1、.泰医函授 继续教育考试英语4（本）2一、单选题 (红色是答案)1.Remember, nothing hurts concentration _3 _ reading too slowly.(2分) A. rather than B. as well as C. more than D. instead of 2.On each job he avoided _4_ people know who he was.(2分) A. let B. to let C. be let D. letting 3.Is the city much different from _3_ it was ten
2、 years ago?(2分) A. that B. which C. what D. where 4.Many boys enjoy _4_ football, basketball or baseball.(2分) A. play B. to play C. played D. playing 5.The news you told me the other day wants yet to be _3_.(2分) A. finned B. conformed C. confirmed D. informed 6.Having been working in this school for
3、 over 20 years, Mr. Brown is _ an inexperienced teacher.(2分) A. by no means B. by any means C. by all means D. by every means 7.Sound was used _ the ocean.(2分) A. to measure B. to measuring C. by measuring D. to be measured 8.Were usually too tired _ much socializing during the week.(2分) A. to do B.
4、 doing C. in doing D. to doing 9.Human beings are superior to animals_ they can use language as a tool to communicate.(2分) A. in which B. for which C. in that D. for that 10.Mobile Phones are proved to with flight instruments and have a negative effect on flight safety.(2分) A. interrupt B. interfere
5、 C. trouble D. disturb 11.I could hardly _ the ship in the distance.(2分) A. look out B. make out C. make up D. see through 12.From what has been discussed, we may draw the _ that its advantages are far greater than its disadvantages.(2分) A. answer B. attention C. solution D. conclusion 13.Man must s
6、top _ the earths atmosphere.(2分) A. filling B. emitting C. polluting D. wasting 14.The stronger the motivation, _ a person will learn a foreign language.(2分) A. the more quickly B. more quickly C. the quicklier D. and the more quickly 15.The film _, she left her seat so quietly that no one complaine
7、d that her leaving disturbed their watching the film(2分) A. began B. beginning C. having begun D. begun 16._ my opinion, the movie lacks content.(2分) A. In B. On C. Upon D. To 17.Her father can afford a splendid wedding, as he is loaded _ money.(2分) A. with B. under C. in D. at 18.The harder the shr
8、ub is to grow, _.(2分) A. the higher price it is B. the higher price it would have C. the higher price is D. the higher the price is 19.Im afraid _ nothing I can do about it.(2分) A. there is B. it is C. this is D. that is 20.Motor vehicles are prohibited _ driving in the town center.(2分) A. in B. out
9、 of C. from D. with 21.The question set by the teacher was so difficult _ the pupils did not know how to tackle it.(2分) A. what B. that C. how D. whether 22.John Smith, being a diligent student, never refuses to the responsibilities that are assigned to him.(2分) A. take in B. take on C. take down D.
10、 take off 23.At first I was worried about the employment prospect. Four years of study later, Ive realized I _.(2分) A. didnt need to worry B. mustnt have worried C. neednt have worried D. couldnt have worried 24.Do you remember that our speed is 60 mph on the highway and Big Brother is watching you
11、through his camera in some areas. A. control B. condition C. permission D. limit 25.In addition, teaching staff is willing_ extra help if a student needs.(2分) A. to providing B. to provide C. provided D. provided 26.All electrical goods sold in our shop will be _ for one year.(2分) A. guaranteed B. p
