问题 单项选择题

老年患者,前臂外伤25小时余来诊。查:体温37.9℃,前臂畸形,反常活动,创口流血,腕、手活动自如,应考虑()

A.桡神经损伤

B.尺神经损伤

C.开放性骨折

D.正中神经损伤

E.前臂肌腱损伤

答案

参考答案:C

解析:有明确的前臂外伤史。前臂畸形、反常活动是骨折的专有体征,应首先考虑前臂外伤性骨折。进一步依据本例有创口流血,腕手活动自如,应诊断为开放性骨折。鉴于腕、手活动自如应考虑除外神经、肌腱损伤。

阅读理解

阅读理解。

      Mama and Daddy loved having the family together on Christmas. They spent days making candy and

cookies, preparing gifts and decorating.

      Forty-four years together made them a great team. But with Mama's unexpected death in the spring,

we now faced our first Christmas without her. The holidays would be especially hard for Daddy. We tried

to comfort him. We would all be with him on Christmas as usual.

      On Christmas Eve a small snow turned to a heavy one, covering our yard and 150-foot driveway, as

well as the access road (干道的支路). We started cleaning, but the snow was falling faster than we could

keep up. The weatherman predicted the storm would continue through the night. Church services were also

canceled. "We'll be there as soon as possible in the morning," I told Daddy on the phone. But inside I wondered

how. 

      Early Christmas morning we began digging through stomach-high snow. We finished the driveway, but

seeing the mountains of snow on the access road, we admitted failure. As I stared at the access road, I heard

the sound of a snowblower. Lord, please help us get to Daddy today, I prayed.

      The sound of the snowblower grew louder. I looked up. There, coming straight toward us was a big

yellow machine with a huge plow (犁) effortlessly clearing a path through the snow-packed road. I stared in

disbelief. Never in our 18 years here had the snow been plowed on this road.

      The driver of the snowblower sat up straight at the wheel and was warmly dressed, collar (衣领) up, cap

down-and wings beneath his coat, I'm sure.

1. We learn from the passage that the author's parents _____. [ ]

A. separated a year ago

B. were married for forty-four years

C. like spending holidays very much

D. have prepared for this Christmas for days

2. The author started to clean the snow in order to _____. [ ]

A. go to church

B. have a clean driveway

C. go to please his father

D. send his children to school

3. Before the snowblower arrived, the author had _____. [ ]

A. decided to give up

B. stopped to have a rest

C. finished the access road

D. cleaned the snow mountains

4. In the author's eyes, the driver of the snowblower was a(n) _____. [ ]

A. angel

B. father

C. ordinary cleaner

D. hard worker

问答题


一般资料:李某,女,汉族,25岁,未婚,大学文化,某国家机关公务员。
求助者自述:害怕与异性说话,工作中尽量避免与男性当面的接触,希望把协调、组织工作交给别人,不要分配给自己。必须与男性联系时,尽量通过邮件的方式。每当不得不与男性说话时,都感到是极大的负担,感觉心慌、脸红,脖子背后发硬,同时担心自己声音颤抖更引起对方的注意。求助者想尽量降低自己的紧张,以免别人感到异样,但是感到对方会用奇怪的眼光看自己。近半年来甚至见了人都觉得害怕,很少与人交往,整天感到疲惫不堪,下班后就是自己在家看电视。工作中注意力无法集中,记忆力下降。食欲、睡眠都受到影响,对自己长期处于这种状况感到很沮丧。
心理咨询师观察了解到的情况:求助者衣着朴素、整洁。敲门的声音很轻。进入咨询室后举止拘谨,说话声音小,不敢正视心理咨询师。从小性格内向,听话,在大人眼中是个乖孩子。父母要求严格,很在意她与男孩子的交往。初一时,有一次与一名男同学同路放学回家,在路口聊了一会儿天,被父亲看到,批评她不应该与成绩不好的男同学交往过密,作为女孩子要注意影响。这件事令求助者感到很羞耻,后来主动避免与男同学接触,与班上的一些男生几乎没有说过话。与男生说话时感到脸红、紧张,非常木自然。上大学后情况稍有好转,与男生的交往稍有增多。但有一次宿舍同学开自己和另一个男同学的玩笑,从此开始十分担心自己给人留下行为不检点的印象,更加回避男生。工作后这种情况更为严重,见了年轻的异性就紧张、恐惧,很少参加集体活动。求助者从未谈过恋爱。现在感到自己惧怕与异性交往的问题影响了工作和生活,自己也对这种状况不满。曾多次想来做咨询又害怕见心理咨询师,在父母的再三鼓励下,自己前来就诊。经三个月十五次咨询求助者症状缓解,与异性交往趋于正常。
依据以上案例,回答以下问题:

心理咨询师尚应收集该求助者哪些方面的资料