问题 多项选择题 共用题干题

患者女性,11岁,小学五年级学生。主因控制不住地反复想无意义事情,不自主眨眼、模仿他人说话、吼叫、打自己近两年,加重一年而就诊。两年前父母让患者学钢琴,患者不肯,母亲严厉训斥患者,其后表现情绪不良、少语一月余,其后情绪恢复,于20个月前逐渐出现爱眨眼睛,其后逐渐出现努嘴巴、甩头、发声吼叫,偶尔要拍打自己,反复想一些无意义的事情,努力控制自己不去想,但无法控制,为此感到很痛苦。半年余未经任何治疗,病情好转。于一年前病情加重,反复想一些无意义的事情,如在做练习题的时候,脑子里立刻想到我为什么做这个题,做了会有什么好处,不做会怎么样,学习受到影响,成绩下降。患者眨眼睛、甩头、发声吼叫等症状也明显加重,几乎每天都出现。患者为此很苦恼,烦躁不安,晚上睡眠差,经常彻夜难眠,食欲也随之下降。

根据目前获取的资料,患者目前可能存在哪些诊断()。

A.精神发育迟滞

B.精神分裂症

C.抽动障碍

D.恐惧障碍

E.强迫障碍

F.非器质性睡眠障碍

G.孤独症

H.注意缺陷多动障碍

答案

参考答案:C, E, F

单项选择题

Education is one of the key words of our time. A man, without an education, many of us believe, is an unfortunate victim of unfortunate circumstances deprived of one of the greatest twentieth-century opportunities. Convinced of the importance of education, modern states "invest" in institutions of learning to get back "interest" in the form of a large group of enlightened young men and women who are potential leaders. Education, with its cycles of instruction so carefully worked out, is punctuated by textbooks--those purchasable wells of wisdom what would civilization be like without its benefits

So much is certain: that we would have doctors and preachers, lawyers and defendants, marriages and births; but our spiritual outlook would be different. We would lay less stress on "facts and figures" and more on a good memory, on applied psychology, and on the capacity of a man to get along with his fellow-citizens. If our educational system were fashioned after its bookless past we would have the most democratic form of "college" imaginable. Among the people whom we like to call savages all knowledge inherited by tradition is shared by all; it is taught to every member of the tribe so that in this respect everybody is equally equipped for life.

It is the ideal condition of the "equal start" which only our most progressive forms of modern education try to reach again. In primitive cultures the obligation to seek and to receive the traditional instruction is binding on all. There are no "illiterates"--if the term can be applied to peoples without a script--while our own compulsory school attendance became law in Germany in 1642, in France in 1806, and in England in 1976, and is still non-existent in a number of "civilized" nations. This shows how long it was before we considered it necessary to make sure that all our children could share in the knowledge accumulated by the "happy few" during the past centuries. Education in the wilderness is not a matter of monetary means. All are entitled to an equal start. There is none of the hurry that, in our society, often hampers the fui1 development of a growing personality. There, a child grows up under the ever-present attention of his parents; therefore the jungles and the savages know of no "juvenile delinquency". No necessity of making a living away from home results in neglect of children, and no father is confronted with his inability to ’"buy" an education for his child.

The word "interest" in the first paragraph most probably means()

A. pleasure

B. returns

C. share

D. knowledge

选择题