12、rotected C. ensured D. granted 是否存疑27.I will bring my tennis things along in case we _ time for a game tomorrow.(2分) A. shall have B. will have C. have D. are going to have 28.Id rather _ those confidential documents with you.(2分) A. that you didnt take B. your not taking C. that you will not take D
13、. you do not take 29.His parents saw him _ the winners medal.(2分) A. toaward B. to be awarded C. awarded D. being awarded 30.To much _ to sunlight can cause skin burns，cancer or other damage to the body(2分) A. exposure B. exhibition C. disclosure D. contact 二、阅读理解 1.In my long life I have seen many
14、changes in out habits and customs and conditions in general. I think that you might be interested if I told you some of them.The world I entered at the age of eighteen when I became a medical student was a world that knew nothing of such advanced things as planes, films, radios or telephones. It was
15、 a very cheap world. Prices were stable. When I entered St.Thomas Hospital I rent a set of rooms in Vincent Square for which I paid 18 shillings(先令) a week. My landlady provided me with a very good breakfast before I went to the hospital and a dinner when I came back at half past six. I only had to
16、pay for the breakfasts and dinners twelve shillings a week. For four-pence I lunched at St.Thomas on bread and butter and a glass of milk. I was able to live there very well, pay my fees, buy my necessary instruments, clothe myself, and have a lot of fun on fourteen pounds a month. And I could alway
17、s pawn(当掉)my microscope for three pounds.I spent five years at St.Thomas Hospital. I was a bad student, for my heart, as you might have guessed, was not in it. I wanted, I had always wanted, to be a writer, and in the evenings, after my dinner, I wrote and read. Before long, I wrote a novel called“L
18、iza of Lambeth”, which I sent to a publisher and was accepted. It came out during my last year at the hospital and it was successful. It was of course an accident, but I did not know that. I felt I could afford to give up medicine and make writing my profession; so, three days after I graduated from
19、 the school of medicine, I left for Spain to write another book. I did not realize, at that time, that I was taking a great risk. (10分)(1)This text is a talk given by the writer when_.(2分) A. he was 18. B. his first novel was published. C. he graduated from the school of medicine. D. he was at an ol
20、d age. (2)The author graduated from the school of medicine when he was_.(2分) A. 18 B. 28 C. 23 D. 30 (3)“And I could always pawn my microscope for three pounds.” means the writer could always_.(2分) A. exchange his microscope for three pounds. B. borrow his microscope and pays three pounds. C. have h
21、is microscope repaired with three pounds. D. lend his microscope for three pounds (4)In paragraph two, this sentence “I was able to live there very well, pay my fees, buy my necessary instruments, clothe myself”, the word “clothe” means “_” .(2分) A. wear clothes B. make clothes for C. wash clothes f
22、or D. buy clothes for (5)The writer wanted to be a writer because_.(2分) A. he liked to take risks. B. he found it easier to make a living by writing. C. he was interested in writing. D. he could not study medicine well. 2.David, my next-door neighbor, has two young kids aged five and seven. One day
23、he was teaching his seven-year-old son Kelly how to push the lawn mower around the yard. As he was teaching him to turn the mower around at the end of the lawn, his wife, Jane, called to him to ask a question. As David turned to answer the question, Kelly pushed the lawn mower right through the flow
