问题 单项选择题 A3/A4型题

患者,女性,54岁,近1年来体重明显增加,伴疲劳,厌食,便秘;血清TSH80mU/L(正常0.6~4mU/L),双手非凹陷性水肿。甲状腺Ⅱ度肿大,表面不平,呈橡皮样韧硬。

根据患者临床表现,最先考虑的诊断是()

A.甲状腺功能减退症

B.急进性肾炎

C.肥胖症

D.右心衰竭

E.更年期综合征

答案

参考答案:A

阅读理解

阅读理解。

      One day when Jack was walking in the park, he saw Sue, a friend of his, sitting on a bench with a dog

beside her. The dog was looking up at Sue.

     Jack walked up to her and said," Hello, Sue. How are you? May I sit and talk with you for a while?"

     "Of course. Please sit down," Sue said.

     Jack sat down next to Sue on the bench, and they talked together. The dog went on looking at Sue. It

seemed that it wanted some food.

     " That's a nice dog," Jack said, pointing at the animal.

     "Yes, he's handsome.He's strong and healthy."

      "And hungry," Jack said," He hasn't taken his eyes off you. He thinks you've got some food for him."

    " That's true," Sue said," But I haven't."

     The two friends laughed and then Jack said," Does your dog bite?"

      "No,"Sue said."He's never bitten anyone. He's always gentle and good-tempered."

      Hearing this, Jack decided to pet the dog. He put out his hand and touched the animal's head. At once it

jumped up and bit him.

     "Hey!" Jack shouted." You said he didn't bite."

     "No, I didn't" Sue answered." You asked me if my dog bit, and I said no. But that's not my dog. My dog's

at home."

(    )1. Jack and Sue didn't know each other before they met in the park.

(    )2. Jack asked to sit next to Sue because he wanted to have a rest.

(    )3. Jack thought that the dog belonged to Sue.

(    )4. Sue's dog had never bit strangers.

(    )5. The dog in the park wasn't gentle and good-tempered.

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