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【单选题】
One of the many theories about alcoholism is the learning and reinforcement theory/which explains alcoholism by considering alcohol ingestion as a reflex response to some stimulus and as a way to reduce an inner drive state such as fear or anxiety. Characterizing life situations in terms of approach and avoidance, this theory holds that persons tend to be drawn to pleasant situations or repelled by unpleasant ones. In the latter case, alcohol ingestion is said to reduce the tension or feelings of unpleasantness and to replace them with the feeling of euphoria generally observed in most persons after they have consumed one or more drinks. Some experimental evidence tends to show that alcohol reduces fear in an approach-avoidance situation. Conger trained one group of rats to approach a food goal and, using aversive conditioning, trained another group to avoid electric shock. After an injection of alcohol the pull away from the shock was measurably weaker, while the pull toward the food was unchanged. The obvious troubles experienced by alcoholic persons appear to contradict the learning theory in the explanation of alcoholism. The discomfort, pain, and punishment they experience should presumably serve as a deterrent to drinking. The fact that alcoholic persons continue to drink in the face of family discord, loss of employment, illness, and other sequels of repeated bouts is explained by the proximity of the drive reduction to the consumption of alcohol that is, alcohol has the immediate effect of reducing tension while the unpleasant consequences of drunken behavior. come only later. The learning paradigm, therefore, favors the establishment and repetition of the resort to alcohol. In fact, the anxieties and feelings of guilt induced by the consequences of excessive alcohol ingestion may themselves become the signal for another bout of alcohol abuse. The way in which the clue for another bout could be the anxiety itself is explained by the process of stimulus generalization: conditions or events occurring at the time of reinforcement tend to acquire the characteristics of stimuli. When alcohol is consumed in association with a state of anxiety or fear, the emotional state itself takes on the properties of a stimulus, thus triggering another drinking bout. The role of punishment is becoming increasingly important in formulating a cause of alcoholism based on the principles of learning theory. While punishment may serve to suppress a response, experiments have shown that in some cases it can serve as a reward and reinforce the behavior. Thus if the alcoholic person has learned to drink under conditions of both reward and punishment, either type of condition may precipitate renewed drinking. Ample experimental evidence supports the hypothesis that excessive alcohol consumption can be learned. By gradually increasing the concentration of alcohol in drinking water, psychologists have been able to induce the ingestion of larger amounts of alcohol by an animal than would be normally consumed. Other researchers have been able to achieve similar results by varying the schedule of reinforcement that is, by requiring the animal to consume larger and larger amounts of the alcohol solutions before rewarding it. In this manner, animals learn to drink enough to become dependent on alcohol in terms of demonstrating withdrawal symptoms. The author's primary purpose in the passage is to ______.
A.
support Alcoholics Anonymous as a means of coping with alcoholism
B.
present a learning paradigm that will help alcoholics to understand what causes their dependence upon alcohol
C.
explain the application of a psychological approach to alcoholism
D.
help researchers to formulate workable hypotheses about the treatment of 'alcoholism
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【简答题】患者,男,35岁,消化性溃疡反复发作l0年,剧烈腹痛突然发作3小时,全腹压痛、反跳痛、肌紧张,x线检查可见膈下游离气体,应诊断为( )
【单选题】患者林某,男,3岁,1周前因急性化脓性扁桃体炎入院治疗,发病后患儿出现高热、烦躁不安、哭闹,扁桃体、颊黏膜等多处出现化脓灶,昨日患儿出现腹泻症状,病原学检测为轮状病毒感染。患儿最有可能发生
A.
环境感染
B.
交叉感染
C.
自身感染
D.
医源性感染
E.
不属于医院感染
【简答题】余额宝开始发行时一个突出特点,是所募集的客户资金绝大多部分投向[填空]
【单选题】男,7岁,反复发热、咳嗽,5~6次/年。多次诊断为化脓性扁桃体炎。恰当的治疗是
A.
扁桃体切除
B.
免疫调节药治疗
C.
纤维支气管镜局部罐洗治疗
D.
抗生素+抗病毒药治疗
E.
肺叶切除
【多选题】记账凭证核算组织程序( )
A.
记账凭证无需汇总,而是直接逐笔登记总分类账
B.
是会计核算形式中最基本的一种组织形式
C.
适用于规模较小、经纪业务量较少的单位
D.
根据记账凭证逐笔登记总账的工作量较大
【多选题】患者,男,12岁。因“发热、咽痛1天”就诊。初步诊断:化脓性扁桃体炎。应用罗红霉素、青霉素控制感染。处方: 罗红霉素胶囊100 mg bid po青霉素80万单位im bid正确的分析为:
A.
青霉素为繁殖期杀菌剂,对生长旺盛的细菌作用强
B.
罗红霉素属大环内酯类抗生素,为快速抑菌剂,能抑制细菌蛋白质的合成
C.
两药合用,使细菌由繁殖期进入静止期,从而减弱青霉素的杀菌作用
D.
氨苄西林与阿奇霉素连用也会发生类似相互影响
【单选题】患者林某,男,3岁,1周前因急性化脓性扁桃体炎入院治疗,发病后患儿出现高热、烦躁不安、哭闹,在扁桃体、颊黏膜等多处出现化脓灶,昨日在下肢又出现新的化脓灶,病原学检测同扁桃体处的化脓灶,均由表皮葡萄球菌引起,新部位的化脓属于
A.
环境感染
B.
交叉感染
C.
自身感染
D.
医源性感染
E.
不属于医院感染
【单选题】摩城公司位于以下哪个城市?()
A.
底特律
B.
纽约
C.
芝加哥
D.
华盛顿
【单选题】摩城公司位于以下哪个城市?()
A.
纽约
B.
底特律
C.
芝加哥
D.
华盛顿
【单选题】患者,男性,23岁,因化脓性扁桃体炎需肌内注射青霉素。当患者侧卧位时,患者采取的正确体位是( )。
A.
下腿伸直,上腿稍弯曲
B.
上腿伸直,下腿稍弯曲
C.
双手抱膝
D.
两腿弯曲
E.
两腿伸直
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