试题与答案

患者女,42岁,因“心悸、乏力、怕热、多汗、食欲亢进、体重下降3个月”来诊。查体:T

题型:单项选择题 案例分析题

题目:

患者女,42岁,因“心悸、乏力、怕热、多汗、食欲亢进、体重下降3个月”来诊。查体:T37.6℃,P130次/min,BP140/90mmHg;甲状腺弥漫性、对称性Ⅱ度肿大,质软,随吞咽上下活动,伴有震颤,听诊可闻及血管杂音。入院后观察患者情绪易激动,性情急躁、紧张不安、注意力不集中、入睡困难、手舌震颤。

根据患者的症状和体征,首先应考虑的诊断是()。

A.甲状腺功能亢进症

B.甲状腺功能减退症

C.单纯甲状腺肿

D.甲亢危象

E.皮质醇增多症

F.甲状腺癌

答案:

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参考答案:A

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CLASSIC TOURS — COACH BREAK INFORMATION

Luggage

We ask you to keep luggage down to one medium-sized suitcase per person, but a small suitcase can also be taken on board the coach.

Seat Allocation(分配)

Requests for particular seats can be made on most coach breaks when booking, but since allocations are made on a first come, first serve basic, early booking is advisable. When booking are made with us you will be offered the best seats that are available on the coach at that time.

Travel Documents

When you have paid your deposit we will send to you all the necessary documents and labels, so that you receive them in good time before the coach break departure date.

Special Diets

If you require a special diet you must inform us at the time of booking with a copy of the diet. This will be informed to the hotel or hotels on your coach break. Certain coach breaks the hotels used are tourist class and while offering value for money within the price range, they may not have the full facilities to cope with special diets.

Accommodation(住宿)

Many of our coach breaks now include, within the price, accommodation with private facilities, and this will be shown on the coach break page. Other coach breaks have a limited number of rooms with private facilities which can be reserved and guaranteed at the time of booking—the additional charge shown in the price panel will be added to your account.

On any coach break there are only a limited number of single rooms. When a single room is available it may be charged more and this will be shown on the brochure page.

Entertainment

Some of our hotels arrange additional entertainment which include music, dancing, films, etc. The presence of the entertainment is at the discretion of(听凭…处理) the hotel and therefore not guaranteed and could be withdrawn if there is a lack of demand or insufficient numbers in the hotel.

小题1:If you want to sit at the front of the coach, you should ________.

A.ask when you get on the coach

B.arrive early on the departure date

C.book your seat well in advance

D.avoid traveling at peak times小题2:It may be necessary to pay extra for _________.

A.single rooms

B.the best seat

C.additional luggage

D.entertainment小题3:With every booking Classic Tours guarantees you will be able to ___________.

A.request high quality meals.

B.take hand luggage on the coach.

C.have a bathroom to yourself.

D.see a film if you want to.

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