问题 单项选择题 案例分析题

男性,68岁,发热伴咳嗽1周,表情淡漠,气急,近2天全身散在出血点及瘀斑,血压8/5.3kPa(60/40mmHg),血红蛋白120g/L,白细胞12×109/L,血小板30×109/L,血涂片可见少量红细胞碎片,凝血酶原时间18秒(对照13秒),骨髓穿刺示增生活跃,巨核细胞多。

最可能的诊断是()

A.急性白血病

B.再生障碍性贫血

C.Evans综合征

D.DIC

E.过敏性紫癜

答案

参考答案:D

单项选择题

Modern industrial society grants little status to old people. In fact, such a society has a system of built-in obsolescence. There is no formal system for continuing our education throughout our life in order to keep up with rapidly changing knowledge. When our education and job skills have grown obsolete, we are treated exactly like those who have never gained an education or job skills and are not encouraged or given the opportunity to begin anew.As a society becomes more highly developed, the overall status of older people diminishes. Improved health technology creates a large pool of old people, who compete for jobs with the young. However, economic technology lowers the demand for workers and creates new jobs for which the skills of the aged are obsolete, forcing older people into retirement. At the same time, young people are being educated in the new technology and are keeping pace with rapid changes in knowledge. Finally, urbanization creates age-segregated neighborhoods. Because the old live on fixed incomes, they must often live in inferior housing. All these factors — retirement, obsolete knowledge and skills, inferior standards of living — lower the status of the aged in society.A century ago, when one could expect to live only to 50 or so, the life span more or less coincided with the occupation and family cycle. But today the average life span allows for fifteen to twenty years of life after these cycles. It appears that our life span is outpacing our usefulness in society.

The author’s attitude toward the aged is________.

A.realistic

B.optimistic

C.pessimistic

D.sympathetic

多项选择题