问题 单项选择题 案例分析题

患者女性,28岁,自述怀孕3周时患感冒、发热。孕15周时查血甲胎蛋白(AFP)浓度明显增高。孕20周时B超显示胎头形态异常,呈现柠檬状;小脑延长向下,弯曲成香蕉状;腰椎有一处椎板缺损,局部有一小的囊状膨出。

提示:出生后发现患儿头围较大、囟门胀满,头皮静脉怒张;腰部有一鸽卵大小之包块,质软,局部皮肤健全。磁共振检查诊断为脑积水、脊柱裂(腰4椎板裂)、脊髓脊膜膨出、脊髓脂肪瘤、脊髓栓系综合征。患儿满月时来院复诊,见其腰部包块如鸡蛋大小,哭闹时略有增大,包块透光性尚可。患儿神经学检查未见异常。治疗原则正确的是()

A.只治疗脑积水,暂不适宜治疗脊柱裂

B.小儿3个月时手术为宜

C.完全切除脊髓脂肪瘤,以达到脊髓栓系完全松解

D.在蛛网膜与软脊膜之间显露脊髓和神经根

E.切除膨出囊宜选用皮肤横行切口

F.脊柱裂修补手术同时做脑积水分流手术

答案

参考答案:F

阅读理解

The $11 billion self-help industry is built on the idea that you should turn negative thoughts like “I never do anything right” into positive ones like “I can succeed”. But was positive thinking advocate Norman Vincent Peale right? Is there power in positive thinking?

Researchers in Canada just published a study in the journal Psychological Science that says trying to get people to think more positively can actually have the opposite effect: it can simply highlight how unhappy they are.

The study's authors, Joanne Wood and John Lee of the University of Waterloo and Elaine Perunovic of the University of New Brunswick, begin by citing (引证) older research showing that when people get feedback which they believe is overly positive, they actually feel worse, not better. If you tell your friend who is slow to learn that he has the potential of an Einstein, you’re just underlining his faults. In one 1990s experiment, a team including psychologist Joel Cooper of Princeton asked participants to write essays against funding for the disabled. When the essayists were later praised for their sympathy, they felt even worse about what they had written.

In this experiment, Wood, Lee and Perunovic measured 68 students’ self-esteem (自尊). The participants were then asked to write down their thoughts and feelings for four minutes. Every 15 seconds, one group of students heard a bell. When it rang, they were supposed to tell themselves, “I am lovable.”

Those with low self-esteem didn’t feel better after the forced self-affirmation (自我肯定). In fact, their moods turned significantly darker than those of members of the control group, who weren’t urged to think of positive thoughts.

The paper provides support for newer forms of psychotherapy (心理治疗) that urge people to accept their negative thoughts and feelings rather than fight them. In the fighting, we not only often fail but can make things worse. Meditation (静思) techniques, in contrast, can teach people to put their shortcomings into a larger, more realistic viewpoint. Call it the power of negative thinking. 

小题1:The first paragraph is written _________.

A.to raise an argument about positive thinking

B.to introduce the power of positive thinking

C.to encourage people to have positive thoughts

D.to introduce the $11 billion self-help industry小题2:According to the study of the Canadian researchers, _________.

A.positive thinking is not as powerful as negative thinking

B.encouraging positive thinking may actually discourage people

C.happy people can think positively while unhappy people can’t

D.getting people to think positively can strengthen their confidence小题3:What does the underlined sentence in Paragraph 3 mean?

A.You are pointing out the mistakes he has made.

B.You are reminding him that he is not intelligent.

C.You are not taking his mistakes seriously enough.

D.You are showing he has great potential in spite of faults.小题4:We can learn from the last paragraph that _________.

A.negative feelings must be got rid of

B.there’s no point in thinking positively

C.it doesn’t make sense to think negatively

D.negative thinking is not always negative

单项选择题