男性患者,36岁。间断黏液血便8年,加重2个月。每天大便次数为5~6次,为明显血便,

题型:多项选择题 案例分析题

问题:

男性患者,36岁。间断黏液血便8年,加重2个月。每天大便次数为5~6次,为明显血便,粪质少。辅助检查:Hb126g/L;ESR20mm/h;肠镜示直肠至肝曲黏膜明显充血、水肿,散在针尖样溃疡,黏膜质脆,触之易出血。大便潜血(++)。

该患者突然出现发热、腹痛,排便、排气停止。查体:腹膨隆,全腹压痛、反跳痛及肌紧张,肠鸣音消失。患者出现该并发症的诱因是()。

A.钡剂灌肠

B.糖皮质激素局部灌肠

C.抗胆碱能药物的应用

D.全腹CT检查

E.肠镜检查

F.阿片类制剂的应用

G.低钾血症

考点:消化内科学(医学高级)医学高级押题密卷消化内科特训密卷三(副高)
题型:多项选择题 案例分析题

女,55岁,跌倒后右手痛,结合X线平片表现,正确的诊断是()

A.柯莱斯骨折

B.蒙泰贾骨折

C.加莱阿齐骨折

D.尺桡骨骨折

E.反柯莱阿齐骨折

题型:多项选择题 案例分析题

教学有哪些任务?

题型:多项选择题 案例分析题

经常位于水中或受潮严重的重要结构,其材料的软化系数不宜小于()。

A.0.7~0.85

B.0.8~0.9

C.0.85~0.9

D.0.9~0.95

题型:多项选择题 案例分析题

氢氯噻嗪的利尿作用机制是

A.抑制髓袢升支粗段髓质和皮质部
B.抑制碳酸酐酶
C.竞争性对抗醛固酮
D.抑制髓袢升支粗段皮质部
E.抑制远曲小管和集合管Na+、K+交换

题型:多项选择题 案例分析题


Solving a problem can be broken down into several steps. First, the problem must be identified correctly. Psychologists refer (1) this step as problem representation. For many problems, figuring (2) which information is relevant and (3) is extraneous can be difficult and can interfere (4) arriving at a good solution. Clearly, before a problem can be solved, it must be obvious (5) the problem is, however, this is not as easy (6) it might seem. One obstacle to efficient problem representation is functional fixedness, that is, allowing preconceived notions and even prejudices (7) color the facts. Most people tend (8) see objects and events in certain fixed ways, and by being inflexible in viewing the problem, they may be unable to notice the tools (9) the solution. Once the problem is identified accurately, (10) , the second step consists (11) considering the alternatives for a solution. A common way to evaluate alternatives is to write them (12) and then make a list (13) advantages and disadvantages for each solution. Here again, people may be limited by prior experiences. Often people adopt mental sets (14) lead them to the same problem-solving strategies that were successful for problems (15) the past. Although that can be helpful most (16) the time, sometimes a new situation requires a different strategy. (17) that case, the mental set must be abandoned, (18) new alternatives must be explored.
After the alternatives have been compared, a strategy must be selected (19) among them. One way to avoid becoming mired in the options is (20) try the best option with a view to abandoning it for another (21) the results are unfavorable. This attitude allows many people to move on expeditiously (22) the next step—action. The strategy selected must be implemented and tested. If it solves the problem, no further action is necessary, but if (23) , then the cycle begins again, starting (24) problem identification. By continuing to review the problem (25) repeat the problem-solving steps, the solution can be improved upon and refined.

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