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案例分析题女性,32岁,长期乏力求医。血红蛋白77g/l均红细胞血红蛋白浓度26%,平均红细胞体积63μm3。网织红细胞数2.0%,血清铁5μmol/L(28μg/L),总铁结合力4980μg/L。 最恰当的治疗措施是()

A. 糖皮质激素
B. 雄性激素
C. 肌内注射铁剂
D. 口服铁剂
E. 口服叶酸,肌内注射维生素B12

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男,30岁,低热伴面色苍白二个月。体检:巩膜黄染,脾肋下3cm,红细胞3.0×1012/L,血红蛋白80g/L,白细胞5×109/L,血小板120×109/L,网织红细胞计数0.15,Coombs试验阳性。()

A. 珠蛋白生成障碍性贫血
B. G6PD缺乏症
C. 阵发性睡眠性血红蛋白尿
D. 自身免疫性溶血性贫血
E. 遗传性球形红细胞增多症

G6PD缺乏溶血主要为()

A. 血管内溶血
B. 血管外溶血
C. 原位溶血
D. 血管内、外溶血
E. 脾功能亢进

案例分析题女性36岁,主诉头晕乏力,3年来月经量多,浅表淋巴结及肝脾未触及,血红蛋白58g/L,白细胞8×109/L,血小板185×109/L,血片可见红细胞中心淡染区扩大,网织红细胞计数0.005. 对上述治疗效果反应最早的指标是()

A. 白细胞数量
B. 血红蛋白含量
C. 网织红细胞计数
D. 叶酸,维生素B12含量
E. 铁蛋白浓度

Is it difficult for you to get up in the morning Yes Then Hiroyuki of Japan has a special bed for you. Hiroyuki’s bed will get you up in the morning! The bed is connected to an alarm clock. First, the alarm clock rings. You have a few minutes to wake up. Next a tape recorder in the bed plays soft music or other pleasant sounds. The tape recorder in Hiroyuki’s then says in a sweet voice, "Wake up, darling, please. " A few minutes later, a second recording plays. The second recording can be loud music or unpleasant sounds. Hiroyuki hears a recording of his boss. His boss shouts, "Wake up immediately, or you’ll be late!" If you don’t get up after the second recording, you’ll be sorry. A mechanical "foot" is in the bed. The mechanical foot kicks you in the head. Then the bed waits a few more minutes. What! You’re still in bed! Slowly, the tip of the bed rises higher and higher. The foot of the bed goes lower and lower. Finally, the bed is vertical (垂直的). You slide off the bed and onto the floor. You are awake and out of bed. The main idea of the passage is ______.

A. how the bed works
B. who makes the bed
C. why the bed is made
D. who can use the bed

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