女性，28岁，已婚。月经紊乱1年余，一般是10～40天或10～60天，量时多时少，妇科检查及B超检查无异常，基础体温呈单相型，月经第1天子宫内膜检查呈增生期变化。其诊断是
A．无排卵型功能失调性子宫出血，崩漏
B．无排卵型功能失调性子宫出血，月经先后无定期
C．排卵型功能失调性广宫出血，月经量过多
D．排卵型功能失调性：子宫出血，月经先后无定期
E．排卵型功能失调性子宫出血，经期延长
参考答案：B
解析：排卵型功能失调性子宫出血有排卵但黄体功能异常，基础体温呈双相型。无排卵型功血患者有各种不同的临床表现：可以表现为类似正常的周期性出血，但常见的症状是不规则子宫出血。妇科检查一般无特殊，子宫大小在正常范围。基础体温呈单相型等。此患者的临床表现符合无排卵型功血月经先后不定期。 [考点] 无排卵型功血的诊断。
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| Once upon a time, there was a boy who would go into the forest and gather food and herbal medicines (草药) with some of his fellows every spring. However, one year, a tiger showed up in the forest and no one dared go into the forest again. One day, the boy's father became ill, and the family couldn't afford the 1 that the father needed. The boy decided to try and find some herbal medicines as well as some food in the forest. It was a perfect sunny day. At first, it was quiet and 2 happened. But later, when the boy bent down to reach one more mushroom, he was suddenly pushed to the ground. A large shadow covered him. He rolled over and looked 3 in shock as the tiger said in a deep voice. "You are my 4 . Say good-bye to this world." 5 his sick father, the boy knew he couldn't die. He quickly calmed down and put a mushroom into his mouth, and chewed and swallowed. Then he said, " 6 you can kill and eat me, but I wish you to know that these mushrooms are deadly poisonous (有毒的). You can eat me, but you will die too. My family will look for me and find you. They will 7 your stomach and eat your meat. Your fine skin will carpet the floor of a rich man's house and your tiger bones will get a good 8 in the medicine shops. My family will have enough for a year or more and I will be given a good funeral (葬礼) and long 9 . The tiger hesitated (犹豫). He saw the frightful mushrooms in the basket and 10 his appetite (胃口). He slowly walked away. The boy saved his own life with his quick thinking. | ||||
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