问题 单项选择题 共用题干题

患者,女性,46岁,消瘦,心悸6个月,甲状腺Ⅱ度肿大,无触痛,临床诊断为Graves病。给予丙基硫氧嘧啶(300mg/d)及心得安治疗2周,病人出现怕冷,易困倦,手足发胀,查FT3、FT4低于正常,TSH高。

此时应选择的治疗方案是()

A.继续原有治疗

B.继续原有治疗+甲状腺制剂

C.减少丙基硫氧嘧啶和心得安剂量+甲状腺制剂

D.停药观察

E.改用同位素治疗或手术治疗

答案

参考答案:D

阅读理解

Long ago, operation usually had to be done while the sick man could feel everything. The sick man had to be held down on a table by force while the doctors did their best to save him. He could feel all the pain if his leg or arm was being cut off, and his fearful cries filled the room and the hearts of those who watched.

Soon after 1770, Josept Priestley discovered a gas which is now called “laughing gas”. Laughing gas became known in America. Young men and women went to parties to try it. Most of them spent their time laughing, but one man at a party, Horace Wells, noticed that people didn’t seem to feel pain when they were using this gas. He decided to make an experiment on himself.He asked a friend to help him.

Wells took some of the gas, and his friend pulled out one of Wells’ teeth. Wells felt no pain at all.

As he didn’t know enough about laughing gas, he gave a man less gas than he should have. The man cried out with pain when his tooth was being pulled out. 

Wells tried again, but this time he gave too much of the gas, and the man died. Wells never forgot this terrible event.

小题1:Long ago,when the sick man was operated on, he _________.

A.could feel nothing

B.could not want anything

C.could feel all the pain

D.could do anything小题2:Using the laughing gas, the people did not seem to _________.

A.be afraid of anything

B.feel pain

C.want to go to the parties

D.be ill小题3:If a man took less laughing gas than he should have when an operation went on, he _________.

A.felt nothing

B.felt very comfortable

C.still felt pain

D.would die小题4:One who took too much of the laughing gas _________.

A.would laugh all the time

B.would be very calm

C.would never feel pain

D.would die.

单项选择题