问题 多项选择题 案例分析题

病历摘要:患者男性,48岁。主诉:进行性吞咽困难4月。患者4年月出现咽异物感,外院曾诊断为慢性咽炎治疗,咽异物感无改善,并出现吞咽不畅,开始时,尚可进食软饭,此后出现吞咽困难,并加重,现仅可进食流质,起病后体重下降5kg。无声嘶、无饮水呛咳。吸烟30年,40支/日。嗜白酒,半斤/日。体查:右侧梨状窝饱满,菜花样肿物,大小约3cm×1cm。双侧声带活动正常、表面光滑。右颈Ⅱ、Ⅲ区扪及2个肿大淋巴结、质中、界欠清、活动度一般、大小约3cm×1cm、2cm×0..5cm。纤维喉镜下喉咽肿物活检,病理证实为梨状窝高分化鳞癌。喉咽及食管造影示:右侧梨状窝占位累及食管入口。胸片及腹部B超未见异常。全身骨扫描未见异常。

下述哪些术前检查有助于判断肿瘤局部情况及是否全身转移?()

A.胸片

B.心电图

C.全身骨扫描

D.腹部B超

E.颈部侧位X线

F.喉咽食管钡造影

G.颈部CT

H.呼吸功能检查

答案

参考答案:A, C, D, E, F, G

完形填空

Global difference in intelligence is a sensitive topic, long filled with a large number of different opinions. But recent data has indeed shown cognitive (认知的) ability to be higher in some countries than in others. What's more, IQ scores have risen as nations develop --- a phenomenon known as the "Flynn effect". Many causes have been put forward for both the intelligence difference and the Flynn effect, including education, income, and even non-agricultural labor. Now, a new study from researchers at the University of New Mexico offers another interesting theory:intelligence may be linked to infectious-disease rates.

The brain, say author Christopher Eppig and his colleagues, is the "most costly organ in the human body". Brainpower consumes almost up to 90 percent of a newborn's energy. It's clear that if something affects energy intake while the brain is growing, the impact could be long and serious. And for vast parts of the globe, the biggest threat to a child's body -- and therefore brain ---is parasitic (由寄生虫引起的) infection. These illnesses threaten brain development __________. They can directly attack live tissue, which the body must then try every means to replace. They can invade the digestive pipe and block nutritional intake. They can rob the body's cells for their own reproduction. And then there's the energy channeled (输送) to the immune system to fight the infection.

Using data on national "disease burdens" (life years lost due to infectious diseases) and average intelligence scores, the authors found they are closely associated. The countries with the lowest average IQ scores have the highest disease burdens without exception. On the contrary, nations with low disease burdens top the IQ list.

If the study holds water, it could be revolutionary for our understanding of the still-confusing variation in national intelligence scores.

小题1:What is the main idea of the text? (no more than 10 words)

____________________________________________________________________

小题2:Complete the following statement with proper words. (no more than 4 words)

Those countries that have the_________ are always at the bottom of the IQ list.

小题3:Fill in the blank in Paragraph 2 with proper words. (no more than 5 words)

                                                                     

小题4:What can cause intelligence difference? (no more than 8 words)

                                                                  

小题5:What does the word "they" (Line 3, Paragraph 3) probably refer to? (no more

than 8 words.

单项选择题