男，19岁，学生。近半年来不愿与人来往，初时认为同学议论自己、瞧不起自己，学习成绩下降，后发展至不出门，觉得紧张害怕，担心有人害。此患者最可能的诊断是（）
A.精神分裂症
B.抑郁症
C.广泛性焦虑障碍
D.社交焦虑障碍
E.心境障碍
参考答案：A
解析：患者的逃避社交继发于牵连观念、可疑幻听及可疑被害妄想，依据等级诊断，首诊为精神分裂症。
Passage Three
| Imagine eating everything delicious you want with none of the fat. That would be great, wouldn’t it New "fake fat" products appeared on store shelves in the United States recently, but not everyone is happy about it. Makers of the products, which contain a compound called olestra, say food manufacturers can now eliminate fat from certain foods. Critics, however, say the new compound can rob the body of essential vitamins and nutrients and also cause unpleasant side effects in some people. So it’s up to consumers to decide whether the new fat-free products taste good enough to keep eating. Chemists discovered olestra in the late 1960s, when they were searching for a fat that could be digested by infants more easily. Instead of finding the desired fat, the researchers created a fat that can’t be digested at all. Normally, special chemicals in the intestines (肠道) "grab" molecules of regular fat and break "them down so they can be used by the body. A molecule of regular fat is made up of three molecules of substances called fatty acids. The fatty acids are absorbed by the intestines and bring with them the essential vitamins A, D, E and K. When fat molecules are present in the intestines with any of those vitamins, the vitamins attach to the molecules and are carried into the bloodstream. Olestra, which is made from six to eight molecules of fatty acids, is too large for the intestines to absorb. It just slides through the intestines without being broken down. Manufacturers say it’s that ability to slide unchanged through the intestines that makes olestra so valuable as a fit substitute. It provides consumers with the taste of regular fat without any bad effects on the body. But critics say olestra can prevent vitamins A, D, E and K from being absorbed. It can also prevent the absorption of carotenoids (类胡萝卜素), compounds that may reduce the risk of cancer, heart disease, etc. Manufacturers are adding vitamins A, D, E and K as well as carotenoids to their products now. Even so, some nutritionists are still concerned that people might eat unlimited amounts of food made with the fat substitute without worrying about how many calories they are consuming. |
Olestra is different from ordinary fats in that ______.
A．it facilitates the absorption of vitamins by the body
B．it passes through the intestines without being absorbed
C．it helps reduce the incidence of heart disease
D．it prevents excessive intake of vitamins