问题 单项选择题 案例分析题

女性,52岁。家庭妇女,口干、眼干7年,症状加重半年,双下肢出血点2个月。查体:双下肢散布大小不等的出血点,膝以下明显,最大可达0.5cm左右,压之不退色。全身多个浅表淋巴结肿大,眼干,舌干苔少,上下齿均为残齿,有的仅剩残根。实验室检查:血常规正常;尿常规pH7.0,余正常;IgG36g/L(正常值6.95~15.15g/L),IgA、IgM正常。

引起该项电解质紊乱的原因是()

A.肾小球肾炎

B.摄入不足

C.摄入过多

D.肝脏损害

E.胃肠道病变

F.肾小管酸中毒

答案

参考答案:F

解析:约1/3的干燥综合征患者有肾脏病变,远端肾小管损伤占其中的90%,表现为Ⅰ型肾小管酸中毒,远端肾小管分泌H下降会导致尿液中K的代偿性增高,引起低钾血症。据报道有30%~40%的低钾血症都是由干燥综合征引起的。

单项选择题
填空题

Part 3


Questions 19-25


·Read thefollowingpassage andanswer questions 19-25.
·For questions 19-25, choose the correct answer A, B, C and D.
·Mark your answers on the Answer Sheet.
Training must have purpose, which is defined a firm analyses of it’s training needs. A review of manpower planing should include a training analysis, which looks carefully at the training at the point of view of the company, its various department and personnel. This may show the weaknesses existing in some departments and that, as a result, training is needed for their staff. Training needs are based on an analysis of the job description and job specification.
A job description should give details of the performance that is required for a specific job, and job specifications should give information about the behavior, knowledge and skills that are expected by an employee who works in it. When all of these have been collected, it is possible to begin the training. This specifies what the training department must teach for the successful performance of the job, and also the best methods to use in the training period.
There are many different training methods, and there are advantages and disadvantages to all of them. Successful training programs depend on an understanding of the difference between learning about skills and training in using them. It is frequently said that learning about skills take place "off the job" in the classroom; but in training in using these skills take place "on the job" by means of such activities as job rotation and planned experience.
It is always difficult to evaluate the cost and savings of a training program. The success of such program depends not only on the methods but also on the quality of the staff that do the training. A company can often check on saving in time and cost by examine the manual work performed by operators and technicians who have completed a training program. The evaluation of management and a supervisory training is much more complex than that. In order to test the result of management and supervisory training, many companies have looked at such things as the number of management and supervisory staff who leave their employment and the number who stay away from the work for the reason of health.

Ifa company wants to make it possible to make a training specification, it should ______.

A.know successful performance of the job

B.make it clear the best methods to use

C.collect job descriptions and job specifications

D.have proper behavior, knowledge and skills