、腹部损伤行损伤控制性手术的三个阶段？3、腹腔间隔室综合征的五大减压措施或手段？4、腹股沟直疝与腹股沟斜疝手术中唯一鉴别的解剖学基础？5、腹腔镜胆囊切除术的术后并发症？6、多吉美（索拉菲尼）治疗原发性肝癌的原理？四、论述题（共4题，选答两题，每题20分）1、急性乳腺炎的发病机制？如何治疗？2、原发性腹膜炎发生的细菌入侵四大途径？并举例说明。
(说明：下面两个题为病例分析题，只能写个大概，确实没办法一字一句的记下来，有不对的请大家补充)3、左肝原发性肝癌（具体位置确实记不清了）患者，全麻下行腹腔镜下左肝叶部分切除，术中气腹压力维持在15mHg，手术中发生肝左静脉破裂，出血约1100ml，止血后约5分钟出现心率下降，血压下降等，立即撤除气腹，抢救3小时患者死亡。
2013年全国医学博士英语统一考试真题
2013年全国医学博士英语统一考试真题全文共6篇示例，供读者参考篇1The Big Grown-Up TestHi there! My name is Lily and I'm 8 years old. I'm going to tell you all about this really big test that happened a few years ago. It was called the 2013 National Unified English Exam for Medical Doctoral Students. That's a really long name, isn't it? I'll just call it the Big Grown-Up Test.I didn't actually take the test myself because I'm just a kid. But my mom is a doctor and she had to take a test kind of like it when she was in medical school a long time ago. She said it was super hard and made her really nervous! The Big Grown-Up Test was only for the really smart adults who wanted to get their "doctoral" degree, which is like the highest level of education you can get.From what I understand, the test happened all across China on the same day. Thousands of grown-ups had to go to test centers and take it. Can you imagine having to sit still and take ahuge test for hours and hours? I don't think I could do that. I'd get way too antsy!The test had four main sections - listening, reading, writing, and speaking. For the listening part, the grown-ups had to listen to recordings and answer questions about what they heard. In the reading section, they had to read really long, complicated passages and answer questions proving they understood everything.But here's the crazy part - the whole test was in English! And not just simple English either. We're talking medical English with all those big fancy words that I can't even pronounce. My mom showed me a practice test once and I couldn't understand a word of it. Just a bunch of mumbo-jumbo if you ask me!For the writing section, the grown-ups had to write an essay or paper about some scientific topic. They couldn't just write "The cat ran after the bird" type stuff. They had to use their best English and fanciest words to discuss complex ideas. No "See Spot run" for these over-achievers!Then for the speaking portion, they had to actually talk out loud and have conversations in English about different medical scenarios. They were graded on their vocabulary, pronunciation, and how well they could explain things. If they slipped up andaccidentally spoke Chinese, it was an automatic fail! That's so much pressure.From what my mom told me, everyone taking the Big Grown-Up Test had studied English for years and years. They took special classes and worked really hard to prepare. But even then, the test was still incredibly difficult. I guess that's why they call it the "doctoral" level. Only the best of the best could pass!My mom said the listening section was the hardest part for her because you only get to hear things once. If you zone out for even a second, you're totally lost. And with all those crazy medical terms being fired at you rapid-fire, it was really easy to miss important details. She had to practice listening exercises every single day to get ready.The reading section was also a killer because the passages were just sooooooo long and dry. My mom showed me one that was 20 pages about the molecular biology of cancer. BO-RING! She said you had to be able to skim for key information really quickly but also understand every little detail. It took crazy focus.For the writing section, my mom's biggest challenge was making sure she used proper academic style. You couldn't just write normally like a letter to your friend. It had to be formal"scholarly" English with a clear and logical structure. No slang or contractions allowed!And then speaking English out loud without stumbling over vocabulary? My mom said that part made her want to cry. You had to be able to think and speak at the same time without any awkward pauses. One little "umm" and you could blow the whole thing. She practiced having fake doctor-patient conversations with her English tutor every week. Talk about nerve-wracking!Even though my mom studied so hard, she was still a nervous wreck before