某男性患者，13岁。食蚕豆后突感畏寒，发热，皮肤发黄。血红蛋白_爱下问搜题

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问题单项选择题 A1/A2型题

某男性患者，13岁。食蚕豆后突感畏寒，发热，皮肤发黄。血红蛋白70g/L，网织红细胞0.15，尿胆原阳性，胆红素阴性。对明确诊断最重要的检查是（）

A.血总胆红素测定

B.酸化血清溶血试验

C.抗人球蛋白试验

D.骨髓检查

E.高铁血红蛋白还原试验

答案

参考答案：E

解析：发热、黄疸、贫血、网织红细胞升高及尿检支持溶血性贫血。食蚕豆后出现溶贫应考虑G-6PD缺乏，高铁血红蛋白还原试验为其筛选试验。

完形填空

Mr. White is seventy years old. He has been staying at home since he retired. Last year his wife 41 .He was very sad. He has four children, but they all have their own families. Now he lives in an old house 42. Sometimes he feels lonely. One day, one of his children bought a parrot for him. It could 43 and usually gave it nice 44. But one afternoon, a cat ate the parrot. He was very sad and 45 to buy another one. He also bought a strong and beautiful cage for it and began to 46 it to speak. Every morning, as soon as he got up, he said“Good morning” 47 the bird. The bird had a look at him but said 48 . He kept on teaching it but the parrot didn’t learn anything. He felt sorry for it and lost his patience(耐心).
One evening his 49 called and told him that his granddaughter was 50 in hospital. He went to see her 51 . When he got there, she was being operated(手术) on and he didn’t see her. The doctors asked him to go home. He was so worried about her that he couldn’t 52 the whole night. The next morning, when he was passing by the parrot, he 53 to say “Good morning” to the bird.
Suddenly(突然地) he 54 someone saying,“What happened to you this morning?” He looked 55 . There was nobody except himself in the room. It was the bird.

C．all year round

D．all the time

D．fall asleep

单项选择题

下列外毒素中，以神经组织为特异靶位的是

A．霍乱毒素
B．葡萄球菌肠毒素
C．艰难梭菌A毒素
D．破伤风痉挛毒素
E．葡萄球菌溶血素