单项选择题

男，20岁。头晕乏力2年，四肢皮肤有出血性瘀斑，肝可扪及，血红蛋白50/L，白细胞2.0×109/L，中性0.33，淋巴0.67，血小板20×109/L，骨髓增生低下，巨核细胞缺如，酸溶血试验阴性。可诊断为

A.白细胞不增多性白血病
B.再生障碍性贫血
C.特发性血小板减少性紫癜
D.脾功能亢进
E.阵发性睡眠性血红蛋白尿

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Imagine a world in which there was suddenly no emotion--a world in which human beings could feel no love or happiness, no terror or hatE.Try to imagine the consequences of such a transformation. People might not be able to stay alivE., knowing neither joy nor pleasure, anxiety nor fear, they would be as likely to repeat acts that hurt them as acts that were beneficial. They could not learn., they could not benefit from experience because this emotionless world would lack rewards and punishments. Society would soon disappear: people would be as likely to harm one another as to provide help and support. Human relationships would not exist: in a world without friends or enemies, there could be no marriage, affection among companions, or bonds among members of groups. Society's economic underpinnings (支柱) would be destroyed: since earning $10 million would be no more pleasant than earning $10, there would be no incentive to work. In fact, there would be no incentives of any kinD.For as we will see, incentives imply a capacity to enjoy them.
In such a world, the chances that the human species would survive are next to zero, because emotions are the basic instrument of our survival and adaptation. Emotions structure the world for us in important ways. As individuals, we categorize objects on the basis of our emotions. True we consider the length, shape, size, or texture, but an object's physical aspects are less important than what it has done or can do to us--hurt us, surprise us, anger us or make us joyful. We also use categorizations colored by emotions in our families, communities, and overall society. Out of our emotional experiences with objects and events comes a social feeling of agreement that certain things and actions are 'good' and others are 'bad', and we apply these categories to ever y aspect of our social life--from what foods we eat and what clothes we wear to how we keep promises and which people our group will accept. In fact, society exploits our emotional reactions and attitudes, such as loyalty, morality, pride, shame, guilt, fear and greed, in order to maintain itselF.It gives high rewards to individuals who perform. important tasks such as surgery, makes heroes out of individuals for unusual or dangerous achievements such as flying fighter planes in a war, and uses the legal penal (刑法的) system to make people afraid to engage in antisocial acts.
The reason why people might not be able to stay alive in a world without emotion is that ______.
A.they would not be able to tell the texture of objects
B.they would not know what was beneficial and what was harmful to them
C.they would not be happy with a life without love
D.they would do things that hurt each other's feelings

单项选择题

患儿，男，14岁。高热，头痛，呕吐。检查：脑膜刺激征(+)，脑脊液压力高，含大量脓细胞，蛋白增高，涂片查到双球菌。应首先考虑的是

A.流行性脑脊髓膜炎
B.流行性乙型脑炎
C.结核性脑膜炎
D.脑肿瘤
E.脊髓灰质炎

单项选择题

患者，男，55岁。连续几日大便呈柏油样，伴不规则上腹痛。检查：左锁骨上窝触及1个1.0cm×1.2cm大小的淋巴结，质硬，活动度差，大便隐血试验(+++)。应首先考虑的是

A.肝硬化
B.胃癌
C.胆道感染合并出血
D.血小板减少性紫癜
E.消化性溃疡病