问题 多项选择题 案例分析题

患者男,65岁,因“多饮、多食、消瘦10余年,下肢水肿1个月”来诊。10年前渐出现烦渴、多饮,饮水量每日达4000ml,伴尿量增多,血糖12.5mmol/L,尿糖(++++),服用降糖药物治疗好转。近1年来逐渐出现视物模糊。1个月来出现双下肢水肿。既往7年来多次量血压偏高,未治疗。查体:T36℃,P78次/min,R18次/min,BP160/100mmHg;巩膜不黄,双晶体稍混浊;颈软,颈静脉无怒张;心、肺无异常;双下肢轻度水肿。实验室检查:Hb103g/L,WBC6.5×109/L,N0.65,L0.35,PLT235×109/L;血糖15mmol/L,BUN7.0mmol/L。

为明确病情/诊断应进行的检查项目包括()。

A.糖化血红蛋白

B.尿常规

C.肝功能

D.血生化

E.动脉血气分析

F.24h尿蛋白定量

答案

参考答案:A, B, C, D, E, F

选择题
阅读理解

Our quarrel with efficiency is not that it gets things done, but that it is a thief of time when it leaves us no leisure to enjoy ourselves, and that it strains our nerves when we try to get things done perfectly. In building bridges, American engineers calculate so finely and exactly as to make the two ends come together within one-tenth of an inch. But when two Chinese begin to dig a tunnel from both sides of a mountain both come out on the other side. --The Chinese’s firm belief is that it doesn’t matter so long as a tunnel is dug through, and if we have two instead of one, why, we have a double track to boot.

  The pace of modern industrial life forbids this kind of glorious and magnificent idling. But, worse than that, it imposes upon us a different conception of time as measured by the clock and eventually turns the human being into a clock himself. (This sort of thing is bound to come to China, as is evident, for instance, in the case of a factory of twenty thousand workers. The luxurious prospect of twenty thousand workers coming in at their own sweet pleasure at all hours is, of course, somewhat terrifying.)Nevertheless, such efficiency is what makes life so hard and full of excitement. A man who has to be punctually at a certain place at five o’clock has the whole afternoon from one to five ruined for him already. Every American adult is arranging his time on the pattern of the schoolboy - three o’clock for this, five o’clock for that, six-thirty for change of dress, six-fifty for entering the taxi, and seven o’clock for arriving at the destination. It just makes life not worth living.

小题1:The writer objects to efficiency mainly on the grounds that it ____.

A.gives us rights to have too much leisure time

B.urges us to get things done punctually

C.robs us of leisure time

D.imposes on us a perfect concept of time小题2: In the eyes of the author, the introduction of industrial life gives rise to ____.

A.the excitement of life

B.magnificent idling of time

C.more emphasis on efficiency

D.terrifying schoolboy小题3:The passage tells us ____.

A.Chinese workers come to work when it is convenient

B.all Americans are forced to be efficient against their will

C.Chinese engineers are on better terms with the management

D.Americans ought not to work so hard for efficiency小题4: The author believes that relaxing the rule of punctuality in factories would lead to ____.

A.great trouble

B.increased production

C.a hard and exciting life

D.successful completion of a tunnel