问题 单项选择题 案例分析题

某女患者,36岁。心搏增快,乏力,怕热多汗,烦躁易怒、食亢、易饥、消瘦四年,加重月余。其兄有类似病史。体查:T37.0℃,心率120次/分,BP142/70mmHg,甲状腺Ⅱ。增大、质软、右叶可闻及血管杂音、未扪及结节。双眼稍突、皮肤潮湿,双手抖(+)。

发生甲减的常见病因有()

A.抗甲状腺药物治疗后

B.慢性淋巴细胞性甲状腺炎

C.甲亢甲状腺大部切除术后

D.甲状腺癌全切术后

E.以上都对

答案

参考答案:E

单项选择题
填空题


Solving a problem can be broken down into several steps. First, the problem must be identified correctly. Psychologists refer (1) this step as problem representation. For many problems, figuring (2) which information is relevant and (3) is extraneous can be difficult and can interfere (4) arriving at a good solution. Clearly, before a problem can be solved, it must be obvious (5) the problem is, however, this is not as easy (6) it might seem. One obstacle to efficient problem representation is functional fixedness, that is, allowing preconceived notions and even prejudices (7) color the facts. Most people tend (8) see objects and events in certain fixed ways, and by being inflexible in viewing the problem, they may be unable to notice the tools (9) the solution. Once the problem is identified accurately, (10) , the second step consists (11) considering the alternatives for a solution. A common way to evaluate alternatives is to write them (12) and then make a list (13) advantages and disadvantages for each solution. Here again, people may be limited by prior experiences. Often people adopt mental sets (14) lead them to the same problem-solving strategies that were successful for problems (15) the past. Although that can be helpful most (16) the time, sometimes a new situation requires a different strategy. (17) that case, the mental set must be abandoned, (18) new alternatives must be explored.
After the alternatives have been compared, a strategy must be selected (19) among them. One way to avoid becoming mired in the options is (20) try the best option with a view to abandoning it for another (21) the results are unfavorable. This attitude allows many people to move on expeditiously (22) the next step—action. The strategy selected must be implemented and tested. If it solves the problem, no further action is necessary, but if (23) , then the cycle begins again, starting (24) problem identification. By continuing to review the problem (25) repeat the problem-solving steps, the solution can be improved upon and refined.