问题 单项选择题 共用题干题

患者女,22岁。因首次急起言语紊乱、自语自笑10天入院。在单位上班时,乱发短信给别人,说"我要枪毙了你等",活动多,整天忙忙碌碌。精神状况检查:查房时,患者主动与医师打招呼,未查及幻觉、妄想。话多,思维松散,回答问题不切题。起身回病房时和医生再见,说自己没讲好,对不起医生,耽误了医生的时间……。既往体健。

入院后给予喹硫平系统治疗(最大量600mg/d)1周后,患者的思维松散消失,回答切题,在病房仍忙忙碌碌,好管闲事。此患者最可能的诊断是()。

A.分裂样精神病

B.躁狂症

C.神经症

D.精神分裂症

E.抑郁症

F.偏执性精神病

答案

参考答案:B

问答题
单项选择题

Charles Darwin wed his cousin Emma and spawned 10 children, including four brilliant scientists. Albert Einstein’s second wife Elsa was his first cousin. Queen Victoria said “I do” to hers. So have millions worldwide. In parts of Saudi Arabia, 39% of all marriages are between first cousins.

In the U. S., though, the practice bears a stigma of inbreeding just this side of incest. The taboo is not only social hut legislative; 24 states ban the marriage of first cousins: five others allow it only if the couple is unable to bear children. A major reason for this ban is the belief that kids of first cousins are tragically susceptible to serious congenital illnesses.

That view may have to change. A comprehensive study published recently in the Journal of Genetic Counseling indicates such children run an only slightly higher risk of significant genetic disorders like congenital heart defects — about two percentage points above the average 3% to 4%. Says the study’s lead author, Robin Bennett, president-elect of the National Society of Genetic Counselors, which funded the study: “Aside from a thorough medical family history, there is no need to offer any genetic testing on the basis of consanguinity alone”.

Publication of the study will do more than tweak public awareness; it will enlighten doctors who have urged cousin couples not to have children. “Just this week,” says Bennett, “I saw a 23-year-old woman who had had a tubal ligation because her parents were cousins and her doctor told her she shouldn’t have children.”

The American proscription against cousin marriages grew in the 19th century as wilderness settlers tried to distinguish themselves from the “savage” Indians, says Martin, author of the book Forbidden Relatives: The American Myth of Cousin Marriage. “The truth is that Europeans were marrying their cousins and Native Americans were not.”

And doesn’t God have stern words on the subject Christie Smith, 37, a Nevada writer, says she felt guilty when she fell in love with her first cousin’s son Mark. “I was trying so hard to convince myself not to have these feelings,” she recalls, “that I went to the Bible looking for confirmation that it was wrong. And what I found was the exact opposite: support for cousin marriages.” The patriarch Jacob married two of his first cousins, Rachel and Leah. Smith married Mark in 1999.

The medical ban is lifted; the social stain may take longer to disappear.

It can be inferred from the last paragraph that().

A.the ban on cousin marriages is lifted.

B.cousin marriages are permitted again.

C.the prejudice against cousin marriages dies hard.

D.cousin marriages may not be as bad as people think.