问题 单项选择题

患者,男性,55岁,因“乏力、消瘦、突眼、多汗3个月”就诊,查体:神清,双眼微突,甲状腺Ⅱ°肿大,质韧,未及结节,BP 140/86mmHg,心率120次/分,律绝对不齐,两肺(-),腹部(-),双手细颤,双下肢无水肿。

FT3:40.0pmol/L↑,FT4:98.0pmol/L↑,sTSH:0.1mU/L ↓;TBIL:36.2/μmol/L↑,ALT:94IU/L↑,AST 80IU/L↑,ALP 192IU/L↑,BRT正常,HBsAg(+),HBsAb(-),HBcAg(+),HBcAb(+),HBeAb(-),血.常规:WBC 3×109/L,PLT 9×109/L;ECG:房颤。

下列哪种说法正确()

A.手术是甲亢患者的首选治疗方案

B.甲亢合并肝炎不适合131I治疗

C.甲亢合并甲亢性心脏病131I治疗后,甲亢性心脏病不一定痊愈

D.此患者仍可用常规内科药物治疗

E.以上都是

答案

参考答案:C

解析:

患者甲亢合并肝炎、粒细胞减少症,并发甲亢性心脏病,不适合手术或抗甲状腺药物治疗,131I为最佳治疗方法。

阅读理解

Some fifty years ago , I was studying in a middle school in New York . One day , Mrs. O’Neil gave a maths test to our class . When the papers were marked , she found that twelve boys had made exactly the same mistakes in the test .

There is nothing new about cheating in exams . Perhaps that was why Mrs. O’Neil didn’t even say one word about it . She only asked the twelve boys to stay after class . I was one of the twelve .

Mrs. O’Neil asked no questions , and she didn’t scold us , either . Instead , she wrote the following words on the blackboard : On your way home you find some money and you’re completely sure that you will never be found out . Later someone comes to ask you if you have found some money he lost . What will you do ?

She then ordered us to write down the question , and asked us to take our whole lives to try to find out our own answer to it .

I don’t know about the other eleven children . Speaking for myself I can say : it was the most important single thing of my life. From then on , I have been asking this question to myself when I have to make a decision .

Because of this , Mrs . O’Neil has become the most unforgettable teacher for me in my whole life . I often think of this : if Mrs . O’Neil had scolded us as many other teachers often did , would I go on cheating every day ?

小题1:Who wrote this story ?

A.A student in New York who is not interested in maths .

B.Mrs. O’Neil from New York who found some money on her way home .

C.An old maths teacher in a middle school .

D.An old person who once lived in New York when he was young .小题2:When did the story happen?

A.Over sixty years ago .

B.Over fifty years ago .

C.Over seventy years ago .

D.Over eighty years ago .小题3:In the sentence “…she didn’t scold us either” , what does “scold” maybe mean ?

A.表扬

B.批评

C.教育

D.原谅小题4:When Mrs. O’Neil found twelve boys made exactly the same mistakes in the test , she      .

A.became very , very angry and shouted at the children for an hour

B.thought maybe she made some mistakes in her teaching

C.tried to find out who made the mistakes first

D.wanted to teach the twelve boys to stop cheating小题5:Why did the writer think Mrs. O’Neil unforgettable ?

A.Because Mrs. O’Neil often gave her student maths tests .

B.Because Mrs. O’Neil taught maths very well .

C.Because Mrs. O’Neil loved her students as she loved her own children .

D.Because Mrs. O’Neil taught a very important lesson to the writer .

单项选择题