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案例分析题案例四: 一般资料:求助者,女性,67岁,农民。 案例介绍:求助者当过会计,十年前遇车祸,腿部受轻伤,当时意识清楚,检查无明显创伤。从此变得谨小慎微。半年后,因为害怕出错,不再从事会计工作。从过去比较张扬、活跃,变为沉默寡言、不愿出门。八个月前,孙子要来家住,需要整理房间,自己又无能为力,着急上火。后来女儿、女婿回来解决了问题。但从那以后觉得自己什么都不行了,儿子都在外地指望不上。她想重修旧屋,但儿子们与她意见不一致。为此郁闷,食欲下降,入睡困难兴趣下降。感到生活无意义,但无发自杀倾向。有时胃部不适,在当地医院诊断为慢性哺乳动胃炎,经治疗稍有好转。便情绪始终无法改善,寻求心理帮助。 该求助者的病程是()。

A. 十年
B. 六个月
C. 九年
D. 八个月

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初产妇,40周妊娠,规律宫缩17小时,现宫口开大3cm半小时,胎膜未破,先露头,S°,宫缩20~30秒/5-6分,弱,规律。 此产妇目前应首选如何处理( )

A. 缩宫素点滴加强宫缩
B. 人工破膜,观察宫缩,必要时缩宫素点滴
C. 剖宫产术
D. 卧床休息,顺其自然
E. 肌注哌替啶100mg,调整产力

第三篇: The Body ThievesIn the early nineteenth century in Britain,many improvements were being made in the world of medicine.Doctors and Surgeons were becoming more knowledgeable about the human body.Illnesses that had been fatal a few years before were now curable.However, Surgeons had one problem.They needed dead bodies to cut up,or dissect(解剖).This was the only way that they could learn about the flesh and bones inside the body。and the only way to teach new surgeons to carry out operations.The job of finding these dead bodies was carried out by an unpleasant group of people called“body snatchers’’.They went into graveyards(墓地)at night and,using wooden shovels to make less noise。dug up any recently buried bodies.Then they took the bodies to the medical schools and sold them.A body could be sold for between£5 and~10,which was a lot of money at that time.The doctors who paid the body snatchers had all agreement with t}them—they never asked any questions.They did not desire to know where the bodies came from,as long as they kept arriving.The most famous of these body snatchers were two men from Edinburgh called William Burke and William Hare.Burke and Hare were different because they did not just dig Up bodies from graveyards.They got greedy and thought of all easier way to find bodies.Instead of digging them up,they killed the poorer guests in Hare’s small hotel.Dr.Knox,the respected surgeon they worked for, never asked why all the bodies they brought him had been strangled(勒死).For many years Burke and Hare were not caught because,unsurprisingly, the bodies of their victims were never found by the police.They were eventually arrested and put on trial in 1 829.The judge showed mercy to Hare and he was released but Burke Was found guilty and his punishment was to be hanged.Appropriately, his body Was given to the medical school and he ended up on the dissecting table,just like his victims.In one small way,.justice was done.Now,over 150 years later, surgeons do not need the help of criminals to learn their skills.However,the science of surgery could not have developed without their rather gruesome(令人毛骨悚然的) help. The bodies of Burke’s and Hare’s victims couldn’t be found by the police because()

A. they had been stolen.
B. they had been strangled.
C. they had been dissected.
D. they had been buried.

女,24岁,外阴瘙痒伴灼热,妇科检查:外阴无异常发现,阴道内有脓性分泌物,宫颈中度糜烂,子宫正常大小,轻度压痛,双侧附件区无明显异常。 为判定宫颈病变性质,应选择的检查为( )

A. 阴道分泌物涂片
B. 阴道镜检查下取活体病理学检查
C. 宫颈脱落细胞学检查
D. 碘试验
E. 细菌培养

丘脑性闭经( )

A. 神经性畏食
B. 希恩综合征(Sheehan syndrome)
C. 卵巢早衰
D. 官腔粘连
E. 雄激素不敏感综合征

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