问题 单项选择题 A3/A4型题

三二岁女性患者,工人。一月前由于工作失误受到领导当众批评,病人感到委屈,觉得脸上无光,出现失眠,早醒,整天闷闷不乐,情绪低沉,闭门不出,觉得自己的将来毫无希望,不愿与人交往,认为人心难测,怀疑同事会看不起她,在背后议论她。近1周来,病人一反常态,出现兴奋话多,说终于战胜了自己。自我感觉好,说自己能力大,购买多种复习资料说要考北京大学,通宵看书,说要把失去的时间补回来。说领导批评她是嫉妒她的才能,不认为自己有病。说单位送她住院是让她来疗养。

病人经上述处理,一月后精神症状消失,能认识自己的病态,应家属的要求带药出院,出院后坚持服药(药量与住院时相同)。约一个月后,病人与其丈夫发生口角,又出现话多,讲大话,说要开公司,当老板,终日忙碌不停,花钱挥霍,好管闲事。此时,医生应做何处理为宜()

A.减少抗抑郁药物剂量

B.立即停药,选用电抽搐治疗

C.逐渐减少原用的情绪稳定剂的剂量,换用卡马西平或丙戊酸钠

D.进一步加大原有药物剂量

E.换用氯氮平治疗

答案

参考答案:C

阅读理解

Cellphones: is there a cancer link?

Could your cellphone give you cancer? Whether it could or not, some people are worrying about the possibility that phones, power lines and wi-fi could be responsible for a range of illnesses, from rashes to brain tumors.

Some say there is evidence to support the growing anxieties. David Carpenter, a professor of environmental health sciences at the university at Albany, in New York, thinks there’s a greater than 95 percent chance that power lines can cause childhood leukemia(白血病). Also there’s a greater than 90 percent chance that cellphones can cause brain tumors. “It’s apparent now that there’s a real risk,” said Carpenter.

But others believe these concerns are unjustified. Dr Martha Linet, the head of radiation epidemiology(流行病学) at the US National Cancer Institute, has looked at the same research as Carpenter but has reached a different conclusion. “I don’t support warning labels for cellphones,” said Linet. “We don’t have the evidence that there’s much danger.”

Studies so far suggest a weak connection between EMFs(电磁场) and illness — so weak that it might not exist at all. A multinational investigation of cellphones and brain cancer, in 13 countries outside the US, has been underway for several years. It’s funded in part by the European Union, in part by a cellphone industry group. The final report should come out later this year, but data so far don’t suggest a strong link between cellphone use and cancer risk.

小题1:From the passage we can learn that some people are worried because   .

A.they have evidence the use of cellphone can lead to cancer.

B.they make a fuss over cellphone use.

C.some expert has given a warning.

D.cellphones are responsible for brain tumors.小题2:By saying “I don’t support warning labels for cellphones,” Dr Martha Linet has the idea that   .

A.the worrying is unnecessary.

B.cancer-warning labels should be on cellphones.

C.there is a link between cellphones and cancer.

D.cellphones have nothing to do with cancer.小题3:The underlined word “underway” is closest in meaning to   .

A.started.

B.kept on.

C.gone on.

D.in progress.小题4:Which of the following best describes the attitude of the author towards the debate?

A.Optimistic.

B.Objective.

C.Disapproving.

D.Casual.

问答题 简答题