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              用藥問答:老年女性,診斷為 2 型糖尿病一年,其降糖藥首選?
              2019-03-04 15:34:07 來源:丁香園 瀏覽:2309

              準備好答題了嗎,一個月的專業版會員正在向你招手~(以下均為單選題)

              1. 女,65 歲。診斷 2 型糖尿病 1 年,飲食運動控制,檢測空腹血糖 7.5 mmoI/L,餐后 2 h 血糖 11.4 mmoI/L。既往體健。查體身高 160 cm,體重 70 kg,心肺查體未見異常。

              (1)其降血糖藥首選(?)

              A. 格列本脲

              B. 二甲雙胍

              C. 格列吡嗪

              D. 胰島素

              E. 阿卡波糖

              (2)患者服藥后 2 個月復診,糖化血紅蛋白 6.3%。患者目前降糖治療方案首選是(?)

              A. 加用瑞格列奈

              B. 加用阿卡波糖

              C. 維持二甲雙狐

              D. 換用格列喹酮

              E. 換用胰島素


              2. 女,31 歲。咳嗽、咳膿痰、間斷咯血 10 年。近 5 天來受涼后咳痰加劇伴咯血。

              (1)該患者最可能的診斷是(?)

              A. 先天性肺囊腫

              B. 大葉性肺炎

              C. 支氣管擴張

              D. 肺膿腫

              E. 慢性支氣管炎

              (2)該患者抗感染治療首選的抗生素是(? ?)

              A. 頭孢曲松

              B. 氨芐西林

              C. 頭孢他啶

              D. 青霉素

              E. 阿米卡星

              -------------------------------------------------? ????

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