试题与答案

患者男性,34岁,因发现右侧睾丸持续增大3个月,右侧阴囊疼痛1天来诊。患者于20年前

题型:多项选择题 案例分析题

题目:

患者男性,34岁,因发现右侧睾丸持续增大3个月,右侧阴囊疼痛1天来诊。患者于20年前因左侧隐睾行左侧睾丸下降固定术,自述左侧睾丸降入阴囊后较对侧明显偏小。近1年,患者发现左侧阴囊内睾丸持续增大,无发热、疼痛及尿路刺激症状。1天前,突然出现左侧阴囊疼痛伴睾丸迅速增大。查体:左侧睾丸肿物约6cm×8cm,触痛明显,透光试验(-),有沉重感。实验室检查提示:甲胎蛋白(AFP):8μg/L(酶联免疫法测定),胸部X线片提示未见明显异常。

为明确诊断还需完善哪些检查()

A.睾丸超声

B.盆腔CT

C.腹部CT

D.PET-CT

E.肿瘤标志物:人绒毛膜促性腺激素(β-HCG)、乳酸脱氢酶(LDH)、胎盘碱性磷酸酶(PALP)

F.肿物穿刺活检

G.睾丸MRI

答案:

参考答案:A, B, C, E, G

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根据短文判断下列句子的正(T)误(F)。

    Yesterday was Saturday. My family all went to the amusement park. There were many people there. I

was too happy, so I played with the clown(小丑) by myself all day. I was missing. My father and my moth

-er looked for(寻找) me anywhere. But they couldn't find me. At that time, I cried harder at the amusemen

-t park.

    The policeman found me and asked me,"Why do you cry?  Why is there only one?"I told him all the thin

-gs. At last,he helped me find my father and my mother.

( ) 1. I played with my family.

( ) 2. I went to the safari park.

( ) 3. My father and my mother coundn't find me at last.

( ) 4. The policeman found me at the amusement park.

( ) 5. I don't like playing with my father and my mother at the safari park.

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