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发布时间:2023-12-20 05:46:17

[不定项选择题]共用题干 患者,女性,60岁,双侧腮腺反复肿大十余年,有脂肪肝、糖尿病病史。一侧腮腺造影显示:腺实质内可见一腺泡充盈缺损,边缘光滑完整,分支导管受压移位;部分末梢导管呈球状扩张,主导管不均匀扩张。 欲明确诊断,下一步首先需要进行的检查是
A.追问病史,进行口腔及眼部症状、体征的检查
B.CT检查
C.B超检查
D.MRI检查
E.核素显像

更多"[不定项选择题]共用题干 患者,女性,60岁,双侧腮腺反复肿大十余年"的相关试题:

[不定项选择题]共用题干 患者,女性,60岁,双侧腮腺反复肿大十余年,有脂肪肝、糖尿病病史。一侧腮腺造影显示:腺实质内可见一腺泡充盈缺损,边缘光滑完整,分支导管受压移位;部分末梢导管呈球状扩张,主导管不均匀扩张。 初步可以除外以下哪种情况
A.成人复发性腮腺炎
B.涎腺良性肥大
C.涎腺良性肿瘤
D.高度恶性肿瘤
E.舍格伦综合征
[不定项选择题]患者,女性,60岁,双侧腮腺反复肿大十余年,有脂肪肝、糖尿病病史。一侧腮腺造影显示:腺实质内可见一腺泡充盈缺损,边缘光滑完整,分支导管受压移位;部分末梢导管呈球状扩张,主导管不均匀扩张。 初步可以除外以下哪种情况
A.成人复发性腮腺炎
B.涎腺良性肥大
C.涎腺良性肿瘤
D.高度恶性肿瘤
E.舍格伦综合征
[不定项选择题]共用题干 男,60岁。HBsAg(+)15年,近1个月高度乏力、食欲缺乏、恶心、尿黄、眼黄。既往肝功能正常,从未出现过腹水和消化道出血。体格检查:重病容,神志清,精神萎靡,肝掌(+),慢性肝病面容,巩膜重度黄染,肝脏肋下未及,脾脏肋下3.0cm、质韧,移动性浊音(+)。实验室检查:ALT185IU/L,TBIL480)μmol/L,HBV-DNA7.6*107copies/ml,HBeAg(+),HBeAb(-)。 应给予的抗病毒治疗药物是
A.胸腺素
B.肝炎灵
C.甘草甜素制剂
D.拉米夫定
E.α-干扰素
[不定项选择题]共用题干 某患者,女性,60岁,患2型糖尿病6年,口服降糖药控制血糖不满意,加用皮下注射胰岛素。 患者计划在餐后快步行走半小时,餐前应把胰岛素注射在下列哪一部位最佳
A.上臂外侧
B.股外侧
C.股内侧
D.臀部
E.腹部
[不定项选择题]共用题干 第二篇