the Big Grown-Up Test. She stayed up late every night for weeks going over practice questions. The day of the test, she barely slept at all. I remember her pacing around the apartment that morning, muttering English words under her breath like "hematology...nephrology...gastroenterology." I thought she was going crazy!When she finally came home after the marathon test session, she looked like a zombie. She plopped down on the couch, completely drained from using her brain so much. All she could do was stare at the wall. But you know what? A few months later, she found out she passed! We had a huge family celebration. All that hard work had paid off.After hearing how brutal the Big Grown-Up Test was, I have even more respect for doctors like my mom. Can you imagine having to prove your medical knowledge IN ENGLISH at that level? With listening, reading, writing, speaking...the whole shebang? It's amazing that anyone can do it! I guess that's why kids can't just become doctors. You have to be one smart and determined grown-up.Well, that's the story of the 2013 National Unified English Exam for Medical Doctoral Students in China. It was basically a mental marathon testing the English skills of the cream of the crop. I don't know about you, but I'm staying far away from any exams that extreme! Give me some simple addition and subtraction any day. I'll leave those crazy Big Grown-Up Tests to the adults. Let me know if you ever want to hear about the "iguanas of the Galapagos" or something equally riveting like that killer medical exam. I'll keep my stories kid-friendly!篇2The 2013 Doctor TestHey guys! Today I'm going to tell you all about this really hard test that medical students have to take. It's called the 2013National Unified English Test for Medical Doctoral Students. That's a huge name for a test!My older sister Sarah is studying to be a doctor. She had to take this big important test last year. I watched her study for it and it looked super duper hard. There was a ton of big medical words I couldn't even pronounce!Sarah said the test had four different sections. The first part was listening. They played audio recordings and asked questions to see if you understood what you heard. My sister practices this by watching English TV shows and movies without subtitles. She said practicing listening is really important for talking to patients someday.The next section was reading. You had to read a bunch of different passages and articles and answer comprehension questions. Sarah read giant medical textbooks to get ready. The readings were probably really boring unless you're realllly into that doctor stuff.After that was the writing section. You had to write essays and reports based on pictures or prompts they gave you. Sarah practiced writing samples all the time. I helped her check for mistakes sometimes but a lot of it was way over my head!The final part was speaking. You had to record yourself answering questions and explaining things out loud. It tests if you can communicate well in English. Sarah set up a video camera and recorded herself talking for hours to get ready. I'm glad I didn't have to listen to all that practice!Overall it sounded like the toughest test ever. Sarah studied non-stop for months beforehand. She said it was crucial to do well since getting a high score can help you get into better medical programs and jobs after graduating.The test was administered on paper at testing centers across the country. Maybe thousands of students took it at the same time? I can't even imagine having to take a test that massive and important. No thank you!When Sarah finally took the real test, she was sooo nervous. But she felt prepared after all her hard work studying. She had to travel to the closest testing site which was a few hours away from our house. Can you believe she had to take the whole 4-hour test in just one sitting? No breaks! I don't know how she stayed focused that long.I'm telling you, this 2013 Unified English Test was no joke. Just listening to Sarah talk about it gave me anxiety! The test covered every little detail of medical communication in English. Itreally separated the students who were proficient in English from those who weren't quite there yet.After what felt like an