问题 多项选择题

病历摘要:患者女性,35岁。半年前无明显诱因出现颈前肿大,当时没有自觉症状;近2个月来出现性情急躁、失眠、多梦、怕热、出汗,易饥饿,进食饭量增加,体重下降6斤,偶然有心慌、气促,活动后加重,双手时有震颤。体格检查发现:病人甲状腺Ⅱ度弥漫性肿大,双眼轻度前突,双手轻度震颤,T:37.6℃,P:109次/分,R:24次/分,BP:130/80mmHg,甲状腺上、下极可闻及血管杂音。

甲状腺手术的适应症有哪些?提示:完善各项术前检查及细致的术前准备后,病人拟接受手术治疗().

A.继发性甲状腺功能亢进

B.巨大甲状腺肿,有压迫症状

C.疑有恶变

D.甲亢病程长者

E.胸骨后甲状腺肿

F.抗甲状腺药物治疗后复发者;结节性甲状腺肿伴有功能亢进者

答案

参考答案:A, B, C, E, F

选择题
阅读理解

阅读理解。

     Being lonely in the crowd might seem ridiculous. But according to a recent survey, the situation is all too common. Loneliness and other anxiety problems - worrying about life’s pressures - can even lead to self-murder.

     An article in China Daily gave no reason for this other than the usual blaming of the post-80s generation. According to a high level official, young people suffering from discouragement are mostly “spoiled(溺爱)and have not been taught to be independent, responsible and express ‘thank-you’.” Well, how do you like that? First, I don’t think China’s youth are exactly spoiled. They certainly have more things than their parents did, but a lot of the money spent on them is for their education including various extra classes.

     Discouragement and anxiety are now the fastest growing challenges in modern societies. We sense a lack of close friends who can talk to honestly and openly. In 1985, a US study found that one in ten people did not have such a friend. In 2006, it was one in four. It’s easy to see the connection between loneliness and discouragement. But what actually causes this increasing loneliness?

     Surely, with Internet social networking sites such as Kaixin, we have more friends than ever. A new study has shown that the more time teenagers spend in front of computers, the less close they are to friends and family. Kaixin or QQ may be fun but it lacks meaning, compared to personal connections in the real world.

     And then there are those endless online games popular with young Chinese but increasingly there are more interesting choices. For example, new sports such as skateboarding are starting to catch on in bigger cities, as is playing music in a band. These creative hobbies are done in a group and thus friendship can be stronger. Hopefully young people will also be drawn out of the Internet cafes and interactive computer games that in fact fail to recreate a real and interactive experience.

1. According to the high level official, it is easy for teenagers lacking independence and responsibility to

    _______.

A. suffer from loneliness and anxiety

B. play endless online games

C. cause adoption of self-destruction

D. worry about life’s pressures

2. What does the writer think of the Internet social networking site Kaixin?

A. Open but ridiculous.

B. Funny but meaningless.

C. Real and interesting.

D. Honest and responsible.

3. It can be inferred in Paragraph 3 that _______.

A. young people have no idea of expressing appreciation because of being spoiled 

B. parents focus mostly on children’s education rather than the personality building

C. there is a tendency that it’s harder to find close friends to have an honest chat with

D. teenagers will recreate a real and interactive experience to strengthen friendship

4. According to the text, which of the following can help us avoid being lonely in the crowd?

A. To stay long in Internet cafes.

B. To play music in a band.

C. To abandon our own hobbies.

D. To focus on extra courses.