患者女性,62岁,因牙龈出血,鼻出血及四肢皮肤瘀点、瘀斑入院。体检:皮肤黏膜均有散在

题型:单项选择题 案例分析题

问题:

患者女性,62岁,因牙龈出血,鼻出血及四肢皮肤瘀点、瘀斑入院。体检:皮肤黏膜均有散在出血点,肝脾肋下未及,外周血白细胞5.6×10/L,Hb110g/L,BPC20×10/L,出血时间10min,凝血时间4min,PT12s(对照12s),KPTT32s。骨髓穿刺涂片示:造血细胞增生活跃,巨核细胞易见,幼巨核细胞0.05,颗粒巨核细胞0.8,产板巨核细胞0.05,裸核巨核细胞0.10。

本病例首选的治疗方案是()

A.雄激素

B.肾上腺皮质激素

C.输注单采血小板

D.免疫抑制药

E.切脾

考点:福建住院医师急诊科呼吸内科呼吸内科题库
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新手教师备课就是把教学内容写成详细的文字教案。( )

题型:单项选择题 案例分析题

阿米巴性肝脓肿的主要感染途径是()

A.阿米巴滋养体从胆道上行进入肝

B.阿米巴滋养体从肠穿孔进入腹腔再进入肝

C.阿米巴滋养体从淋巴系统进入肝

D.阿米巴滋养体从肝动脉进入肝

E.阿米巴滋养体从结肠溃疡侵入门静脉所属分支进入肝

题型:单项选择题 案例分析题

以下关于巨幼红细胞性贫血,说法错误的是

A.巨幼红细胞性贫血由细胞DNA合成异常引起
B.严重时可有全血细胞减少
C.巨幼红细胞性贫血常伴发红细胞增多症
D.巨幼红细胞性贫血病例中主要病因在于营养缺乏
E.单纯叶酸治疗容易加重神经系统并发症,因此需加用维生素B12

题型:单项选择题 案例分析题

Even facts “forgotten” by people during a busy day may be retrieved if this is followed by a good night’s sleep.

Researchers from the University of Chicago asked volunteers to remember simple words.Many found their memories letting them down towards the end of the day, but the following morning, those who had slept well could recall much more.

Researchers, writing in the journal Nature, said the brain could “rescue” lost memories during the night.

When the brain is first asked to remember something that memory is laid down in an “unstable” state, meaning that it is possible that it could be lost.At some point, the brain consolidates those it deems important into a “stable”, more permanent state.However, the Chicago researchers suggested that it was possible for a “stable” memory to be made “unstable” again.This would mean that memories could be modified then filed away again in the face of new experiences.

The 12 volunteers tested in the experiment were played words created through a speech synthesizer which were purposely difficult to understand.Initially, the written version of the word  from the audio version only.Tests revealed that the ability to recall the right word tended to tail off as the day ended.

However, when the volunteers were retested after a good night’s sleep, they were able to recall some words that they had “ forgotten” the previous evening.

Dr Daniel, one of the study authors, said: “Sleep consolidates memories, protecting them against subsequent interference or decay.Sleep also appears to “recover” or restore memories.” He said: “If performance is reduced by decay, sleep might actively recover what has been lost.”

Dr Karim Nader, from the Department of Psychology in McGill University in Montreal, said: “Memory research is undergoing a transformation---no longer is memory thought to be a hard-writing of the brain, instead it seems to be a process of storage and restorage.”

Sleep helps some memories “mature” and also prunes out unimportant memories.

小题1:What does the first paragraph implies?

A.A busy day makes people forget things easily.

B.People need a good night’s sleep after a busy day.

C.A good night’s sleep helps memories.

D.A good night’s sleep helps people forget a busy day.小题2:The words the 12 volunteers played in the experiment were not ____

A.created through a speech synthesizer

B.hard to understand

C.available at the beginning

D.designed to test people’s ability of understanding小题3:According to the passage, memory_____

A.is a hard-writing of the brain

B.is not a process of storage

C.is not a process of restorage

D.will be mature with the help of sleep小题4:Which of the following is NOT true?

A.When people first remember something, the memory is in an “unstable state”.

B.The brain will change those important unstable memories into stable.

C.Once the memory become stable, it will never become unstable again.

D.Sleep can protect memories from being harmed.

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