eternity, Sarah got her score report in the mail. She passed with flying colors! We were all so proud and relieved for her. First she celebrated by going out for a huge ice cream sundae. She deserved It after that monster of a test!Apparently Sarah's high score will allow her to apply to lots of competitive medical residency programs after she finishes regular doctor school. That's really good news since those programs are super exclusive and tough to get into. All thanks to nailing the 2013 National English Test!Phew, I'm exhausted just from talking about this test! I'm definitely not cut out to be a doctor. I'll stick to cartoons and video games for now. But I'm really proud of my amazing big sis Sarah for powering through that incredibly difficult English exam. After hearing how intense it was, I have a whole new respect for doctors and medical students.Well, that's my extremely detailed and passionate summary of the 2013 National Unified English Test for you all! I hope I did a good job explaining it from a kid's point of view. Let me know if you have any other questions! Time for a snack break...篇3The Big Scary Test DayWow, today was a really big day! I had to wake up super early because my mom and dad said I had to take a really important test. They called it the "2013 National English Test for Medical Doctoral Students." That's a really long name for a test! I don't even know what a "doctoral student" is.When we got to the testing place, there were so many grown-ups there. I felt like a tiny little kid in a sea of giants! The room was huge, and there were desks set up everywhere. My mom pointed to a desk near the front and told me that was going to be my spot for the test. I was really nervous!The test proctor lady came in and started explaining all the rules. She said we couldn't talk, couldn't look at each other's papers, and had to keep our eyes on our own test booklets. It sounded really strict! I got even more nervous thinking about how I wasn't allowed to ask any questions during the test.Finally, the proctor said it was time to begin. She passed out the test booklets, and they were super thick! My booklet had to be at least 100 pages long. I gulped and thought to myself, "How am I ever going to finish this whole thing?"The first section was listening comprehension. The audio started playing, and a friendly-sounding lady's voice came through the speakers. She was talking about something called "medical ethics." I had no idea what that meant, but I tried my best to listen carefully and answer the questions.Next up was the reading section. The passages were all about science and medical stuff. There were so many big words that I didn't understand! I just tried to read slowly and carefully, and answer the questions to the best of my ability.After what felt like forever, we finally got to take a short break. I stretched my legs and used the bathroom. My brain felt like mush from trying so hard to concentrate.The writing section was probably the hardest part for me. We had to write a whole essay about some complicated medical topic. I did my best to string some sentences together, but I'm not sure if it made any sense. Writing is hard!The very last section was speaking. We had to goone-by-one into a different room and answer some questions out loud while a lady recorded us on a computer. I was so nervous that my hands were shaking! But the lady gave me an encouraging smile, and I tried my best to speak slowly and clearly.At long last, the whole test was finally over! My brain felt like a big jumbled mess, but I was so relieved that it was done. All the grown-ups were packing up their things and getting ready to leave. I found my mom and dad, and they gave me a big hug and told me they were proud of me for working so hard.On the way home in the car, I fell into a deep sleep. Taking that medical doctoral test was the most difficult thing I've ever done in my whole life! I sure hope I did okay on it. But either way, I'm just glad it's over. Phew, what a day!