问题 单项选择题 A3型题

患儿女,12岁。以"反复咳嗽、咳痰伴发热8年"入院。患儿8年前在玩耍时突然出现剧烈咳嗽、憋气、嘴唇发绀,稍后上述症状自行缓解。于3天后出现发热、咳嗽、咳痰,为刺激性阵咳,伴少量白色黏痰,当地医院诊断为支气管肺炎、肺结核予以抗炎、抗结核治疗症状反复发作。查体,T37.3℃,P86次/分,R24次/分,BP80/60mmHg,神志清,精神差,发育欠佳,营养不良,右肺第3肋以下呼吸音减弱,可闻及少量湿啰音,心音有力,无杂音。

最需要进一步明确的是()

A.院外治疗经过

B.家庭和生活环境状况

C.发病时有无异物吸入

D.X线

E.有无过敏史

答案

参考答案:D

问答题 简答题
单项选择题

Young girls at high risk for depression appear to have a malfunctioning reward system in their brains, a new study suggests. The finding comes from research that (1) a high-risk group of 13 girls, aged 10 to 14, who were not depressed but had mothers who (2) recurrent depression and a low-risk group of 13 girls with no (3) or family history of depression. Both groups were given MRI brain (4) while completing a task that could (5) either reward or punishment.

(6) with girls in the low-risk group, those in the high-risk group had (7) neural responses during both anticipation and receipt of the reward. (8) , the high-risk girls showed no (9) in an area of the brain called the dorsal anterior cingulated cortex (背侧前扣带皮质), believed to play a role in (10) past experiences to assist learning.

The high-risk girls did have greater activation of this brain area (11) receiving punishment, compared with the other girls. The researchers said that this suggests that high-risk girls have easier time (12) information about loss and punishment than information about reward and pleasure.

"Considered together with reduced activation in the striatal (纹状体的) areas commonly observed (13) reward, it seems that the reward-processing system is critically (14) in daughters who are at elevated risk for depression, (15) they have not yet experienced a depressive (16) ," wrote Ian H. Gotlib, of Stanford University, and his colleagues. " (17) , longitudinal studies are needed to determine whether the anomalous activations (18) in this study during the processing of (19) and losses are associated with the (20) onset of depression," they concluded. The study was published in the April of the Archives of General Psychiatry.

7()

A.per

B.weaker

C.lower

D.higher