问题 单项选择题

患者,女性,48岁。颈增粗20年,近一年消瘦10kg,并有心悸。体检发现双侧甲状腺多个结节。基础代谢率+31%,2h内甲状腺摄碘29%。甲状腺手术后1d,患者手足抽搐时处理的方法是,立即

A.口服钙剂

B.口服二氢速固醇

C.静脉注射10%葡萄糖酸钙10~20ml

D.行甲状旁腺移植术

E.测定血清钙浓度

答案

参考答案:C

解析:[解题思路] 手术治疗是首选的方法。患者术后出现手足抽搐,可能为术后低血钙引起,其常见的原因为甲状旁腺血运障碍的一过性改变,对症处理为D。但有个别患者为术中甲状旁腺误切造成的永久性损伤,症状重和长期不能恢复者应用A、B,可考虑行同种异伴甲状旁腺移植术。

多项选择题
完形填空

完形填空(共10小题;每小题1分,满分10分)

阅读下面短文,掌握其大意,然后从第31至40小题所给的A、B、C、D四个选项中,选出最佳选项,并在答题卡上将项涂黑。

Alfred Nobel became a millionaire and changed the ways of mining,construction,and warfare as the inventor of dynamite(炸药). On April 12,1888,Alfred's brother Ludwig died of heart attack. A major French newspaper   31  his brother for him and carried an article   32  the death of Alfred Nobel. “The merchant of death is dead.” the article read. “Dr. Alfred Nobel,who became   33  by finding ways to kill more people faster than ever before,died yesterday.” Nobel was   34  to find out not that he had died,but that,when his time was up, he would be thought of only as one who profited from   35  and destruction.

To make sure that he was   36  with love and respect, Nobel arranged in his   37  to give the largest part of his money to   38  the Nobel prizes,which would be awarded to people who made great   39  to the causes of peace,literature,and the sciences. So   40 ,Nobel had to die before he realized what his life was really about.

31. A. found    B. misunderstood   C. mistook       D. judged

32. A. introducing   B. announcing         C. implying      D. advertising

33. A. famous          B. sick     C. rich     D. popular

34. A. upset    B. anxious       C. excited        D. pleased

35. A. death    B. disease       C. trouble        D. attack

36. A. repaid   B. described   C. supported D. remembered

37. A. book      B. article          C. will      D. contract

38. A. establish       B. form   C. develop        D. promote

39. A. additions       B. sacrifices    C. changes      D. contributions

40. A. generally        B. basically      C. usually         D. certainly