问题 单项选择题 案例分析题

女性,28岁。乏力半年。因发作性手足搐搦伴软瘫3次就诊。体检:神志清楚,对答切题。四肢不能自主运动,肌力2级,无明显肌萎缩。血压180/110mmHg,心率92次/分,律齐。

患者此时血钾报告为2.5mmol/L,24小时尿钾30mmol/L,为了进一步明确诊断,应选择的检查是()

A.血管紧张素Ⅱ加血钠测定

B.ACTH兴奋试验

C.地塞米松抑制试验

D.胰岛素低血糖兴奋试验

E.肾素—血管紧张素—醛固酮测定

答案

参考答案:E

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As crime skyrockets in many communities, people are finally beginning to look for long-lasting effective answers to stem the tide of juvenile crime. Reaching the youth who have committed a crime before they become (1) is an essential step in reversing the crime trend. One (2) may be the establishment of teen court. Teen court is known as a sentencing court for youths who have (3) . Teen courts primarily deal with first-time offenders. After arrest, the young offender must (4) to the charge in juvenile court. With (5) , the offender agrees to be sentenced and abide by the decision of peer jury (6) . Another essential component to teen court is that, as part of the sentence, the offender must sit in on one of more future peer juries to (7) for other offenders. For example, a county teen court in Illinois gives young offenders a chance to (8) their arrests from their permanent record by (9) or other duties ordered by the court. Teen court is not a trial court. All teens admit their guilt and (10) a sentence given to them by a jury of their peers. A judge is present to (11) of the court. The teen court alleviates the strain on the (12) and has been implemented in (13) since the first teen court opened in Odessa, Texas. Beside giving the offender a second chance, it gives the youth (14) in the judicial process.
The purpose of the teen court, aside from sentencing youth offenders, is to (15) both the offenders and the teen volunteers while simultaneously promoting (16) between defendants, the community, and the police. By offering this (17) system, teen court allows those teens who have made a bad decision an opportunity to (18) and learn from it. At the same time those teens learn (19) . The police, the community, and the (20) .

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