问题 单项选择题

男,8岁,近一年来不自主眨眼、努嘴、摇头、抽鼻,紧张时明显,睡眠中消失,脑电图正常,可能的诊断是()

A.晕厥

B.抽动秽语综合征

C.习惯性阴部摩擦

D.屏气发作

E.窒息

答案

参考答案:B

解析:主要考查非癫痫性发作性疾病的鉴别。根据病例特点分析如下1.学龄男童,具有多发性运动性抽动,紧张时加重特点,符合抽动秽语综合征,不自主发声一般发生于抽动症状发生后半年至数年。2.学龄女童,突然晕倒,意识短暂丧失,神经系统及脑电图正常,符合晕厥诊断,为继发脑缺氧及脑灌注减少所致。3.2岁女婴,发作时有典型的双腿夹紧,面潮红,出汗表现,意识不丧失,符合习惯性阴部摩擦表现。4.1岁男婴,大哭时有呼吸暂停,青紫,甚至意识丧失,肢体抽动符合屏气发作表现,此可能与缺铁性贫血有关。

阅读理解

Businesses put lots of time and money into new plans, programs and excellent employees with the hope things will change. Yet, at the end of the effort, not much changes. What happens?

In most cases, those new plans, programs and employees enter a company with an existing culture (文化). And plans, programs and new employees have a way of conforming to(顺应)the existing culture. The culture of your business is the result of a particular mindset, or a particular way of thinking and the general feelings about certain things. Most often, it is the mindset of the founder or people managing the business.

The founder has gotten to where he is because of his skill sets, knowledge base and personal beliefs, which unfortunately all come with inherent (固有的)limits. Why Skills, knowledge and beliefs come from what he or she already knows or has experienced. In other words, it comes from the past. We (people) try to make the past fit the future. Just because something worked in the past, doesn't mean it is suitable for the future. As the saying goes, if you do and think what you have always done and thought, you will have what you have always had.

Therefore, lasting changes have to start with the way people think. To make changes in the way you think, you will be required to set goals beyond your basic abilities and continuously think them through. It is a way to train yourself and people to get out of the comfort zone where you feel happy with your knowledge and skills.

小题1:Which question does the author try to answer?

A.What past experience is useful for businesses

B.How much time is needed for making plans

C.How can changes be made in businesses

D.What kinds of employees are the best小题2:Where does the business culture mainly come from?

A.The founder

B.The progress

C.The new employees

D.The collective effort小题3:What does the author think about the mindset of the company leader?

A.It can prevent the enrichment of experience

B.It is useful far skill and knowledge learning

C.It is important for personal beliefs build-up

D.It may limit the company's development

单项选择题