女。45岁。2型糖尿病2年。用二甲双胍0．25g。每日3次。空腹血糖6_爱下问搜题

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问题单项选择题

女。45岁。2型糖尿病2年。用二甲双胍0．25g。每日3次。空腹血糖6．2mmol／L。餐后2h血糖12．6mmol/L。近2个月发热、咳嗽。痰结核菌阳性。控制血糖应给予（）。

A.加大二甲双胍剂量

B.礞脲类口服降糖药

C.胰岛素

D.α－葡萄糖苷酶抑制剂

E.胰岛素增敏剂

答案

参考答案：C

解析：糖尿病应用胰岛素的适应证：①1型糖尿病（胰岛素依赖型糖尿病）人；②糖尿病酮症酸中毒、高渗昏迷、乳酸酸中毒伴高血糖者；③妊娠糖尿病及糖尿病合并妊娠的妇女；④糖尿病患者并发急性感染，慢性重症感染（结核、病毒性肝炎等），外伤，手术，急性心、脑血管梗死等；⑤2型糖尿病人经口服降糖药治疗未良好控制者；⑥外科手术期间；⑦垂体性来源的肿瘤、胰腺病变、B细胞功能缺陷致病者。故选C。考点：糖尿病的治疗

完形填空

Bill White’s father is a lawyer. In his   56 time, he likes to get out in the country and take some 57 of animals.
For a long time, Bill had wanted to go with his father on one of his 58 . But his father didn’t take Bill along with him 59  he was fifteen.
He and Bill drove to the farm which 60 to his uncle in the afternoon. They        61 the night there, so that they could 62 out early the next morning. Uncle Steve and his son Larry, who was sixteen, were going to go out with them.
It was still dark when Bill heard the alarm 63 the next morning. He wondered why it was running so early. He couldn’t remember 64  he was. He turned over   __65__and looked at the clock. It was 5 o’clock. Then he 66  that he was at the     67 and that he was going out to take pictures with his father. He jumped out of bed and got 68 quickly.
He ran downstairs. The others were already in the   69   ,where Uncle Steve was cooking bacon and eggs. There was a pot of coffee on the stove. It   70  good.
They ate breakfast quickly. They didn’t talk 71  , because they didn’t want to   __72__ up the other people in the house. They filled a thermos bottle(热水瓶)        73 hot coffee and took some sandwiches 74 Aunt Grace, Uncle Steve’s wife, had made for them. They gathered their camera   75  and started out.

D．equipment（设备）

单项选择题

在已经计提了坏账准备的情况下，已确认的坏账又收回时，应借记“银行存款”科目，贷记( )科目。

A．坏账准备
B．银行存款
C．管理费用
D．营业外收入