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【单选题】

Americans Decrease Increasingly, historians are blaming diseases imported from the Old World for the staggering disparity(不同) between the indigenous (本土的) population of America in 1492—new estimates of which soar as high as 100 million, or approximately one-sixth of the human race at that time—and the few million full-blooded Native Americans alive at the end of the nineth century. There is no doubt that chronic disease was an important factor in the precipitous(险峻的) decline, and it is highly probable that the greatest killer was epidemic disease, especially as manifested in virgin-soil () epidemics. Virgin-soil epidemics are those in which the populations at risk have had no previous contact with the diseases that strike them and are therefore immunologically(免疫学的) almost defenseless. That virgin-soil epidemics were important in American history is strongly indicated by evidence that a number of erous maladies(病)—small pox, measles(麻疹) ,malaria(疟病), yellow fever, and undoubtedly several more— were unknown in the pre-Columbian New World. The effects of their sudden introduction are demonstrated in the early chronicles of America, which contain reports of horrendous (可怕的) epidemics and steep population declines, confirmed in many cases by recent equantitative yses of Spanish tribute records and other sources. The evidence provided by the documents of British and French colonies is not as definitive because the conquerors of those areas did not establish permanent settlements and begin to keep continuous records until the sieth century, by which time the worst epidemics had probably already taken place. Furthermore , the British tended to drive the native populations away, rather than enslaving them as the Spaniards did, so that the epidemics of British America occurred beyond the range of colonists direct observation. Even so, the surviving records of North America do contain references to deadly epidemics among the indigenous population. In 1616—1619 an epidemic, possibly of bubonic or pneumonic (肺的) plague (瘟疫), swept coastal New England, killing as many as nine out of ten. During the 1630’’s small-pox, the disease most fatal to the Native American people, eliminated half the population of the Huron and Iroquois confederations. In the 1820’’s fever devastated the people of the Coulumbia River area, killing eight out of ten of them. Unfortunately, the documentation of these and other epidemics is slight and frequently unreliable, and it is necessary to supplement what little we do know with evidence from recent epidemics among Native Americans. For example, in 1952 an outbreak of measles among the Native American inhabitants of Ungava Bay. Quebec, affected 99 percent of the population and killed 7 percent, even though some had the benefit of modern medicine. Cases such as this demonstrate that even diseases that are not normally fatal can have devastating consequences when they strike an immunologically defenseless community. The author implies which of the following statements about measles

A.
It is not usually a fatal disease.
B.
It ceased to be a problem by the sieth century.
C.
It is the disease most commonly involved in virgin-soil epidemics.
D.
It was not a significant problem in Spanish colonies.
题目标签:麻疹瘟疫免疫学
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【单选题】急淋白血病免疫学类型中,预后较差的类型为

A.
伴有髓系标志的急淋白血病
B.
早期前B细胞型
C.
成熟B细胞型
D.
普通B细胞型
E.
前B细胞型

【单选题】麻疹的接种月龄为:

A.
1个月
B.
3个月
C.
5~6个月
D.
8个月

【单选题】关于麻疹正确的是()

A.
潜伏期2~10天,平均4天
B.
自发病前2天至出诊后5天内,鼻、口咽、气管的分泌物中都含有病毒
C.
恢复期带病毒
D.
易感者接触患者后均会发病,病后有持久免疫力
E.
近年发病年龄前移

【单选题】传染病的免疫学检查不包括()

A.
特异性抗原、抗体检测
B.
免疫标记技术
C.
免疫球蛋白检测
D.
PCR方法检测细菌、病毒DNA或RNA技术
E.
T细胞亚群

【单选题】下列哪项不属于瘟疫与温病的区别点?()

A.
流行的大小
B.
发病的缓急
C.
病情的轻重
D.
传染的强弱
E.
伤阴的程度

【单选题】最有利于早期诊断麻疹的表现是

A.
皮疹特点
B.
结膜充血
C.
淋巴结肿大
D.
柯氏斑
E.
肺部湿性罗音

【单选题】免疫学异常的特征是()

