患者男性,33岁,骶部皮下肿物33年,9个月时曾行脊膜膨出手术治疗,小便失禁33年,

题型:多项选择题 案例分析题

问题:

患者男性,33岁,骶部皮下肿物33年,9个月时曾行脊膜膨出手术治疗,小便失禁33年,双下肢乏力2年。查体:L1平面以下皮肤痛、温觉减退。下肢肌力4级,肌张力增高,双侧巴宾斯基征阳性,肛门反射减弱。MRI提示S3脊膜膨出,圆椎低位,T12以下脊髓长T1、长T2水肿表现。

脊髓拴系的治疗原则包括()

A.脊髓拴系手术治疗的根本目的在于防止病情继续进展

B.出现排尿、粪功能障碍常提示预后欠佳

C.手术通常能使排尿、粪功能障碍、下肢和足部的变形得到改善

D.手术可能使疼痛和不完全的肌力下降得到一定程度的改善

E.对于脊髓圆锥拴系综合征,越早手术效果越好,出现症状2年内手术预后好

F.手术切断终丝松解粘连,解除脊髓受压,梳理马尾是最重要的,以达到改善脊髓圆锥血液循环的作用

考点:神经外科神经外科专业理论神经外科专业理论题库
题型:多项选择题 案例分析题

并指(趾)是由于相邻指(趾)间骨性或软组织融合形成的手足畸形,是人类常见的肢端畸形病。下图表示某家庭先天性并指(趾)遗传系谱,据图回答:

(1)由遗传图解可以看出并指(趾)属于_______染色体_______性遗传病。

(2)Ⅲ4和Ⅲ5婚后孩子正常的几率是_______。若Ⅲ5已经怀孕,为了生一个正常指(趾)的孩子,应该进行________以便确定胎儿是否患病。

(3)研究人员从该家庭多名患者的血液样本中提取DNA进行分析时发现,患者的第2号染色体的HOXD13基因中增加了一段碱基序列:

-CGCCGCCGCCGCCGTCGCCGCCGACGC-(模板链),导致其指导合成的蛋白质中最多增加了_________个氨基酸,并且全是__________。(精氨酸:CGU、CGC、CGA、CGG,丙氨酸:GCU、GCA、GCG、GCC,脯氨酸:CCG、CCA、CCU、CCC)

(4)上述研究表明,并指(趾)是由_______引起的一种遗传病。该家庭中的致病基因主要来自Ⅰ2,由于这种变化发生在______细胞,从而导致每一代都有患者出现。

题型:多项选择题 案例分析题

选词填空。    

 晴朗  明朗     

l.这是一个(    )的日子,我们乘车去旅游。    

2.那天晚上的月色格外(    )。    

吸引  吸收  吸取  

3.植物的叶子是通过根来(    )水分的。  

4.你一定要从这件事中(    )教训。  

5.那个漂亮的小女孩(    )了许多过往行人的目光。

题型:多项选择题 案例分析题

关于抑郁的问诊,以下错误的是()

A.应询问患者情绪变化与病前发生感染、发热等疾病的关系

B.应询问症状的季节性、周期性

C.应询问有无幻觉等精神病性症状

D.不必追问是否有自杀行为

E.应询问药物使用情况

题型:多项选择题 案例分析题

阅读表达:阅读下面的短文,并根据短文后的要求答题。(请注意问题后的词数要求)

     (1) The word addiction usually makes you think of alcohol or drugs, but in modern-day society we are

seeing some new kinds of addictions. Some people are compulsive (难以自制的) shoppers. Others find it

impossible to pull themselves away from their work. Still others spend countless hours watching TV or

playing computer games.

     (2) Over the years, shopping has become a very common activity. Many people enjoy going to stores

more and more every day, but it's more than a common hobby for some of them. They have turned into

shopaholics. They are people who simply enjoy shopping and walking around spending money without

being able to stop doing. They are booked on shopping and usually buy things that they don't need. Even

though they don't have enough money, they buy everything they want.

     (3) The question is, why do they have this addiction? There isn't a specific answer. Some people go

shopping when they are sad, worried, upset or lonely and they want to feel better. They use this activity

as a way to forget their problems. Shopaholics say they feel more important and better after they buy

something. They also tend to have this addition when they feel guilty.

     (4) Shopaholism seems to be harmless addiction, but it can _____. Some of them can be psychological.

If this is the case, people addicted to shopping should go to a support group to help them break this habit.

However, the process, like for most addictions, is long, and they suffer a lot. It can also cause financial

problems. They just think about satisfying their feelings, so they spend money they don't have. They get

deep in debt, and they can even go bankrupt and get sent to prison.

1. List three activities that might develop into addictions based on the test. (Please answer within 8 words)

     ①___________②___________③____________

2. What is the main ides of the Paragraph 3? (Please answer within 8 words) 

     _________________________________________________________________________.

3. Fill in the blank in Paragraph 4 with proper words. (Please answer within 6words)

     _________________________________________________________________________.

4. Which sentence in the text is the closest in meaning to the following one?

     Accordingly, these shopaholics should turn to a certain organization for help so that they can stop

     compulsive shopping.

    _________________________________________________________________________.

5. Translate the underlined sentence in Paragraph 2 into Chinese.

    _________________________________________________________________________.

题型:多项选择题 案例分析题

婚姻依次经历的三种形态为()、对偶婚制、一夫一妻制。婚姻形态变化的根本原因是社会经济关系的变化。

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