患者女，48岁。因足部扁平伴行走疼痛10年余入院，查体：可见内侧纵弓塌陷，跟骨外翻，沿胫后肌腱自舟骨结节至内踝压痛明显。多趾征、第1跖骨抬起征、提踵试验阳性。X线见内侧纵弓塌陷，距骨头跖侧移位。

Ⅳ期胫后肌腱功能不全手术选择方式是（）

A.胫前肌腱移位

B.距舟关节融合

C.外侧柱延长

D.三关节或四关节融合术

E.跟骨内移截骨

The nurse is interviewing the mother of a 7-year-old child. Which of the following symptoms reported by the mother would most lead the nurse to suspect that the child has type 1 diabetes ？（）

A．Recent bed wetting.

B．Poor appetite.

C．Weight gain.

D．Boundless energy.