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Passage 2My teenage son recently informed me that there is an Internet quiz to test oneself for narcissism. His friend had just taken it. “How did it turn out” I asked. “He says he did great!” my son responded. “He got the maximum score!”When I was a child, no one outside the mental health profession talked about narcissism. People were more concerned by inadequate self-esteem, which at the time was thought to lurk behind nearly every issue. Like so many excesses of the 1970s, the self-love cult spun out of control and is now rampaging through our culture like Godzilla through Tokyo.A 2010 study in the journal Social Psychological and Personality Science found that the proportion of college students exhibiting narcissistic personality traits – based on their scores on the Narcissistic Personality Inventory, a widely used diagnostic test – has increased by more than half since the early 1980s, to 30 per cent.In their book, The Narcissism Epidemic, psychology professors show that narcissism has increased as quickly as obesity has since the 1980s. Even our egos are getting fat. This is a costly problem. While full-blown narcissists often report high levels of personal satisfaction, they create havoc and misery around them. There is overwhelming evidence linking narcissism with reduced honesty and increased aggression. It’s notable for occasions like Valentine’s Day that narcissists struggle to stay committed to romantic partners, in no small part because they find themselves superior.The full-blown narcissist might reply, “So what” But narcissism isn’t an either-or characteristic. It’s more of a set of progressive symptoms (like alcoholism) than an identifiable state (like diabetes). Millions of Americans exhibit symptoms, but still have a conscience and a hunger for moral improvement. At the very least, they really do not want to be terrible people.A healthy self-love that leads to true happiness builds up one’s intrinsic well-being, as opposed to feeding shallow cravings to be admired. Cultivating amour de soi requires being fully alive at this moment, as opposed to being virtually alive while wondering what others think. The soulful connection with another person, the enjoyment of a beautiful hike alone, or a prayer of thanks over your sleeping child could be considered expressions of self-love.

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The symptoms may be______by certain drugs.

A. exaggerated
B. exacerbated
C. exceeded
D. exhibited

患者女,33岁,晨起双手指足趾关节僵硬,活动时疼痛,关节肿胀、压痛。X线片显示指关节周围软组织阴影肿大,骨质疏松,其诊断是

A. 急性化脓性骨髓炎
B. 类风湿关节炎
C. 化脓性关节炎
D. 股骨头缺血性坏死
E. 急性脓肿

患者男,18岁,山区居民,反复多关节疼痛5年,加重4个月,查RF(-),X线检查:指末节弯曲,指节增粗。 关于此病的治疗,正确的是

A. 加强锻炼,增强抵抗力,防止细菌感染
B. 补充钙元素
C. 中期止痛并保持关节功能
D. 避免关节畸形,中早期行关节矫形、成形术
E. 晚期固定膝关节于功能位

老年人跌倒后,右髋疼痛,步行到医院,X线片示外展型嵌插型股骨颈骨折,正确的治疗方法是

A. 持续皮牵引固定6~8周
B. 皮牵引6~8周后,内固定
C. 立即手术行内固定
D. 髋人字石膏固定
E. 夹板固定

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