问题 多项选择题 案例分析题

患者男性,56岁。因“记忆力减退6个月,逐渐出现痴呆症状,如注意力不易集中、表情淡漠、大小便失禁”来诊。1年前有蛛网膜下腔出血病史。入院检查:意识清楚,反应迟钝。脑神经正常,眼底无视盘水肿。四肢肌力、肌张力正常,腱反射对称,未引出病理反射。

该患者目前应该做的检查有()

A.单光子发射计算机体层成像术(SPECT)

B.脑脊液常规及生化检查

C.脑血管造影

D.腰椎穿刺测压

E.脑正电子发射型计算机体层显像(PET)

F.颅脑CT、MRI

答案

参考答案:B, D, F

选择题
完形填空

“It was all his own idea,” says Pat, the wife of California high school football coach Bob Peters. Bob had ___36___ made a “motherhood contract(合同)”—declaring that for 70 days this summer he would ___37___  the care of their four children and all the housework. ___38___ he didn’t even know how to make coffee when he sighed, he was very confident.

After40 of the 70 days, he was ready to ___39___. “ I was beaten down, “ admits Bob. “Not only is motherhood a ___40___ task, it is an impossible job for any normal human being. ”

Bob and Pat were married in 1991. After the married, Pat ___41___ a secretary to help put him through university. ___42___ Bob has been the football coach while Pat raised the kids. ___43___ two years ago Pat went back to work. “ I had been ___44___ children so much,” she ___45___, “I couldn’t talk to a grown-up. ” She continued to run the household, ___46___ -- until Bob sighed the contract.

Bob tried hard to learn cooking, but the meals he prepared were ___47___. For the last three weeks, the family ___48___ a lot--- sometimes having MacDonald’s hamburgers for lunch and dinner.

___49___ housekeeping, a home economics teacher had told Bob that a room always looks clean ___50___ the bed is made. “ I found ___51___ –I shut the doors,” he says. Soon the kids were wearing their shirts inside out. “When we went to ___52___ Pat at work, I made them wear their shirts 53 side out so they would look clean. ”

Now that Bob has publicly ___54___  he was wrong, he is ___55___ the child-raising and household tasks with Pat.

36. A. only     B. just     C. nearly D. ever

37. A. stick to B. set about    C. think about D. takeover

38. A. If  B. As      C. Since  D. Although

39. A. carry on       B. give up      C. break down       D. find out

40. A. strange B. pleasant      C. difficult     D. serious

41. A. sent      B. employed   C. learned from      D. worked as

42. A. In time B. Before long       C. Since then  D. Later on

43. A. Then    B. Thus   C. So      D. Still

44. A. near     B. after   C. about  D. around

45. A. insists   B. sighs   C. jokes   D. apologizes

46. A. besides B. therefore    C. however     D. otherwise

47. A. terrible B. tasty   C. expensive   D. special

48. A. starved B. traveled      C. worked out D. ate out

49. A. Due to  B. As for C. Along with D. Except for

50. A. until     B. before C. if D. unless

51. A. an easier way      B. a cheaper way    C. a cleaner way     D. a harder way

52. A. receive B. welcome    C. greet   D. fetch

53. A. good    B. wrong C. right   D. opposite

54. A. admitted      B. suggested   C. agreed D. explained

55. A. operating     B. realizing     C. sharing       D. performing