24、er bed at the edge of the lawn, leaving a two-foot wide path leveled to the ground.When David turned back around and saw what had happed, he began to lose control. David had spent a lot of time and effort making those flower beds the envy of the neighborhood. As he began to raise his voice to his so
25、n, Jane walked quickly over to him, put her hands on his husbands shoulder and said, “David, please rememberwere raising children, not flowers!”Jane reminded me how important it is as a parent to remember our priorities. Kids and their self-esteem are more important than any physical objects they mi
26、ght break or destroy. The window pane broken by a football, a desk lamp knocked over by a careless child, or a plate dropped in the kitchen is already broken. The flowers are already dead. We must remember not to add the destruction by breaking a childs spirit and deadening his sense of liveliness.(
27、10分)(1)What did David teach Kelly to do one day?(2分) A. How to water flowers. B. How to operate a mower. C. How to clean the yard. D. How to take care of the lawn. (2)What did Jane mean by saying “were raising children, not flowers”?(2分) A. We dont have enough time to raise flowers. B. Children are
28、of greater importance than flowers. C. We like flowers better than children. D. Flowers are raised for children. (3)What should be considered as priorities by parents?(2分) A. Correcting childrens bad behaviors. B. Always forgiving children for their mistakes. C. Asking children not to break physical
29、 objects. D. Bearing childrens self-esteem in mind. (4)What can be inferred from the last paragraph?(2分) A. Children nowadays are very careless. B. Its no use crying over spilt milk. C. Destruction of physical objects means nothing. D. Not every child has sense of liveliness. (5)Which of the followi
30、ng words can be used to best describe the authors attitude towards Jane?(2分) A. Critical. B. Indifferent. C. Approving. D. Negative. 3.How men first learnt to invent words is unknown, in other words, the origin of language is a mystery. All we really know is that men, unlike animals, somehow invente
31、d certain sounds to express thoughts and feelings, actions and things, so that they could communicate with each other; and that later they agreed upon certain signs called letters, which could be combined to represent those sounds, and which could be written down. Those sounds, whether spoken, or wr
32、itten in letters, we call words. The power of words, then, lies in their associations - the things they bring up before our minds. Words become filled with meaning for us by experience, and the longer we live, the more certain words recall to us the glad and sad events of our past; and the more we r
33、ead and learn, the more the number of words that mean something to us increases.Great writers are those who not only have great thoughts but also express these thoughts in words which appeal powerfully to our minds and emotions. This charming(迷人的) and telling use of words is what we call literary st
34、yle. Above all, the real poet is a master of words. He can convey his meaning in words which sing like music, and which by their position and association can move men to tears. We should therefore learn to choose our words carefully and use them accurately, or they will make our speech silly and vul