篇4Hi there! My name is Timmy and I'm 8 years old. Mrs. Thompson asked me to write about my experience taking the 2013 National Medical Doctoral English Unified Exam. I know it sounds really hard for a kid like me, but I'll do my best to explain it!It all started a few weeks ago when my big sister Susie came home from medical school. She looked really stressed out. When I asked her what was wrong, she told me she had to take this huge exam called the "National Medical Doctoral English Unified Exam." It's a test that all medical students have to pass before they can become real doctors.Susie said the exam was going to be super duper hard because it's all in English. English is like a foreign language to her since we only speak Chinese at home. She had to learn all sorts of big fancy medical words in English. Just thinking about it made my head hurt!Anyway, Susie had to study day and night to get ready. Our house was covered in medical textbooks, flashcards, and empty coffee mugs. I tried to help her study, but I could barely even read the words, let alone understand what they meant!Finally, the day of the big exam arrived. Susie was so nervous, she barely ate any breakfast. I gave her a high-five for good luck as she headed out the door. "You've got this, sis!" I shouted. She just grimaced and kept walking.The exam was held at a huge testing center downtown. There were hundreds of students there, all looking just as stressed as Susie. The rules were super strict - no talking, no cheating, and definitely no bathroom breaks! I'm glad I wasn't the one taking it.Susie said the first part was listening comprehension. She had to listen to doctors giving instructions and answer questions about what they said. Next up was reading comprehension about different medical cases and procedures. Susie told mesome of the words were so long and confusing, she wanted to cry!After that was the writing section where she had to explain medical concepts in clear English. Susie's hand cramped up from writing so much. Then there were all sorts of other sections testing grammar, vocabulary, speaking ability, you name it!The exam lasted over 6 hours. SIX HOURS! I can't even sit still for that long when I'm watching cartoons. Susie looked exhausted when she finally emerged from the test center. Her face was pale and she could barely speak from using so much brainpower.I gave her a big celebratory hug when she got home. She plopped down on the couch and didn't move for like three hours. Mom made her favorite dumplings for dinner to congratulate her on surviving the epic exam day.A few weeks later, the results came in the mail. Susie passed!! She got high enough scores to start her medical residency. I was super proud of her for proving she was smart enough to be a doctor, even in English.In the end, Susie said the exam was one of the hardest things she'd ever done in her entire life. But she was also really glad shepushed herself and worked so hard to achieve her dream career. Seeing my big sis overcome that huge challenge inspired me to never give up, no matter how difficult things get.Who knows, maybe one day I'll be the one taking the crazy Medical Doctoral English Exam? Although I'll probably need to learn English first before I can think about becoming a doctor. Baby steps!Well, that's my tale of the legendary 2013 medical exam. I hope I explained it okay! Let me know if you need me to dumb it down even more. Writing at an 8-year-old level is harder than it looks. Now if you'll excuse me, I have an important kindergarten final coming up on finger painting...篇5My Trip to the DoctorHi! My name is Lily and I'm 8 years old. Today I'm going to tell you all about my trip to the doctor last week. It was a really exciting adventure!It all started on Monday morning. I woke up and my throat was super sore and scratchy. I could barely swallow without it hurting. "Uh oh," I thought, "I must be getting sick."I went to the kitchen where my mom was making breakfast. "Good morning sweetie," she said in a cheery voice. "Are you ready for another fun day at school?"I shook my head sadly. "No mom, my throat really hurts," I croaked out in a raspy voice. I stuck out my bright red, swollen tonsils for her to see.My mom's eyes got really wide. "Oh no, you poor thing!" she exclaimed. "That looks like a nasty case of tonsillitis. I better call the pediatrician right away to get you an appointment."The pediatrician is just a fancy word for a kids' doctor. My mom dialed their number and