问题
单项选择题 A3/A4型题
男性，40岁。以低钾性周期性瘫痪样表现就诊。有尿量增多，骨痛症状。查尿常规正常，尿pH6.5，血COCP18mmol/L，血钾3.5mmol/L，血氯108mmol/L。
本例最可能的诊断是()
A．肾小管酸中毒Ⅳ型
B．肾小管酸中毒Ⅲ型
C．肾小管酸中毒Ⅱ型
D．肾小管酸中毒Ⅰ型
E．以上都不是
答案
参考答案：D
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男性，40岁。以低钾性周期性瘫痪样表现就诊。有尿量增多，骨痛症状。查尿常规正常，尿pH6.5，血COCP18mmol/L，血钾3.5mmol/L，血氯108mmol/L。
本例最可能的诊断是()
A．肾小管酸中毒Ⅳ型
B．肾小管酸中毒Ⅲ型
C．肾小管酸中毒Ⅱ型
D．肾小管酸中毒Ⅰ型
E．以上都不是
参考答案：D
| 完形填空。 | ||||
| Once my father and I went to see a circus (马戏团). A family was standing in front of us 1 for tickets. The family had eight children. Their clothes were not 2 but they were clean. They were talking about the clowns (小丑) and elephants excitedly. "I want 3 tickets, eight for children and two for adults (成人)." said the father to the ticket lady. The ticket lady told him the 4 . When he heard that, the man couldn't believe his 5 . He asked again, "How much?" The ticket lady spoke again. The father looked sad. Clearly, he didn't have 6 money. My dad took a $20 bill and dropped it on the ground. Then he 7 the bill, and said to the man, "Sir, this fell out of your pocket." The man knew what was 8 on. He looked into my dad's eyes and took the 9 ."Thank you, thank you, sir. This 10 means a lot to me and my family." We didn't go to the circus that night, but we didn't feel sorry for it at all. | ||||
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