问题 多项选择题 案例分析题

患者男,71岁,因左侧面颊部疼痛两三年入院,疼痛呈针刺样,分布在左唇部及鼻翼旁,每次发作持续5~20秒钟,吃饭,说话等可诱发疼痛。口服卡马西平0.1g,tid效果欠佳,加量后伴有头晕症状。

三叉神经痛治疗方案中哪项正确?()

A.对于三叉神经任何一支或多支疼痛者均可选择半月神经节药物或射频毁损术

B.三叉神经痛药物治疗主要采用抗癫痫药物,其中以卡马西平为首选药物

C.药物治疗效果欠佳或不耐受时,可采用神经阻滞治疗

D.若抗癫痫药物治疗无效可选择抗痉挛药物巴氯芬

E.外科手术治疗多采用微血管减压术

F.多巴胺受体激动剂在其他药物治疗无效时可以试用

答案

参考答案:A, B, C, D, E

解析:可选择性加用多巴胺受体阻滞剂如匹莫奇特。

多项选择题
单项选择题

Time spent in a bookshop can be most enjoyable, whether you are a book-lover or merely there to buy a book as a present. You may even have entered the shop just to find shelter from a sudden shower. But the desire to pick up a book with an attractive dust-jacket is irresistible. You soon become absorbed in some book or other, and usually it is only much later that you realize that you have spent far too much time there.

This opportunity to escape the realities of everyday life is, I think, the main attraction of a bookshop. There are not many places where it is possible to do this. A music shop is very much like a bookshop. You can wander round such places to your heart’s content. If it is a good shop, no assistant will approach you with the inevitable greeting: "Can I help you, sir" You needn’t buy anything you don’t want. In a bookshop an assistant should remain in the background until you have finished browsing. Then, and only then, are his services necessary.

You have to be careful not to be attracted by the variety of books in a bookshop. It is very easy to enter the shop looking for a book on, say, ancient coins and to come out carrying a copy of the latest best-selling novel and perhaps a book about brass-rubbing -- something which had only vaguely interested you up till then. This volume on the subject, however, happened to be so well illustrated and the part of the text you read proved so interesting that you just had to buy it. This sort of thing can be very dangerous. Booksellers must be both long suffering and indulgent.

There is a story which wei1 illustrates this. A medical student had to read a textbook which was far too expensive for him to buy. He couldn’t obtain it from the library and the only copy he could find was in his bookshop. Every afternoon, therefore, he would go along to the shop and read a little of the book at a time. One day, however, he was dismayed to find the book missing from its usual place and about to leave when he noticed the owner of the shop beckoning to him. Expecting to be reproached, he went toward him. To his surprise, the owner pointed to the book, which was tucked away in a corner. "I put it there in case anyone was tempted to buy it," he said, and left the delighted student to continue his reading.

The textbook the medical student was interested in was tucked away in a corner()

A. to prevent anyone from buying it

B. because the medical student might take it away

C. in case the medical student was tempted to buy it

D. because it was a rare and expensive book