问题 单项选择题 案例分析题

男性,56岁,上颌牙列缺失,下颌剩余右侧45,和左侧234。其中右侧4松动Ⅱ度,近中倾斜并向对颌伸长,牙槽骨吸收至根中1/3;右侧5松动Ⅰ度;左侧2、3为残根。叩(-),X线片示剩余根长10~15mm,未行RCT,根尖区无阴影;左侧4松Ⅱ度,近中倾斜,向对颌伸长,牙槽骨吸收至根中1/3。

患者戴用覆盖义齿6个月后复诊,发现余留牙无龋坏、牙龈炎,但左侧3周围牙槽骨快速吸收,最可能的原因是().

A.患者严重缺钙

B.患者内分泌失调,激素水平改变,导致骨质疏松

C.左侧3与义齿基托的缓冲间隙不足

D.患者没能控制好左侧3的牙周病

E.患者有左侧咀嚼习惯

答案

参考答案:C

单项选择题

阅读下列短文,从每题所给的A、B、C、D四个选项中,选出最佳选项。

C

When John was growing up, other kids felt sorry for him. His parents always had him weeding the garden, carrying out the garbage and delivering newspapers. But when John reached adulthood, he was better off than his childhood playmates. He had more job satisfaction, a better marriage and was healthier. Most of all, he was happier. Far happier.

These are the findings of a 40-year study that followed the lives of 456 teenage boys from Boston. The study showed that those who had worked as boys enjoyed happier and more productive lives than those who had not. “Boys who worked in the home or community gained competence (能力) and came to feel they were worthwhile members of society,” said George Vaillant, the psychologist (心理学家) who made the discovery. “And because they felt good about themselves, others felt good about them.”

Vaillant’s study followed these males in great detail. Interviews were repeated at ages 25, 31 and 47. Under Vaillant, the researchers compared the men’s mental-health scores with their boyhood-activity scores with their boyhood-activity scores. Points were awarded for part-time jobs, housework, effort in school, and ability to deal with problems.

The link between what the men had done as boys and how they turned out as adults was surprisingly sharp. Those who had done the most boyhood activities were twice as likely to have warm relations with a wide variety of people, five times as likely to be well paid and 16 times less likely to have been unemployed. The researchers also found that IQ and family social and economic class made no real difference in how the boys turned out. Working----at any age----is important. Childhood activities help a child develop responsibility, independence, confidence and competence---the underpinnings (基础) of emotional health. They also help him understand that people must cooperate and work toward common goals. The most competent adults are those who know how to do this. Yet work isn’t everything. As Tolstoy once said, “One can live magnificently in this world if one knows how to work and how to love, to work for the person one loves and to love one’s work.”

What do we know about John?()

A. He enjoyed his career and marriage.

B. He had few childhood playmates.

C. He received little love from his family.

D. He was envied by others in his childhood.

解答题