问题 单项选择题 案例分析题

女性,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天因口齿不清,外院诊断为"脑血管意外",昏迷2天后转入本院治疗

转入病房后经上述检查,CT发现为广泛性脑腔隙性梗死,血糖30mmol/L,血钠165mmol/L,尿酮(+)。患者昏迷的原因应为()

A.糖尿病酮症酸中毒

B.高渗性非酮症性糖尿病昏迷

C.乳酸性酸中毒

D.广泛性脑腔隙性梗死

E.脑血栓形成

答案

参考答案:B

阅读理解

阅读理解。

     Early one morning the subinspector at a station at the other end of the town rang me. An

elephant was damaging the town. Would I please come and do something about it?

     I did not know what I could do, but I got onto a horse and started out.  I took my gun,

maybe too small to kill an elephant, but I thought the noise might scare him. Various local

people stopped me on the way and told me about the elephant's doings.

     It was not, of course, a wild elephant, but a tame one. It had been chained up but last

night it had broken its chain and escaped. Its owner had set out to run after it, but had taken

the wrong direction. He was now twelve hours' journey away, and in the morning the elephant

had suddenly appeared in the town. It had already destroyed somebody's bamboo hut (棚屋),

killed a cow and turned over fruitstalls.

     I came round the hut and saw a man's dead body sprawling in the mud.  He was an Indian,

and he could not have been dead many minutes. The people said that the elephant caught him

with its trunk, put its foot on his back and grounded him into the earth. This was the rainy season

and he was lying on his stomach in the soft mud, the peacebreaker standing beside, looking

innocent.

     As I lifted my gun, I hesitated a few seconds. Then I fired. That was a shot that did for him.

     You could see the pain of it knock the last strength from his legs. But in falling he seemed for

a moment to rise, his trunk reaching skyward like a tree. He trumpeted, for the first and only time. 

And then down he came, with a crash that shook the ground.

1. Which of the following statements about the author is TRUE?

A. He was an Indian.

B. He knew elephants well.

C. He was not a local villager.

D. He was the owner of the elephant

2. The elephant made so much trouble because ________.

A. its owner treated him cruelly

B. it got out of control

C. it hated the village people

D. it was a wild elephant

3. The underlined words "the peacebreaker" in Paragraph 4 refer to ________.

A. the elephant              

B. the dead man

C. the author                

D. the subinspector

4. It can be inferred that the author felt ________ when he shot the elephant.

A. excited    

B. sad        

C. frightened   

D. happy

判断题