某患者由于使用青霉素后引起四肢厥冷、呼吸困难，皮肤血管扩张、血压下降、昏迷，抢救时应

某女，18岁，智力正常。高三学生，今年毕业，被保送到大学。近半年来经常为一些事情无端担心焦虑，前来咨询。
(咨询片段)
咨询师：你出什么事了，说吧。
求助者：我被保送上了大学，别的同学都很羡慕我，爸爸、妈妈也觉得我可以轻松轻松了。可是不知道为什么，我反而就是轻松不下来，更开心不起来。
咨询师：本来应该是轻松和开心的事情，你却开心不起来。
求助者：是啊，我老是有一些莫名其妙的想法，坐立不安的，担心会发生很多可怕的事情，担心我家人是否身体健康、怕有灾难降临、不知道自己将来会怎么样，而且看到一些特别的字眼或图片就特别担心。(停顿一会儿)
咨询师：是什么样的字眼、图片呢
求助者：嗯……比方说“地震”啊、“死”啊什么的。
咨询师：你能够具体说说是怎么回事么
求助者：这种担心已经半年多了，每次我都尽力避开这些文字啊，图片啊，镜头啊。又不敢跟父母亲讲，怕他们不理解，骂我，后来跟一个好友讲了，好友说：“这有什么好怕的，勇敢点。”可我还是担心和害怕。
咨询师：你尽量避开相关的东西，但还是很担心害怕，原来挺爱看书的，现在也没什么心情学习了。
求助者：嗯，每次想到都觉得很难受，好像血液一下子全往头上涌似的，胃也难受极了。除了这个以外，我每天还老是睡不好觉，躺在床上就会胡思乱想，有时候想：“我是谁我为什么活着人为什么要活着”照着镜子的时候，我又想：“是的，我占据了这个肉体。”跟别人说话，我也会怀疑说话的是不是我。
咨询师：你感到很难受，睡不好觉，可还是总会想。
求助者：我现在情绪总是很差，提不起精神，觉得生活很无聊，常常有无名的压抑和痛苦，甚至有时会突然想到死。我现在很怕一个人呆着，怕自己会控制不住做出什么。
咨询师：你现在的状况，是因为情绪过于压抑，精神过于紧张而造成的，你能不能告诉我，你平时是如何要求自己的
求助者：我一直都对自己要求很严，不允许自己犯一点点小错或表现出软弱。从小我一直希望自己活得更有意义一些，我尽量把每分钟都过得很好，很充实!我对自己要求很多，害怕浪费生命。
咨询师：那么你一直都做到了么
求助者：几乎是的，我的成绩一直很好，班级工作也很出色。不过……(停顿一会儿)，高2那年我得了心肌炎,住了很长时间医院。那段时间我过得很不好。
咨询师：嗯,过得不好，嗯……讲下去。
求助者：我住院期间曾经资助过一个患绝症的男孩，通过和他的接触我知道他的家庭太缺乏爱，父母根本就不像报道里所说的那样关心他,我渐渐知道他的心里很苦，就常去陪他让他开心，……他说我的出现让他第一次觉得有人真正地关心他……可是他病得太严重了,一直到最后都没有好。(哭泣)
咨询师：对他的离开你感到非常的伤心和无助。
求助者：是啊，一个美好的生命就这样轻易枯萎下去了!后来我就觉得自己很软弱，常常会担心“死亡”，想我到底是谁,为什么要活着。……

总分	总均分	阳性项目数	躯体化	强迫症状	人际关系敏感	抑郁	焦虑	敌对	恐怖	偏执	精神病性
127	1.44	48	1.08	2.2	0.11	1.76	3.2	0.67	1.71	0.67	0.8

在以后咨询中，咨询师在进一步了解相关资料和问题后,为求助者建立焦虑等级量表，把她对于死亡的焦虑分为7级，配合放松训练和家庭作业，得到较好的效果。

遇到这样的求助者心理咨询师可以( )。

A．转介到精神病科

B．药物治疗

C．实施咨询过程

D．有困难时转介给上级咨询师

物流企业在制订客户开发策略时，需要分析______。

A．物流市场分析

B．消费者分析

C．物流产品分析

D．成本分析

E．物流政策分析

《药品管理法》中劣药的定义及按劣药论处的情形？

阅读理解。      根据短文内容，从短文后的选项中选出能填入空白处的最佳选项。选项中有两项为多余选项。

How to Do Well in Exams      Do not underestimate the power of revision in the days and hours before an examination. The closer you are to the exam, the more chance you have of storing and retaining crucial information. But do not overdo it. _1_ An effective daily routine can help you through an exam period, so in the days leading up to your first exam, get into the habit of being up and ready to work by game. It can be a shock to the system after months of working to your own timetable to be mentally alert at that time if you have not prepared for it.      On the day of the exam, have a good breakfast, pack two of everything you need (pens, pencils, erasers, etc.),then make your way to the examination hall in good time. _2_.      Once in your seat, simply pause for a few seconds and collect your thoughts. Close your eyes and take in a few slow, deep breathes to help you relax. When you turn over the test paper, spend a short period reading through all the instructions and questions, paying particular attention to key verbs such as "discuss", "compare" and "evaluate"._3_ It is wise always to allow for 10 minutes at the end of the exam to give yourself time to go back over your answers. Once you have selected the questions you wish to tackle, begin by attempting the one you think is your strongest. It will give you more confidence when you see a well-answered question down on paper. Also remember to write clearly, and do not be afraid to express the unexpected: after all, examiners can get very bored marking stereotypical answers.      _4_If you do need something else focus on to help collect your thoughts, choose a fixture in the room, such as the ceiling or anything else that will not allow you to be distracted (分神).      Finally, once you have finished, never hang around outside afterwards to attend the discussion by other students._5_

A. Do not arrive too early, though, as other people's anxiety can be contagious (会传染的),      and you may suffer from undue panic. B. Try not to be tempted to look at those around you, or at the clock. C. When you get home, read the examination paper through and look up all the words you      didn't understand.   D. Sleep, exercise and relaxation are all just as important. E. Map out a quick plan of points you wish to make and how much time you should     spend on each question. F. Go and have a well-earned rest, then prepare for your next exam G. Underestimate the test in your mind.

正常肝脏触诊的硬度类似于触及( )

A．鼻尖
B．口唇
C．耳廓
D．前额
E．胸骨