问题 多项选择题 案例分析题

患者男性,39岁,已婚,因“头痛伴进行性视力下降3个月”入院。患者3个月前无明显原因出现慢性头痛,有恶心,不伴呕吐,间断发热。双眼视力进行性下降,且持续发热,颅脑CT未显示颅内和鞍区占位,但显示脑室变狭小,颅脑X线片显示指压痕。查体:意识清楚,言语流利,双瞳孔等大同圆,光反射(+),双眼底水肿,神经病理征(-)。既往史:无外伤,无结核等慢性疾病史,无不洁性交史。无家族性疾病史。

提示:眼科确定患者双侧视神经萎缩,双目失明。腰椎穿刺脑脊液涂片、培养未发现厌氧菌及其他微生物,抗酸染色阴性,颅内压增高达520mmHg(1mmHg=0.133kPa),白细胞数50×109/L,蛋白含量0.52g/L(升高),葡萄糖含量1.6mmol/L(下降);血常规:白细胞数10.97×109/L,中性粒细胞0.703(略升高);HIV、血清学梅毒指标阴性;影像学未见颅内占位和强化表现,但脑室狭小。结合以上描述,该患者的治疗措施是()

A.继续降低颅内压、必要时可间断腰椎穿刺放脑脊液

B.广谱抗生素经验性治疗

C.开颅去骨瓣减压术

D.全身营养支持

E.试验性抗真菌治疗

F.颅内压急骤升高时,请脑外会诊,探讨能否行脑室穿刺外引流

答案

参考答案:A, B, D, E, F

问答题
阅读理解

阅读理解

     Successful people in international business understand the cultures of other countries and learn to

change their practices in different cultures.They understand the importance of avoiding business decisions

based on misconceptions-mistaken ideas.

     One cause of misconceptions is ethnocentrism, the belief that one's own culture's way of doing things is better than the way of other cultures.It's ethnocentrism that leads to failure in international business.To

avoid ethnocentrism, it's necessary to study the different elements(组成部分) of culture: language, values

and attitudes,and customs and manners.

     Language

     A knowledge of the local language can help international business people in four ways.First, people can communicate directly.Second, people are usually more open in their communication with someone who

speaks their language.Third, an understanding of the language allows people to infer meanings that are not

said directly.Finally, knowing the language helps people to understand the culture better.

     Values and Attitudes

     Values are people's basic beliefs about the difference between right and wrong, good and bad.An

attitude is a way of thinking or acting.Values and attitudes influence international business.For example,

many people in the United States believe that chocolate from Switzerland is better than chocolate from

other countries, and they buy a lot of it.

     Customs and Manners

     Customs are common social practices.Manners are ways of acting that the society believes are polite.

For example, in the United States, it is the custom to have salad(色拉) before the main course at dinner,

not after.It's not acceptable to talk with food in mouth at table.Failure to understand the customs and

manners of other countries will bring difficulty selling their products.Orange juice as a breakfast drink of

an American company in France doesn't sell well because the French don't usually drink juice with

breakfast.

1. A knowledge of the local language allows international business people ________.

A. to be more open with their customers

B. to communicate without outside help

C. to express their thoughts indirectly

D. to have a better idea of their own culture

2. The act of many people buying chocolate of Switzerland shows the role of ________.

A. manners  

B. values

C. attitudes  

D. customs

3. What would be the best title for the text?

A. Misconceptions in Business

B. Basic Beliefs in Business

C. International Business Culture

D. Successful International Business

4. The author's purpose of writing this article is to tell people ________.

A. how to take a right attitude in business

B. how to avoid misunderstandings in business

C. how to use a local language in business

D. how to act politely and properly in business