问题 单项选择题

患者女性,51岁,风心病二尖瓣狭窄并关闭不全20年,房颤4年。无高血压及高脂血症病史。3h前在家做饭时突然跌倒在地伴失语。最可能的原因是()

A.脑出血

B.脑血栓

C.脑动脉硬化

D.脑血肿

E.脑栓塞

答案

参考答案:E

解析:房颤引起心房血栓,栓子脱落引起脑栓塞。

完形填空
Megan's Library of Love book drive began in 2006, in memory of a student who passed away. The_ 21__ to send books to a school _22 _was created by Megan's classmates at Cedar Grove-Belgium Middle School as a tribute(悼念)to her.
The project formed out of the desire to23 _Megan, to help our community heal, and to make a _24__ in the life of others. Students have many   25_ of Megan, but the most vivid was her love for her family and the diligent 26__ she gave to her classmates. They combined this with her _27_ for learning and reading to create the Library of Love. This project honors Megan's special qualities. In the _28__of one of her classmates, Megan was, “A good daughter, a good student, a good friend. ”We are all blessed to have been a _29_ of Megan's life.
Every February, on Megan's birthday, fifth graders at Cedar Grove-Belgium Middle School _30 _donations of newly purchased books and send them to a school in need. The “Love books” are truly a __31__ of love meant to _32_ reading and learning. Students earn the money for postage by writing letters to local _33 _.The fifth graders also have the _34_ of labeling every book with a Library of Love sticker(标签),  _35_ the books into categories(类别), and _36_ all the books for shipping.
In the two years since the Library of Love _37 _began, students have collected over 5000 newly purchased books to send to schools in need. In 2006, 3419 books were sent to St. Bernard's Parish to help _38  their school library after Hurricane Katrina destroyed the community. In 2007, 1613 books were sent to White Mountain School in Alaska, who _39 _their high school in a fire. Students look forward to sending the gift of _40 _to other schools in the future.
小题1:
A.moveB.thoughtC.ideaD.offer
小题2:
A.in needB.in troubleC.in difficultyD.in pain
小题3:
A.helpB.honorC.keepD.save
小题4:
A.contributionB.markC.differenceD.start
小题5:
A.imagesB.picturesC.storiesD.memories
小题6:
A.effortB.adviceC.helpD.example
小题7:
A.interestB.passionC.preferenceD.determination
小题8:
A.caseB.ideasC.wordsD.look
小题9:
A.companyB.witness C.partD.friend
小题10:
A.getB.countC.seekD.collect
小题11:
A.measure B.forceC.giftD.mark
小题12:
A.pushB.rewardC.inspireD.connect
小题13:
A.familiesB.communities C.factoriesD.businesses
小题14:
A.chanceB.responsibilityC.pleasureD.work
小题15:
A.dividingB.placingC.sortingD.passing
小题16:
A.cleaningB.checkingC.packingD.examining
小题17:
A.planB.organizationC.campaignD.project
小题18:
A.repairB.rebuildC.removeD.restart
小题19:
A.lostB.ruinedC.closedD.escaped
小题20:
A.comfortingB.readingC.encouragingD.writing
不定项选择

求助者:我觉得他一定出轨了,但他死不承认,说是男女间的正常交往。我每天被这个事情搞得心力交瘁,怕一个和睦的家庭被外人给毁了。

心理咨询师:我明白您的意思了。如果您愿意,我想与您的儿子和儿媳单独谈谈,您看可以吗?

求助者:可以。

心理咨询师:谢谢!我和您今天就谈到这儿,我们下周还是这个时间继续咨询。您先休息一会儿,我向您的儿子、儿媳再了解点情况。

以下是求助者儿子、儿媳提供的信息:

我父亲相貌英俊,身材也保持得很好。从微信的内容看,父亲和他那个女同学的关系确实比较暖昧,我们觉得至少算是精神出轨。我母亲有能力,为人也比较强势。父亲虽然在单位是一把手,但非常软弱,在家里没有地位,又加上刚刚退休,有很强的失落感,现在有另外一个女人崇拜他、哄着他、捧着他,他当然很喜欢这种感觉。父亲不承认有出轨的行为,说如果我们再逼他,他就有可能和母亲离婚。我们目前没有直接证据证明父亲出轨,但是母亲为此每天处在愤怒的情绪里,头疼、失眠、胸闷、胃堵,而且后悔教会父亲用微信。如果他们的问题不能及时解决,时间久了他们一定会出现更大的问题。

在本次咨询中,心理咨询师验证临床资料可靠性的方法包括()。

A.相关分析

B.补充提问

C.分析迹象

D.比较同一资料的不同来源