问题 单项选择题

患者,女,50岁。15年前因甲亢行甲状腺次全切除术。近1个月来又感心悸、出汗、消瘦,心电图检查提示房颤,心率120次/分,FT3升高,FT4升高。应首先考虑的治疗措施是()

A.第2次手术

B.放射性131I治疗

C.服抗甲状腺药与甲状腺素片

D.服碘溶液

E.甲状腺素片

答案

参考答案:B

解析:首先是诊断,心悸、出汗、消瘦,FT3升高,FT4升高,考虑为甲状腺功能亢进症,患者15年前因甲亢行甲状腺次全切除术。心电图检查提示房颤,诊断明确,甲状腺功能亢进症复发,为甲状腺功能亢进症心脏病。患者50岁有手术史,再次手术不是首选,服碘溶液往往用于手术前和和放射碘之前的准备阶段;甲状腺素片主要用于甲低。甲状腺功能亢进症心脏病首选治疗是放射碘。

阅读理解

Perhaps the most astonishing theory to come out of kinetics,the study of body movement,was suggested by Professor Ray Birdwhistell.He believes that physical appearance Is often culturally programmed.In other words,we learn our looks;we are not born with them.

A baby generally unformed facial features.A baby,according to Birdwhistell,learns where to set the eyebrows by looking at those around family and friends.This helps explain why the people of some regions of the United States look so much lilke.New Englanders or Southerners have certain common facial characteristics that cannot be explained by genetics(遗传学).The exact shape of the mouth is not set at birth,it is learned later.In fact,the final mouth shape is not formed until well after permanent(永久的)teeth are set.For many,this can be well into adolescence(青春期).A husband and wife together for a long time often come to look somewhat alike.We learn our looks from those around us. This is perhaps why in a single country there are areas where people smile more than those in other areas.In the United States,for example,the South is the part of the country where the people smile most frequently.In New England they smile less,and in the western part of New York State still less.Many Southerners find cities such as New York cold and unfriendly,partly because people on Madison Avenue smile less than people on Peach Tree Street jn Atlanta,Georgia.People in densely(稠密地)populated urban areas also tend to smile and greet each other in public less than people in rural areas and small towns.

小题1:The passage might be taken out of a book dealing with______

A.physics

B.health

C.chemistry

D.body movement小题2:Ray Birdwhistell believes that physical appearance_______.

A.has little to do with culture

B.is decided by our parents

C.can be infiuenced by culture

D.varies from place to place小题3:Ray Birdwhistell can tell what region of the United States a person is from by     .

A.the way he or she talks

B.how he or she raises his or her eyebrows

C.what he or she likes best

D.how much he or she laughs小题4:According to the passage,people who live_______are more friendly.

A.in the north

B.in the country

C.in New York City

D.in densely populated areas

判断题