问题 单项选择题 A3/A4型题

患者,男性,50岁。既往有脑血栓史。本次入院行右侧腹股沟疝修补术。术后第4天,体温38.4℃,股部青肿,右下肢明显增粗,软组织张力高,有压痛。

最恰当的治疗方法是()。

A.立即卧床休息,患肢抬高

B.加强伤口换药,输注抗生素

C.皮下注射抗凝药物

D.静脉输注溶栓药物

E.手术

答案

参考答案:E

解析:

1.髂股静脉血栓形成起病急,伴有发热,数小时内即出现全下肢疼痛、肿胀和压痛,压痛部位主要在股三角区,并可扪及受累的静脉如条索状。大腿、股部和下腹壁可见浅静脉曲张,软组织张力高,如病变继续恶化出现股部青肿时,不及时手术取栓可导致患肢静脉性坏疽。

【该题针对“专业知识-深静脉血栓形成临床表现、治疗要点”知识点进行考核】

2.手术治疗,应用Fogarty气囊导管取栓术适用于广泛性髂股静脉血栓伴有动脉痉挛出现股青肿者。

【该题针对“专业知识-深静脉血栓形成临床表现、治疗要点”知识点进行考核】

实验题
单项选择题

Many researchers have found greater dependence and obedience in very young girls, greater autonomy and activity in boys. When a barrier is set up to separate children from their mothers, boys try to knock it down; girls cry helplessly. There is little doubt that mother’s encouragement or discouragement—of such behavior plays a major role in determining adult personality. For example, a mother often stimulates male autonomy by throwing a toy far away from her young son, thus silently suggesting to him that he leaves her to get it.
Animal studies suggest that there may be a biological factor in material behavior; mothers of some monkeys punish their male babies earlier and more often than their female offspring; they also touch their female babies more often and act more protectively toward them.
As for the controversial question of female "passivity", psychologist Helen Deutsh believes that the concept has been misunderstood. "There is no contradiction between being feminine and working. The self can be active in both men and women," she says. It is only in love and sex that passivity is particularly appropriate for women. As she sees it, passivity is no more than a king of openness and warmth; it does not mean "inactivity of emptiness".
Another controversy ranges over the effect of hormones. Aggressive women; who discount hormonal influence, disagree violently with scientific researchers, who almost unanimously agree that hormones help determine how people feel and act. So far, there have been few studies of male hormones, but scientists think they may eventually discover hormonal cycles in men that produce cyclic changes in mood and behavior. As for females, studies have indicated that 49 percent of female medical and surgical admissions, most psychiatric hospital admission and 62 percent of violent crimes among women prisoners are related with hormonal cycles in women.

What is the best title for this passage

A.Hormone Effect

B.Male and Female

C.Passivity and Activity

D.Female Passivity