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flexible, fluent, logical, convincing, but not beyond the grammatical rules.createbe responsible for=provide归因于 be attributed topoker 扑克牌increase in amplitudegoal-directed movement approaches its intended targetthereby, hencedevelop sth.sth. account for sth.Following sth., sb. developed sth.copious sth., in copious amounts = in massive amountsinsidious a.潜伏的,阴险的,暗中为害的Developmentally,acquireexsanguination eks,swinein 放血primidone 扑痫酮gist 要点,主旨impinge on / impinge 影响,撞击,侵犯hemianopia, anopia, quadratanopiahomonymous = ipsilateralspecifically,via=through=/by means of=with the help of=with the assistance ofspread tomanometry 测压法is released from/byThe parents have no concerns.be at increased risk for In general,sth. points tobe associated with chronic bleedsfor a routine prenatal visit/examination/testsb. had an uncomplicated pregnancy to date.due to damage to decussating spinothalamic fiber in the anterior white commissure.sth. can be precipitated byproduce colicky paincalculi = stonehinderClinically,fluorinated a.氟化的a constellation of symptomspet a dogin front of = rostral toIn around 10 to 20% of patients, the onset of RA is slower 改用delayTo take home point of in this question is 阐述一样事物为了有逻辑连续性:先详细解释,再用简单地短语概括作为下一句的主语。这比强行用连接词更高。比方说:Loop diuretics cause salt and water to be lost from the body, while bicarbonate is retained in extracelluar fluid. The loss of water and salt results in.a is , b is , c is . All three are Neither follicular nor papillary carcinomas predispose for lymphoma, although some studies have suggested Pts with xx carcinoma present with nontender nodulessince = becausecause = elicitundergoIt has minimal action in sth./doing sth. = It has minimal function in The principle action of sth is sth比用The main function 来的地道多了,也富于变化After several hours, he dies, despite appropriate lifesaving measures.paramount = extremely importantsupplant = substituteThis will pose no problem during following a second exposure to offending antigenThe rash suggests the diagnosis of gonococcal arthritissth and sth are best known examples of virtually = almost, made of, 作为定语从句插在后面because of a positive result on a home pregnancy testunsightly = uglynegligible = not so importantparadigm 范例 sth represent the paradigm of ceramics 制陶术,陶瓷业stumbling a.障碍的 n. 绊倒在老年人群中 in elderlytrip over 绊倒 Youll trip over the stone if you dont mind out .tingible a.可染(色)的monovalent a.单价的crutch n.拐杖uneventful a.平凡的report sb between the ages of 2 months and 2 yearssth is most common etiologic agent of obstipation 顽固性便秘tinkling n./v.发出叮当声,叮叮声pass flatus = pass gasstrangulation n.绞窄(比如绞窄性肠梗阻)antibiotics with coverage against gram-negative organism.are likely to do sth.important defense mechanismstump n.树桩、假肢、残余部分sth showed no abnormalities except a clear fluid around the umbilical stumpreclusive a.隐居的startle vt.使吓一跳ADH simply places water channels in membranes lining the collecting ducts, which permits the passive reabsorption of water.avidlyin an attempt to do sth.The gallbladder will undergo increased peristaltic contractions.1-year median survivalessentialauditory projection = auditory pathwaynew cat in the household 这里household用作家庭的意思sth used in conjunction withPatients may also demonstrate findings consistent with apatite 磷灰石side effect = adverse reactionparamedics 护理人员slash vt.鞭打小的部位,地方用site,不用placeIt occupies the position along the lower border of the rib.subfalcine 大脑镰下的The presence of sth. 也可以用the occurrence of sth.