问题 单项选择题 案例分析题

女性,40岁。因常规体检发现血糖高并诊断糖尿病病史3年,体重下降10kg,因服用格列齐特240mg/d,空腹血糖控制在9~10mmol/L,餐后两小时13mmol/L左右,HbAlc8.5%,尿检查酮体反复阳性,改用胰岛素治疗2月余,HbAlc下降至7%。父亲患糖尿病,BMI21.3kg/m,ICA阴性,GAD抗体阳性

此例患者最好的治疗方案应该选用()

A.继续原治疗方案不变

B.停用胰岛素治疗,换用其他磺脲类药物

C.停用胰岛素,换用α糖苷酶抑制剂

D.胰岛素增敏剂

E.合用α糖苷酶抑制剂、胰岛素增敏剂和双胍类

答案

参考答案:A

判断题
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     Heather Mills McCartney lives an admirable life, attending celebrity parties, meeting regularly

with the rich and famous and doing meaningful work for charity. All who work with her admire and

respect her. But   Heather's life hasn't always been so easy. When Heather was only 9 years old,

her mother abandoned her and her two brothers. At the age of 13, she ran away from home and

ended up living on the streets in London. Eventually, however, her exceptional beauty led to a career

in modeling. At that time, Heather also began helping with the war relief efforts in former Yugoslavia.

Through her modeling and relief work, she soon became famous.

     But in August 1993, at age 25 her life changed once again. She was crossing the street in London

when a motorcycle crashed into her. She was so badly injured that the doctors had to cut off her left

leg. After that, she discovered she frequently needed to change her artificial limbs. It was expensive

and she felt it was a waste to just throw away the old one. It occurred to her to set up an organization

that could deliver used artificial limbs to Yugoslavia and other war-torn countries. It was through her

charity work that she met her husband Paul McCartney.

     Throughout her life, Heather has risen above problems and focused on helping others. Her work

with artificial limbs even earned her a nomination(提名) for the Nobel Peace Prize in 1996. Heather's

persistence and determination are what impresses anyone who knows her. Heather believes anyone

can make a positive difference in the world.

1. This passage is mainly about _________.

A. Heather's miserable life          

B. Heather's contribution to the world

C. Heather's success in her work      

D. Heather's belief in life

2. Heather began her modeling career _________.

A. due to her mother's encouragement  

B. after her brothers abandoned her

C. because of her excellent intelligence and performances

D. because she was especially beautiful

3. Which of the following is Not true according to the passage?

A. Heather won the Nobel Peace Prize in 1996.

B. Heather began her charity work while working as a model.

C. Her artificial limbs had to be replaced continuously.

D. Heather lost her left leg due to an accident.

4. From the passage we can infer that people admire and respect Heather because _________.

A. she had a lot of misfortunes during her childhood.  

B. she was a world-famous model

C. she is determined and never gives in    

D. she made the greatest difference in the world