问题 单项选择题

女,55岁,汽车撞伤左小腿,有片状皮肤擦伤出血,局部肿痛畸形,反常活动,现场紧急处理哪项最重要()

A.创口消毒

B.创口包扎

C.创口缝合

D.夹板固定

E.迅速运送医院

答案

参考答案:D

解析:骨折急救的目的在于用简单有效的方法抢救生命、保护创部、防止再损伤、再污染,创造安全条件,送到附近医院。一般要求问诊检查简明扼要,首先抢救生命。如有伤口则用急救包包扎、止血、固定。污染的开放骨折一般不复位、迅速转运。闭合骨折可先行复位,就地取材、妥善地临时固定。然后,迅速搬运,注意路途安全,并向接诊医师说明有关情况。该例汽车撞伤左小腿,局部肿痛畸形,反常活动,皮肤仅有擦伤、出血,说明小腿闭合性骨折、移位,急救时应先行复位,妥善地固定。片状皮肤擦伤、出血与骨折相比,骨折处理应优先于皮肤擦伤。

判断题
单项选择题

Training as mental-health professionals is supposed to be "color blind". That sounds fine but in practice it means that people from black and ethnic groups get an unfair treatment because their particular problems are seldom acknowledged.

So a project was piloted involving Bangladeshi women in inner-city London, most of whom migrated to the UK in the 1960s and 1970s from a rural background. Many of these women turned to their doctors with common symptoms of anxiety, such as headaches, sleeping difficulties, loss of appetite and lack of energy. They were usually prescribed tranquillizers or even Vitamin C since the underlying causes remained, the women visited their doctors with increasing frequency and some were referred on to mental-health professionals.

The psychologists wanted to see how normal Western approaches to anxiety problems might work when applied across cultures. However, they found that many things in the standard approach had to be changed. They had to translate many of the usual examples—they would normally compare learning to relax with learning to drive, for instance, which would not have been culturally appropriate. At first they asked the women to rate, on a scale one to ten, the effect of relaxation on their level of anxiety. They found numbers an odd way of expressing how they were feeling. So psychologists shifted their focus to words and talked of five stages form "very good" to "very bad".

As it was a pilot project, there were shortcomings. Psychologists looked for too little back-up and did not collect as much objective data as they might have done with a white group. They fell into the white stereotype of assuming that Bangladeshi women would find the use of various checklists and written records foreign. Perhaps racism has conditioned the professionals to a greater extent than they expected. Psychologists found that using a Western model across cultures has potential. But it needs political, financial and personal commitment.

Which of the following statement can best summarize the main idea of the passage().

A. Bangladeshi women living in Britain suffer from different levels of anxiety.

B. Western models prove to be unsuccessful in treating psychological problems of ethnic groups.

C. Mental problems of ethnic groups have not got due recognition.

D. People relate better to people of similar backgrounds.