talked on the phone for a few minutes. When she hung up, she looked at me with a sympathetic smile."Okay sweetie, I was able to get you in to see Dr. Stevens this afternoon at 3 o'clock. In the meantime, I want you to go rest on the couch and I'll bring you some warm tea with honey to soothe your throat."I nodded listlessly and shuffled over to the living room couch, wrapping myself up in a fuzzy blanket. My mom brought me the tea a little later and I sipped it slowly, relieved by the smoothing sensation on my poor, abused throat.A few hours later, it was time to head to the doctor's office. We loaded into our blue minivan and off we went! I had visited Dr. Stevens many times before, so I knew the way to her office like the back of my hand.When we arrived, my mom checked me in at the front desk. "Lily Anderson to see Dr. Stevens for a 3 o'clock sick visit," she told the friendly receptionist. We only had to wait about 10 minutes before a nurse opened the door to the hallway."Lily Anderson?" she called out in a singsong voice. I perked up, time for the real fun to begin! We followed the nurse down the hallway lined with colorful drawings by kids. She brought us into the examination room and checked my temperature, blood pressure, and other vitals."The doctor will be right in," she told us before leaving the room. My mom and I had to wait just a couple of minutes before there was a knock at the door."Hello there!" the cheery voice of Dr. Stevens called out as she entered. "What seems to be the trouble today?""Lily has a really bad sore throat, I'm afraid she may have tonsillitis," my mom explained while I just nodded weakly.Dr. Stevens had me open my mouth wide and say "Ahhhh" while she inspected my crimson tonsils with a tongue depressor. She also felt around my neck checking for swollen lymph nodes."You're absolutely right, those tonsils are very inflamed and swollen," Dr. Stevens declared with a frown. "And I can feel her lymph nodes up as well. This is definitely a case of acute tonsillitis, most likely caused by a bacterial infection."My heart sank - bacterial infection sounded really serious and scary! I started to whimper but my mom gave my hand a reassuring squeeze."Not to worry Lily," Dr. Stevens said with a kind smile, "we'll have you feeling good as new in no time. I'm going to prescribe a course of antibiotics to get rid of that nasty tonsillitis."The antibiotics would be special medicine that I'd have to take for about 10 days to kill the bacterial infection making me sick. Dr. Stevens called the prescription into my regular pharmacy and told my mom I should start feeling better in a day or two once the antibiotics kicked in.As we left the office, I felt a huge wave of relief wash over me. Taking some occasional gross-tasting medicine was no big deal if it meant I would stop feeling so miserable! Sure enough, after acouple days of the antibiotics, the swelling in my throat had gone down dramatically and I was on the road to recovery.I was so thankful my mom took me to see Dr. Stevens right away. Tonsillitis sounds like no fun at all if you let it go untreated! From now on, if my throat ever starts feeling funny again, you can be sure I'll let my parents know immediately. Staying on top of your health is very important, even for kids. Getting check-ups and taking care of any issues right away is the key to staying healthy and happy!Well, that's the full scoop on my exciting trip to the doctor. Wasn't it a wild ride? I can't wait for my next doctor's visit adventure - I hear the lollipops they give out are the best! Thanks for reading, friends!篇6The 2013 Doctor English Test Was Really Hard!Hi everyone! My name is Timmy and I'm 8 years old. I really struggled with the 2013 national medical doctoral English unified exam this year. It was super duper difficult! I had to wake up at 6am to get to the test center by 8am. The test was scheduled from 8:30am to 5pm with just a short lunch break.That's a really long time for a kid to have to sit still and concentrate!The test had four sections - listening, reading, writing, and speaking. The listening section was first. We had to wear headphones and listen to conversations, lectures, and talks. Then we had to answer multiple choice questions about the