第23题: [单项选择]患者,男性,55岁。既往体健,近6个月来有进行性厌食,消瘦乏力,伴上腹部不适,近2个月来上述症状逐日加重,检查:Hb80g/L,尿常规正常,SG-PT30U,血清白蛋白30g/L,球蛋白20g/L,BSP潴留试验:45min<5%,大便隐血试验(+++)。下列哪项是确诊后首选的治疗方案()。 A. 足量放疗 B. 积极化疗 C. 发射介入治疗 D. 内科保守治疗 E. 及时手术治疗 参考答案:E
The magazine,Senior Middle School Students,is very much liked by middle school students all over the country.In the coming year,we created a new column called The Life of Senior Middle School Students.All the senior middle school students are welcomed to write to us.Your compositions can be written in any form,that is-story,essay,or poem.Whichever is OK. You can send your compositions by posting or by e-mail.But you should have done this by the end of December 31,2009.Please pick up your pens quickly,because there is nothing better than to get your reply。
第34题: [单项选择]患者男,35岁。20多年来一直不信任他人,人际关系敌对,总是怀疑别人的动机,极少向人倾诉内心的想法,能够维持正常的学习和工作。 其治疗原则是 A. 建立治疗性的医患关系 B. 评论患者所关注的问题 C. 听取且认同患者的信念 D. 设计模糊的共同目标 E. 以上都对 参考答案:A 答案解析:该例以猜疑为主要表现,符合偏执型人格的特征。其治疗原则是,建立治疗性的医患关系,倾听和评估患者所关注的问题,听取但不认同患者的信念,设计清晰的共同目标,对每件事都作解释,同情患者的焦虑,与患者分享医生