问题 单项选择题

患者,女,22岁。多汗,怕热,多食,消瘦,急躁易怒,两手颤抖。舌质红.苔黄腻,脉弦滑数。查体:颈前可触及肿块,可随吞咽上下活动,眼突,心率110次/分,律齐。治疗应首选().

A.丙硫氧嘧啶加丹栀逍遥散

B.丙硫氧嘧啶加一贯煎

C.丙硫氧嘧啶加知柏地黄丸

D.甲基硫氧嘧啶加天王补心丹

E.甲基硫氧嘧啶加黄连阿胶汤

答案

参考答案:A

解析:从多汗,怕热,多食,消瘦,两手颤抖,颈前可触及肿块,可随吞咽上下活动,眼突,心率快可判断为甲状腺功能亢进症,治疗选用丙硫氧嘧啶。从急躁易怒,颈前可触及肿块,舌质红,苔黄腻,脉弦滑数可判断为肝火痰瘀型,治疗当清热疏肝活血祛瘀。一贯煎具有滋阴疏肝功效,用于肝肾阴虚证,不符合。知柏地黄丸具有滋阴降火退虚热功效,用于阴虚内热证,不符合。丹栀逍遥散具有清热疏肝活血祛瘀功效。

单项选择题
阅读理解

阅读理解。

     The Adventures of Tom Sawyer is a literary masterpiece

written in 1876 by the famous author Mark Twain. The story line

is simple.  The book is like a biography (自传)  of a summer in

Tom Sawyer's life.

     Tom Sawyer is a smart but naughty young boy living in the

small town on the Mississippi River. He is an orphan and lives

with his aunt. He has many clever ideas,but doesn't like school,

and always likes to escape the school to fish. Tom has a trusted

friend,Huck Finn,who few of the adults approve of. Tom Sawyer

and Finn have great adventures on the Mississippi River,

pretending to be pirates, attending their own funeral, and

witnessing a murder. Tom overcomes fear and appears in court and

speaks out the murderer. He and his friends finally discover a lot

of treasures and they become millionaires...

      Mark Twain's writing was based on his own childhood and his

personal experience. What makes this story great is that Tom

Sawyer represents everything that is great about childhood. It is a

story filled with action,adventure,ingenious (巧妙的)  ideas,love,

and schoolyard politics. The whole story is seemingly a complication

of what Twain did or wishes he did during his childhood.

     The book is a little difficult to read at first. Perhaps,it will

take you a little while to get used to the 19th century dialect in the

book. But on the whole,the book is an enjoyable read for people of

all ages. I highly recommend this book for anyone looking forward

to feeling young again.

1.Which of the following doesn't fit in with Tom? 

A. He often escapes the school.

B. He has a trusted friend.

C. He is a good student. 

D. Both of his parents died when he was young.

2. According to the passage, the story is concerned with the  following things EXCEPT _____   .  

A. love                                        

B. schoolyard politics

C. action                                  

D. power

3. The author's purpose of writing this passage is to ____. 

A. let readers know Mark Twain

B. remind people of their childhood

C. tell the story of The Adventures of Tom Sawyer

D. recommend the book to others

4. Which of the following is NOT true? 

A. Tom Sawyer prefers fishing to going to school.

B. The story is about Mark Twain's personal experience.

C. There is 19th century dialect in the book.

D. The whole story represents what Twain did or wishes he did during his childhood.