问题 单项选择题 案例分析题

女性,74岁。因外阴瘙痒,轻度口干,伴胸闷、心前区不适3个月余就诊。平素怕冷、便秘。体检:肥胖、面部及眼睑水肿,头发、眉毛干枯、稀疏。心率60次/分,律齐,心音低钝,心界为左锁骨中线外0.5cm,肝于肋下3指,肝颈回流征(+),双下肢胫前黏液性水肿。空腹血糖8.4mmol/L,餐后2小时血糖13.6mmol/L

首诊时,最可能的初步诊断是()

A.T2DM

B.T2DM加冠心病加心衰

C.T2DM加糖尿病肾病加心衰

D.T2DM加甲状腺功能减退加心衰

E.甲状腺功能减退加冠心病加心衰

答案

参考答案:D

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阅读选择填空。

根据短文内容,从短文后的选项中选出能填人空白处

      About 150 years ago a German musician sat quietly at a concert in Vienna. They were playing for the first

time a new symphony (交响乐 ) he had composed (创作 ). At the end he turned to face the people at the

concert. They were clapping widely.   1   

     The musician was Beethoven, one of the greatest composers in the world. Deaf people have a hard time.

   2   

     Even as a child Beethoven did not have a happy life. His father was a singer. But he was lazy and drank a

great deal. When the boy was only four, his father decided to make a musician of him.   3  Whenever he did

not put his heart into his practice, his father would be hard on him.

      It is a wonder that the boy did not hate music.   4    When he was 17, he won high praise from Mozart,

a great Austrian composer. A few years later Beethoven went to Vienna to study under Haydn, another great

Austrian composer. Soon he was writing a great deal of music himself. But after one illness, he suddenly found

himself deaf. At that time he was only 31. What a blow it was to him!

      But this did not stop Beethoven. He went on composing.   5   During his life, he composed about 300

pieces. The surprising thing is that he wrote some of his best, his most beautiful pieces after he became deaf.

Many of them are known and loved all over the world.

A. But he could hear nothing for he was deaf.

B. However, his father didn't come to listen to him play the beautiful music.

C. He learned so fast that he was able to go around and give concerts when he was only 11.

D. Beethoven left home and went out to practise his own music.

E. But it is even worse for a composer than for anyone else.

F. So Beethoven had to practice hour after hour on different musical instruments.

G. He wrote long pieces and short pieces, happy ones and sad ones, gentle music and powerful music.

单项选择题