患者男，55岁，因“黑粪1周，意识障碍3天”来诊。15天前曾服用抗抑郁药，1周前出现黑粪，在外院诊断为上消化道出血，3天前出现意识障碍。查体：意识障碍，呼之不应，皮肤巩膜重度黄染，心律规整，腹胀明显，肠鸣音未闻及，移动性浊音（+），双下肢无水肿。双侧病理征（-）。为明确诊断应做的检查是（）。

[单选题]A Bridge for Squirrels San Francisco has its cable cars. Seattle has its Space Needle. And， Longview has its squirrel bridge. The bridge， which has attracted international attention， is now a local landmark. The Nutty Narrows Bridge was built in 1963 by a local builder， Amos Peters， to give squirrels a way to cross the busy road without getting flattened by passing cars. The original bridge was built over Olympia Way on the west edge of the library grounds. Before the bridge was built， squirrels had to avoid traffic to and from the Park Plaza office building where office staff put out a nutty feast for the squirrels. Many times， Peters and others who worked in and near Park Plaza witnessed squirrels being run over. One day Peters found a dead squirrel with a nut still in its mouth， and that day's coffee break discussion turned into squirrel safety. The group of businessmen cooked up the squirrel bridge idea and formed a committee to ask the blessing of the City Council （市政会）.The Council approved， and Councilwoman Bess LaRiviere jokingly named the bridge "Nutty Narrows". After architects designed the bridge， Amos Peters and Bill Hutch started construction. They built the 60-foot bridge from aluminum and lengths of fire hose （消防水带）. It cost 1000. It didn't take long before reports of squirrels using the bridge started. Squirrels were even seen guiding their young and teaching them the ropes. The story was picked up by the media， and Nutty Narrows became known in newspapers all over the world. In 1983， after 20 years of use， Peters took down the worn-out bridge. Repairs were made and crosspieces were replaced. The faded sign was repainted and in July 1983， hundreds of animal lovers attended the completion ceremony of the new bridge. Peters died in 1984 ，and a ten-foot wooden squirrel sculpture was placed near the bridge in memory of its builder and his devotion to the project. What happened over the coffee break discussion？（）

[问答题]简述沙氏指数的物理意义以及使用时应注意的问题。

[单选题]项目的总建筑师和关键业主代表不能在项目中合作：这对项目进度带来不利影响。项目经理应该如何解决这个问题？（）

[单选题]慢性肉芽肿发病的原因是（）

[判断题]《民法总则》明确规定，以取得利润并分配给股东等出资人为目的成立的法人，为营利法人。

[单选题]社区卫生诊断的专项调查一般包括（）。

[单选题]“位置在足掌楔骨部位至足跟间的凹陷区域，被大肠反射区所包围”的足部反射区是（）。

[多选题]渗水分受的作用力包括（）。

[单选题]RDW增大说明红细胞（）

[单选题]临床上急性病毒性肝炎最早出现黄疸的部位是（　　）。