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问题 单项选择题

女，64岁，曾被诊断为“轻型”糖尿病，用饮食管理即能控制血糖在“正常范围”，近10天因口齿不利，在外院诊断为“脑血管意外”，昏迷2天后转入本院治疗

在本院急诊室考虑患者为某一种糖尿病昏迷，在鉴别诊断时，下列检查哪项应首先进行

A．头颅CT或MRI

B．脑脊液检查

C．动脉血气分析

D．血糖、电解质、肾功能检查

E．糖化血红蛋白测定

答案

参考答案：D

单项选择题

下列有关生物体内酶的说法正确的是（）

A.酶能为化学反应的顺利进行提供活化能

B.酶的基本组成单位都是氨基酸

C.酶的活性与温度和pH的变化没有关系

D.酶空间结构改变会引起其活性的改变或丧失
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单项选择题

Attempts to understand the relationship between social behavior and health have their origin in history. Dubos (1969) suggested that primitive humans were closer to the animals (1) they, too, relied’upon their instincts to stay healthy. Yet some primitive humans (2) a cause and effect relationship between doing certain things and alleviating (3) of a disease or (4) the condition of a wound. (5) there was so much that primitive humans did not (6) the functioning of the body, magic became an integral component ofthe beliefs about the causes and cures of heath (7) Therefore it is not (8) that early humans thought that illness was caused (9) evil spirit. Primitive medicines made from vegetables or animals were invariably used in combination with some form of ritual to (10) harmful spirit from a diseased body.

One of the. earliest (11) in the Western world to formulate principles of health care based upon rational thought and (12) of supernatural phenomena is found in the work of the Greek physician Hippocrates. The writing (13) to him has provided a number of principles underiying modern medical practice. One of his most famous (14) , the Hippocratic Oath, is the foundation of contemporary medical ethics.

Hippocrates also argued that medical knowledge should be derived from a (15) of the natural science and the logic of cause and effect relationships. In this (16) thesis, On Air, Water, and Places, Hippocrates pointed out that human well-being is (17) by the totality of environmental (18) : living habits or lifestyle, climate, geography of the land, and the quality of air, and food. (19) enough, concerns about our health and the quality of air, water, and places are (20) very much written in twentieth century.

15（）

A.creation

B.expectation

C.perception

D.preference
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