问题 多项选择题 案例分析题

患者女,68岁,因“眼睑和双下肢水肿15d,夜间随地排尿、粪”来诊。患者有糖尿病病史10年,高血压病史1年。近1年降血糖药物方案:白天服用二甲双胍和格列奇特,睡前皮下注射人鱼精蛋白锌胰岛素N。同时服用降血压药物。血糖控制在FPG4.4~6.4mmol/L,GHbA1c5.0%~6.5%。近15d出现眼睑和双下肢水肿,夜间随地排尿、粪。查体:T36.5℃,P70次/min,BP130/60mmHg;意识清楚,贫血貌,呼吸正常,四肢肌力正常,眼睑和双下肢水肿。

对该患者做出的合理处理包括()

A.优质低蛋白饮食

B.继续降压治疗

C.停用口服降血糖药,改用皮下注射胰岛素

D.胰岛素小剂量起步,特别是晚餐前和睡前

E.尽快予以血液透析

F.维持口服降血糖药并加大睡前胰岛素剂量

答案

参考答案:A, B, C, D

阅读理解

阅读理解。

     One Saturday afternoon years ago I was working in the parsonage (牧师住宅) yard. It was cold and

windy. I welcomed it. Christmas was approaching. I noticed an unusual amount of traffic on our county

road. All of it was southbound.

     "Lois, much traffic is going south today, have you noticed that?"

     "It must be Christmas in the Country." she said.

     "What's that?"

     "A lady turns her whole house into a Christmas open house for the weekend. Every room in the house

and the whole barn are filled with beautiful handcrafted (手工的) items. She serves wassail (酒宴) and

cookies and plays Christmas music. I hear it's quite an event."

     "Why don't you take me?" she asked.

     "Sure."

     We all got in the car to check it out. The Christmas in the Country open house was on a country road

back a bit of lane. When arriving, we saw a field turned into a parking lot full of cars. We had to wait in line

to get in. Everyone was in a festive mood, laughing and joking. They were all dressed warmly and wearing

Christmas things. It was so delightful that we went back year after year and always looked forward to it.

The next year Lois sold her own crafts in the show and did very well for a number of years in a row there.

It was early in the Christmas season and a good way to get in a Christmas mood.

     People will travel a long way for good things. If you can brighten their life they will usually find you

wherever you are. If you will help people in the hard struggle of life you will not be alone. That was true in

the beautiful countryside of Knox County Ohio and I believe it's true in downtown Flint, Michigan and

wherever you live, too.

1. The underline word "southbound" in the first paragraph means______.

A. moving forward the south

B. in the south

C. something that appears in the south

D. a heavy traffic

2. According to the text, we know that Christmas in the country ______.

A. is a place for travelers to spend the night

B. is a kind of hotels for travelers during Christmas

C. is an event for people to enjoy themselves

D. is an activity held all through the year

3. Why did the author often go back to Christmas in the Country?

A. To enjoy the Christmas mood there.

B. To improve their own skills in crafts.

C. To earn a lot of money for them.

D. To look after their own crafts there.

4. Which of the following is True according to the passage?

A. A gentleman turned his house into a Christmas open house.

B. A field turned into a place where people could enjoy and buy beautiful crafts.

C. People usually went there in cars.

D. Only people nearby went to the Christmas open house.

5. What is the purpose for the author to write the text?

A. To tell a funny story.

B. To offer readers a life lesson.

C. To ask readers to attend Christmas in the Country.

D. To show the author's interest in Christmas.

判断题