患者男,58岁。因多饮、多尿20天,抽搐、昏迷2天急诊入院。患者20天前开始有多饮、

题型:多项选择题 共用题干题

问题:

患者男,58岁。因多饮、多尿20天,抽搐、昏迷2天急诊入院。患者20天前开始有多饮、多尿,进食多。1周前因饮食不洁,腹痛、腹泻,在当地医院诊为急性胃肠炎,给予抗生素及葡萄糖液静脉输注后腹痛、腹泻消失,但渐出现嗜睡、烦躁、乏力、口渴加剧,仍有多尿,2天前神志不清,继之抽搐,来院治疗。体检:体形肥胖,T38.3℃,P110bpm,R28bpm,BP100/70mmHg。昏迷,躁动不安,双侧瞳孔等大,对光反射存在,皮肤黏膜干燥,弹性尚可,双肺呼吸音粗糙,无啰音,心率110bpm,律齐,颈无抵抗,Babinski征(-)。

下一步治疗应进行的调整包括()。

A.应用抗生素

B.继续静脉补钾

C.静脉输注5%葡萄糖液

D.继续静滴0.9%氯化钠液

E.鼓励患者饮水进食

F.继续静脉滴注胰岛素以使血糖降至正常范围

考点:山东住院医师急诊科Ⅰ阶段案例分析专项训练案例分析专项训练题库
题型:多项选择题 共用题干题

在最坏情况下,堆排序需要比较的次数为 【2】

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题型:多项选择题 共用题干题

下列说法正确的有()。

A.输卵管积水易与卵巢囊肿混淆

B.慢性盆腔炎除急性发作外,常规使用抗生素治疗

C.输卵管卵巢囊肿可行手术治疗

D.慢性盆腔炎久治不愈,应考虑生殖器结核

E.子宫内膜诊刮未见结核病变,可排除生殖器结核

题型:多项选择题 共用题干题

骨关节炎最基本的病理改变是()

A.滑膜炎

B.附着点炎

C.关节软骨变性

D.中、小血管炎

E.关节腔炎症

题型:多项选择题 共用题干题

女,37岁,Graves病甲状腺次全切除术后8年。近2个月心慌、怕热、多汗、手颤抖,体重下降5kg。血TSH、FT3、FT4检查证实甲亢复发,服他巴唑2周后因严重药疹而停药。下一步治疗应()。

A.他巴唑加抗过敏药物

B.改用丙基氧嘧啶

C.改用β受体阻滞剂

D.再次手术治疗

E.用核素131I治疗

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