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A 67-year-old woman has experienced severe nausea, vomiting, early satiety, and a 9-kg weight loss over the past 4 months. On physical examination, she has mild muscle wasting. Upper gastrointestinal

A、Gastric adenocarcinoma

B、Granulomatous inflammation

C、Chronic atrophic gastritis

D、Acute gastritis

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更多“A 67-year-old woman has experienced severe nausea, vomiting, early satiety, and a 9-kg weight loss o…”相关的问题

第1题

Who's to blame for the approximately $2 a gallon most Americans paid for gasoline on their Thanksgiving Day travels?

To quote Pogo, the key character in that old comic strip, "We have met the enemy and he is us."

Over the past 24 years, United States foreign policy has discouraged several oil-exporting nations from adding to their capacity to produce more oil, says A.F. Alhajji, an economist at Ohio Northern University in Ada. The result has been a decline in the excess capacity of OPEC as a group. This means there is less ability for oil producers to counter upward price pressures from the growing demand for petroleum from China and India, or from short-term problems, such as the bombing of pipelines in Iraq, hurricane damage to wells in the Gulf of Mexico, and political turmoil in Nigeria or other oil-exporting nations.

For various foreign-policy reasons, the US has imposed sanctions on Iran, Iraq, Sudan, Libya, and Burma (Myanmar). This step has prompted American and sometimes foreign oil companies to pull out of or stay away from these nations. Without foreign investment, the countries could not boost oil output Capacity as much-a situation that still has a lingering effect on production.

Although proclaiming its neutrality in the 1980-88 war between Iran and Iraq, the US at times helped both sides militarily. Saudi Arabia, Kuwait, and some other Arab Middle East nations assisted Iraq financially during the war. As a result, they had less money to develop their oil fields. Saudi Arabia and Kuwait produce less oil today than they did in the 1970s. Iran's oil development stalled. The war "drained the financial resources of the whole area", Mr. Alhajji says.

Iran, which prior to its 1979 revolution produced 6 million barrels a day, pumps oil today at a rate of only 3.9 million b.p.d.

The latest damage to world capacity, perhaps temporary, resulted from the US invasion of Iraq. Iraq pumped 3.8 million b.p.d in 1979 before its war with Iran and 3 million b.p.d before the US moved into Baghdad last year. Nowadays, it produces between 2 million and 2.5 million b.p.d.

Alhajji, a Syrian-American, maintains this decline in excess world oil production capacity has resulted in a rise in prices from around $10 a barrel in 1999 to $35 in 2000 to between $49 and $55 today.

The higher prices could last. History indicates it takes at least three years for a nation's oil output to recover fully from a war or other severe disturbances, Alhajji says. He points to the wars in Iraq, Iran, and Kuwait over the past two decades, as well as the difficulty Russia faced in its transition to a market-based economy after the breakup of the Soviet Union. Because of the present situation in Iraq, Alhajji doubts that country can reach 5 million b.p.d by 2010, as some interim Iraqi leaders have claimed. The failure to boost Iraq oil production quickly means the US will face additional costs of reconstruction in Iraq.

One of the Bush administration's best postwar decisions, Alhajji says, was to invest $2.3 billion to rehabilitate the Iraqi oil sector and employ an overwhelming force of soldiers and private contractors to protect the oil facilities. That protection combined with higher oil prices has given Iraq a large windfall in revenues.

Another positive note for Iraq: Last week the world's leading industrial nations agreed to cancel 80 percent of the nearly $39 billion debt owed them by Iraq. But Iraq still owes Saudi Arabia and other Arab nations even more from the Iran-Iraq War-money that could have been used to raise their ability to produce more oil.

Today's higher oil prices, meanwhile, will seriously damage the world's economy, some economists predict. Higher prices in 2005 will cost the US 0.7 percent of gross domestic product, the Euro zone 1.1 percent, and Japan 0.9 percent, according to Philip Verleger Jr., an economist with the Institu

A.Today's higher oil prices could bring the US economy into deep recessions.

B.Today's higher oil prices will seriously damage the world's economy.

C.The higher oil prices could be soon over.

D.The US maintained its neutrality in the 1980-88 war between Iran and Iraq.

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第2题

More people than ever are drinking coffee these

days--but in small quantities than they used to. Some 【S1】______

manufacturers of coffee makers are trying to make 【S2】______

advantage of this trend by developing diminutive

machines that brew(煮) smaller mounts of coffee.

Two U.S. appliance companies--Black & Decker,

basing in Towson, Maryland, and Toastmaster Inc. of 【S3】______

Columbia, Missouri--has recently introduced "drip" 【S4】______

coffee makers that brew one or two cup servings of

coffee. Neither of the products brew the coffee 【S5】______

directly into a cup or mug, eliminating the need for a

separate carafe. Since many people make a pot of

coffee in the morning and drink only a single cup, the 【S6】______

new coffee makers should reduce the wasted coffee.

Black & Decker's Cup-at-a-Time spends $27, while 【S7】______

Toastmaster's Coffee Break retails for $20.

Black & Decker also makes a coffee maker

drips coffee directly into a carry-around thermal 【S8】______

carafe. The carafe, a glass vacuum bottle, is supposed

to keep the coffee fresh for hours. The product,

called the Thermal Carafe Coffee-maker, comes with

a built-in lid that opens during die brewing process,

closes when it is completed. There are several models, 【S9】______

including one that fits under the counter, ranging

from $60 to $110 at price. 【S10】______

【S1】

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第3题

Who has the woman asked about her daughter Cathy?

A.The woman's friends.

B.The woman's neighbors.

C.The daughter's friends.

D.The daughter's teachers and classmates.

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第4题

ThecustomerhasanIBMEnterpriseStorageServer800comingoffleasethisyear.Themaintenancechargesarebecomingveryexpensiveandtheyarelookingatanewstoragesolutiontoattachtotheirmainframeenvironment.Whichofthefollowingsolutionswouldbemostcosteffective?()

A.DS8300

B.DS8700

C.StorwizeV7000

D.XIVStorageSystem

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