问题 单项选择题

青年女性,皮肤黏膜出血一周,平时常有鼻出血且有月经量多史,检查,红细胞2.5×1012/L,血红蛋白80g/L,白细胞10×109/L,血小板:10×109/L,骨髓增生活跃,巨核细胞增加,最可能的诊断是

A.再生障碍性贫血
B.过敏性紫癜
C.血小板减少性紫癜
D.急性白血病

答案

参考答案:C

解析:[考点] 血小板减少性紫癜的临床表现
该患者RBC数量减少(正常成年女性为3.5~5.0×1012/L),血红蛋白降低(正常成年女性为110~150g/L),WBC数量正常,血小板数量减少(正常成年人为100~300×109/L)。该病人不是再障(无全血减少,骨髓增生活跃,巨核细胞增加);不是巨幼红细胞贫血,RBC减少,血红蛋白降低可能与鼻出血与月经量多有关;也不是急性白血病(WBC不多);亦不是过敏性紫癜(无过敏史);最可能的诊断为血小板减少性紫癜(黏膜出血、鼻出血.血小板计数明显降低)。

选择题
阅读理解

Ⅲ阅读  (共15小题,每小题2分,满分30分)

第一节:阅读理解:阅读下列短文,从每题所给的A、B、C和D项中,选出最佳选项,并在答题卡上将该项涂黑。

The relations between man and wife are changing. A majority of working women remain in full charge of their home; they come back at night to the cleaning, washing, and cooking that constitute their second career. But more and more husbands are sharing the burden and willingly taking on chores that their fathers would rejected as unmanly, and as too mysteriously difficult anyway. In such cases, man and wife become equal partners, both working outside, both pushing the vacuum cleaner. Actually, the number of husbands who do help that way is much smaller than the number of those who accept the idea in theory. And when the equal partnership is a fact, it doesn’t always work well. The marriage can be destroyed when the wife is more successful in her profession than her husband in his, particularly when she earns more than he does. Sociologists see in this situation one of the main reasons for the increase in the divorce rate—another reason being the husband’s refusal to help with the housework or the care of the children. A third reason could be the growing awareness of the professional woman that she doesn’t have to remain married if she is too unhappy.

61. What is the housework like in the traditional husband’s eyes?

A. It’s a mysterious job.

B. It’s a little difficult

C. It’s women’s job.

D. It’s only men’s job.

62. The underlined sentence means________________.

A. When man and wife share the housework, man can’t do it well.

B. When man and wife share the housework, women can’t do it well.

C. when man and wife become equal at home, it doesn’t mean a good marriage.

D. when man and wife are equal partners, marriage doesn’t necessarily go well.

63. All of the following statements are true EXCEPT______________.

A. more husbands act in helping housework than those agreeing it without action.

B. more and more husbands are helping their wives to do housework.

C. most of the working women take charge of their house.

D. it is possible for the marriage to fail if women earn more money than husbands.

64. What may be the reason for the divorce according to the sociologist?

A. The wife refuses to look after the child.

B. The wife is more successful than her husband.

C. The wife is aware of her unhappiness in marriage.

D. Both A and B.

65. The best title of the passage is most likely to be___________.

A. Equal Partnership Means Nothing in Modern Family.

B. The Changing Relations between Man and Wife.

C. Reasons for Increasing Divorce.

D. The Relations between Husband and Wife.