A.
选择性T细胞缺乏,CD4+/CD8+比值下降
B.
迟发性皮肤的过敏反应减弱或丧失
C.
血清中IgG升高
D.
血清中IgG下降
E.
补体检测不出

【单选题】风疹与麻疹的主要鉴别点是

A.
全身症状轻
B.
皮疹为全身性分布
C.
呈充血性斑丘疹
D.
皮疹1日内出齐
E.
外周血白细胞减少

【单选题】麻疹的隔离期是

A.
隔离到起病后1周
B.
隔离到出疹后1周
C.
无并发症隔离到出疹后5天,有并发症隔离到出疹后10天
D.
隔离到疹退后10天

【多选题】有的人终生不患麻疹的原因()

A.
曾接种麻疹疫苗而获免疫力
B.
曾使用过白蛋白
C.
隐性感染获得终生免疫
D.
先天性免疫
E.
每次流行期间使用丙种球蛋白

【单选题】Burnet对免疫学的重大贡献是

A.
首次用无毒牛痘预防天花
B.
首次提出克隆选择学 说
C.
首次建立单克隆抗体技术
D.
首次提出免疫调节学说
E.
首次发现免疫耐受
相关题目:
【单选题】急淋白血病免疫学类型中,预后较差的类型为
A.
伴有髓系标志的急淋白血病
B.
早期前B细胞型
C.
成熟B细胞型
D.
普通B细胞型
E.
前B细胞型
【单选题】麻疹过程中最易出现的逆证是()
A.
喉痹
B.
肺炎喘嗽
C.
惊风
D.
心悸
E.
水肿
【单选题】麻疹的接种月龄为:
A.
1个月
B.
3个月
C.
5~6个月
D.
8个月
【单选题】关于麻疹正确的是()
A.
潜伏期2~10天,平均4天
B.
自发病前2天至出诊后5天内,鼻、口咽、气管的分泌物中都含有病毒
C.
恢复期带病毒
D.
易感者接触患者后均会发病,病后有持久免疫力
E.
近年发病年龄前移
【单选题】传染病的免疫学检查不包括()
A.
特异性抗原、抗体检测
B.
免疫标记技术
C.
免疫球蛋白检测
D.
PCR方法检测细菌、病毒DNA或RNA技术
E.
T细胞亚群
【单选题】下列哪项不属于瘟疫与温病的区别点?()
A.
流行的大小
B.
发病的缓急
C.
病情的轻重
D.
传染的强弱
E.
伤阴的程度
【单选题】最有利于早期诊断麻疹的表现是
A.
皮疹特点
B.
结膜充血
C.
淋巴结肿大
D.
柯氏斑
E.
肺部湿性罗音
【单选题】免疫学异常的特征是()
A.
选择性T细胞缺乏,CD4+/CD8+比值下降
B.
迟发性皮肤的过敏反应减弱或丧失
C.
血清中IgG升高
D.
血清中IgG下降
E.
补体检测不出
【单选题】风疹与麻疹的主要鉴别点是
A.
全身症状轻
B.
皮疹为全身性分布
C.
呈充血性斑丘疹
D.
皮疹1日内出齐
E.
外周血白细胞减少
【单选题】麻疹的隔离期是
A.
隔离到起病后1周
B.
隔离到出疹后1周
C.
无并发症隔离到出疹后5天,有并发症隔离到出疹后10天
D.
隔离到疹退后10天
【多选题】有的人终生不患麻疹的原因()
A.
曾接种麻疹疫苗而获免疫力
B.
曾使用过白蛋白
C.
隐性感染获得终生免疫
D.
先天性免疫
E.
每次流行期间使用丙种球蛋白
【单选题】Burnet对免疫学的重大贡献是
A.
首次用无毒牛痘预防天花
B.
首次提出克隆选择学 说
C.
首次建立单克隆抗体技术
D.
首次提出免疫调节学说
E.
首次发现免疫耐受