啊,是不是更富有活力了呢protuberant 突起的,显著的optimal = appropriate用be able to 也比所有只用can来的好吧巧妙应用post. 比如 post fertilization终止某样事情啦 termination of aphthous a.口疮的acantholysis 皮肤棘层松解exhibit some symptoms of 尝试用用incidental finding, accidental finding 之类thioamide 硫代酰胺非故意的,不知不觉的 unintentionaldenture 假牙haphazard adj. 偶然的;随便的;无计划的下次说干什么很容易,用readily ad 啊, 用 easily 太naive了 年龄啊 5 year old 太滥了,用5 years of age每天抽两包烟 two packs of cigarettes dailyanthracotic adj. 矽肺病的compatible adj. 兼容的;能共处的;可并立的pilot light 指示灯send axons through to = send processes through toprior treatmentbloating adj. 鼓胀的 v. 鼓胀;胀大;炉渣起泡(bloat的ing形式)velvety velvt adj. 天鹅绒般柔软的;醇和的,可口的undulate ndjletvi. 起伏,波动;震动;呈波浪形vt. 波动;使波动;使起伏;使成波浪形adj. 波动的;起伏的;波浪形的bathtub 浴缸refine vt. 精炼,提纯;改善;使文雅indolent adj. 懒惰的;无痛的in a indolent course incubation period这个女人的孩子 the children of the womanin the patients workupconsensual adj. 交感的;在双方同意下成立的骨板提前愈合 premature sealing of the growth platesreduce production of otherwise normal type I collagenlightheadedness n.头晕severe lightheadedness用often的时候想想用commonly替换amaurosis fugax 一过性黑蒙dissociation of carbonic acid into water and carbon dioxidespillage n. 溢出;溢出量The result is heavy spillage of sth.drink soft drinks 喝不含酒精的饮料meritn. 优点,价值;功绩;功过vt. 值得vi. 应受报答精神错乱的的,发狂的 deliriouspersons, people, human beings都不如individuals来的好ravenous adj. 贪婪的;渴望的;狼吞虎咽的the childs ravenous appetitephallus n. 阴茎adj. 模糊不清的;引起歧义的 可以用unclear,但是,ambiguous 更好!virilization = masculinization女性男性化rudimentary adj. 基本的;初步的;退化的;残遗的;未发展的adj. 令人畏惧的,可怕的 dreadfulmodality 形式pinprick n. 针刺;针孔;令人烦恼的小事appropriate 用 proper替换inappropriate = improperplumpvt. 使丰满;使鼓起;突然放下adv. 沉重地;突然地vi. 变丰满;鼓起adj. 圆胖的,丰满的;鼓起的n. 扑通声stumpn. 树桩;残余部分;假肢vt. 砍伐;使为难;在作巡回政治演说vi. 笨重地行走;发表竞选演说P/E shows tenderness of the right upper quadrant of the abdomen with guarding.sonographic 超声描记的The rough endoplasmic reticulum is visualized under the electron microscope as parallel arrays of membrane-bound cisternae populated with multiple electron dense dots.Proteins destined to be secreted, membrane-bound, or lysosomal all have an N-terminal hydrophobic signal sequence during synthesis on cytoplasmic ribosomes.ashen adj. 灰色的;苍白的Depressed level of consciousness predisposes to aspiration of oropharyngeal flora and/or gastric contents and development of aspiration pneumonia.A paraphrase example worthy learning shown as follows: Reduced penetrance refers to a situation in which an individual known to carry the dominantly inherited mutated gene may show no clinical evidence of the condition.= Not all individuals with a mutant genotype show the mutant phenotype.adj. 疏忽的;不注意的(副词inadvertently);无意中做的 inadvertenttorrential adj. 猛烈的,汹涌的;奔流的torrential venous bleeding用overt替代obviousmaternal uncleLesions of medial lemniscus would cause contralateral loss of dorsal column modalities, e.g. , tactile discrimination, vibration sensation, and conscious proprioception.As the prodromal symptoms dissipate over a few days and prior to the onset of the exanthem, the enanthem develops, i.e., hypopigmented, irregular oral lesions on the anterior buccal mucosa.pellet n. 小球;军 小子弹(枪用)vt. 将制成丸状;用子弹打;用小球扔Administration of penicillin derivatives can lead to maculopapular rash.incompetencyflee fled fledSeveral children and adults who recently fled a detention camp come to the emergency department because of a sore throat and low-grade fever.shuffling gait 缓慢的步态,小碎步步态Normally, after cessation of contractile activity, relaxation follows electrical quiescence at the neuromuscular junction and the return of sarcoplasmic reticulum membrane and T-tubule membranes to their resting electrical potential. follow = induce = once sustain vt. 