问题 单项选择题

对肾重度损伤患者施行手术时宜采用的切口是()

A.经11肋间切口

B.经12肋下切口

C.腰背部切口

D.经腹切口

E.胸腹联合切口

答案

参考答案:D

解析:肾损伤以闭合性肾损伤最多见。肾挫伤可以自愈;肾部分裂伤一般无须手术治疗,但应绝对卧床,行止血、抗感染等治疗;肾全层裂伤症状明显,均需手术治疗;肾蒂损伤可引起大出血、休克,常来不及诊治即死亡。一旦确诊为严重肾裂伤、肾碎裂及肾蒂损伤,均应尽早经腹施行手术。故本题选D。

完形填空

第二节完形填空(共20小题;每小题1分,满分20分)

It was a cold afternoon. Ginny and I were walking home after work when ___41___a young man asked us, “Do you want a hug?” He carried a ___42___ in his hand which read “Free Hugs”. I looked around and ___43___ there were other young people with him. They all ___44___ their handmade signs high. The message was the ___45___ on all of them---Free Hugs!

“Sure!” Ginny smiled and hugged him with all the ___46___ she had in her heart.

“Wow!” he shouted. “That is the best ___47___ I’ve had all day!”

Then the young man looked at me and ___48___ , “ How about a hug?”

“ You got it!” ___49___ his open arms. We held a hug briefly and parted at once.

Ginny and I stepped back and watched the “free huggers” hug those who ___50___ them. All of the young people ___51___ hugs to anyone.

When the huggers walked on the street ___52___ their signs, most people ignored them or shook their heads to show that they were not ___53___ in what they were doing. But the fact was that those who opened their arms in return, walked away with a ___54___ on their faces.

I felt the ___55___ in my heart, so warm ___56___ it seemed as if it were not a cold winter day. At that time, Ginny and I were going through ___57___ times. We had little money and were ___58___ in debt. We were stressed and ___59___, but that afternoon, for a short moment, we ___60___ all our problems because of a hug with love. It took a simple hug to make everyone smile and make everything better.

41.   A. seriously       B. fortunately C. suddenly      D. immediately

42.   A . sign          B. mark       C. newspaper          D. magazine

43.   A. watched        B. recognized  C. examined     D. noticed

44.   A. held           B . flew       C. carried        D. dropped

45.   A . special         B . same      C. equal         D. common

46.   A. strength        B. power      C. love         D. pity

47.   A . talk           B. rest         C. service        D. hug

48.   A. asked         B. replied           C. ordered      D. commanded

49.   A. came from        B . gave back  C. walked into      D. gave in

50.   A . accepted       B . escaped     C. received      D. disturbed

51    A. replaced        B. refused       C. rewarded     D. offered

52    A. with          B. by          C. under              D. before

53    A. disappointed      B. interested   C. experienced     D. excited

54    A. shame         B. regret      C. shock          D. smile

55    A. warmth         B. surprise     C. truth         D. prize

56    A. what          B. that         C. which          D. as

57    A. easy           B. busy       C. hard         D. ordinary

58    A. seldom          B. hardly      C. nearly         D. mostly

59    A. satisfied        B. dangerous   C. generous      D. worried

60    A. remembered      B. forgot      C. returned      D. arrived

多项选择题 案例分析题

【案例二】:

一般资料:求助者,女性,33岁,公司职员。

案例介绍:求助者结婚十年,因病一直没有生育。丈夫以前对有没有孩子无所谓,现在又改变了态度,说很想有自己的孩子。随年龄的增大求助者的压力很大,担心夫妻感情受到影响。四个月前发现丈夫网恋,为这事和丈夫吵过好多次,接受不了这个现实,很痛苦,主动前来咨询。

下面是心理咨询师与求助者的一段咨询对话:

心理咨询师:你需要我帮你解决什么心理问题呢?

求助者:我现在不知道该怎么办,这种事情也不是对谁都能说的,你能告诉我该怎么办吗?

心理咨询师:你想怎么办呢?

求助者:我不知道,所以来咨询。

心理咨询师:那你现在想想可以吗?

求助者:我想了,但我想不出来。

心理咨询师:那你能详细说说你都想了什么吗?

求助者:他和我结婚的时候一无所有,我为婚姻付出了太多,我父母为我们买了房子,他们自己还住在老房子里。我因病不能生育,无法满足丈夫要孩子的需求。现在丈夫网恋。还不听我的劝阻,让我非常痛苦,对未来缺乏信心。朋友劝我,男人都这样,离婚不一定就好,还会有很多新的矛盾,还是原配的好。我真不知道怎么办才好,我现在都快崩溃了,觉得活着一点意思都没有,我吃不下、睡不着,工作也没精打采,什么事也不想干。我今天来就是想让你告诉

诉我到底该怎么办?

心理咨询师:我很理解你的痛苦,你现在是对离不离婚无法决断,对吗?

求助者:是的,我如果选择不离婚,可我为什么要宽容他呢?是他犯的错误。唉,如果离婚,我又害怕过得还不如现在。

心理咨询师:你目前的婚姻,就像住在一座危房里,你怎么办?

求助者:(沉默)危房?我可以加固、改造,还可以就这么忍着,或者搬走。

心理咨询师:是的,那你作何选择?

求助者:我,我可能会根据哪个有利选哪个。

心理咨询师:对于你刚才的坦率,我很高兴。

求助者:(点点头)

心理咨询师:你现在的冲突,就是因为有好几种选择,每种选择各有利弊,你不是不知道怎么做,你是选择哪个都只要它的利,不要它的弊,是吗?

求助者:好像是这样了,我明白了,您的意思是说我什么都想得到?

心理咨询师:你觉得呢?理性的做法是:接纳我们不能改变的,改变我们可以改变的。

求助者:我懂了,我知道该怎么办了,……您为我解决了一个大难题,以后您就是我的知

心朋友了,有什么想不明白的问题我就给您打电话。

心理咨询师:好吧,我的电话号码是……

“我很理解你的痛苦”,表明心理咨询师对求助者的()。

A.尊重

B.共情

C.诱导

D.同情