问题 多项选择题 案例分析题

患者,女性,39岁。3个月前无明显诱因而出现头痛,以双额为主,5天前发作时较剧烈,疼痛呈阵发性,伴有恶心、呕吐2次,为胃内容物,喷射状,无抽搐发作。当地医院CT检查示额部肿瘤,MRI检查示双额镰旁肿瘤。肿瘤质地均匀,明显,与大脑镰粘连紧密。起病以来无发热,无咳嗽、咳痰,无声音嘶哑,无多饮、多尿,进食正常,大小便正常,体重无明显减轻。入院体格检查:双侧瞳孔等圆等大,视 * * 水肿。

颅内肿瘤病人出院后出现以下哪些指征时应及时就诊?()

A.头痛、头昏

B.恶心、呕吐

C.抽搐

D.不明原因持续高热

E.肢体乏力

F.肢体麻木

G.手术部位发红、积液、渗液等

答案

参考答案:A, B, C, D, E, F, G

解析:5.对于该患者心理护理也是比较重要的一项护理措施。

单项选择题 A1型题
阅读理解

阅读理解。

     For some time past it has been widely accepted that babies-and other creatures-learn to do things because

certain acts lead to "rewards"; and there is no reason to doubt that this is true. But it used also to be widely

believed that effective rewards, at least in the early stages, had to be directly related to such basic physiological

(生理的) "drive" as thirst or hunger. In other words, a baby would learn if he got food or drink or some sort

of physical comfort, not otherwise.

     It is now clear that this is not so. Babies will learn to behave in ways that produce results in the world with

no reward except the successful outcome.

     Paousek began his studies by using milk in the normal way to "reward" the babies and so teach them to

carry out some simple movements, such as turning the head to one side or the other. Then he noticed that a

baby who had enough to drink would refuse the milk but would still go on making the learned response with

clear signs of pleasure. So he began to study the children's response in situation where no milk was provided.

He quickly found that children as young as four months would learn to turn their heads to right or left if the

movement"switched on a display of lights-and indeed that they were able to learn quite complicated turns to

bring about this result, for instance, two left or two right, or even to make as many as three turns to one side. 

     Papousek's light display was placed directly in front of the babies and he made the interesting observation

that sometimes they would turn back to watch the lights closely although they would "smile and bubble" when

the display came on. Papousek concluded that it was not primarily the sight of lights which pleased them, it

was the success that they were achieving in solving the problem, in mastering the skill, and that there exists a

fundamental human urge to make sense of the world and bring it under intentional control.

1. According to the author, babies learn to do things which _____.

A. are directly related to pleasure

B. will meet their physical needs

C. will bring them a feeling of success

D. will satisfy their curiosity

2. Papousek noticed in the studies that a baby _____.

A. would make learned response when it saw the milk

B. would carry out learned movements when it had enough to drink

C. would continue the simple movements without being given milk

D. would turn its head to right or life when it had enough to drink

3. In Papousek's experiment babies make learned movements of the head in order to _____.

A. have the lights turned on

B. be rewarded with milk

C. please their parents

D. be praised

4. According to Papousek, the pleasure babies get in achieving is a reflection of _____.

A. a basic human desire to understand and control the world

B. the satisfaction of certain physiological needs

C. their strong desire to solve complex problem

D. a fundamental human urge to display their learned skills