维持;支撑,承担;忍受;供养;证实sustain a crush injury of the right arm at workconstruction workercomminute vt. 粉碎;分割sth. renders sth less able to do .distractor n. 错误选择;诱导答案morbilliform adj. 麻疹样的回想起。 recall any trauma, or 橘皮 orange peelinduration n. 硬化;医 硬结;顽固;无情A high suspicion of sth must be entertained if Sth lacks the risk factors for developing mastitis.Carbon monoxide toxicity is often suggested by occupational exposureswith prolonged exposure to sthThe oxygen saturation measurement of 98% (presumably by pulse oximetry) does not completely rule out pre- preform, preexist, presensitize,intractable adj. 棘手的;难治的;倔强的;不听话的The biological attribute of influenza A virus that allows the sudden appearance of dramatically new genetic variants is also present in a limited number of other viral families.stumbling 绊倒cul-de-sac n. (法)死巷;死路;困境substrate n. 基质;基片;底层(等于substratum);酶作用物inside = indelicatessen ,delktes()n n. 熟食;现成的食品Hypochlorite is generated in the myeloperoxidase arm of the intracellular killing pathway when myeloperoxidase acts on hydrogen peroxide to produce toxic halide radicals.by changes in ADH levelsendophytic ,endufitik n. 内生植物的;内寄生的vendor n. 卖主;小贩;贸易 自动售货机street vendorvigilant adj. 警惕的need vigilant hydrationinconsolable adj. 无法安慰的(名词inconsolability,副词inconsolably);极为伤心的offer him a referral for counselinghealth issue , health condition替换 health problem, disorder, etcThe communication with sb is best handled face-to-face.to deliver new in a timely manner = in emergent situation The phone conversation should followed up by a visit., while getting the patient the news quickly and in a cheery manner, does not address the pts other health conditions.Waiting for days to hear the test results is understandably likely to cause anxiety in the pt. Also, the physician himself should do the counseling and not refer the pt to someone else.A letter from the physician takes time to reach the pt, always creates anxiey, and offers no one to discuss the meaning of the results.boggy adj. 似沼泽的;沼泽多的Rectal examination shows a boggy, tender prostate.Gram stain of the urine showsperipheryThe headaches have become increasing debilitating.throbbing adj. 悸动的;跳动的The pain is throbbing.debilitating adj. 使衰弱的v. 使虚弱(debilitate的ing形式)imminent adj. 即将来临的;迫近的propulsive adj. 推进的;有推进力的ensue vi. 跟着发生,接着发生;继起A specific vomiting act ensues that involves sth.a similar clinical profilenoteblytingible a.可染的Prognosis is grave due to advanced stage at diagnosis.Sb. died in a motor vehicle collision.She has bouts of crying for no reason.perform her activities of daily livingdo not have nightmares aboutHer vital signs are within normal limits.Depression lingers for years; grief resolves itself in time.Grieving people generally do not contemplate suicide, but a majority of depressed people do have suicidal ideation.Medicate depression, but not grief.sb. come to the physician because of a sore tongue.sludging n. 沉积;油泥;成渣v. 淤积;清除的沉淀物(sludge的ing形式)adj. 沉积的ablation n. 水文 消融;切除for a health maintenance examinationmicron n. 微米(等于百万分之一米)taxonomically adv. 分类学的sth is taxonomically related to As a caveat, caveat n. 警告;中止诉讼手续的申请;货物出门概不退换;停止支付的广告palpitation of the right upper quadrant during inspiration causes sharp pain and an abrupt “catching” of the breath. = inspiratory arrest on the RUQ palpation due to painMedication 用 medical options 替换 produce a full therapeutic responsethree or more things. (=)持续了多久 disease duration of more than 3 monthsside effects = adverse effectsfriable adj. 