main ideas, details, speaker's purposes, and making inferences. It was hard to pay attention the whole time without getting distracted!After listening, we moved right into the reading section. This part had really long and boring passages to read through. The passages were about all kinds of topics like science, history, culture, and academics. Some of the words were so advanced that I had never even heard them before! The questions asked about the main ideas, details, vocabulary, making inferences, and the author's views and purposes. My eyes started getting tired from all that reading.We then got a short lunch break, which was a nice break to rest my brain. But after lunch came the terrible writing section! We had to write two essays of different types, like an argument essay or a proposal essay. The prompt topics were really complex subjects that I didn't know much about. It was so hard to organize my thoughts and come up with enough supportingideas and examples to write a whole essay! My hand cramped up from all that writing.Finally after writing came the absolute worst part - the speaking section! We had to give spoken responses into a microphone about random topics and scenarios. I get so nervous speaking English out loud! We had to speak for 1-2 minutes on each question, using great vocabulary and organization. My mind just went blank under all that pressure. By the end, my mouth was dry from talking so much.This test was crazy difficult, way harder than anything we do in my regular English classes at school. I really hope I passed and don't have to take it again next year! I could barely stay awake driving home after the 9 hour exam. My brain felt like mush!Tests like this medical doctoral English exam seem way too hard for a little kid like me. How are adults even supposed to get through something so grueling and intense? Just thinking about it again makes me tired! I'll be happy if I never have to take another big standardized English exam for the rest of my life. No more essays, listening exercises, or speaking into microphones for me - I'm sticking to kids stuff from now on!。
外科学考博试题库及答案
外科学考博试题库及答案外科学是一门研究外科疾病的诊断、治疗和预防的医学科学。
以下是一份外科学考博试题库及答案，供参考：一、选择题1. 以下哪项不是外科手术的基本原则？A. 无菌原则B. 无创原则C. 快速原则D. 安全原则答案：C2. 外科手术中，下列哪项不是无菌操作的基本要求？A. 穿戴无菌手术衣和手套B. 保持手术区域的清洁C. 手术器械直接接触患者皮肤D. 手术室内保持空气流通答案：C3. 以下哪项是外科手术中常见的并发症？A. 术后出血B. 术后感染C. 术后肺栓塞D. 所有选项都是答案：D二、简答题1. 简述外科手术的无菌技术的重要性。
答：无菌技术是外科手术中非常重要的一环，它可以有效预防术后感染，保证手术的安全性和成功率。
无菌技术包括手术人员穿戴无菌手术衣和手套、手术器械的消毒、手术区域的清洁以及手术室内环境的控制等。
2. 描述外科手术中的麻醉方法有哪些，并简要说明其特点。
答：外科手术中的麻醉方法主要包括局部麻醉、椎管内麻醉和全身麻醉。
局部麻醉作用于身体的某一部位，使该部位失去痛觉，适用于小手术；椎管内麻醉作用于脊髓，使下半身失去痛觉，适用于下肢和下腹部手术；全身麻醉使患者在整个手术过程中处于无痛和无意识状态，适用于大型手术。
三、论述题1. 论述外科手术中止血的重要性及其常用方法。
答：止血是外科手术中至关重要的环节，它不仅可以防止患者失血过多，还能减少术中并发症的发生。
常用的止血方法包括物理止血（如压迫止血、冷敷止血）、药物止血（如使用止血药物）、电凝止血、结扎止血等。
选择合适的止血方法需要根据出血的类型、部位和量来决定。
结束语外科学作为一门实践性极强的学科，对医生的理论知识和操作技能都有很高的要求。
通过不断的学习和实践，医生可以提高自己的专业水平，更好地为患者服务。
希望这份试题库能够帮助考生们更好地复习和掌握外科学的相关知识。
博士外科试题及答案
博士外科试题及答案一、单项选择题（每题2分，共10分）1. 以下哪个选项不是开放性伤口的特点？A. 伤口边缘不整齐B. 伤口内组织损伤严重C. 伤口表面有异物D. 伤口边缘整齐答案：D2. 以下哪个选项是腹腔镜手术的主要优点？A. 手术创伤小B. 手术费用低C. 术后恢复慢D. 术中视野狭窄答案：A3. 以下哪个选项不是腹部外伤的常见症状？A. 腹痛B. 呕吐C. 腹泻D. 腹部压痛答案：C4. 以下哪个选项是阑尾炎的典型临床表现？A. 右下腹痛B. 左下腹痛C. 右上腹痛D. 左上腹痛答案：A5. 以下哪个选项是甲状腺癌的常见症状？A. 甲状腺肿大B. 甲状腺结节C. 甲状腺功能亢进D. 甲状腺功能减退答案：B二、多项选择题（每题3分，共15分）1. 以下哪些是肠梗阻的常见原因？A. 肠套叠B. 肠扭转C. 肠粘连D. 肠壁肿瘤答案：ABCD2. 以下哪些是胆囊结石的常见症状？A. 右上腹痛B. 黄疸C. 恶心呕吐D. 右下腹痛答案：ABC3. 以下哪些是胃癌的高危因素？A. 长期不良饮食习惯B. 幽门螺杆菌感染C. 家族遗传史D. 长期吸烟答案：ABCD4. 以下哪些是颅内压增高的常见症状？A. 头痛B. 呕吐C. 视力下降D. 意识障碍答案：ABD5. 以下哪些是乳腺炎的常见症状？A. 乳房红肿B. 乳房肿块C. 乳房疼痛D. 乳房溢液答案：AC三、简答题（每题5分，共20分）1. 简述急性阑尾炎的典型临床表现。
答案：急性阑尾炎的典型临床表现包括右下腹疼痛、恶心呕吐、发热和腹部压痛。
2. 描述一下甲状腺癌的诊断方法。
答案：甲状腺癌的诊断方法包括临床检查、超声检查、细针穿刺活检和血清甲状腺功能检测。
3. 简述肠梗阻的常见治疗方法。
答案：肠梗阻的常见治疗方法包括保守治疗（如禁食、胃肠减压、补液等）和手术治疗（如肠粘连松解术、肠切除术等）。
4. 描述一下颅内压增高的急救措施。
答案：颅内压增高的急救措施包括保持呼吸道通畅、降低颅内压（如使用甘露醇）、维持血压稳定和及时转送医院。
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医学考博真题试卷
攻读博士学位研究生入学考试试卷
山东大学
2013年攻读博士学位研究生入学考试试题ቤተ መጻሕፍቲ ባይዱ
考试科目：外科学（普外） 注意：所有答案一律写在答题纸上，写在试题纸上或其他地方一律不给分。 一、名词解释
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1. 低钾血症 2. 连枷胸 3. 先天性腹股沟疝 4. 骨筋膜室综合症 5. 类癌 6. TME 二、简答题 1.手术过程中无菌操作需注意的事项 2.门静脉高压症产生大量腹水的原因及机制 3.肛裂的临床表现及肛裂的三联征 4.小儿肠套叠的临床表现 5.甲亢术后出现的并发症 6.胃癌根治术胃切除的方法及适应症 三、论述题 1.清创术的定义、适应症及操作步骤? 2.急性胰腺炎的治疗方法及选择原则？
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