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女性，27岁，会计。因"不断思考问题，重复无意义动作并引起痛苦2年，自伤1天"主动请朋友陪诊来精神科急诊。患者坐立不安，情绪激越。双手手背可见新鲜烟烫痕迹。

该患者诊断为强迫症的依据有（）

A.以强迫症状为主要临床相，表现强迫观念、强迫行为，

B.强迫症状妨碍工作，无法摆脱精神痛苦而主动求医

C.有回避行为

D.存在强制性思维

E.无自知力

F.辅助检查排除躯体疾病及其他精神障碍所伴发的强迫症状

G.症状存在持续2年

H.有家族精神疾病遗传史

答案

参考答案：A, B, F, G

阅读理解
完形填空。

     The Catherine family enjoyed the good things in life as much as anyone else. They ___1__
games, books, music, toys, good food and good times. But sometimes ___2___seemed, especially to
Mrs. Catherine who ___3___the house, that they had too much stuff in the closets, in the drawers, in the
basement, and almost ___4___. It made Mrs. Catherine a little ___5___. 
     One day, at breakfast, Mrs. Catherine made a(n) ___6_. "This family,"she said firmly, "has too much
stuff. It's time to get ___7__of some of them. "The three children all ___8___with this idea and helped pile used things and unused things they were never going to use into the car.
     Their first ___9_was Home for the Aged where the older went to live. Nurses and doctors looked after them, but sometimes the older got a little lonely and ___10__. They liked visitors and things to do. When
the family arrived at Home for the Aged, they ___11___out their games and puzzles to the older and then sat down to play games and do puzzles with them. They had a ___12___time and they were sorry when it was time to leave. 
     Their next stop was the Young Cubs Hospital. The Catherine family dropped ___13___their load of
used toys which were very welcome. The hospital workers said the toys would be given out at the hospital ___14__party.
     Their last stop was People Who Care store. This was a store that sold things to ___15__money for
those who needed warm clothes and good food. The Catherine family lugged all their old clothes and
furniture into the store.  
     After that, the Catherine family __16___home with warm feelings about what they had done. __17___
they drove along, they passed the lighted ___18___of supermarkets which were beautifully decorated for Christmas. There was window after window of the very latest things, but they were so filled with special
thoughts about helping others that they ___19__noticed the wonderful things in the windows except maybe out of the ___20___of their eyes.

( )1. A. read        
( )2. A. there      
( )3. A. knew        
( )4. A. anywhere    
( )5. A. uneasy      
( )6. A. announcement
( )7. A. away        
( )8. A. decided      
( )9. A. place        
( )10. A. bored      
( )11. A. handed    
( )12. A. fine        
( )13. A. onto      
( )14. A. Thanksgiving
( )15. A. rise      
( )16. A. headed      
( )17. A. Though    
( )18. A. closets    
( )19. A. nearly    
( )20. A. corners    		B. played      
B. they        
B. bought    
B. everywhere  
B. difficult  
B. amusement  
B. out      
B. agreed    
B. arrival    
B. disappointed
B. carried    
B. bad      
B. into      
B. Halloween  
B. arise    
B. arrived    
B. As        
B. houses  
B. hardly    
B. sides          		C. enjoyed
C. it     
C. sold   
C. nowhere  
C. ready   
C. notice
C. hold   
C. argued
C. stop   
C. excited
C. found    
C. sad     
C. out      
C. Christmas
C. raise   
C. left   
C. Since   
C. doors   
C. closely
C. edges 		D. shared        
D. this          
D. managed      
D. somewhere    
D. happy        
D. report        
D. rid          
D. dealt        
D. departure    
D. determined    
D. let          
D. sorry        
D. off          
D. Eastern      
D. arouse        
D. felt          
D. Before        
D. windows      
D. immediately  
D. covers        
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单项选择题

小儿病毒性心肌炎痰瘀阻络证的治法是（）

A.清热化湿，宁心安神

B.益气养阴，化瘀通络

C.清热化湿，解毒达邪

D.豁痰活血，化瘀通络

E.温振心阳，豁痰活血
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