易碎的;脆弱的impinging n. 冲击;碰撞v. 冲击,撞击(impinge的现在分词形式)生命时间长度 lifespanThe reason for the constant time period is related to the lifespan of the corpus luteumreinstate vt. 使恢复;使复原downy adj. 柔和的;绒毛的;多丘岗的downy hair in the ampitFusobacterium usually is not pathogenic and lives in a commensal relationship with the host.n. 共餐者;生态 共生体adj. 共生的;共餐的;同桌的excoriation 表皮剥脱clumped adj. 集群分布v. 成群(clump的过去分词和过去式)Assuming there has been no change in his dietcustomary alpha criteriacausality n. 因果关系 He is not in shape.在外形上;处于良好状态convenience store 便利商店omnipotence n. 全能,无限力量in a small region of the lateral upper right armimpinge on vi. 撞击;侵犯 vt. 撞击be characterized by a shooting pain 放射痛be more richly innervatedlaboratory studies of The skin on her torso and extremities is hyper pigmented.A 70-year-old man with a history of diabetes and hypertension comes to the physician because of ambulate vi. 走动;步行;移动anisocoria 瞳孔大小不等a stray cat 流浪猫manipulate the structures of the existing FDA-approved pharmaceutical compoundwrithing vt. 翻滚,打滚;因剧痛扭动/蠕动visual acuity 视敏度pleocytosis 脑脊液细胞过多obtund vt. 使缓和,使迟钝;减轻rake n. 耙子;斜度;钱耙;放荡的人,浪子inexplicable adj. 费解的;无法说明的;不能解释的at least one episode of persistent elevated mood, along with swings down to a depressive stateThe patient is preoccupied with issues with trust.adj. 全神贯注的;心事重重的;被先占的v. 抢先占有;使全神贯注(preoccupy的过去式)peculiarity n. 特性;特质;怪癖;奇特rise to the level of full-blown delusionadj. 成熟的;(花)盛开的;(帆等)张满的reparative adj. 修缮的;赔偿的;弥补的writhing vt. 翻滚,打滚;因剧痛扭动/蠕动;盘绕(writhe的现在分词)vinca n. 长春花detain vt.拘留insight n. 洞察力;洞悉insane adj. 疯狂的;精神病的;极愚蠢的whorl n. 螺纹;轮生体;涡vt. 使成涡漩vi. 盘旋variegated adj. 杂色的;斑驳的;富于变化的Prognosis is dismal. adj. 凄凉的,忧郁的;阴沉的,沉闷的droop vi. 下垂;萎靡;凋萎vt. 使下垂n. 下垂;消沉temperate zone 气象 温带linger vi. 徘徊;苟延残喘;磨蹭impinge vi. 撞击;侵犯pleocytosis n. 临床 脑脊液细胞增多cyclopia n. 独眼畸形tragus 解剖 耳屏auricle n. 耳廓;deflect vt. 使转向;使偏斜;使弯曲vi. 转向;偏斜serpentine sp()ntan adj. 蜿蜒的;阴险的;弯弯曲曲的vt. 使迂回曲折地行进vi. 像蛇般行进n. 矿物 蛇纹石tip-off n. 密报;警告calvarium n. 颅盖horseback ridingdiscernible adj. 可辨别的;可识别的The tongue deviates to the right upon protrusion.in some distresscrush vt. 压碎;弄皱,变形;使挤入index finger 食指binge n. 狂欢,狂闹;放纵vt. 放纵vi. 狂饮作乐;大吃大喝n. (Binge)人名;(英)宾奇purge vi. 净化;通便vt. 净化;清洗;通便n. 净化;泻药chiropractic neck manipulation n. 脊椎按摩疗法blow n. 吹;打击;殴打vi. 风吹;喘气vt. 风吹The man is brought to the emergency department after sustaining a blow to his right eye during a match.drink alcoholuse illicit drugsA 40-year-old man develops progressive weakness culminating in paralysis.vi. 到绝顶;达到高潮;达到顶点vt. 使结束;使达到高潮symptomatology n. 症候学,总症状begin withchoroid plexus tuftaphthous ulceradj. 口疮的fainting n. 昏晕;不省人事faint adj. 模糊的;头晕的;虚弱的;医 衰弱的A 35-year-old woman comes to the physician because of “double vision” and the inability to adduct the right eye on attempted left lateral gaze. The left eye abducts appropriately on the left lateral gaze. Neurologic examination shows normal direct and consensual light reflexes with intact convergence.He has a decreased right nasolabial fold and decreased movements of his right face, soaring the forehead,A man is brought to the emergency department because of altered mental status, diaphoresis and irritability.The behavior will be extinguished at which of the following ages?Her mother states that her daughter has had a history of clumsiness since she was a toddler with frequent falls throughout
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