Diabetes(糖尿病)and Eye Damage

Over 2 million Canadians have diabetes.It is the leading cause of blindness in North
Americans under 65 years of age.Diabetes is a condition where the body either cannot
produce enough insulin(胰岛素)or cannot respond properly to insulin. Insulin is important
because it moves glucose(葡萄糖),a simple sugar, into the body's cells from the blood.
The food people eat provides the body with glucose,which is used by the cells as a source
of energy.If insulin isn't available or doesn't work correctly to move glucose from the blood
into the cells,glucose will stay in the blood,leading to high blood sugar levels.
High blood sugar levels damage the blood vessels,including the tiny blood vessels in
the eye.This leads to an eye disease known as diabetic retinopathy(糖尿病型视网膜病).
The retina(视网膜)is an area at the back of the eye that changes light into nerve signals.
With diabetic retinopathy,some blood vessels in the retina are lost,and some of the other
blood vessels begin to"leak"blood.This causes the retina to swell,and gradually cuts off
its supply of oxygen and nutrients(滋养物).Eventually , the retina starts to grow new
blood vessels to replace the damaged ones.Unfortunately,these new vessels are not as
strong as the old ones.They are more likely to break,causing bleeding in the eye.
At first,people with diabetic retinopathy will not notice any symptoms.As the disease
gets worse , they may notice blurred(模糊的)vision, black spots or flashing lights. As
time goes on,it can progress to blindness.Everyone with diabetes is at risk for diabetic
retinopathy,and the risk increases the longer you've had diabetes.
Fortunately,you can reduce your risk.If you do not have diabetes,but think you may
be at risk for this condition,visit your doctor to be screened for diabetes.If you do have
diabetes:
Have frequent eye check-ups.
Make sure that you monitor your blood sugar frequently and use your medications as
recommended by your doctor. There is evidence to show that keeping your blood sugar
under tight control can slow down eye damage.
If you have high blood pressure,follow your recommended diet and medications to
keep it under control.If you are not sure whether you have high blood pressure,or whether
your blood pressure is under control,discuss this with your doctor. To slow down eye damage,people with diabetes should try to
A.use as many medications as they can.
B.eat as little as possible.
C.wear glasses as often as possible.
D.keep their blood sugar under tight control.
[不定项选择题](共用题干)患者女,60岁。糖尿病史15年,喜穿紧身衣服,常垫卫生护垫。外阴癌痒、疼痛、红肿、灼热,于性交、活动、排球、排便后加重。妇科检查:局部糜烂,有抓痕,黏膜粗糙。 健康教育错误的是( )。
A.指导患者高锰酸钾坐浴
B.穿宽松的棉质内裤,勤换内裤
C.24小时应用卫生护垫
D.保持外阴清洁干燥
E.局部严禁搔抓,勿用刺激性药物或肥皂擦洗
[不定项选择题]可造成肝脏损害,形成肝硬化或脂肪肝,减弱对药物代谢速度的是
A.酒中的乙醇
B.茶叶中的鞣酸
C.食醋中的醋酸
D.食盐中的氯化钠
E.烟中的烟碱
[不定项选择题]共用题干 A铜业公司是某大型企业的控股子公司,2009年,A铜业公司新建采用艾萨熔炼技术生产铜及硫酸的项目,项目于2009年1月开始建设,9月10日投产运行。项目主要工艺设备有艾萨熔炼炉、电炉、余热锅炉等。艾萨熔炼炉产生的高温烟气进入余热锅炉,经热交换后产生蒸汽,热交换后的烟气经除尘净化系统处理后排放。余热锅炉设计额定蒸汽压力2.5MPa、额定蒸发量35t/h、额定蒸汽温度350℃。2009年11月24日20时,当班调度甲听到一声巨响,随即在监控系统屏幕上看到余热锅炉房有大量蒸汽喷出。甲按照应急救援预案要求立即拉响警报,通知紧急停炉和现场人员撤离,报告公司总经理乙。乙接报后,立即向上级有关部门报告,同时赶往现场指挥救援。21时,经人员清点,仍有5名职工下落不明,乙派2名工人进入现场查看情况。因现场蒸汽太大,2名工人被烫伤,于是紧急外调防护服,救援人员穿上防护服进入余热锅炉房,发现有4名职工死亡、1人重伤。事后查明,事故发生时余热锅炉的运行压力2.3MPa、蒸汽温度310℃,从熔炼炉到余热锅炉的冷却屏波纹金属软管爆裂,大量高温饱和蒸汽喷出,导致现场人员伤亡。此次事故的直接经济损失为420万元。
根据以上场景,回答下列问题(共14分,每题2分,1~3题为单选题,4~7题为多选题): 根据《职业病目录》(卫法监发[2002]108号),该熔炼炉操作工可能罹患的职业病包括()
A.尘肺
B.职业性放射性疾病
C.职业中毒
D.物理因素所致职业病
E.生物因素所致职业病

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