问题 多项选择题 案例分析题

患者男,34岁,因“阴茎持续勃起伴疼痛2d”来诊。在无性刺激的状况下,患者阴茎持续勃起伴疼痛2d。无外伤史。查体:阴茎颜色正常,勃起硬度4级,触痛明显。

急性肾小管坏死持续期的临床表现包括(提示肝、胆、脾、泌尿系统B型超声:未见明显异常。胸部X线片:肺淤血征象。诊断:急性肾小管坏死,急性肺水肿。予以紧急血液透析后呼吸急促明显缓解。)()

A.水潴留

B.高血压

C.代谢性酸中毒

D.高钾血症

E.低钠血症

F.心力衰竭

G.低磷血症

H.代谢性碱中毒

答案

参考答案:A, B, C, D, E, F

单项选择题 B1型题
单项选择题

Passage Four

It’s so difficult to follow the ups and downs of a 2-year-old.One moment he’s beaming and friendly; the next he’s sullen (愠怒的) and weepy, often for no apparent reason. These mood swings, however, are just part of growing up. They are signs of the emotional changes taking place as your child struggles to take control of actions, impulses, feelings and his body.
At this age, your child wants to explore the world and seek adventure. As a result, he’ll spend most of his time testing limits, his own, yours and his environment’s. Unfortunately, he still lacks many of the skills required for the safe accomplishment of everything he needs to do, and he often will need you to protect him.
When he oversteps a limit and is pulled back, he often reacts with anger and frustration, possibly with a temper tantrum (发脾气) or sullen rage. He may even strike back by hitting, biting or kicking. At this age, he doesn’t have much control over his emotional impulses, so his anger and frustration tend to erupt suddenly in the form of crying, hitting or screaming. It’s his only way of dealing with the difficult realities of life. He may even act out in ways that unintentionally harm himself or others. It’s all part of being 2.
It’s not uncommon for toddlers to be angels when you’re not around, because they don’t trust other people enough to test their limits. But with you, your toddler will be willing to try things that may be dangerous or difficult, because he knows you’ll rescue him if he gets into trouble.
Whatever protest pattern he has developed around the end of his first year will probably persist for some time. For instance, when you’re about to leave him with a sitter, he may become angry and throw a tantrum in anticipation of the separation. Or he may whimper, or whine and cling to you. or he could simply become subdued and silent. Whatever his behavior, try not to overreact by scolding or punishing him. The best tactic is to reassure him before you leave that you will be back and, when you return, to praise him for being so patient while you were gone. Take solace in the fact that separations should be much easier by the time he’s 3 years old.

The "ups and downs" (Para.1) of a 2 year-old refers to______.

A.his falling down and standing up

B.his successes and failures in doing things

C.his good and bad traits

D.his mood swings