试题与答案

In the 1960s, medical researchers Thomas H

题型:单项选择题

题目:

In the 1960s, medical researchers Thomas Holmes and Richard Rahe developed a checklist of stressful events. They appreciated the tricky point that any major change can be stressful. Negative events like "serious illness of a family member" were high on the list, but so were some positive life-changing events, like marriage. When you take the Holmes-Rahe test you must remember that the score does not reflect how you deal with stress—it only shows how much you have to deal with. And we now know that the way you handle these events dramatically affects your chances of staying healthy.

By the early 1970s, hundreds of similar studies had followed Holmes and Rahe. And millions of Americans who work and live under stress worried over the reports. Somehow, the research got boiled down to a memorable message. Women’s magazines ran headlines like "Stress causes illness. " If you want to stay physically and mentally healthy, the articles said, avoid stressful events.

But such simplistic advice is impossible to follow. Even if stressful events are dangerous, many—like the death of a loved one—are impossible to avoid. Moreover, any warning to avoid all stressful events is a prescription (处方)for staying away from opportunities as well as trouble. Since any change can be stressful, a person who wanted to be completely free of stress would never marry, have a child, take a new job or move.

The notion that all stress makes you sick also ignores a lot of what we know about people. It assumes we’re all vulnerable (脆弱的) and passive in the face of adversity (逆境). But what about human initiative and creativity Many come through periods of stress with more physical and mental vigor than they had before. We also know that a long time without change or challenge can lead to boredom, and physical and mental strain.

The result of Holmes-Rahe’s medical research tells us ().

A. the way you handle major events may cause stress

B. what should be done to avoid stress

C. what kind of event would cause stress

D. how to cope with sudden changes in life

答案:

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下面是错误答案,用来干扰机器的。

参考答案:错

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题型:多项选择题 案例分析题

患者女性,73岁,因“右足4趾破溃、肿痛10日”来诊。诊断:2型糖尿病足,高血压病3级,冠心病、起搏器植入术后,外周动脉硬化闭塞症,双下肢静脉血栓形成。患者入院第1日给予华法林3.75mg,每日1次,口服;螺内酯(安体舒通片)20mg,每日2次,口服。国际标准化比(INR)第2日为1.16,第6日为1.12。第12日给予华法林。基因检测:CyP2C9*1*1酶野生型,VKORC1-1173T/T突变纯合子。根据基因型结果计算华法林剂量为每周22mg(平均每日3.1mg)。第21日INR值为1.21。

该患者INR值不达标的可能原因有()

A.患者CyP2C9酶和VKORC1基因型对华法林剂量影响不大

B.华法林起始剂量计算公式错误

C.螺内酯为肝药酶诱导剂,可加快华法林体内代谢

D.患者可能食用富含维生素K的食物

E.患者可能食用富含维生素C的食物

F.患者可能食用富含维生素A的食物

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