问题 单项选择题 共用题干题

患者女,34岁,因“颈部增粗10年余,自觉呼吸困难近1个月”来诊。患者无怕热、多汗、心悸、消瘦等不适。家族史:其姐妹、母亲均有颈部不同程度增粗。查体:T36.2℃,P72次/min;无突眼,甲状腺Ⅲ度肿大,边界清楚,表面光滑,质软,无压痛,未闻及血管杂音;双手平伸未见细震颤。

该病最常见的发病原因是()。

A.妊娠、哺乳等因素对甲状腺激素需要量增加

B.食物和饮水中含碘量多而长期摄碘量过多

C.土壤、食物和饮水中含碘量低而长期摄碘量不足

D.长期服用抗甲状腺作用的硫脲类药物

E.先天性酶缺乏使甲状腺激素合成障碍

答案

参考答案:C

问答题

James Shapiro follows his award-winning book on William Shakespeare, 1599, which came out in 2005, with an unlikely subject: an investigation into the old chestnut that Shakespeare wasn’t the man who wrote the works.

Most mainstream Shakespeareans stand aloof from it. But apparently the claims of Francis Bacon, Edward de Vere and Christopher Marlowe, among others, are on the rise. (46) An appetite for conspiracy theories, combined with a call for "balance" from some sectors of academe and the rise of the Internet has given the thing new life. Respectable audiences turn up to listen to lectures on it. The controversy is even taught at university level. "What difference does it make who wrote the plays" someone asked the author wearily. Mr. Shapiro (for whom Shakespeare was definitely the man) thinks it matters a lot, and by the end of this book, his readers will think so too.

The authorship controversy turns on two things., snobbery and the assumption that, in a literal way, you are what you write. How could an untutored, untravelled glover’s son from hickville, the argument goes, understand kings and courtiers, affairs of state, philosophy, law, music-let alone the noble art of falconry (47) Worse still, how could the business-minded, property-owning, moneylending materialist that emerges from the documentary scraps, be the same man as the poet of the plays

Mr. Shapiro teases out the cuhural prejudices, the historical blind spots, and above all the anachronism inherent in these questions. No one before the late 18th century had ever asked them, or thought to read the plays or sonnets for biographical insights. No one had even bothered to work out a chronology for them. (48) The idea that works of literature hold personal clues, or that--more grandly--writing is an expression and exploration of the self, is a relatively recent phenomenon.

Contested Will is dense with lives and stories and argument. It is also entertaining. The quest for the true claimant drove people mad. (49) Here are secrets and codes, an elaborate cipher-breaking machine, an obsession with graves and crazy adventures to find lost manuscripts. One man spent months dredging the River Severn. Mr. Shapiro himself turns sleuth, exposing as fraudulent a piece of evidence long thought to be genuine-one more hoax in the long history of Shakespearean wild goose chases.

(50) The Shakespeare that emerges is both simple and mysterious: a man of the theatre, who read, observed, listened and remembered. Beyond that is imagination, In essence, that’s what the book is about.

(49) Here are secrets and codes, an elaborate cipher-breaking machine, an obsession with graves and crazy adventures to find lost manuscripts.

单项选择题