问题 单项选择题

患者,女,16岁,某次大坝坍塌事故中的幸存者。获救1周后,患者常从梦中惊醒,大呼救命,被询问时什么都不说。3个月以来,患者常失眠,过度警觉,容易受惊吓,做事不专心。并且拒绝收看任何与坍塌有关的报道,如被问及坍塌事故,患者表现十分麻木、淡然。

对于该患者首选的治疗方案是

A.抗抑郁治疗

B.抗焦虑治疗

C.抗精神病治疗

D.抗生素治疗

E.心理治疗合并药物治疗

答案

参考答案:E

解析: 该患者由于遭受异乎寻常的创伤性事件,在应激事件发生数日后出现精神症状,持续存在3个月以上,同时出现持续性的警觉性增高,对与刺激相似或有关的情景回避,反复重现创伤性体验,社会功能受损。符合创伤后应激障碍的诊断标准,最可能的诊断是创伤后应激障碍。对该障碍以心理治疗为主,辅以适当的药物如抗抑郁剂、抗焦虑剂等,一般不主张应用抗精神病药。

阅读理解

Have you ever seen any students whose trousers hang so low that you can see their underwear? What do you think of that? Fashionable? Some of today’s teenagers are big fans of such a look. But recently this trend has been at the center of an argument in Italian middle schools. The headmaster of a school in central Italy has asked students to stop wearing low-rise jeans that expose underwear and parts of the body. His request came after a class trip, when he saw one boy's baggy trousers slide to his feet. He pointed out that this way of dressing is not suitable for school. But in Italy, a nation that takes fashion very seriously, the suggestion caused a debate among parents, teachers and students. The issue is whether the headmaster's request will limit students' freedom— or whether dress in Italian schools is too casual. A parents' group praised the move in favor of good taste, while others advised schools to stop worrying about fashion and fix up old school buildings. “We do not want to kick fashion out,” the headmaster explained, “but extremes of fashion like this are not right in school.” Many other schools have now requested that their students also stop wearing such trousers. Most students have simply ignored the request. Ludovica Gaudio, 14, wore extremely low trousers exposing orange underwear in class. It was cold, so she wore a matching orange scarf. Another 14-year-old said she would probably respect the request, simply for practical reasons. “I don't really feel comfortable in those sort of jeans,” said Sarah Lattanzi, “in winter, when dressed like that, it's quite cold and I am afraid my stomach will ache.”

小题1:What led to the argument in Italian middle schools?______

A.Students' craze for fashions.

B.Clothes that are too exposing.

C.Students' ignoring dress codes.(规则)

D.Students' underwear.小题2:Which of the following supports the headmaster's request?___

A.Fashion should be taken seriously.

B.Fashion should not be followed in school.

C.Students should have their freedom in choosing what they wear.

D.Students should be encouraged to have good taste in clothes.小题3: The argument against the headmaster's request is that ______.

A.dress in Italian schools is too casual

B.fashion should not be followed in school

C.schools should pay attention to things more important than students' clothes

D.low-rise jeans can do harm to youngster's health小题4:The purpose of this story is to ________

A.show Chinese students that wearing very fashionable clothes in school is under attack in other countries, too.

B.show that dress code is necessary even in a country like Italy

C.let us see that Italian students react differently to schools' requests.

D.tell us that a debate started in Italian middle schools over the way students dress in School

单项选择题