问题 单项选择题

女孩15岁,月经来潮已3次,周期 6/18~30日,量不多,基础体温单相型。最恰当的处理是

A.子宫内膜活检

B.氯米芬治疗

C.人工周期

D.HCG

E.不必处理

答案

参考答案:E

解析:本题主要考核功血的诊断。功血包括月经过多、经量过多、子宫不规则过多出血和子宫不规则出血。而本题中女孩仅15岁,由于青春期开始的一段时间中枢对雌激素的正反馈机制尚未成熟,即使卵泡发育成熟也不能排卵,故月经周期常不规律。由于该女孩基础体温单相型,提示无排卵。月经量不多,可以等待其自然建立规律性的周期性排卵,暂不予处理。因此选择E。

单项选择题

It seems that politicians around the world are thinking about the health of their countries. While in China, Chen Zhu has announced his plans for a universal(全体的,普遍的)health service and reform across health services. Gordon Brown, the UK Prime Minister, has also announced he is planning to make some changes in our health service.

The crux(关键)of Mr. Brown's proposals are related to giving the NHS (National Health Service) a greater focus on prevention, rather than just curing patients.

He is planning to introduce increased screening for common diseases such as heart disease, strokes(中风), and cancer, for example, breast cancer. In Britain there are 200,000 deaths a year from heart attacks and strokes, many of which might have been avoided if the condition had been known about.

Initially, the diagnostic (诊断的) tests will be available for those who are vulnerable, or most likely to have the disease. One example is a plan to offer all men over 65 an ultrasound test to check for problems with the main artery (动脉), a condition which kills 3,000 men a year.

The opposition have criticized Mr. Brown's proposals, saying that they are just a trick, and claiming that there is no proper timetable for the changes. They also say that Mr. Brown is reducing the money available for the treatment of certain conditions while putting more money towards testing for them.

The NHS was founded in 1948, and is paid for by taxation. The idea is that the rich pay more towards the health service than the poor. However in recent years there has been a great increase in the use of private healthcare, because it’s much quicker. NHS waiting lists for operations can be very long, so many people who can afford it choose to pay for medical care themselves.

According to the passage, the purpose of the health reform plan in the UK is to ()

A.encourage more private health care

B.focus on the prevention rather than on curing the patient

C.deal with the main artery problems

D.fight against the opposition in the UK

单项选择题