试题与答案

患者男,58岁。因右腋窝肿块2周入院,手术后切除病检示:外周T细胞淋巴瘤(非特异型)

题型:单项选择题 A1/A2型题

题目:

患者男,58岁。因右腋窝肿块2周入院,手术后切除病检示:外周T细胞淋巴瘤(非特异型)。完善相关检查,胸部、腹部CT均未见异常,骨髓细胞学未见淋巴瘤侵犯。下一步治疗方案应选择()

A.CHOP方案化疗6周期

B.CHOP方案化疗6周期+右腋窝放疗

C.CHOP方案化疗3周期

D.CHOP方案化疗3周期+右腋窝放疗

E.右腋窝放疗

答案:

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题型:多项选择题 案例分析题

患者女性,45岁,因“突发头痛,头晕”来诊。既往有高血压、糖尿病病史。查体:体温36.5℃,脉搏90次/分,呼吸24次/分,血压230/135mmHg(1mmHg=0.133kPa),肥胖,颈静脉无怒张,腹部听诊无杂音,双下肢轻度水肿,神经系统检查未见明显异常。实验室检查:血肌酐200μmol/L,尿蛋白(+)。诊断为恶性高血压。

提示:颅脑CT无异常,眼底检查示出血、渗出,经积极静脉降压处理后,血压降至150/90mmHg。血肌酐下降至156μmol/L。为明确诊断,应考虑的检查有()

A.肾穿刺

B.血电解质水平

C.血气分析

D.超声心动图

E.肾素-血管紧张素活性

F.双肾B型超声

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题型:阅读理解

阅读理解。

     Before a new type of airplane goes into service, every part of it is tested again and again. But there are two

tests that are more important than all the others.

     The first is called the "tank test". A modern airplane must fly very high in the sky. Air must be pumped into

the plane so that the passengers can breathe. The metal structure (结构) of the plane has to be very strong for

this reason. When the plane is filled with air, the air presses against the skin of the plane inside. The pressure

(压力) on a small window is like a huge foot that is trying to get out. If a small part of the plane were to fail,

the plane would explode in the sky. To test the structure of the plane, the plane is lowered into a huge tank or

container of water. Then it is filled with air. The pressure inside the plane is greater than it ever will be when it

is high up in the air. Finally, there is an explosion. This does not cause so much damage inside the water tank

as it would anywhere else. Engineers can discover which part of the plane has broken. Then that part is made

stronger.

     The most dangerous test happens when the new plane is going through test flights in the air. The test pilot

must find out exactly what happens when the engines (发动机) are all shut off at once. The plane begins to

fall like a stone. It is the pilot's job to find out how he can get control of the plane again. These two tests are

examples of how planes are made safe before they ever carry passengers.

1. By doing the "tank test", the engineers can find out _____.[ ]

A. the power of the airplane engines

B. the amount of air in the plane

C. the strength of the plane structure

D. the pressure inside and outside the plane

2. What will happen to the plane under the "tank test"? [ ]

A. It will be tested by pilots.

B. It will be broken.

C. It will be made stronger.

D. It will be filled with water.

3. According to the text, why are test flights most dangerous?[ ]

A. Too much air may get into the plane.

B. The plane may explode in the air.

C. The pilot may lose control of the plane.

D. The engines may be damaged.

4. What might be the most suitable title for the text? [ ]

A. How Airplanes Are Made and Tested

B. Two Important Tests on Airplanes

C. The Importance of Flying Safely

D. The Danger of Testing Airplanes

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