问题
单项选择题 案例分析题
男孩，3岁，自幼人工喂养，食欲极差，有时腹泻。身高85cm，体重7500g。皮肤干燥、苍白，腹部皮下脂肪厚度约0.3cm。脉搏缓慢，心音较低钝。
其主要诊断应是（）。
A.先天性甲状腺功能减退症
B.营养性贫血
C.婴幼儿腹泻
D.营养不良
E.心功能不全
答案
参考答案：D
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男孩，3岁，自幼人工喂养，食欲极差，有时腹泻。身高85cm，体重7500g。皮肤干燥、苍白，腹部皮下脂肪厚度约0.3cm。脉搏缓慢，心音较低钝。
其主要诊断应是（）。
A.先天性甲状腺功能减退症
B.营养性贫血
C.婴幼儿腹泻
D.营养不良
E.心功能不全
参考答案：D
Temperature is part of my married romance. 36 to New York from Baltimore——where there is just one small snowstorm each year——I was seated by a fireplace in my new home, with fires 37 all day, just as what ancient people did at a wedding. My husband, Peter, comes from northern Ontario（加拿大的安大略省）, where winter 38 from September to May and cold wind is 39 . “When Canadians have -30℃, they 40 it bravely,” he says, “Cold wind is for crybabies.（爱哭的人）” So to marry this man I had to learn to 41 for serious cold. To get me from Baltimore’s Inner Harbor to Albany’s frozen Hudson, Peter piled me 42 jackets and sweaters, scarves and gloves, even a hat with earflaps. The gift of Sorel boots——comfortably warm at Canada’s 30 below, was a 43 meaning getting serious. That first winter together, living in upstate New York, I thought I’d 44 . My boots were good below freezing, but my fingers could 45 tie them. Physical adaptation is real, but it came slowly. And there is also emotional 46 to cold. Some days I tell myself that I have enough beach memories to stick to on 47 days and other days I am reminded that living cold does indeed build 48 . 49 , having a warm house is important. After my first marriage ended, for years I 50 went on a second date with a man whose response to my “I’m cold.” was, “Put on a sweater.” Now I’m married to a man who 51 that cold hands do not mean a warm heart, and that a big oil bill is better than roses. But surprisingly, I’ve grown, too. I am 52 , in this new life and climate, to go and look for that cost-saving sweater. The word comfortable did not 53 refer to being satisfied. It’s from Latin, comfortare, meaning to strengthen. The Holy Spirit is Comforter；not  to make us comfortable, but to make us 54 . We 55 not be warm but we are indeed comforted.
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