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问题 单项选择题

患者发现左甲状腺后下方有一肿物，椭圆形，有典型甲状旁腺亢进表现，但无尿毒症，它最可能是（）。

A.甲状腺腺瘤

B.甲状旁腺瘤

C.甲状腺囊肿

D.结节性甲状腺肿

E.甲状旁腺增生

答案

参考答案：B

多项选择题 案例分析题

病历摘要：女，17岁。昨晚与家人吵架后，今晨起床四肢无力，行走不能，抬手困难，送院急诊。无头痛、头晕，无呼吸困难。既往甲亢病史3年，已治愈停药1年；2周前腹泻多次，外院门诊治疗好转。查体：T36.7℃，神清，对答切题，语利，颅神经（-），四肢肌张力低，肌力近端Ⅱ级，远端Ⅲ级，腱反射迟钝，病理征（-），四肢感觉麻木。

关于Guillain-barre综合征，哪些是正确的（）

A.Fisher综合征被认为是GBS变异型，表现为眼外肌麻痹、共济失调、腱反射消失

B.任何年龄均可发病

C.Charcot综合征被认为是GBS变异型，表现为眼外肌麻痹、共济失调、腱反射消失

D.女性明显多于男性

E.Fisher综合征被认为是GBS变异型，表现为双侧面瘫、呼吸无力、腱反射消失

F.目前研究认为，皮质类固醇治疗效果最佳，应及早使用

G.Charcot综合征被认为是GBS变异型，表现为双侧面瘫呼吸无力腱反射消失

H.感觉障碍较轻，呈手套袜子形分布，无肌肉疼痛
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单项选择题

When anyone opens a current account at a bank, he is lending the bank money. He may (1) the repayment of the money at any time, either (2) cash or by drawing a check in favor of another person. (3) , the banker customer relationship is that of debtor and creditor who is (4) depending on whether the customer’s account is (5) credit or is overdrawn. But, in (6) to that basically simple concept," the bank and its customer (7) a large number of obligations to one another. Many of these obligations can give (8) to problems and complications but a bank customer, unlike, say, a buyer of goods, cannot complain that the law is (9) against him.

The bank must (10) its customer’s instructions, and not those of anyone else. (11) , for example, a customer opens an account, he instructs the bank to debit his account only in (12) of checks drawn by himself. He gives the bank (13) of his signature, and there is a very firm rule that the bank has no right or (14) to pay out a customer’s money (15) a check on which its customer’s signature has been (16) . It makes no difference that the forgery may have been a very (17) one, the bank must recognize its customer’s signature. For this reason there is no (18) to the customer in the practice, (19) by banks, of printing the customer’s name on his checks. If this (20) forgery, it is the bank that will lose, not the customer.

16（）

A.printed

B.confirmed

C.forged

D.justified
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