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问题 单项选择题

某女性18岁，患风心病二尖瓣狭窄4年，近半月游走性关节痛，气促，以下哪项最可能提示患者发生了风湿性全心肌炎（）

A.心脏向双侧扩大

B.心尖区收缩期Ⅲ级杂音

C.心包摩擦音

D.急性肺水肿发作

E.心电图P-R间期延长

答案

参考答案：C

单项选择题

Modern liberal opinion is sensitive to problems of restriction of freedom and abuse of power. (1) , many hold that a man can be injured only by violating his will, but this view is much too (2) . It fails to (3) the great dangers we shall face in the (4) of biomedical technology that stems from an excess of freedom, from the unrestrained (5) of will. In my view, our greatest problems will be voluntary self-degradation, or willing dehumanization, as is the unintended yet often inescapable consequence of sternly and successfully pursuing our humanization (6) .

Certain (7) and perfected medical technologies have already had some dehumanizing consequences. Improved methods of resuscitation have made (8) heroic effort to "save" the severely ill and injured. Yet these efforts are sometimes only partly successful: They may succeed in (9) individuals, but these individuals may have sever brain damage and be capable of only a less-than-human, vegetating (10) . Such patients have been (11) a death with dignity. Families are forced to bear the burden of a (12) "death watch".

(13) the ordinary methods of treating disease and prolonging life have changed the (14) in which men die. Fewer and fewer people die in the familiar surroundings of home or in the (15) of family and friends. This loneliness, (16) , is not confined to the dying patient in the hospital bed. As a group, the elderly are the most alienated members of our society: Not yet (17) the world of the dead, not deemed fit for the world of the living, they are shunted (18) . We have learned how to increase their years, (19) we have not learned how to help them enjoy their days. Yet we continue to bravely and feverishly push back the frontiers (20) death.

19（）

A.except

B.so

C.or

D.but
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单项选择题

一般情况：女，35岁，幼教老师。
求助者主诉：阵发性地呼吸急促、坐立不安、心悸、手脚麻木等3个月。
案例介绍：求助者婚后多年不孕，曾做诊断性刮宫，术后出现 * * 流血，听同事说有癌变的可能，更加恐慌，甚至见血就怕。既担心得了不治之症又怕丈夫嫌弃自己，出现失眠、烦躁、易激惹等表现，3个月后症状加重，出现发作性烦躁、坐卧不安、呼吸急促、胸闷、心悸、手脚麻木等症状，发作当时有濒死感。每次发作半小时至一小时不等，后来症状加重，间歇期不明显，整日忧心忡忡，有自杀企图，尚未采取主动行动。完全丧失工作和操持家务的能力，生活难以自理。
在母亲的陪同下，自愿来心理科就诊。

该案例最恰当的处理方式是( )。

A．转介精神科治疗

B．不必处理

C．心理咨询

D．药物治疗
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