问题 单项选择题

[案例] 患者,男性20岁,全身瘙痒月余,当地医院拟为皮炎或湿疹治疗无效,且皮损加重,夜间瘙痒明显。人院体检:皮损以腹部、大腿内侧为明显,表现为散在的针头大小红色或皮色丘疹,部分结痂少许渗出,手指间渗出明显,阴囊、包皮可见散在丘疹、结节。家中多人类似皮损。

根据上述资料你给出的诊断是()

A.湿疹

B.痒疹

C.螨皮炎

D.疥疮

E.丘疹性荨麻疹

F.神经性皮炎

答案

参考答案:D

解析:

按皮炎、湿疹治疗无效证明本病为过敏性疾病的可能性不大,而螨皮炎多发于暴露部位,本例阴囊、包皮均受累,故疥疮诊断符合。

选择题
阅读理解

Compulsive(强迫的)shoppers may have a new psychological excuse to blame for their wild shopping. Psychologists at the University of Canterbury in New Zealand are studying the “shop-till-you-drop” habit as a behavioral disorder similar to compulsive eating. Compulsive shoppers frequently buy more than they can afford or more than they need, and it causes them distress(苦恼).

“It becomes a problem when you are out of control,” psychology lecturer Neville Blampied said. “When you are feeling bad and blue, what do you do? Some people eat chocolate cake and ice cream. Some people take the credit card and go out to the shop.” Bank managers understand the problem because they have to deal with people who have to be persuaded to stop using their cards drawing money.

Compulsive shopping was first discovered in 1915, although it was then known as monomania. Few studies have been done on the problem.

An advertisement in a Christchurch paper, calling for people to take part in an experimental treatment program designed by Mr. Wilson, attracted 10 replies. But the problem, said Mr. Wilson, is “clearly not rare”. He thinks that compulsive shopping should be treated with drugs. “As psychologists we are interested in non-drug treatments for behavioral difficulties,” Mr. Wilson said.

Compulsive eaters or shoppers get a kick from their habit. “Both activities provide an immediate kind of kick and you feel a bit better,” he said. “You have long-term problems, but human beings are extremely good at not seeing long-term problems and are very sensitive to short-term benefits,” he said.

The aim of the treatment was to help people find better ways of managing their emotions. The program, consisting of 10 one-hour weekly lessons and two follow-up treatments, is loosely based on teaching stress management.

“You often have to start to get people to correctly recognize their emotions. Not being able to know what you really feel weakens your ability to solve the problems connected with what’s making you feel that way,” Mr. Wilson said.

小题1:The compulsive shoppers will go shopping when ______.

A.they have lots of money

B.they are taking drugs

C.they are feeling sad

D.they win a prize小题2:The underlined word “it” in the first paragraph most probably refers to __________.

A.compulsive eating

B.a new psychological excuse

C.the study done by Blampied

D.the behavior of wild shopping小题3:Which of the following is considered important in treating compulsive shoppers?

A.Teaching them to manage their money better.

B.Teaching them to understand their emotions.

C.Persuading them not to draw money from the bank.

D.Treating them with right drugs.小题4:When the writer says that compulsive shoppers get a kick from their habit, he means that they __________.

A.feel distressed after their wild shopping

B.feel better after treatment from psychologists

C.are better able to deal with stress problems

D.have a feeling of excitement after shopping