试题与答案

患者男,22岁,因“骨痛、身高变矮4年”来诊。4年前始有骨痛,身高变矮,曾在外院诊为

题型:多项选择题 案例分析题

题目:

患者男,22岁,因“骨痛、身高变矮4年”来诊。4年前始有骨痛,身高变矮,曾在外院诊为“骨质疏松”,予补钙治疗,效果不佳。2年前,提重物时发生左侧肱骨骨折,已治愈。近3年来,患者经常在两餐之间出现上腹痛,伴有反酸、嗳气及胃灼热。近半年来,间断头痛,视力下降。查体:BP100/70mmHg;身高165cm(2年前身高170cm);意识清楚;心、肺、腹部未见异常;脊柱胸椎后凸,四肢未见畸形。

下一步的检查是()(提示:血钙2.8mmol/L,血磷0.7mmol/L;X线:广泛性骨质疏松,双手部分指骨可见局限性囊性骨质吸收,蝶鞍增大,伴骨质吸收破坏。)

A.垂体激素测定

B.血PTH

C.垂体MRI

D.骨活检

E.尿钙、尿磷

F.血降钙素

答案:

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参考答案:A

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题型:阅读理解

阅读理解。

     Silence is unnatural to man. He begins life with a cry and ends it in stillness. In between be does all he can

to make a noise in the world, and be fears silence more than anything else. Even his conversation is an attempt

to prevent a fearful silence. If he is introduced to another person, and is number of pauses occur in the

conversation, he regards him-self as a failure,a worthless person, and is full of envy of the emptiest- headed

chatterbox (喋喋不休的人).He knows that ninety nine percent of human conversation means no more than the

buzzing of a fly, but he is anxious to join in the buzz and to prove that he is a man and not a waxwork figure

(蜡塑人像).

     The aim of conversation is not. For the most part, to communicate ideas; it is to keep up the buzzing sound. There are, it must be admitted, different qualities of buzz; there is even a buzz that is as annoying as the

continuous noise made by a mosquito (蚊子). But at a dinner party one would rather be a mosquito than a quiet

person. Most buzzing, fortunately, is pleasant to the ear, and some of it is pleasant even to the mind. He would

be a foolish man if he waited until he had a wise thought to take part in the buzzing with his neighbors.

     Those who hate to pick up the weather as a conversational opening seem to me not to know the reason

why human beings wish to talk. Very few human beings join in a conversation in the hope of learning anything

new. Some of them are content if they are merely allowed to go on making a noise into other people's ears,

though they have nothing to tell them except that they have seen two or three new plays or that they had food

in a Swiss hotel. At the end of an evening, during which they have said nothing meaningful for a long time.

They just prove themselves to be successful conservationists.

1. According to the author, people make conversation to _____.

A. exchange ideas

B. prove their value

C. achieve success in life

D. overcome their fear of silence

2.  By "the buzzing of a fly " (Para.1),the author means"_____ ".

A. the noise of an insect

B. a low whispering sound

C. meaningless talks

D. the voice of a chatterbox

3.  According to the passage, people usually talk to their neighbors _____.

A. about whatever they have prepared

B. about whatever they want do

C. in the hope of learning something new

D. in the hope of getting on well

4.  What is the author's purpose in writing the passage?

A. To discuss why people like talking about weather.

B. To encourage people to join in conversations.

C. To persuade people to stop making noises.

D. To explain why people keep talking.

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