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患者女，56岁。2年前发现进食哽噎感，症状时轻时重。近3周觉吞咽困难，伴胸骨后闷痛、呕吐，体重减轻。查体：脉搏75次/min，血压130/80mmHg，体温36.7℃，轻度消瘦，颈锁骨上淋巴结未触及。

对该患者尚需进行的检查（提示患者钡餐检查示食管体部扩张，食管下段狭窄，边缘光滑。）（）

A.食管测压

B.内镜检查并取病理

C.腹部超声

D.超声内镜

E.胸部CT检查

F.24h食管pH监测

答案

参考答案：A, B, D

单项选择题 A4型题

患者男，30岁。主诉昨晚与朋友喝完酒回家休息3小时后，发现双下肢无力，很快上肢乃至全身无力，当时神志清楚，大小便不受影响。7小时后躯体、上肢逐渐恢复正常，下肢也明显好转，10小时后全部恢复正常；2周前曾发生相同症状1次。急诊化验血钾为2.5mmol/L。

该患者合理的饮食是（）

A.高钠、高钾、高糖饮食

B.低钠、高钾、低糖饮食

C.高钠、低钾、低糖饮食

D.低钠、高钾、高糖饮食

E.低钠、高钾、高糖饮食
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填空题

Stress is our response to threatening or (1) events. We may experience different levels of stress depending on the (2) , meaning the events or circumstances that cause us to feel stress. Stressors can be classified into (3) main categories: (4) events, personal stressors, and (5) stressors. Cataclysmic events are major events that cause stress (6) , immediately, for a great many people at once. Personal stressors are major life events that create stress, including (7) life events. Background stressors are (8) hassles, or minor irritations, or (9) background stressors. Repeated exposure to stressors has both psychological and (10) consequences. The long- term consequence is that body tissues such as the heart and blood vessels can begin to (11) . The (12) system functions less effectively, and (13) our ability to fight off illnesses.
The General Adaptation (14) explains the sequence of physiological reactions to stress. There are three phases to G. A. S. The first is the " alarm and (15) " phase: we respond with alarm, and take (16) to remove the stressor. The second phase is the (17) stage: we fight against the stressor or try to cope with the stressor. This can lead to the third phase. (18) . The exhaustion phase may be an (19) way of trying to avoid the stressors. The body may be telling us that we need to do whatever is (20) to remove the stressor.

Stress is our response to threatening or (1) events. We may experience different levels of stress depending on the (2) , meaning the events or circumstances that cause us to feel stress. Stressors can be classified into (3) main categories: (4) events, personal stressors, and (5) stressors. Cataclysmic events are major events that cause stress (6) , immediately, for a great many people at once. Personal stressors are major life events that create stress, including (7) life events. Background stressors are (8) hassles, or minor irritations, or (9) background stressors. Repeated exposure to stressors has both psychological and (10) consequences. The long- term consequence is that body tissues such as the heart and blood vessels can begin to (11) . The (12) system functions less effectively, and (13) our ability to fight off illnesses.
The General Adaptation (14) explains the sequence of physiological reactions to stress. There are three phases to G. A. S. The first is the " alarm and (15) " phase: we respond with alarm, and take (16) to remove the stressor. The second phase is the (17) stage: we fight against the stressor or try to cope with the stressor. This can lead to the third phase. (18) . The exhaustion phase may be an (19) way of trying to avoid the stressors. The body may be telling us that we need to do whatever is (20) to remove the stressor.
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