问题 多项选择题 案例分析题

病历摘要:患者男性,45岁,常年在外搞装修,嗜烟酒,有不洁性生活史。三个月前出现近事遗忘,经常出门忘记上锁,关灯等,不修边幅,有时自言自语或暗自发笑。做事情注意力易分散,性格孤僻,常与陌生人打招呼,似乎是老朋友。近一个月,情绪低落,不思饮食。行走易跌倒。查神志清楚,构音欠清,情绪欣快,虚构,记忆力,计算力,定向力差,双侧瞳孔不等,左侧2mm,右侧1.5mm,光反射消失,调节反射存在。舌肌震颤,双手轻微震颤,双下肢肌力4级,肌张力低,腱反射活跃,左侧Babinski征(+),Romberg征(+)。左半身痛觉减退。脑膜刺激征(-)。

有关先天性神经梅毒的表述哪些是正确的()

A.妊娠4~7个月由母体传给胎儿

B.可见于所有类型的神经梅毒

C.有脑积水表现

D.可有瘫痪

E.可有语言障碍

F.可有间质性角膜炎

G.畸形牙齿

H.听力障碍

答案

参考答案:A, B, C, D, E, F, G, H

选择题
阅读理解

阅读理解

      It's true that teens don't get enough sleep, but changing the school starting time would have a chaotic_

effect and throw everyone off balance.

      Scientists have shown that teens are more active later at night than children and adults, so most teens

are probably staying up later for whatever reasons."The researchers measured the presence of the

sleeppromoting hormone (荷尔蒙) in teenagers' saliva (唾液) at different time of the day.They learned

that the hormone levels rise later at night than they do in children and adults-and remain at a higher level

later in the morning.Measuring the hormone in the saliva is a good way to show that most teens have

sleep problems, but changing school schedules isn't the best way to fix this.Most people arguing against

changing school schedules would say that it would only cause teens to stay up and wake up later, thus

leaving them with the same problem.

     The biggest problem schools would come across from changing their schedules would be the after

school and job conflicts students and teachers would meet."Teachers reported that students were more

alert, and research showed that afterschool sports and jobs would suffer.Students in that area might have

been able to deal with less time for jobs and sports somehow, but some of them have practice and earlier plans that would become conflicted if this change were to occur.Most students rarely have time to play a

sport and do homework before 9 or 10 o'clock.Opening schools later may have worked for some areas,

but the reality is often very different.

1. The meaning of the underlined word "chaotic"in the 1st paragraph is close to________.

A. positive  

B. apparent

C. negative 

D. ambiguous

2. Most teens have sleep problems because________.

A. they are more active than children and adults

B. school work takes up most of their time

C. their hormone levels are higher later at night

D. they probably like staying up for no reason

3. Which of the following is TRUE according to the passage?

A. There are many conflicts between students and teachers.

B. Some of the teachers have practice and earlier plans.

C. Most students are able to do sport and homework before 9?00.

D. Ways to solve students' sleep problem vary from area to area.

4. The passage mainly develops by________.

A. giving reasons  

B. showing examples

C. comparing facts  

D. offering solutions