问题 多项选择题 案例分析题

患者男,35岁,因“心悸、乏力、食欲亢进2个月,双眼畏光、流泪1个月”来诊。患者1年前发现甲状腺功能亢进,曾口服丙基硫氧嘧啶后出现严重皮疹,后改为甲巯咪唑治疗,半年前自行停药。近2个月自觉心悸、乏力、食欲亢进,近1个月双眼畏光、流泪,无明显球后压迫感、眼痛及复视,口服甲巯咪唑后出现白细胞减少(0.8×109/L),无明显发热。查体:双甲状腺Ⅱ度肿大,HR90次/min,律齐;双眼睑水肿,无明显眼睑红斑,无明显结膜充血、水肿,无明显眼阜水肿,双眼突眼度20mm,双眼睑挛缩+2mm,无眼睑闭合不全。

参照EUGOGO指南,当前的治疗措施是()

A.戒烟

B.戒酒

C.如选择131I治疗,则治疗后第3天开始口服泼尼松治疗至3个月

D.注意用眼卫生

E.配戴三棱镜

F.加强锻炼,增强抵抗力

答案

参考答案:A, D

完形填空

What can people do when natural disasters (灾难)happen? Can we stop them? No, we can't. The only thing we can do is to 41  after the disasters.

Last year I met Mr. Flood. It started raining and   42  raining almost a month: the water on the streets got higher and higher every day. We used   43  instead of cars. We lost lots of things, including our businesses, our jobs and our homes.

Schools   44  and farms were destroyed. We ran out of food and clean water. In some places the water was higher than the buildings. I felt like we lived in a(n)  45 _ world.

Because of the flood, lots of  46  broke out. Because of the dead animals, some people  47  . The soil and other things made the water become very, very  48 _. That was in summer time, so though it was raining, the  49  was still high. The hot weather and really dirty water 50  the air very bad. Hospitals didn't have enough rooms for  51  .

When the flood was over, I looked around my city. The word “ 52 ” can describe the situation. Everything was destroyed and lots of people were sick, but we were very  53  .1 think.

We had to 54  our city, take care of the sick people, and start our schools again. I just 55 that one day, people can stop the natural disasters whenever they happen. After all, people are very clever.

小题1:A. wake up       B. make up         C. clean up

小题2:A. kept          B. finished          C. stopped

小题3:A. bikes         B. trains            C. boats

小题4:A. started        B. closed          C. opened

小题5:A. water.        B. fire              C. ice

小题6:A. happiness     B. illnesses          C. hardness

小题7:A. ran          B. slept             C. died

小题8:A. dirty         B. clean             C. clear

小题9:A. temperature   B. weather           C. water

小题10:A. had.         B. made             C. changed

小题11:A. nurses       B. doctors            C. patients

小题12:A. sad          B. beautiful          C. good

小题13:A. weak        B. strong            C. happy

小题14:A. rebuild       B. return            C. remain

小题15:A. want         B. hope             C. see

单项选择题