病例1:女性,30岁,工人,近2个月来出现情绪低落,对什么都没有兴趣,话少,感疲乏无力,不愿上班,在家多卧床,不思饮食,失眠,早醒,有时说自己得绝症了,活着没意思;有时又心烦,发脾气。 首先考虑的诊断是( )
A. 躯体疾病所致抑郁焦虑
B. 抑郁发作
C. 广泛性焦虑障碍
D. 偏执型精神分裂症
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病例4:女性,69岁,退休工人,近3年来逐渐出现特别好忘事,做事经常丢三落四,近一年不会自己穿衣服,有时把裤子当衣服“穿”,有时对着镜子中的自己问“你是谁呀”,2周前一个人跑出家门,找不到回家的路,说不清地址,说不上自己的名字,幸被邻居碰上才未发生意外。 对该患者的家庭康复指导应为( )
A. 指导家庭成员认识患者的症状,掌握相关的训练方法
B. 协助患者维持尊严
C. 使患者尽快适应病后的生活方式
D. 不要过多干预患者
患儿,8 个月,单纯母乳喂养,从未加辅食。近来,面色蜡黄,表情呆滞,舌面光滑,有轻微震颤,肝于肋下4cm,血常规检查:Hb:90g/L,RBC:2×1012/L,血清维生素B12 降低(90~91 共用题干) 该患儿最适宜的治疗是给予
A. 输血
B. 铁剂+维生素C
C. 维生素B 12+叶酸
D. 强的松
E. 补钙剂
47()
A. The local police were searching for him.
B. Smith is a 26-year-old single mother with a daughter.
C. Smith tried very hard to kill Nichols.
D. She even cooked breakfast for the man before he allowed her to leave.
E. And the two of them discussed this topic.
F. Then she called the police.
第二篇Study Says Dogs Can Smell Cancer Dogs are known for their sense of smell.They can find missing people and things like bombs and illegal drugs.Now a study suggests that the animal known as man’s best friend can even find bladder(膀胱)cancer. Cancer cells are thought to produce chemicals with unusual odors(气味).Researchers think dogs have the ability to smell these odors,even in very small amounts,in urine(尿).The sense of smell in dogs is thousands of times better than in humans. The study follows reports of cases where,for example,a dog showed great interest in a growth on the let of its owner.The mole(痣)was later found to be skin cancer. Carolyn Willis led a team of researchers at Amersham Hospital in England.They trained different kinds of dogs for the experiment.The study involved urine collected from bladder cancer patients,from people with other diseases and from healthy people. Each dog was tested eight times.In each test there were seven samples for the dogs to smell.The dog was supposed to signal the one from a bladder cancer patient by lying down next to it. Two cocker spaniels(短腿长毛垂耳小猎犬)were correct fifty-six percent of the time.But the scientists reported an average success rate of forty-one percent. As a group,the study found that the dogs chose the correct sample twenty-two out of fifyt-four times.That is almost three times more often than would be expected by chance alone. The British Medical Journal published the research.In all,thirty-six bladder cancer patients and one hundred and eight other people took part. During training,all the dogs reportedly even identified a cancer in a person who had tested healthy before the study.Doctors found a growth on the person’s right kidney(肾). Bladder cancer is the ninth most common cancer worldwide.The International Agency for Research on Cancer says this disease kills more than one hundred thousand people each year.Doctors say cigarette smoking is the leading cause of bladder cancer. Which is NOT true of bladder cancer ()
A. It is the 9th most common cancer worldwide.
B. It can be identified only by dogs.
C. It kills more than 100,000 people each year.
D. It is mainly caused by smoking.