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Our risk of cancer rises rapidly as we age. So it makes sense that the elderly should be routinely screened for new tumors (肿瘤) or doesn’t it? While such tracking of cancer is a good thing in general, researchers are increasingly questioning whether all of this testing is necessary for the elderly. With the percentage of people over age 65 expected to nearly double by 2050, it s important to weigh the health benefits of screening against the risks and costs of routine testing. In many cases, screening can lead to additional examinations and operations to remove cancer, which can cause side effects, while the cancers themselves may be slow-growing and may not cause serious health problems in patients’ remaining years. But the message that everyone must screen for cancer has become so ingrained (根深蒂固的) that when health care experts recommended that women under 50 and over 74 stop screening for breast cancer, it caused a noisy reaction among doctors, patients and social groups. It’s hard to uproot deeply-held beliefs about cancer screening with scientific data. Certainly, there are people over age 75 who have had cancers detected by routine screening, and gained several extra years of life because of treatment. And clearly, people over age 75 who have other risk factors for cancer, such as a family history or previous personal experience with the disease, should continue to get screened regularly. But for the rest, the risk of cancer, while increased at the end of life, must be balanced with other factors like remaining life expectancy. A recent study suggests that doctors start to make more objective decisions about who will truly benefit from screening—especially considering the explosion of the elderly. It’s not an easy calculation to make, but one that makes sense for patients. Dr. Otis Brawley said, “Many doctors are ordering these tests purely to cover themselves from medical disputes. We need to think about the wise use of health care, which means making some difficult decisions with elderly patients, and going against the misguided belief that when it comes to health care, more is always better.” 小题1:Routine cancer screening for the elderly people makes sense because ______. A.it is believed to contribute to a long life B.it is part of their health care package C.they are more sensitive about the health D.they are in greater danger of tumor growth 小题2:How do some researchers now look at routine cancer screening for the elderly? A.It adds too much to their medical bills. B.They are doubtful about necessity. C.It helps increase their life expectancy. D.They think it does more harm than good. 小题3:What is the traditional view about women screening for breast cancer? A.It is a must for adult women. B.It applies to women over 50. C.It is intended for young women. D.It doesn’t apply to women over 小题4:Why do many doctors advise routine screening for cancer? A.They want to take advantage of the medical care system. B.They want to protect themselves against medical disputes. C.They want data for medical research. D.They want their patients to suffer less. 小题5:What does the writer say is the general view about health care? A.Better care, longer life. B.Prevention is better than cure. C.Better early than late. D.The more, the better.
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【单选题】病人,21岁,因气候变化而出现咳嗽、咳痰、胸闷、呼气性呼吸困难。查体:双肺布满哮鸣前,人乎,为官序璃。
A.
提供高维生素食物
B.
忌食易过敏食物,如鱼、虾、蟹等
C.
尽量鼓励病人多进食
D.
多饮水
E.
摄入富有营养的流质饮食
【简答题】膳食纤维的作用?
【判断题】为保证汽车转向时的各个车轮作纯滚动,应使内转向轮偏转角大于外转向轮的偏转角。
A.
正确
B.
错误
【单选题】咳痰、胸闷、呼气性呼吸困难。查体:双肺布满哮鸣音,桶状胸,发绀明显,诊断为支气管哮喘。对该患者的护理措施,错误的是
A.
卧床休息,取半卧位
B.
避免接触过敏原
C.
多饮水,促进痰液排出
D.
酒精湿化低流量给氧
E.
哮喘发作时避免讲话及进食
【简答题】患者, 21岁,因气候变化而出现咳嗽、咳痰、胸闷、呼气性呼吸困难。查体:双肺布满哮鸣音,桶状胸,发绀明显,诊断为支气管哮喘
【多选题】膳食纤维的作用有
A.
增加饱腹感
B.
促进排便
C.
降低血糖和血胆固醇
D.
促进肠道健康
【简答题】膳食纤维的作用?
【单选题】在我国注册会计师不能独立于注册会计师事务所之外承揽审计业务,因此审计工作底稿的所有权应属于( )
A.
承接该业务的注册会计师
B.
承接该业务的注册会计师事务所
C.
被审计单位
D.
委托人
【多选题】根据《中国注册会计师职业道德规范指导意见》的规定,注册会计师的独立性可能受到经济利益、自我评价、关联关系和外界压力等因素的影响。下列情形中可能损害注册会计师独立性的是( )。
A.
为鉴证客户编制属于鉴证业务对象的数据或其他记录
B.
鉴证客户的经理是会计师事务所的前任高级管理人员
C.
在重大会计问题上与鉴证客户存在意见分歧而受到解聘威胁
D.
受到鉴证客户降低收费的压力而不恰当地缩小工作范围
【简答题】如何理解绩效反馈面谈的重要性。
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