问题 单项选择题 案例分析题

患者女性,46岁。因心悸就诊。查体,甲状腺右叶大小正常,左叶可触及一圆形结节,质地硬,约2cm×2cm,边界清楚,随吞咽活动,无血管杂音。T、T、TSH均正常。甲状腺显像呈“热”结节征象,结节周围及右叶甲状腺组织见轻度显影。

患者甲状腺素抑制试验显像见该“热”结节显像未见明显抑制,而结节周围和右侧甲状腺组织均不显影,如果T、T水平明显升高、TSH<0.01mIU/L。患者的此时最可能的诊断是()。

A.Graves病

B.甲状腺癌

C.结节性甲状腺肿伴甲亢

D.甲状腺囊肿

E.Plummer病

F.亚急性甲状腺炎

答案

参考答案:E

选择题
阅读理解

One morning, a blind boy sat on the steps of a building with a hat by his feet. He held up a sign which said, “I am blind. Please help me.” There were only a few coins in the hat.

A man was walking by. He took out a few coins from his pocket and dropped them into the hat. He then took the sign, turned it around, and wrote something on it. He put the sign back so that everyone who walked by could see the new words. Soon the hat began to fill up. A lot more people were giving money to the blind boy. That afternoon the man who had changed the sign came to see how things were. The boy recognized his footsteps and asked, “Are you the one who changed my sign this morning? May I know what you wrote?” The man said, “I only wrote the truth, I said what you said but in a different way.” What he had written was, “Today is a beautiful day but I cannot see it.”

Of course both signs told people the boy was blind. But the first sign simply said the boy was a blind. The second sign told people they were so lucky that they were not blind. It reminded you to be thankful for what you have. When life gives you a 100 reasons to cry, show life that you have 1,000 reasons to smile. Face your past without regret. Handle your present with confidence. Prepare for the future without fear. Keep the faith and drop the fear. The most beautiful thing is to see a person smiling.

小题1:We can learn from the text that the man helped the blind boy by __________.

A.sitting together with him

B.rewriting the sign

C.teaching him some principles

D.raising money for him小题2:Why did the man come back that afternoon?

A.To bring some food to the boy.

B.To explain to the boy why he had left.

C.To make sure the boy was still there.

D.To check if there were some changes.小题3:It can be inferred that the boy was ________ after he found out what the man had written.

A.moved

B.amazed

C.excited

D.worried小题4:What is the main idea of the text?

A.We should help those who are in trouble.

B.We should value what we have in life.

C.We should respect people with disabilities.

D.We should use a wise way when helping others