问题 多项选择题

正确的选项是那个?()

A.老年人或久病衰弱者常有肾上腺皮质功能不全

B.病程长的嗜铬细胞瘤病人可有儿茶酚胺性心肌炎

C.对糖尿病病人行择期手术时术前必须限制饮食

D.肾上腺皮质醇增多症病人对麻醉和手术的耐受能力均较差

E.嗜铬细胞瘤病人均有低血容量

答案

参考答案:A, B, C, D, E

解析:老年人和久病衰弱者伴有各器官功能减退,常有肾上腺皮质功能不全内源性儿茶酚胺分泌过多是嗜铬细胞瘤的基本病理生理变化,病程长的嗜铬细胞瘤患者可有儿茶酚胺性心肌炎,糖尿病患者术前准备的基本原则是积极治疗糖尿铂控制糖尿病并发症,改善全身情况,提高患者对麻醉手术的耐受力因此必须限制饮食,控制血糖,有些患者还需用药物来控制血糖;肾上腺皮质醇增多症患者由于代谢及电解质紊乱,对手术和麻醉耐受性差;嗜铬细胞瘤患者由于长期血压升高导致外周血管收缩,血管床缩鞋循环血容量一般比正常减少20%~30%

阅读理解

C

Not many years ago, some American farmers began to complain about hawks(鹰). The hawks were killing chickens. The farmers did not know what to do. They went to the government officials and asked for help.

The officials said, “ We’ll pay you for each hawk you kill.” The farmers began to kill the hawks. Many hawks were killed, but the farmers now had another problem. The field mice were growing in number and they were eating up the farmers’ corn. Hawks eat not only chickens but also field mice. They eat more field mice than chickens. But if the farmers had known that, they would not have upset(打乱) the balance of nature. In one part of the USA, there are deer which eat a kind of wild rose. The deer are eaten by mountain lions. The number of deer, mountain lions, and wild rose does not change much if people stay away from them. If there are too many deer, mountain lions will increase rapidly in number and kill many deer. If there are too many mountain lions, there will be fewer deer and there will be more roses.

It is always necessary for us to keep the balance of nature. The government once killed almost all the mountain lions to protect the deer. Soon there were so many deer that they ate up all the wild roses. Then they began to eat the green leaves of young trees which were important to the farmers.

So the farmers protected their trees from the deer. The deer had nothing to eat, and many of them died.

The government learned a valuable lesson from nature.

44. What had happened after the hawks were killed?

A. People wouldn’t worry about their chickens.

B. The number of the field mice became too large.

C. The number of the field mice became small.

D. The field mice were eating up the farmers’ corn.

45. Why did American people have to protect their trees?

A. Because the mountain lions destroyed the trees.

B. Because there were so many deer that they began to eat the green leaves.

C. Because they wanted the trees to grow well.

D. Because the trees are more important than the deer.

46. What can we learn from the article?

A. We must keep the balance of nature.

B. We must not kill any animals.

C. we must feed the hawks with our corn to keep the balance of nature.

D. Both A and B.

单项选择题 A1型题