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

单项选择题
阅读理解

A year ago August, Dave Fuss lost his job driving a truck for a small company in west Michigan. His wife, Gerrie, was still working in the local school cafeteria (自助食堂), but work for Dave was scarce (不足的,缺乏的), and the price of everything was rising. The Fusses were at risk of joining the millions of Americans who have lost their homes in recent years. Then Dave and Gerrie received a timely gift—$7,000,a legacy (遗产) from their neighbors Ish and Arlene Hatch, who died in an accident . “ It really made a difference when we were going under financially, ” says Dave.  

But the Fusses weren’t the only folks in Alto and the neighboring town of Lowell to receive unexpected legacy from the Hatches. Dozens of (许多) other families were touched by the Hatches’ generosity. In some cases, it was a few thousand dollars ; in others, it was more than $100,000.  

It surprised nearly everyone that the Hatches had so much money, more than $3 million—they were an elderly couple who lived in an old house on what was left of the family farm .  

Children of the Great Depression, Ish and Arlene were known for their habit of saving, They thrived on(喜欢)comparison shopping and would routinely go from store to store, checking prices before making a new purchase (购买) .  

Through the years, the Hatches paid for local children to attend summer camp when their parents couldn’t afford it. “Ish and Arlene never asked if you needed anything,” says their friend Sand Van Weelden, “They could see things they could do to make you happier, and they would do them.  

Even more extraordinary was that the Hatches had their farmland distributed (分发;分配). It was the Hatches’ wish that their legacy—a legacy of kindness as much as one of dollars and cents should enrich the whole community(社区)and last for generations to come.

Neighbors helping neighbors ——that was Ish and Arlene Hatch’s story.  

小题1:According go the text, the Fusses ______.

A.were employed by a truck company

B.worked in a school cafeteria

C.were in financial difficulty

D.lost their home 小题2:Which of the following is true of the Hatches?

A.They had their children during the Great Depression

B.They gave away their possessions ( 财产;所有物) to their neighbors

C.They left the family farm to live in an old house

D.They helped their neighbors to find jobs 小题3:Why would the Hatches routinely go from store?

A.They decided to open a store

B.They couldn’t afford expensive things

C.They wanted to save money

D.They wanted to buy gifts for local kids 小题4: According to Sand Van Weelden, the Hatches were ______.

A.curious

B.optimistic

C.childlike

D.understanding小题5:What can we learn from the text?

A.The Hatches would like the neighbors to follow their example

B.The summer camp was attractive to the parents

C.Sandy Van Weelden got a legacy form the Hatches

D.The community of Alto was poor