问题 多项选择题 案例分析题

患者男,72岁,因“周期性意识模糊3年”来诊。3年前突发意识模糊及定向力障碍,短时间内症状消失。在随后的3年里,患者渐渐变得抑郁、社交能力下降,近记忆力越来越差。同时,还间断出现与周期性意识模糊状态相伴随的视幻觉。家人发现其步态变得不稳,容易向后退。既往体健。查体:内科情况无特殊;神经系统主要表现为显著的对称性帕金森表现,包括“面具脸”和手的姿势性震颤。精神状态检查发现严重的延时记忆障碍,经过.

关于该病例,叙述正确的有(提示或练习试验也无提高。)()

A.应仔细询问病史

B.发病与脑内β-淀粉样蛋白异常沉积有关

C.皮质和皮质下有大量的路易小体为本病特征性的病理改变

D.临床诊断的必要条件是进行性认知功能减退

E.病程进展快,尚无有效治疗,预后较差

答案

参考答案:A, C, D, E

选择题
阅读理解

When 19-year-old Sophia Giorgi said she was thinking of volunteering to help the Make-A-Wish Foundation (基金会),nobody understood what she was talking about. But Sophia knew just how important Make – A –Wish could be because this special organization had helped to make a dream come true for one her best friends. We were interested in finding out more, so we went along to meet Sophia listen to what she had to say.

Sophia told us that Make – A –Wish is a worldwide organization that started in the United States in 1980. ” It’s a charity(慈善机构)that helps children who have got very serious illnesses. Make – A –Wish help children feel happy even though they are sick, by making their wishes and dreams come true, ” Sophia explained.

We asked Sophia how Make – A –Wish had first started. She said it had all begun with a very sick young boy called Chris, who had been dreaming for a long time of becoming a policeman. Sophia said lots of people had wanted to find a way to make Chris’s dream come true ----so, with everybody’s help, Chris, only seven years old at the time, had been a “policeman” for a day. ” when people saw how delighted Chris was when his dream came true, they decided to try and help other sick children too , and that was the beginning of Make – A –Wish, ” explained Sophia.

Sophia also told us the Foundation tries to give children and their families a special, happy time. A Make-A-Wish volunteer visits the families and asks the children what they would wish for if they could have anything in the world. Sophia said the volunteers were important because they were the ones who helped to make the wishes come true. They do this either by providing things that are necessary, or by raising money or helping out in whatever way they can.

小题1:Sophia found out about Make-A-Wish because her best friend had  .

A.benefited from it

B.volunteered to help it

C.dreamed about it

D.told the author about it小题2:According to Sophia, Make-A-Wish       .

A.is an international charity

B.was understood by nobody at first

C.raises money for very poor families

D.started by drawing the interest of the public小题3:What is said about Chris in Paragraph3?

A.He has been a policeman since he was seven.

B.He gave people the idea of starting Make-A-Wish

C.He wanted people to help make his dream come true.

D.He was the first child Make-A-Wish helped after it had been set up.小题4:Which of the following is true about Make-A-Wish volunteers?

A.They are important for making wishes come true.

B.They try to help children get over their illnesses.

C.They visit sick children to make them feel special.

D.They provide what is necessary to make Make-A-Wish popular.