问题 单项选择题 A3/A4型题

二十八初孕妇,孕33周,自觉乏力、食欲差,伴恶心、呕吐2周,小便深黄色,皮肤瘙痒5日。查体:体温37.5℃,血压130/90mmHg,神志清,皮肤巩膜黄染,躯干及四肢皮肤可见散在出血点,肝肋下未触及,胎头入盆,胎心140次/分。

若ALT542U/L,总胆红素85.5μmol/L,结合胆红素46μmol/L,尿胆红素(+),HBsAg(+),本例最可能的诊断是()

A.妊娠高血压疾病引起的肝损害

B.妊娠剧吐

C.妊娠急性脂肪肝

D.妊娠合并病毒性肝炎

E.妊娠肝内胆汁淤积症

答案

参考答案:D

单项选择题
单项选择题

The field of medicine has always attracted its share of quacks and charlatans — disrepu-table women and men with little or no medical knowledge who promise quick cures at cheap prices. The reasons why quackery thrives even in modem times are easy to find.
To begin with, pain seems to be a chronic human condition. A person whose body or mind "hurts" will often pay any amount of money for the promise of relief. Second, even the best medical treatment cannot cure all the ills that beset men and women. People who mistrust or dislike the truths that their physicians tell them often turn to more sympathetic ears.
Many people lack the training necessary to evaluate medical claims. Given the choice between (a) a reputable physician who says a cure for cancer will be long, expensive and may not work at all, and (b) a salesperson who says that several bottles of a secret formula "snake oil" will cure not only cancer but tuberculosis as well, some individuals will opt for "snake oil".
Many "snake oil" remedies are highly laced with alcohol or narcotic drugs. Anyone who drinks them may get so drunk or stoned that they drown their pains in the rising tide of pleasant intoxication. Little wonder that "snake oil" is a popular cure-all for minor aches and hurts! But let there be no misunderstandings. A very few "home remedies" actually work. However, most remedies sold by quacks are not only useless, but often can be harmful as well.

Which of the following would be the best title of this passage

A.Distrust of Physicians

B.Medical Treatment

C.Snake Oil Remedies

D.Guard Against Quackery