问题 单项选择题

患儿,女,2岁。形体消瘦,面色少华纳差,大便溏,每日2~3次,舌淡苔少。查体:体重9kg,皮肤粘膜苍白,心、肺(-),腹壁皮下脂肪0.45cm。诊断为营养不良,其程度及证型是()

A.Ⅰ度,疳证

B.Ⅱ度,疳证

C.Ⅰ度,疳积

D.Ⅱ度,疳积

E.Ⅲ度,干疳

答案

参考答案:B

解析:营养不良的临床表现及分度。营养不良开始,体重比正常小儿减轻15%~25%,腹壁皮下脂肪厚度0.8~0.4cm。疳气证候:形体消瘦,面色萎黄少华,毛发稀疏,食欲不振或能食善饥,精神欠佳,易发脾气,大便或溏或干、或有酸臭味,或尿如米泔,舌淡,苔薄白或薄黄,脉细。本题题眼为营养不良的分度标准及疳证的分期诊断。

单项选择题
单项选择题

Lying in the sun on a rock, the cougar saw Jeb and his son, Tom, before they saw it. Jeb put his bag down quickly and pulled his jacket open with both hands, making himself look big to the cougar. It worked. The cougar hesitated, ready to attack Jeb, but ready to forget the whole thing, too.
Jeb took off his jacket, grasped Tom and held him across his body, making a cross. Now the cougar’s enemy looked even bigger, and it rose up, ready to move away, but unfortunately Tom got scared and struggled free of Jeb.
"Tom, No !" shouted his father.
But Tom broke and ran and that’s the last thing you do with a cougar. The second Tom broke free, Jeb threw himself on the cougar, just as it jumped from the rock. They hit each other in mid air and both fell. The cougar was on Jeb in a flash, forgetting about Tom, which was what Jeb wanted. Cougars are not as big as most people think and a determined man stands a chance, even just with his fists. As the cougar’s claws got into his left shoulder, Jeb swung his fist at its eyes and hit hard. The animal howled(吼叫) and put its head back. Jeb followed up with his other fist. Then out of the corner of his eye, Jeb saw Tom. The boy was running back to help his father.
"Knife, Tom," shouted Jeb.
The boy ran to his father’s bag, while Jeb started shouting as well as hitting, to keep the cougar’s attention away from Tom. Tom got the knife and ran over to Jeb. The cougar was moving its head in and out, trying to find a way through the wall. Jeb was making out of his arms. Tom swung with the knife, into the cougar’s back. It howled horribly and ran off into the mountains.

What do we know about cougars

A.They are afraid of noises.
B.They hesitate before they hit.
C.They are bigger than we think.
D.They like to attack running people.