问题 多项选择题 案例分析题

病历摘要:患者,男性,66岁,因“发现血糖升高5年,右足部溃烂1周“入院。5年前患者于体检时发现血糖升高(具体不详),确诊糖尿病,不规则服药治疗,未监测血糖,2周前剪脚趾甲时不慎剪破右脚趾皮肤,自行用药酒涂抹。1周前右足开始溃烂,自服抗生素治疗,病情未见好转而入院。

患者使用胰岛素治疗,下列哪一种(或哪几种)方案是比较正确的?()

A.直接使用预混胰岛素

B.先用预混胰岛素,如果控制不良再改用长效胰岛素类似物

C.先用预混胰岛素,如果控制不良再改用中效胰岛素

D.先用短效胰岛素,如果控制不良考虑加用长效胰岛素类似物

E.先用短效胰岛素,如果控制不良考虑加用中效胰岛素

F.先用短效胰岛素,如果控制不良考虑加用预混胰岛素

G.先用中效胰岛素,如果控制不良考虑加用长效胰岛素类似物

H.先用中效胰岛素,如果控制不良考虑加用预混胰岛素

答案

参考答案:D, E

单项选择题
完形填空
完形填空
     Michel is a young girl who works for the police    1   a handwriting expert (专家). She has helped
   2    many criminals (罪犯) by using her special talents (天才).
     When she was fourteen, Michel was already   3    interested in the differences in her friends'    4   
 that she would spend hours   5   them. After   6   college she went to France for a    7   two-year class
in handwriting at the School of Police Science.
     Michel says that it is   8    for people to hide their handwriting. She can discover   9   of what she
needs to know simply  10    looking at the writing with her own eyes,    11    she also has machines
    12      help her make    13     different kinds of paper and ink. This knowledge is often    14     great
help to the police.
    Michel believes that handwriting is a good    15     of what kind of person the    16    is. "I wouldn't go
out with a fellow    17    I didn't like his handwriting." She says. But she    18    she fell in love with her
future husband, a young policeman    19     she studied his handwriting. It is later proved to be   20    ,
however.
( )1. A. with        
( )2. A. search    
( )3. A. so      
( )4. A. books    
( )5. A. writing    
( )6. A. attending  
( )7. A. powerful    
( )8. A. main      
( )9. A. most      
( )10. A. with    
( )11. A. so      
( )12. A. they    
( )13. A. up      
( )14. A. of      
( )15. A. test    
( )16. A. thief    
( )17. A. whether    
( )18. A. adds    
( )19. A. before    
( )20. A. necessary  
( )1. A. with        
( )2. A. search    
( )3. A. so      
( )4. A. books    
( )5. A. writing    
( )6. A. attending  
( )7. A. powerful    
( )8. A. main      
( )9. A. most      
( )10. A. with    
( )11. A. so      
( )12. A. they    
( )13. A. up      
( )14. A. of      
( )15. A. test    
( )16. A. thief    
( )17. A. whether    
( )18. A. adds    
( )19. A. before    
( )20. A. necessary  
C. like    
C. catch    
C. quite    
C. tongues    
C. settling  
C. starting  
C. special  
C. easy    
C. little    
C. of      
C. thus    
C. that    
C. for      
C. with    
C. means    
C. writer    
C. if      
C. repeats    
C. so        
C. important  
D. as              
D. judge            
D. extra            
D. handwriting      
D. uncovering      
D. stepping into    
D. common          
D. impossible      
D. sight            
D. about            
D. but              
D. those            
D. into            
D. for              
D. habit            
D. policeman        
D. after            
D. cries            
D. and              
D. quite easy