问题 单项选择题 B型题

肺源性哮喘()。

A.夜间阵发性呼吸困难,不能平卧,咯泡沬痰

B.夜间阵发性呼吸困难,能平卧,咯白黏痰

C.下垂性双下肢对称性水肿

D.晨起面部水肿

E.颈静脉怒张,肝颈回流征阳性

答案

参考答案:B

解析:1.肺源性哮喘特点是:多是由于肺部感染、支气管痉挛等造成,常在呼吸困难同时伴有咳嗽,咯白色黏液性痰,部分病人感呼吸困难,呼吸加快,但仍能平卧。2.心源性水肿主要由于右心功能不全,外周静脉系统瘀血,因此水肿出现的特点是从身体的低垂部位开始,临床上一般部是从双下肢对称性水肿开始。3.心源性哮喘的特点是由于左心功能不全,导致肺静脉压力增高,肺毛细血管楔压增高,致使血管内血浆成分向肺泡内渗出,因此在呼吸困难同时常咯泡沫痰。4.肾性水肿的基本机制是水、钠潴留,毛细血管静水压增高。因此,水肿常先从组织疏松部分开始。临床上出现晨起颜面部分水肿。

单项选择题
问答题

A Frenchman, the psychologist Alfred Binet, published the first standardized test of human intelligence in 1905. (46)But it was an American, Lewis Terman, a psychology professor at Stanford, who thought to divide a_test taker’s "mental age," as revealed by that score, by his or her biological age to derive a number that he called "IQ". It would be hard to think of a pop-scientific coinage that has had a greater impact on the way people think about themselves and others.

(47)No country: embraced the IQ more thoroughly than the U.S., where millions of people have their IQ measured annually, many with a direct descendant of Binet’s original test, although not necessarily for the purpose Bin et intended. He developed his test as a way of identifying public school students who needed extra help in learning, and that is still one of its leading uses.

But the broader and more controversial use of IQ testing has its roots in a theory of intelligence—part science, part sociology—that developed in the late 19th century, before Binet’s work and entirely separate from it. (48)Championed first by Charles Darwin’s cousin Francis Galton, it held that intelligence was the most valuable human attribute, and that if people who had a lot of it could be identified and put in leadership positions, all of society would benefit.

Terman believed IQ tests should be used to conduct a great sorting out of the population, so that young people would be assigned on the basis of their scores to particular levels in the school system, which would lead to corresponding socioeconomic destinations in adult life. The beginning of the IQ-testing movement overlapped with the eugenics movement—hugely popular in America and Europe among the "better sort".

In 1958 a British sociologist named Michael Young coined the word "meritocracy" to denote a society that organizes itself according to IQ-test scores. Terman and many other early advocates of IQ testing had in mind the creation of an American meritocracy, though the word didn’t exist then. (49)They believed IQ tests could be the means to create, for the first time ever, a society in which advantage would go to the people who deserved it rather than to those who had been born into it.

In order to believe this, though, you have to believe that merit and a score on an IQ test are the same thing. (50)Long before IQ was invented, America prided itself on beinga country without a class system, in which people of talent and industry would rise and be rewarded. The advent of intelligence tests did not dramatically affect the degree of social mobility in the U.S.—at least not enough for any change to show up in the social-science data.

(48)Championed first by Charles Darwin’s cousin Francis Galton, it held that intelligence was the most valuable human attribute, and that if people who had a lot of it could be identified and put in leadership positions, all of society would benefit.