问题 多项选择题 案例分析题

患者女,65岁,因“多饮、多尿4年余,发现血钙升高1年9个月”来诊。近1周食欲减退、恶心、呕吐,口干明显,便秘。既往史:结节性甲状腺肿8年。查体:T36.5℃,P106次/min,R30次/min,BP90/50mmHg;意识清楚,精神萎靡;皮肤、口唇干燥;甲状腺Ⅱ度肿大,可触及多个结节,质中,无压痛;HR106次/min,律齐;双下肢无水肿。

为明确诊断应检查(提示:经上述处理后患者胃肠道症状缓解,血钙降至2.78mmol/L,Scr100μmol/L。查体:BP100/60mmHg,皮肤、口唇无干燥,HR88次/min。)()。

A.血甲状旁腺素

B.甲状旁腺超声

C.99mTc甲氧基异丁基异腈甲状旁腺扫描

D.胃镜

E.甲状腺扫描

F.颈部CT

答案

参考答案:A, B, C, F

完形填空

In most languages, a greeting is usually followed by “small talk”, small talk means little things we talk about at the ____41____of a conversation. In English-speaking countries, people often make small talk about the _____42_____: Nice day, isn’t it?” “Terrible weather, isn’t it?” But there is ______43_____special about small talk. It must be about something ______44_____ people have the same idea about. This makes meeting people easier and more comfortable. People usually agree about the weather, so it is a ______45_____ topic for small talk. The topics for small talk also depend on _____46____ the conversation is taking place. At football matches, people make small talk about the game they are _____47_____. “Great game, isn’t it?” At bus stops, people may say: “The bus service is terrible, isn’t it?”

Greetings and small talk are _____48_____ important part of conversation in any language. The way people greet each other and the things they talk about, however, may be _____49_____from one language to another. This___50_____that there is much more to learn when we learn a language than just the vocabulary and the grammar of the language. We also have to learn the social behavior (社会行为) of the people who speak it.

小题1:A.front                   B. end              C. start

小题2:A. weather           B. dates             C. colors

小题3:A. nothing           B. anything          C. something

小题4:A. all               B. both              C. every

小题5:A. cheap               B. dangerous            C. safe

小题6:A. where               B. when             C. how

小题7:A. seeing              B. looking at           C. watching

小题8:A. the               B. an                   C. a

小题9:A. the same              B. difficult            C. different

小题10:A. sounds             B. shows                C. looks

填空题