问题 单项选择题 A1型题

肛门突然出现黯紫色痛性肿块()

A.肛周脓肿

B.混合痔

C.血栓性外痔

D.肛裂

E.肛瘘

答案

参考答案:C

解析:血栓性外痔是临床多发病,常因过食辛辣刺激食物,肛周皮下静脉破裂,血液淤积皮下而成。临床常以患者自觉肛门肿胀、疼痛有异物感为主症,检查可见肛周或肛管皮下有葡萄状黯紫色肿物,有时伴表面轻度糜烂出血。故题1选C。肛裂是以肛门周期性疼痛,即排便时阵发性刀割样疼痛,便后数分钟缓解,随后又持续剧烈疼痛可达数小时,伴有习惯性便秘,便时出血为主要表现的疾病。故题2选D。

单项选择题
问答题

There is a marked difference between the education which every one gets from living with others and the deliberate educating of the young. In the former case the education is incidental; it is natural and important, but it is not the express reason of the association. (46) It may be said that the measure of the worth of any social institution is its effect in enlarging and improving experience, but this effect is not a part of its original motive. Religious associations began, for example, in the desire to secure the favor of overruling powers and to ward off evil influences; family life in the desire to gratify appetites and secure family perpetuity; systematic labor, for the most part, because of enslavement to others, etc. (47) Only gradually was the by-product of the institution noted, and only more gradually still was this effect considered as a directive factor in the conduct of the institution. Even today, in our industrial life, apart from certain values of industriousness and thrift, the intellectual and emotional reaction of the forms of human association under which the world’s work is carried on receives little attention as compared with physical output.

But in dealing with the young, the fact of association itself as an immediate human fact, gains in importance. (48) While it is easy to ignore in our contact with them the effect of our acts upon their disposition, it is not se easy as in dealing with adults. The need of training is too evident and the pressure to accomplish a change in their attitude and habits is too urgent to leave these consequences wholly out of account. (49) Since our chief business with them is to enable them to share in a common life we cannot help considering whether or not we are forming the powers which will secure this ability. If humanity has made some headway in realizing that the ultimate value of every institution is its distinctively human effect we may well believe that this lesson has been learned largely through dealings with the young.

(50) We are thus led to distinguish, within the broad educational process which we have been so far considering, a more formal kind of education—that of direct tuition or schooling. In undeveloped social groups, we find very little formal teaching and training. These groups mainly rely for instilling needed dispositions into the young upon the same sort of association which keeps adults loyal to their group.

(50) We are thus led to distinguish, within the broad educational process which we have been so far considering, a more formal kind of education—that of direct tuition or schooling.