问题 多项选择题 案例分析题

患者女,29岁,因“脱发、乏力、月经紊乱伴膝关节酸痛4个月”来诊。2年前怀孕期间甲状腺功能无异常,产后抗甲状腺过氧化酶抗体阳性,未做特殊处理。查体:BP138/86mmHg;意识清楚,精神可;无突眼和颜面水肿;甲状腺Ⅱ度肿大,有结节感,质地坚韧;双肺呼吸音清,无啰音;HR70次/min,律齐;双下肢无水肿。

经检查,患者TSH轻度升高,但甲状腺激素水平正常,下面叙述正确的是()

A.不需要治疗

B.复查TSH以后再决定是否治疗

C.假如合并肾上腺皮质功能减退,不需要治疗

D.因患者症状明显,需立即治疗

E.先使用糖皮质激素治疗,4周后再用甲状腺激素替代治疗

F.排除垂体瘤以后,可以治疗

答案

参考答案:B, C

单项选择题 B型题
完形填空

第二节:完形填空(共20小题;每小题1分,满分20分)

请认真阅读下面短文,从短文后各题所给的A、B、C、D四个选项中,选出最佳选项,并在答题卡上将该项涂黑。

Cyber Step-Mother

I’ve often felt “step-parent” is a label  (标签 )we attach to whoever marries into families where children already exist. At  36   that’s how I feel about  37    a step-mother to my husband’s four children.

Over the years, we all learned to    38   our new family arrangement. We enjoyed vacations together, ate   39   meals, and so on.  40  , I continued to feel somewhat like a(n)  41   . There was a boundary line that could not be  42  .

When the children moved to a town five hours   43   , my husband was depressed. In order to    44   regular communication with the kids, we send e-mails. However, if a computer message came  45   to “Dad”, I’d feel forgotten and  46    . If my name appeared along with his, it would make me feel like I was part of their family unit  47   .

Late one evening, as I was checking my e-mail, an “instant message” appeared on the   48  . It was Margo, who was also sitting in front of her computer five hours away. We sent several messages back and forth,   49    the latest news. When we would “chat” like that, she wouldn’t  50   know if it was me or her dad. That night, she didn’t ask and I didn’t identify myself either. At about 11, I commented that I should go to sleep. Her return message  51   , “Okay, talk to you later! Love you!”

As I read this message, a wave of   52   ran through me and I realized that she  53   she was talking with her father. Feeling  54   for not identifying myself, yet not wanting to embarrass her, I simply responded, “Love you too! Good night!”

I felt again the sharp (剧烈的) ache of emptiness (空虚) and otherness. Then, as I was  55  to leave, Margo’s final message appeared, reading “Tell Dad good night for me too.” With tears filled eyes, I turned the machine off.

36.   A. most   B. least    C. present       D. last

37.   A. to be   B. being  C. is D. was

38.   A. adjust B. look forward to  C. expect D. adapt to

39.   A. family       B. school C. meat   D. fish

40.   A. But     B. Though      C. However    D. So

41.   A. outsider     B. member     C. stranger      D. foreigner

42.   A. across B. cross   C. crossing     D. crossed

43.   A. far      B. away   C. far from     D. away from

44.   A. maintain    B. entertain     C. contain       D. obtain

45.   A. addressing  B. signing       C. signed D. addressed

46.   A. neglected   B. devoted      C. ignore D. concerned

47.   A. in short      B. after all      C. above all    D. as a result

48.   A. programme       B. window      C. screen D. keyboard

49.   A. sending      B. exchanging C. discussing   D. commenting

50.   A. unexpectedly     B. carefully    C. fortunately D. necessarily

51.   A. read    B. reads   C. reading      D. wrote

52.   A. sickness     B. anger  C. nervousness       D. sadness

53.   A. must think  B. might have thought   C. must have thought     D. might think

54.   A. responsible B. stupid C. guilty  D. disappointed

55.   A. about  B. due     C. prepare      D. willing