问题 单项选择题 案例分析题

患者女,42岁,因“心悸、乏力、怕热、多汗、食欲亢进、体重下降3个月”来诊。查体:T37.6℃,P130次/min,BP140/90mmHg;甲状腺弥漫性、对称性Ⅱ度肿大,质软,随吞咽上下活动,伴有震颤,听诊可闻及血管杂音。入院后观察患者情绪易激动,性情急躁、紧张不安、注意力不集中、入睡困难、手舌震颤。

根据患者的症状和体征,首先应考虑的诊断是()

A.甲状腺功能亢进症

B.甲状腺功能减退症

C.单纯甲状腺肿

D.甲亢危象

E.皮质醇增多症

F.甲状腺癌

答案

参考答案:A

单项选择题

I got a job teaching special education at a school in Coachella, California, a desert town about 170 miles from home. It was no (1) job. Street gangs (2) around the school after dark.

"Be careful, " Dad warned me during one of my frequent weekend (3) home. He was concerned about my living (4) , but I needed to be on my own.

One evening, I stayed after school to rearrange my classroom. (5) , I turned out the light and closed the door. Then I (6) toward the gate. It was (7) ! I looked around. Everyone had gone home.

After (8) all the exits, I found just enough (9) to squeeze under a gate in the back of the school. Then I walked toward my car, parked in a field behind the building.Suddenly I heard voices. I (10) around and saw at least eight boys following me. (11) my pace, I reached into my shoulder bag to get my key. I (12) all over the inside of my handbag. But the key wasn’t (13) ! Dear Lord, please help me, I prayed (14) . Suddenly, my fingers touched a loose key in my purse. I didn’t even know if it was for my car, but I took it out and (15) it. It worked!I opened the door, slid in and locked it—just (16) the teenagers surrounded the car. Trembling , I started the engine and (17) away. When I returned to my apartment, the phone was ringing. It was my Dad. I didn’t tell him about my experience; I didn’t want to (18) him. "Oh, I forgot to tell you!" He said, "I had a (n) (19) car key made and slipped it into your purse—just (20) you ever need it.

19()

A.extra 

B.useful 

C.special 

D.excellent

单项选择题