患者，男性，64岁，患糖尿病8年。近3d受凉后出现发热、咳嗽、咳黄痰，尿量3000ml/d，口渴、乏力明显。今日突然出现意识不清，呼之不应。护理体检：体温38.8℃，血压135/85mmHg，呼吸32/min，双侧瞳孔等大等圆，对光反射存在，双下肺可闻及湿啰音。
经胰岛素治疗后患者的血糖为10mmol/L(180mg/dl)，意识逐渐恢复。为防止复发，去除诱因，下一步应做哪项检查
A．肾功能
B．肝功能
C．糖化血红蛋白
D．血糖
E．X线胸片
参考答案：E
解析：患者有发热、咳脓痰史，听诊双下肺有湿哕音，应怀疑诱因为肺部感染，为明确诊断，应行X线胸片检查，应可看到双下肺炎性浸润影。
完形填空（共20小题，每小题1.5分，满分30分） 阅读下面短文，掌握其大意，然后从36—55各题所给的四个选项（A、B、C和D）中，选出最佳选项，并将答案填入答题卡相应位置 Whenever I recall my childhood, there is one thing I remember clearly. My father used his 36 to let my mother 37 her parents who lived far away. There was just my younger brother and myself in the 38 . One evening, our father came home and there was no 39 , not even a piece of bread. My father had no money and he was as 40 as we were. My brother and I went to bed without having anything. 41 I knew from the expressions on my father’s face that he could not 42 us be hungry for long. He left the house, and about two hours later he 43 and woke us up. He had two small potato pies in his hands. I didn’t know where he got the money for the food but somehow he 44 to find a way. It was clear that he wanted to get his children 45 . My father did not eat and had 46 all day but he sat there and felt 47 at seeing us eat. This has always stuck in my 48 . At that moment, I felt moved knowing that he tried his best not to let us 49 , and he wanted us to know he was always there ____50______ us. In 51 times, I think, it is important not to 52 weakness but strength. 53 the mother is the cement(黏合剂)that 54 a family together, then the father is the steel that strengthens(  加固) that cement.It is his values and 55 that have carried me forward and helped me deal with my own problems in life.
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