试题与答案

病历摘要:患者男,62岁,持续性左鼻塞6个月伴流粘脓涕。患者1年前始出现间断性鼻塞,

题型:多项选择题 案例分析题

题目:

病历摘要:患者男,62岁,持续性左鼻塞6个月伴流粘脓涕。患者1年前始出现间断性鼻塞,伴流清涕、喷嚏,无头痛,亦无鼻涕带血,感双侧面颊部闷涨感。半年前始左鼻塞加重,但喷嚏减轻,改流粘脓性鼻涕,偶有涕中带血,并感左侧面颊、左眼眶内侧隐隐胀痛,但无视力下降及复视。检查见双侧下鼻甲稍大,鼻腔黏膜苍白,左侧总鼻道及中鼻道见荔枝肉样新生物,表面可见红色小血管纹分布及粘脓性分泌物,触之未见出血。右侧未见新生物,鼻中隔稍右偏曲。鼻咽顶黏膜淡黄色半圆形突起,但未见黏膜糜烂,出血。

为了下一步治疗,该做哪些检查?()

A.鼻腔肿物病理活检

B.鼻窦CT

C.生化检查

D.胸正位片

E.头颅CT

F.胸部CT

G.鼻咽纤维镜检查+病理活检

H.鼻咽CT

I.三大常规(血、尿、大便)

答案:

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题型:阅读理解

Mr Smith had two sons.One was seven years old, and the other was five.One morning during the holiday, when Mr Smith was cleaning the car, his younger son came and asked him for some money for sweets.

‘Sweets are bad for your teeth,’ Mr Smith said.‘Take these two oranges instead, and give one to your brother.’

One orange was much bigger than the other, and as the small boy likes oranges very much, he kept the bigger one for himself, and gave his brother the smaller one.When the other boy saw that, he said, ’It’s selfish to take the bigger for yourself.If Father had given me the oranges, I’d have given you the bigger one.’

‘I know you would,’ answered his brother.‘That’s why I took it.’

小题1:What was Mr Smith doing one morning?

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小题2:What did the younger boy ask for?

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小题3:What did his father give him instead?

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小题4:Who got the bigger orange?

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小题5:Why did the elder boy say that his brother was selfish?

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