问题 单项选择题 案例分析题

患者女,54岁,云南人,农民,因“腹股沟肿物3个月”来诊。3个月前发现左侧腹股沟肿物,因羞于启齿,未加以重视;肿物渐增大,发展至双侧,开始出现疼痛。平素卫生习惯较差。近期居住环境经常发现有死鼠。查体:T39.8℃,P112次/min,R25次/min,BP100/65mmHg;急性病面容,可见皮肤抓痕;颈部及腹股沟可触及肿大的淋巴结,以腹股沟明显,有压痛。

随着病情进一步进展,可能的诊断是()

A.腺鼠疫

B.败血症型鼠疫

C.呼吸窘迫综合征

D.肺炎

E.肺结核

F.心力衰竭

答案

参考答案:B

阅读理解

German study suggests that people who were too optimistic about their future actually faced greater risk of disability or death within 10 years than those pessimists who expected their future to be worse.

The paper,published this March in Psychology and Aging,examined health and welfare surveys from roughly 40,000 Germans between ages 18 and 96.The surveys were conducted every year from 1993 to 2003.

Survey respondents (受访者) were asked to estimate their present and future life satisfaction on a scale of 0 to 10,among other questions.

The researchers found that young adults (age 18 to 39) routinely overestimated their future life satisfaction,while middle­aged adults (age 40 to 64) more accurately predicted how they would feel in the future.Adults of 65 and older,however,were far more likely to underestimate their future life satisfaction.Not only did they feel more satisfied than they thought they would,the older pessimists seemed to suffer a lower ratio (比率) of disability and death for the study period.

“We observed that being too optimistic in predicting a better future than actually observed was associated with a greater risk of disability and a greater risk of death within the following decade,”wrote Frieder R.Lang,a professor at the University of Erlangen­Nuremberg.

Lang and his colleagues believed that people who were pessimistic about their future may be more careful about their actions than people who expected a rosy future.

“Seeing a dark future may encourage positive evaluations of the actual self and may contribute to taking improved precautions (预防措施),”the authors wrote.

Surprisingly,compared with those in poor health or who had low incomes,respondents who enjoyed good health or income were associated with expecting a greater decline.Also,the researchers said that higher income was related to a greater risk of disability.

The authors of the study noted that there were limitations to their conclusions.Illness,medical treatment and personal loss could also have driven health outcomes.

However,the researchers said a pattern was clear.“We found that from early to late adulthood,individuals adapt their expectations of future life satisfaction from optimistic,to accurate,to pessimistic,”the authors concluded.

小题1:According to the study,who made the most accurate prediction of their future life satisfaction?

A.Optimistic adults.

B.Middle­aged adults.

C.Adults in poor health.

D.Adults of lower income.小题2:Pessimism may be positive in some way because it causes people________.

A.to fully enjoy their present life

B.to estimate their contribution accurately

C.to take measures against potential risks

D.to value health more highly than wealth小题3:How do people of higher income see their future?

A.They will earn less money.

B.They will become pessimistic.

C.They will suffer mental illness.

D.They will have less time to enjoy life.小题4:What is the clear conclusion of the study?

A.Pessimism guarantees chances of survival.

B.Good financial condition leads to good health.

C.Medical treatment determines health outcomes.

D.Expectations of future life satisfaction decline with age.

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