All animals must rest, but do they really

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问题:

All animals must rest, but do they really sleep as we know it The answer to this question seems obvious. If an animal regularly stops its activities and stays quiet and unmoving—if it looks as though it is sleeping—then why not simply assume that it is in fact sleeping But how can observers be sure that an animal is sleeping

They can watch the animal and notice whether its eyes are open or closed, whether it is active or lying quietly, and whether it responds to light or sound. These factors are important clues, but they often are not enough. Horses and cows, for example, rarely close their eyes, and fish and snakes cannot close them. Yet this does not necessarily mean that they do not sleep. Have you ever seen a cat dozing with an eye partly open Even humans have occasionally been observed to sleep with one or both eyes partially open. Animals do not necessarily lie down to sleep either. Elephants, for example, often sleep standing up, with their tusks resting in the fork of a tree. Finally, while "sleeping" animals often seem unaware of changes in the sounds and light and other stimuli around them, that does not really prove they are sleeping either.

Observations of animal behavior alone cannot fully answer the question of whether or not animals sleep. The answers come from doing experiments in "sleep laboratories" using a machine called the electroencephalograph (EEC). The machine is connected to animals and measures their brain signals, breathing, heartbeat, and muscle activity. The measurements are different when the animals appear to be sleeping than when they appear to be awake. Using the EEC, scientists have confirmed that all birds and mammals studied in laboratories do sleep. There is some evidence that reptiles, such as snakes and turtles, do not truly sleep, although they do have periods of rest each day, in which they are quiet and unmoving. They also have discovered that some animals, like chimpanzees, cats, and moles (who live underground), are good sleepers while others, like sheep, goats, and donkeys, are poor sleepers. Interestingly, the good sleepers are nearly all hunters with resting places that are safe from their enemies. Nearly all the poor sleepers are animals hunted by other animals: they must always be watching for enemies, even when they are resting.

Animals that are good sleepers()

A. need to have a good sleep after they have exhausted themselves by getting rid of hunting animals

B. need to have a good sleep after they get tired from hunting other animals

C. are all mammals

D. almost always have a safe resting place

考点:普通考研西医综合西医综合
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患者,女,49岁,颅脑外伤,拟全麻下行探查减压术。患者意识模糊,躁动不安,BP140/80mmHg,P100次/分,心肺未见异常。

麻醉中不宜应用的药物有()。

A.氯胺酮

B.丙泊酚

C.依托咪酯

D.芬太尼

E.咪达唑仑

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患者女,35岁,因上消化道大出血急诊入院治疗,入院时意识清醒,因失血过多,需要马上输血治疗。因为宗教信仰,患者拒绝输血,主管护士立即将患者“拒绝输血”的情况向主管医师汇报,当主管护士与医师再次评估患者病情时,患者意识已经转为模糊,面色苍白,收缩压75mmHg,舒张压测不到,但患者仍然喃喃自语:“我不输血”。此时患者情况非常危急。

患者意识清醒时拒绝输血,医务人员应该()。

A.不必考虑患者的意愿

B.如果家属同意,就可以为其输血

C.因为情况十分紧急,马上为其输血

D.根据有益原则,应该马上输血

E.尽量劝说,如果仍然不肯输血,则不予输血,但要求其签署相关文件

题型:单项选择题

患者男,23岁。因患吉兰-巴雷综合征发生呼吸肌麻痹,需要气管插管行机械通气,宜取哪一种通气模式()

A.控制通气

B.同步间歇强制通气

C.压力支持通气

D.双相气道正压通气

E.高频通气

题型:单项选择题

商品蔬菜基地的规划和布局应注意因素中属于宏观因素的是()。

A.面积规模

B.管理技术

C.基地选址

D.资金投入

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