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问题 多项选择题

女，43岁，1个月来体重下降5kg，伴口渴，心悸，食量正常，自测脉搏92次／分，其父患糖尿病。（肼示：O’30’60’120’180’。血糖：5．5912．614.88.825．4mmol／L。糖化血红蛋白5．5％，可能的诊断包括（）

A.糖尿病

B.甲状腺炎

C.IGT

D.甲亢

E.自主神经功能紊乱

答案

参考答案：C, D

解析：OGTT结果可确诊IGT，但此种糖代谢异常，不足以导致短期体重明显下降。加之患者中年女性，有心悸症状，支持甲状腺毒症诊断。其病因需做进一步检查。故诊断甲亢更确切。提供其父糖尿病史系一干扰条件。

填空题

When I was growing up, I was embarrassed to be seen with my father. He (1) severely crippled and very short, and when we would walk together, his hand on my arm (2) balance, people would stare. I would inwardly be afraid (3) squirm at the unwanted attention. If he ever noticed or was bothered, he never let (4) .
It was difficult to coordinate (5) steps - his halting, mine impatient - and because of that, we didn’t say much as we went along. But as we started out, he always said, "You (6) the pace. I will try to adjust to you. "
Our usual walk was to or (7) the subway, which was how he got to (8) . He went to work sick, and (9) nasty weather. He almost never missed a day, and would (10) it to the office even if (11) could not: a matter of pride!
He never talked about himself as an object of pity, (12) did he show any envy of the more fortunate or able. What he looked for in others was a "good heart", and if he found one, the owner was good enough for him.
Now that I am older, I believe that is a proper standard (13) which to judge people, even though I still don’t know precisely (14) a "good heart" is. But I know the times I don’t have one myself.
He has (15) gone many years now, but I think (16) him often. I wonder if he sensed my reluctance to be seen with him during our (17) . If he did, I am (18) I never told him how sorry I was, how unworthy I was, how I regretted it. I think of him when I complain about trifles, when I am (19) of another’s good fortune, when I don’t have a "good heart".
At such times I put my hand on his arm to regain my (20) , and say, "You set the pace, I will try to adjust to you.\
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问答题 简答题

蓄电池为什么要做放电或容量试验？时间上是怎样规定的？
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