问题 单项选择题 案例分析题

男患,45岁,有时右背痛,右下肢逐渐无力,伴左足麻木,并向上扩延9个月。背痛夜间明显,呈烧灼样,于咳嗽时加剧。查体:右下肢肌力3级,肌张力增高,腱反射(++++),左侧T4以下痛温觉消失,运动觉及振动觉消失,右侧Babinski征(+)。辅助检查:腰椎穿刺椎管不全梗阻,脑脊液蛋白0.65g/L,余化验结果正常。

脊髓病变横向定位在()

A.右侧髓内病变

B.左侧髓内病变

C.右侧髓外硬膜内病变

D.左侧髓外硬膜内病变

E.左侧硬脊膜外病变

答案

参考答案:C

单项选择题 A1/A2型题
单项选择题

Americans usually consider themselves a friendly people. Their friendships, however, tend to be shorter and more casual than friendships among people from other cultures. It is not uncommon for Americans to have only one close friend during their lifetime, and consider other "friends" to be just social acquaintances. This attitude probably has something to do with American mobility and the fact that Americans do not like to be dependent on other people. They tend to "compartmentalize" (划分) friendships, having "friends at work" , "friends on the softball team" , "family friends" , etc.

Because the United States is a highly active society, full of movement and change, people always seem to be on the go. In this highly charged atmosphere, Americans can sometimes seem brusque (无礼的) or impatient. They want to get to know you as quickly as possible and then move on to something else. Sometimes, early on, they will ask you questions that you may feel are very personal. No insult is intended; the questions usually grow out of their genuine interest or curiosity, and their impatience to get to the heart of the matter. And the same goes for you. If you do not understand certain American behavior or you want to know more about them, do not hesitate to ask them questions about themselves. Americans are usually eager to explain all about their country or anything "American" in which you may be interested. So much so in fact that you may become tired of listening. It doesn’t matter, because Americans tend to be uncomfortable with silence during a conversation. They would rather talk about the weather or the latest sports scores, for example, than deal with silence.

On the other hand, don’t expect Americans to be knowledgeable about international geography or world affairs, unless those subjects directly involve the United States. Because the United States is not surrounded by other nations, some Americans tend to ignore the rest of the world.

According to the passage, Americans tend to ignore the rest of the world because ().

A. they are too proud of themselves

B. they are not interested in other countries

C. they are too busy to learn about other countries

D. their country does not have many neighboring nations