问题 单项选择题 案例分析题

患者女,急性起病;氨基转移酶显著增高,轻度黄疸;明显高球蛋白血症;ANA阳性;肝组织病理学符合自身免疫性肝炎的表现。AIH诊断评分系统治疗前积分为20分,目前患者ALT804U/L,AST705U/L,同时合并高血压[(160~130)/(100~80)mmHg]。

下一步的治疗方案应为()。

A.泼尼松60mg(第1周)、40mg(第2周)、30mg(第3、4周)、20mg维持用量

B.泼尼松30mg(第1周)、20mg(第2周)、15mg(第3、4周)、10mg维持用量+硫唑嘌呤50mg,1次/d

C.泼尼松30mg(第1周)、20mg(第2周)、15mg(第3、4周)、10mg维持用量

D.泼尼松60mg(第1周)、40mg(第2周)、30mg(第3、4周)、20mg维持用量+硫唑嘌呤50mg,1次/d

E.泼尼松60mg(第1周)、40mg(第2周)、30mg(第3、4周)、15mg维持用量

F.泼尼松60mg(第1周)、30mg(第2周)、15mg(第3、4周)、5mg维持用量

答案

参考答案:B

阅读理解

After a hard campaign, Barack Obama won the US president election on November 4. He will become the 44th President of the United States---the first African-American in the country’s history.

On the election eve, Obama’s grandmother died---only a few days before seeing her grandson’s victory. Tears ran down the face of Obama as he spoke about his grandmother. “She taught me about hard work.She was the one who put off buying a new car or a new dress for herself so that I could have a better life. She poured everything she had into me.”

In his first speech as the president, Obama declared to tens of thousands of cheering supporters, “…The road ahead will be long. Our climb will be steep. We may not get there in one year, or even one term, but America---I have never been more hopeful than I am tonight that we will get there. I promise you: We as a people will get there…” The crowd broke out into the same chant(咏唱,吟诵), “Yes, we can!”Those three short words have become the defining phrase of Obama’s campaign.

Forty-five years ago, Martin Luther King had a dream of an America where men and women would be judged not by the colour of their skin but by the content of their character. Today the dream has come true.

小题1:When will Obama begin to work as a president?

A.On November 4

B.Before November 4

C.After November 4

D.On the day he won the election.小题2:What happened to Obama before the election eve?

A.His grandmother passed away.

B.His grandmother was killed.

C.His grandmother gave him a lesson.

D.His grandmother was kidnapped.小题3:What does the underlined word “campaign” mean in Chinese?

A.公关

B.竞选活动

C.辩论

D.比赛小题4:Which of the following is NOT true?

A.Obama makes Martin Luther King’s dream come true.

B.Americans believe Obama will change everything of America.

C.Obama’s grandmother had a great effect on him.

D.Many people support Obama to become the president of America.

多项选择题