问题 单项选择题 A1/A2型题

患者,男,2006年大学毕业,同年5月右腿麻木,8月左腿也麻木,9月出现行走困难,11月在当地医院行手术探查为T2、3脊髓血管畸形后关闭。在手术探查伤口愈合期间病情加重,出现胸以下感觉异常,双下肢瘫痪,大小便失禁。2007年2月11号转某大医院诊疗,诊断为T2、3脊髓畸形,神经外科医生叫患者放弃,说做不做都会瘫痪。但患者家属执意要求医生为其孩子做手术。上述病例从伦理学上分析,下述哪一个说法是正确的()

A.医生的说法是正确的

B.医生应耐心给家属解释此病的危害,叫患者家属接受事实

C.医生的做法是错误的,他应尽医生最大的责任给予治疗,将损害减少到最低限度

D.患者家属应听从医生的安排

E.以上都不对

答案

参考答案:C

单项选择题

Nutritional statements that depend on observation or anecdote should be given serious consideration, but consideration should also be given to the physical and psychological quirks of the observer. The significance attached to an experimental conclusion depends, in part, on the scientific credentials of the experimentalist; similarly, the significance of selected observations depends, again in part, on the preconceptions of the observer.
Regimes that are proposed by people who do not look as if they enjoyed their food, and who do not themselves have a well-fed air, may not be ideal for normal people. Graham Lusk, who combined expert knowledge with a normal appreciation of good food, describes how he and Chittenden, who advocated a low-protein diet, spent some weeks in Britain eating the rations of the 1914-1918 war and then got more ample rations on board ship. Lusk attributed his sense of well-being to the extra meat he was eating; Chittenden attributed it to the sea air.
When young animals are reared for sale as meat, the desirable amount of protein in their food is a simple matter of economics. Protein is expensive, so the amount given is increased up to the level at which the increased rate of growth is offset by the increased cost of the diet. As already mentioned, the efficiency with which protein is used to build the body diminishes as the percentage of protein in the diet increases. In practice, the best diets seem to contain between 15 and 25 per cent protein. It is not certain that maximum growth rate is desirable in children; some experiments with rats suggest that rapid growth is associated with a shorter ultimate expectation of life.
There are practical and ethical obstacles to human experiments in which the effect of protein can be measured. Children do not grow as fast as the young animals in which there is a commercial interest. Their need for protein is therefore presumably smaller, but there is no evidence that the desirable protein level, after weaning, is less than 15 per cent. An argument against this percentage of protein is that in human milk only 13 per cent of the solid material is protein. That protein is, however, of better quality than any protein likely to be given to infants that are not weaned on cow’s milk.
Furthermore, milk, like other products of evolution, is a compromise. Mothers are not expendable. A species would not long survive if mothers depleted their own proteins so much in the course of feeding the first child that the prospects of later children were seriously jeopardized. Human milk is no doubt a good food, but the assumption that it is necessarily ideal is stretching belief in the beneficence and perfection of Nature too far.

According to the passage, the maximum growth rate many not be desirable in children, for rapid growth is associated with______.

A.(A) life expectancy

B.(B) practical needs

C.(C) scientific credentials

D.(D) commercial interest

单项选择题