患者男，8岁。爱欺负同学，打架、说谎、破坏公物2年。该患儿剖宫_爱下问搜题

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问题单项选择题

患者男，8岁。爱欺负同学，打架、说谎、破坏公物2年。该患儿剖宫产出生，人工喂养，1岁左右会讲话，未经爬行就会走路。母亲反映孩子从小较缠人，爱与父母对抗，喂养困难。皮皮3岁上幼儿园，经常欺负班上的小朋友，抢别人的玩具。当初父母不以为意，还认为自己的孩子能干，将来在社会上不吃亏。孩子上小学后，上课听讲不认真，经常违反课堂纪律，捉弄同学。现读二年级，学习成绩差，与老师、同学关系不好，爱随便拿同学的东西，同学不给，就打同学；破坏学校的公物；说谎；有时偷父母的钱；逃学不上课，在商场、游戏机室游荡；爱顶撞父母，不听管教，甚至打妈妈。检查：孩子神志清晰，对答切题；随便动诊室里的东西，对医生不礼貌。闹着去麦当劳，母亲不同意他就躺在地上哭闹，被医生批评后大发脾气，拍桌子、踢门、打医生。

对其最重要、最有效的治疗方法是

A．抗精神病药物治疗
B．SSRI类药物治疗
C．厌恶治疗
D．系统性家庭治疗
E．人本主义治疗

答案

参考答案：D

解析：品行障碍的儿童，其家庭大多存在家庭教育紊乱，从家庭入手进行系统的心理治疗是最有效的心理治疗手段之一。

阅读理解

Last week, the manager of an old jeweler’s shop received a letter marked “personal”. As he was very busy, the letter lay on his desk till teatime. When he opened it, a $10 note fell out onto his desk. With the note was a short letter. This is what it said:

Dear sir,
I got engaged (订婚的) forty years ago. Unfortunately at that time there was a lot of unemployment and I lost my job. I was out of work for about six months before I got another one. Of course I was very short of money.

I came to your shop to buy a wedding ring one day. The assistant brought some rings for me to have a look, later she was called away, and then I put one of the rings into my pocket. When she came back, I said I did not know the size of my girlfriend’s finger. So I left the shop without paying for the ring. My wife died a month ago, and the fact that I never paid for her ring has been on my conscience (让我良心不安) all these years. I always feel guilty about that. At that time the ring cost $2, and I think that is about five times -- $10 at today’s price.
Now I am sending you that amount.
Yours truly,
A customer

After reading the letter, the manager said, “Well, well, well, life is full of surprise!”
小题1:The ring that the customer put into his pocket was ____ at that time.

小题2:The underlined word “unemployment” means “____” in Chinese.

小题3:How long has the customer’s wife been dead?

D．Two months.

小题4:The customer wrote to the manager in order to ________.

A．return the ring	B．say thanks to him
C．ask him for some advice	D．send the money for the ring

小题5:Which is NOT true according to the passage?

A．The manager opened the letter by himself.

B．The manager thought life was full of surprise.

C．When the customer’s wife knew the fact, she was impatient.

D．The customer always feels sad for not paying for the ring years ago.

单项选择题

妊娠期护理的措施哪项错误

A．积极进行护肝治疗

B．密切监护警惕病情变化

C．给病人以低蛋白、低脂肪、高糖饮食

D．给维生素C和维生素K并注意防治妊高征

E．病情稳定后施行手术，终止妊娠