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女性，27岁，心悸、多汗、眼胀伴体重减轻1个月余。请针对该案例，说明问诊内容与技巧。

答案

参考答案：

1.问诊内容（13分）

（1）现病史（10分）①根据主诉及相关鉴别询问（8分）发病诱因，有无劳累、精神紧张。（1分）体重下降情况，体重减轻了多少，下降速度如何。（2分）饮食量与平时情况比较，饮食量与体重变化的关系。（2分）心悸发生时间，脉搏快慢、是否规整。（1分）有无气急、出汗、怕热、颈部变粗、眼部不适等情况，有无情绪变化。（1分）有无多饮、多尿、大便及睡眠改变。（1分）②诊疗经过（2分）是否到医院就诊过，做过哪些检查。（1分）治疗用药情况。（1分）

（2）相关病史（3分）是否有药物过敏史。（1分）与该疾病有关的其他病史，有无甲亢、结核病、糖尿病、肿瘤、慢性腹泻、心脏病病史，还应询问月经史、婚育史。（2分）

2.问诊技巧（2分）条理性强、能抓住重点。（1分）能够围绕病情询问。（1分）

单项选择题

下列选项中，属于建筑设备安装工程的是（）。

A．电气照明安装工程

B．生产设备安装工程

C．实验设备安装工程

D．传动设备安装工程
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单项选择题

With the spread of inter-active electronic media a man alone in his own home will never have been so well placed to fill the inexplicable mental space between cradle and crematorium. So I suspect that books will be pushed more and more into those moments of travel or difficult defecation (1) people still don’t quite know what to do with.

When people do read, I think they’ll want to feel they are reading literature, or (2) something serious. (3) you’re going to find fewer books presenting themselves as no- nonsense and (4) assuming literary pretensions and being packaged as works of art. We can expect an extraordinary variety of genre, but with an underlying (5) of sentiment and vision.

Translators can only (6) from this desire for the presumably sophisticated. We can look forward to lots of difficult names and fantastic stories of foreign parts enthusiastically (7) by the overall worship of the "global village" Much of this will be awful and some wonderful, (8) don’t expect the press or the organizers of prizes to offer you much help in making the appropriate distinctions. They will be chiefly (9) in creating celebrity, the greatest enemy of discrimination, but a good prop for the (10) consumer.

Every ethnic grouping over the world will have to be seen to have a great writer--a phenomenon that will (11) a new kind of provincialism, more chronological than geographic, (12) only the strictly contemporary is talked about and (13) . Universities, including Cambridge, will include (14) their literature syllabus novels written only last year. (15) occasional exhumation for the Nobel, the achievements of ten or only five years ago will be largely forgotten.

In short, you can’t go too far wrong when predicting more of the same. But there is a (16) side to this--the inevitable reaction against it. The practical things I would like to see happen--publishers seeking less to (17) celebrity through extravagant advertising, (18) and magazines (19) space to reflective pieces--are rather more improbable than the Second Coming (耶稣复临). But dullness never quite darkens the whole planet. In their own idiosyncratic fashion a few writers will (20) be looking for new departures.

10（）

A.devoted

B.confused

C.sensible

D.isolated
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