35、gar(粗俗的). (10分)(1)One of the reasons why men invented certain sounds to express thought and actions was that _.(2分) A. they could agree upon certain signs B. they could write them down C. they could combine them D. they could communicate with each other (2)By “association”, the author means _.(2分) A
36、. a special quality B. a joining of ideas and experience in the mind C. an appearance which is puzzling D. a strange feature (3)Which of the following statements is true?(2分) A. The more we read and learn, the more confused we will be. B. The more we read and learn, the more ignorant we are. C. The
37、more we read and learn, the more learned we are. D. The more we read and learn, the more snobbish we become. (4)In expressing their thoughts, great writers are able _.(2分) A. to move our actions B. to puzzle our feelings C. to move men to tears D. to confound the readers (5)The word “convey”(in Para
38、. 3) means_.(2分) A. deliver B. sell C. report D. talk 4.How much living space does a person need? What happe明，认真细致，表现出良好的职业素质。5提问10穿脱隔离衣注意事项：1.隔离衣只限在规定区域内穿脱；2、隔离衣长短合理，需全部遮盖工作服；3、穿、脱过程中，始终保持衣领清洁；4、穿好后双臂保持在腰部以上；消毒手时不能沾湿隔离衣，隔离衣也不可触及其他物品；5、重复使用的隔离衣应每日更换、清洗、消毒，潮湿或污染应立即更换； 6.接触疑似患者或不同种类患者时，隔离衣应在接触每个患者之间更换
39、；7.接触多个同类传染病患者或同类感染的多重耐药菌患者感染时，隔离衣无明显污染可连续使用。（不超过24小时）。10考核老师年 月 日11、儿科操作技能评分标准住院医师临床能力评分表（腰穿）评分表姓名： 成绩： 考核项目考核内容评分标准标准分得分准备（25分）患儿准备嘱病人排空膀胱2心律、呼吸和血压监测2戴帽子口罩正确戴口罩和帽子3物品复查穿刺包、手套、消毒棉签2检查物品消毒有效期3穿刺（50分）体位嘱患儿侧卧于硬板床上，背部与床面垂直，头向前胸部屈曲，两手抱膝紧贴腹部，使躯干呈弓形；或由助手在术者对面用一手抱住患儿头部，另一手挽住双下肢腘窝处并用力抱紧，使脊柱尽量后凸以增宽椎间隙，便于进针。5
40、选择穿刺点以两侧骼棘最高点连线与后正中线的交会处为穿刺点，一般取第34腰椎棘突间隙，有时也可在上一或下一腰椎间隙进行。小婴儿脊髓相对较长，可选4，5腰椎间隙。10消毒以穿刺点为中心用碘伏消毒3遍，直经约15厘米5戴手套方法4检查打开穿刺包并检查器械：注意穿刺包是否在消毒有效期内，检查包内物品是否完善，检查穿刺针是否通畅10铺巾和局麻铺巾。核对局麻药物名称，选用2利多卡因局部麻醉；先注射皮下出现皮肤橘皮样皮丘改变；自皮肤到椎间韧带逐层做局部浸润麻醉，注意边回抽边进针。5穿刺左手固定穿刺部皮肤，右手持穿刺针以垂直背部的方向缓慢刺入（5分），针尖斜面向上（3分），可稍倾向头部方向（2分），当感到阻力
41、突然消失有落空感时停止，将针芯慢慢抽出，见脑脊液流出，收集脑脊液标本（5分）15回套针芯，拔出穿刺针，覆盖无菌纱布，消毒穿刺部位，纱布覆盖，胶布固定。3术后术后物品处理物品复原整理，污物的处理，注意医疗垃圾的分类3术后医嘱术后再次评估患者，再次测生命体征，交代患儿去枕平卧46小时等注意事项。 平卧、禁食4-6小时3其他（15分）整个操作熟练程度过程熟练5分 过程不熟练3分5人文、沟通及回答提问有人文关怀、沟通5分 答题（腰穿目的、适应症和禁忌症）5分10无菌观念（10分）有、无污染无污染10分 有污染但补救8分10有污染无补救0分严重违反无菌原则扣50分总分100考核老师：年 月 日.嗖嗖符合
42、设计查施工记录6桩体强度MPa不小于设计抽查5%9.2质量检验9.2.1压喷射注浆所用的水泥和外掺剂品种、规格及质量应符合设计要求。检验数量：同一产地、品种、规格、批号的水泥和外掺剂，袋装水泥每200t为一批、散装水泥500t为一批，当袋装水泥及外掺剂不足200t或散装水泥不足500t时也按一批计。每批抽样检验1组。检验方法：检查产品质量证明文件及抽样检验。9.2.2浆液应严格按设计配方和试验确定的配合比拌制，制备好的浆液应均匀，不得离析。检验数量：施工单位每根桩施工过程中抽样检验2次。检验方法：观察并用浆液比重计检测浆液密度。9.2.3高压旋喷桩的数量、布桩形式应符合设计。检验数量：施工单位
43、全部检验。检验方法：观察、现场清点。9.2.4高压旋喷桩的长度应符合设计。检验数量：施工单位每根桩检验。检验方法：测量钻杆长度，并在施工中检查是否达到设计深度标志。检查施工纪录。9.2.5高压旋喷桩的完整性、均匀性、无侧限抗压强度应满足设计要求。检验数量：施工单位抽样检验桩总数的2，且不少于3根。检验方法：桩完工后28d，在每根检测桩桩径方向14处、桩长范围内垂直钻孔取芯，观察其完整性、均匀性，拍摄取出芯样的照片，取不同深度的三个试样作无侧限抗压强度试验。钻芯后的孔洞采用水泥砂浆灌注封闭。9.2.6高压旋喷桩处理后的复合地基承载力应满足设计要求。检验数量：总桩数的2，且每检验批不少于3根。检验
44、方法：平板载荷试验10.安全及环保施工要求10.1安全要求10.1.1 机械设备操作人员（或驾驶员）必须经过专门训练，熟悉机械操作性能，经过专业管理部门考核取得操作证或驾驶证后上机（车）操作。10.1.2机械设备操作人员和指挥人员严格遵守安全操作技术规程，工作时集中精力，谨慎工作，不擅离职守，严禁酒后上岗作业。10.1.3 机械设备发生故障后及时检修，绝不带故障运行，不违规操作，杜绝机械和车辆事故。10.1.4专业电工持证上岗。电工有权拒绝执行违反电器安全操作规程的工作指令，安全员有权制止违反用电安全的行为，严禁违章指挥和违章作业。10.1.5 施工现场的一切电源、电路的安装和拆除必须由持证电
45、工操作；电器必须严格接地、接零和使用漏电保护器。各孔用电必须分闸，严禁一闸多用。孔上电缆必须架空2.0m以上，严禁拖地和埋压土中，电缆、电线必须有防磨损、防潮、防断等保护措施。照明应采用安全矿灯或12V以下的安全灯。10.1.6所有现场施工人员佩带安全帽，特种作业人员佩带专门的防护工具。10.1.7所有现场作业人员和机械操作手严禁酒后上岗。10.1.8为保证营业线施工安全，试验桩区选在远离既有线防护栅栏区域。具体尺寸见附图。10.2环保要求10.2.1在成桩的过程中，如果产生了多余的浆体要弃掉，必须将浆体弃到指定的地段，不得随意满地乱弃10.2.2严禁在施工现场焚烧废弃物和会产生有害有毒气体、烟尘、臭气的物品。10.2.3施工过程中严禁将含有污染的物质或可见悬浮物的水排入河渠、水道。所有机械废油回收利用或妥善处理，严禁随意泼倒。10.2.4选择性能优良、噪音小的施工机械，对本工程使用的桩机、发电机等机械要进行定期保养维护，以减少因机械故障产生的附加噪声与振动。.
