试题与答案

患者女,60岁,间歇性黑便6个月,且时常有中上腹不适。上腹部CT平扫及增强示空肠起始

题型:单项选择题 案例分析题

题目:

患者女,60岁,间歇性黑便6个月,且时常有中上腹不适。上腹部CT平扫及增强示空肠起始段不规则软组织影,内部密度不均匀。小肠镜示空肠起始段见一直径约3cm的黏膜下球形隆起性病灶,质硬,边界清晰,表面光滑,黏膜色泽正常,顶部中央有小而深的溃疡,覆血痂。溃疡边缘活检病理见大量梭形细胞,免疫组化示CD117和CD34均阳性。

首选的治疗措施是()。

A.放疗

B.传统化疗

C.放疗+传统化疗

D.暂不处理,随访

E.外科根治性手术切除

答案:

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 A major source of teen stress is the school exam,and test anxiety is not uncommon.When you recognize your teen is under stress,how can parents help your teen stay calm before an exam?

Be involved.Parents need to be involved in their teen’s work._1__What they look for is your presence—simply sit with them quietly.Communicate openly with your teen.Encourage your teen to express her worries and fears,but don’t let them focus on those fears.

Help them get organized._2_Together,you and your teen can work out a time­table in which she can study for what will be on the test.

Provide a calm setting.Help your teen set up a quiet place to study and protect his privacy. Give them a nutritious diet.It is important for your teen to eat a healthy,balanced diet during exam times to focus and do her best.__3__If this happens,encourage your teen to eat light meals or sandwiches.A healthy diet,rather than junk food,is best for reducing stress.

4__Persuade your teenager to get some sleep or do something active when she needs a real break from studying.Making time for relaxation is important in reducing stress.Help your teen balance her time so that she will feel comfortable taking time out from studying to spend time with friends or rest.

Show a positive attitude._5_Your panic,anxiety and blame contribute to your teen’s pressure.Make your teen feel accepted and valued for her efforts.Most importantly,reassure your teen that things will be all right,no matter what the results are.

A. A parent’s attitude will affect their teen’s emotions.

B. Exam stress can make some teens lose their appetite.

C. They will only make the situation worse.

D. Encourage your teen to relax.E.  The best thing is simply to listen.

F.   Help your teen think about what she has to study and plan accordingly.

G.Your teen may also make negative comments about themselves.

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