患者，女性，38岁，因"双眼复视3周"就诊。无晨轻暮重，三年前患_爱下问搜题

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问题多项选择题案例分析题

患者，女性，38岁，因"双眼复视3周"就诊。无晨轻暮重，三年前患有"甲状腺功能亢进"史，已治愈。眼部检查：VOU1．0，NCT15mmHg，裂隙灯检查和眼底检查正常。双眼上睑缘位于上方角膜缘上1mm；眼球突出度检查：右眼14mm，左眼15mm。角膜映光法：33mm：右眼注视，左眼下斜15°，左眼注视，右眼上斜约15～25°；左眼颞上方运动受限，余方向及右眼运动基本正常。

如果患者的被动牵拉试验有阻力；眼眶CT提示左眼下直肌肌腹肥厚；甲状腺功能检查血清T₃水平增高。请问下一步治疗方案（）

A.手术治疗

B.糖皮质激素治疗

C.放射治疗

D.内分泌科治疗

E.神经营养治疗

答案

参考答案：B, D

阅读理解

阅读短文，选择正确答案。

Dear Tom,

How are you? We go to school five days a week. I have many friends in my school. And one of them is

from Canada. His name is Mike. I am learning English. And I learn to speak English from him after school. He

is glad to help me. He wants to learn Chinese. So I help him with his Chinese. Sometimes (有时) we go out on

Sundays. Please write to me soon.

　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　Love,

　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　Li Ming

1. This is a postcard from ____________ to ____________.

A. Tom, Li Ming

B. Li Ming, Tom

C. Li Ming, Mike

2. Li Ming goes to school ____________ a week.

A. five hours

B. four days

C. five days

3. Mike is from ____________.

A. Japan

B. England

C. Canada

4. Li Ming wants to learn to speak English from ____________.

A. Mike

B. Tom

C. himself

5. Li Ming is a ____________.

A. teacher

B. student

C. postman

单项选择题

男，39岁。体健。近半个月来感肝区疼痛，食欲缺乏，来医院就诊。查体：肋下2横指可触及肝下缘，有压痛，疑为原发性肝癌。以下哪项血清肿瘤标志物的检查可以明确诊断（）

A.谷丙转氨酶

B.血常规

C.甲胎蛋白

D.异常凝血酶原

E.铁蛋白