问题 多项选择题 案例分析题

患儿,女孩,4岁。发热伴咳嗽3~4d,今出皮疹,住外院拟诊"药物疹",口服阿司咪唑(息斯敏),回家后病情变化,咳加剧,来院就诊。查体:体温39℃,气急,鼻翼扇动,唇周青紫,两眼结膜红,口腔黏膜粗糙,心率每分钟160次,心音低钝,两肺背闻及细湿啰音,腹软,肝肋下3.5cm,剑下4cm,头面和躯干可见红色斑丘疹。

提示:2天后患儿血清中检测到麻疹IgM和IgG抗体。提问:对该患儿应采取的治疗包括()

A.镇静

B.氧气吸入

C.应用抗生素和洋地黄类强心剂

D.口服中药,发表透疹

E.吸氧

F.退热

答案

参考答案:A, B, C, E, F

单项选择题
单项选择题

The food you eat does more than provide energy. It can have a dramatic effect on your body’s ability to fight off heart disease, cancer, diabetes, high blood pressure, stroke, and weak bones. With remarkable consistency, recent research has found that a diet high in plant-based foods—fruits, vegetables, dried peas and beans, grains, and starchy staples such as potatoes—is the body’s best weapon in thwarting many health-related problems. These foods work against so many diseases that the same healthy ingredients you might use to protect your heart or ward off cancer will also benefit your intestinal tract and bones.

Scientists have recently estimated that approximately 30 to 40 percent of all cancers could be averted if people ate more fruits, vegetables, and plant-based foods and minimized high-fat, high-calorie edibles that have scant nutritional value. Up to 70 percent’ of cancers might be eliminated if people also stopped smoking, exercised regularly, and controlled their weight. In the past, researchers had linked fat consumption with the development of cancers, but they currently believe that eating fruits, vegetables, and grains may be more important in preventing the disease than not eating fat. "The evidence about a high-fat diet and cancer seemed a lot per several years ago than it does now," says Melanie Polk, a registered dietitian and director of nutrition education at the American Institute for Cancer Research.

The road to p bones is paved with calcium-rich food. Leafy green vegetables and low-fat dairy products are excellent sources of calcium, the mineral that puts stiffness into your skeletal system and keeps your bones from turning rubbery and fragile. Your body uses calcium for more than keeping your bones p. Calcium permits cells, to divide, regulates muscle contraction and relaxation, and plays an important role in the movement of protein and nutrients inside cells. If you don’t absorb enough from what you eat to satisfy these requirements, your body will take it from your bones. Because your body doesn’t produce this essential mineral, you must continually replenish the supply. Even though the recommended daily amount is 1,200mg, most adults don’t eat more than 500mg. One reason may have been the perception that calcium-rich dairy products were also loaded with calories. "In the past, women, in particular, worried that dairy products were high in calories," says Letha Y. Griffin, M. D. , of Peachtree Orthopaedics in Atlanta. "But today you can get calcium without eating any high-fat or high-calorie foods by choosing skim milk or low-fat yogurt." Also, low-fat dairy products contain phosphorous and magnesium and are generally fortified with vitamin D, all of which help your body absorb and use calcium. If you find it difficult to include enough calcium in your diet, ask your doctor about supplements. They’re a potent way to get calcium as well as vitamin D and other minerals. But if you rely on pills instead of a calcium-rich diet, you won’t benefit from the other nutrients that food provides. Getting the recommended vitamin D may be easy, since your body makes the vitamin when your skin is exposed to the sun’s rays.

Which of the following statements is NOT true()

A. Today you can get calcium without eating any high-fat or high-calorie foods by choosing skim milk or low-fat yogurt

B. Calcium plays an important role in the movement of protein and nutrients inside cells

C. You can rely on pills instead of a calcium-rich diet to take enough calcium

D. If you want to absorb calcium, you should expose yourself to the sun’s rays