患者女，51岁，因“反复多饮、消瘦、乏力2年”来诊。否认糖尿病_爱下问搜题

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问题单项选择题案例分析题

患者女，51岁，因“反复多饮、消瘦、乏力2年”来诊。否认糖尿病家族史。查体：T36.5℃，P86次/min，R24次/min，BP105/50mmHg；贫血貌，口唇无发绀，口周和舌体潮红，颈静脉充盈；双侧甲状腺Ⅱ度肿大，无触痛、无结节；HR103次/min，律齐，心尖部3/6级收缩期杂音；双下肢轻度压凹性水肿；腹股沟皮肤皱褶处脱屑性红色丘疹及斑疹。

最主要的诊断是（提示实验室检查：空腹血糖9.0mmol/L，餐后2h血糖14mmol/L；血浆胰高血糖素＞1000pg/ml。胰腺CT：胰腺尾部实质性肿块。）（）

A.糖尿病

B.缺铁性贫血

C.风湿性心瓣膜病

D.胰高血糖素瘤

E.下肢深静脉血栓形成

F.胰腺癌

答案

参考答案：D

填空题

设a＞0，b＞0，且2a+b=1，则

的最小值是______．

完形填空

A passenger told an air hostess that he needed a cup of water to take his medicine when the plane just took off. She told him that she would 21 the water in ten minutes.
Thirty minutes later, when the passenger’s ring for 22 sounded, the air hostess realized it at once. She was kept so 23 that she forget to deliver him the 24 . As a result, the passenger was 25 to take his medicine. She hurried over to him 26 a cup of water, but to her surprise he 27 it.
In the following hours on the 28 , each time the air hostess passed by the 29 , she would ask him with a 30 whether he needed help or not. But the passenger 31 paid attention to her words.
When he was going to get 32 the plane, the passenger asked the air hostess to 33 him the passenger’s booklet(意见簿). She was very 34 . She knew that he would write down 35 words, which might result in the loss of her job. 36 with a smile she handed it to him.
Off the plane, she 37 the booklet and cracked a smile, 38 the passenger put it, “On the flight, you asked me whether I needed help or not for twelve times 39 . How can I refuse your twelve sincere smiles?”
That’s 40 ! Who can refuse twelve sincere smiles from a person?