问题 单项选择题 共用题干题

男性,55岁。身高172cm,体重80kg。因胃纳亢进易饥,伴心慌、多汗2月余就诊。体检:明显肥胖,情绪较急躁,皮肤略潮湿,甲状腺不大。心率124次/分,血压18.6/9.3kPa(140/70mmHg)。双手细微震颤(-)。

为了进一步明确诊断,应做多种实验室检查,下列哪项是不必要的()。

A.糖基化血红蛋白测定

B.胰岛素及C肽水平测定

C.24h尿VMA测定

D.OGTT

E.甲状腺功能测定

答案

参考答案:C

完形填空

One summer day my father sent me to buy wire for our farm. At 16, I liked 36 better than driving our truck, 37 this time I was not happy. My father had told me I’d have to ask for credit(赊账) at the store.

Sixteen is a 38 age, when a young man wants respect, not charity. It was 1976, and the ugly 39 of racial discrimination was 40 a fact of life. I’d seen my friends ask for credit and then stand, head down, while the store owner 41 whether they were “good for it.” I knew black youths just like me who were 42 like thieves by the store clerk each time they went into a grocery.

My family was 43 . We paid our debts. But before harvest, cash was short. Would the store owner 44 us ?

At Davis’s store, Buck Davis stood behind the cash desk, talking to a farmer. I nodded 45 I passed him on my way to the hardware shelves. When I brought my 46 to the cash desk, I said 47 , “I need to put this on credit.”

The farmer gave me an amused, distrustful 48 . But Buck’s face didn’t change.   “Sure,” he said 49 . “Your daddy is 50 good for it.” He  51 to the other man. “This here is one of James Williams’s sons.”

The farmer nodded in a neighborly 52 . I was filled with pride. James William’s son.  Those three words had opened a door to an adult’s respect and trust.

That day I discovered that the good name my parents had  53 brought our whole family the respect of our neighbors. Everyone knew what to 54 from a Williams: a decent person who kept his word and respected himself 55 much to do wrong.

36. A. something                B. nothing           C. anything                 D. everything

37. A. and                   B. so                   C. but                  D. for

38. A. prideful            B. wonderful               C. respectful               D. colorful

39. A. intention           B. shadow            C. habit               D. faith

40. A. thus                  B. just                 C. still                 D. ever

41. A. guessed             B. suspected         C. questioned       D. figured

42. A. watched            B. caught             C. dismissed         D. accused

43. A. generous           B. honest             C. friendly           D. modest

44. A. blame               B. excuse             C. charge             D. trust

45. A. until                 B. as                   C. once                D. since

46. A. purchases          B. sales                C. orders             D. favorites

47. A. casually            B. confidently      C. cheerfully        D. carefully

48. A. look                        B. stare                C. response          D. comment

49. A. patiently           B. eagerly            C. easily              D. proudly

50. A generally            B. never              C. sometimes       D. always

51. A. pointed             B. replied            C. turned             D introduced

52. A. sense                       B. way                       C. degree             D. mood

53. A. earned              B. deserved          C. given              D. used

54. A. receive              B. expect             C. collect             D. require

55. A. very                        B. so                   C. how                D. Too

单项选择题