问题 多项选择题 案例分析题

病历摘要:患者男,18岁,主诉右侧进行性鼻塞半年,回吸性血涕1月余。今来院就诊,无耳鸣、听力下降、耳胀,无头痛、视矇、复视,无面色苍白、全身乏力。体检:T:36.6℃,P:82次/分,R:20次/分,BP:120/80mmHg。头颅无畸形,双颈未及肿大淋巴结,心肺听诊无异常。双侧鼻腔粘膜光滑,右侧鼻咽见一约1.0cm×1.2cm×1.5cm大小的圆形淡红色肿物,表面光滑,堵塞右侧后鼻孔。为进一步诊治,收入院。

鼻咽纤维血管瘤具有哪些临床特点?()

A.多见于10~25岁男性青年

B.25岁以后有自愈倾向

C.病因可能与性激素分泌有关

D.病程长,生长缓慢

E.易反复鼻出血,患者常有不同程度贫血

F.肿瘤常可过裂孔侵入鼻腔、鼻窦、翼腭窝、颅内

G.肿瘤血供多来源于同侧上颌动脉和颈外动脉咽升支

H.中年患者有易复发及恶性变倾向

答案

参考答案:A, C, D, E, F, G

阅读理解

.

The UN Environment Programme says that rising temperature could mean the end for some

migrating animals.Migrating or mobile animals move through several environments as they travel away from the cold of winter to warmer areas. Birds may fly from one part of the world to another, perhaps stopping at feeding grounds(聚食场) on the way. Whales and turtles cover vast areas of ocean. The report says that changes in any one of the places which these animals use can cause serious harm."Obviously these animals have developed their traveling patterns over thousands of years. But climate change is almost certain to be extreme over the next 25 t0 50 years, and it is extremely

unlikely that these animals can change their habits fast enough," said the report author Dr. Robert Hepworth.

Hardest hit by rising temperatures are turtles. Scientists have found that at higher temperatures,turtles produce far more female eggs than male ones. In parts of Malaysia, turtle birthing sites are producing only females, the report says, It also provides evidence that some turtles are more likely to develop cancer as the waters get warmer.

With birds, the main problem is climate-related damage to important areas at either end of the travels or at resting places along the way. About one-fifth of migrating birds are now in danger because of climate-related changes including rising sea levels, land loss and more violent storms,the report concludes.Other animals picked out as particularly in danger include:

◆the North Atlantic Right Whale, whose main food( tiny shrimp ) is disturbed by the change in ocean flows

◆the White-beaked Dolphin, which is out-competed by other kinds of dolphins in warmer waters.

The report is not all bad news. Even with major climatic changes, protecting the environment can still help mobile animals to recover.

"We need governments to start taking action at the national and international level. The clock is running." said Dr Hepworth. And some animals are already adapting, with the report mentioning whales that are changing their feeding behavior, finding new feeding grounds and new foods to eat.

48. What does the text mainly talk about?

A. The effect of climate change on migrating animals,

B. How animals are adapting to changes in temperature.

C. The importance of saving migrating animals.

D. The need for government policies to prevent global warming.

49. Which of the following is mentioned as a consequence of rising temperatures?

A. More storms will affect the ability of whales to find their feeding grounds.

B. 20% of all birds are likely to die out because of land loss.

C. Migrating animals can adapt to the changes quickly.

D. Warmer oceans will increase the competition between different kinds of dolphins.

填空题