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患者男，84岁，因“一过性意识丧失1次”来诊。患者昨晚看电视时突然意识不清，家人呼之不应，双目上翻，约数秒钟后自行缓解。查体：T36.7℃，P60次/min，R18次/min，BP140/70mmHg；意识清楚，精神可，颈静脉无怒张；双肺呼吸音清，HR60次/min，律齐，各瓣膜听诊区未闻及病理性杂音；腹软；双下肢无水肿。

此患者应进一步做的检查是（）（提示动态心电图：正常。颅脑CT：多发性腔隙性脑梗死。直立倾斜试验（－），颈动脉窦按摩试验（－）。患者于入院后第4天与他人交谈时，再次意识丧失，持续约数秒，立即做心电图，结果提示窦性心动过缓，最慢心率46次/min。）

A.动态血压

B.跟踪72h动态心电图

C.动态脑电图

D.颅脑MRI

E.肺ECT

F.冠状动脉造影

答案

参考答案：B

问答题 简答题

简述脂肪的测定方法（至少三种）
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单项选择题

Of all the areas of learning the most important is the development of attitudes. Emotional reactions as well as logical thought processes affect the behavior of most people.
"The burnt child fears the fire" is one instance ; another is the rise of despots like Hitler. Both examples also point up the fact that attitudes stem from experience. In one case the experience was direct and impressive; in the other it was indirect and cumulative. The Nazis were indoctrinated largely by the speeches they heard and the books they read.
The classroom teacher in the elementary school is in a strategic position to influence attitudes. This is true partly because children acquire attitudes from those adults whose word they respect.

The author implies that ______.
A. the teacher should guide all discussions by revealing her own attitude
B. in some aspects of social studies a greater variety of methods can be used in the upper grades than in the lower grades
C. people usually act on the basis of reasoning rather than emotion
D. children’s attitudes often come from those of other children

Another reason it is true is that pupils often delve somewhat deeply into a subject in school that has only been touched upon at home or has possibly never occurred to them before. To a child who had previously acquired little knowledge of Mexico, his teacher’s method of handling such a unit would greatly affect his attitude toward Mexicans.
The media through which the teacher can develop wholesome attitudes are innumerable. Social studies (with special reference to races, creeds and nationalities) , science matters of health and safety, the very atmosphere of the classroom... these are a few of the fertile fields for the inculcation of proper emotional reactions.
However. when children come to school with undesirable attitudes, it is unwise for the teacher to attempt to change their feelings by cajoling or scolding them. She can achieve the proper effect by helping them obtain constructive experiences.
To illustrate, first grade pupils afraid of policemen will probably alter their attitudes after a classroom chat with the neighborhood officer in which he explains how he protects them. In the same way, a class of older children can develop attitudes through discussion, research, outside reading and all-day trips.
Finally, a teacher must constantly evaluate her own attitudes, because her influence can be deleterious if she has personal prejudices. This is especially true in respect to controversial issues and questions on which children should be encouraged to reach their own decisions as a result of objective analysis of all the facts.
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