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男性，49岁。右侧胸痛、干咳2周就医。体检：气管居中，右胸叩浊，呼吸音消失。X线胸片示右侧大量胸腔积液，胸水为血性，找到癌细胞，大致为腺癌。

【假设信息】假如患者及其家属积极要求化学治疗，你的观点和态度应当是（）

A.患者年轻，值得应用最强有力的化学治疗联合放射治疗

B.腺癌对化学治疗不敏感，不值得使用化学治疗

C.坚持不用化学治疗

D.可以试用，但要在预期效果和对生命质量的影响两者之间仔细评估

E.小剂量、不良反应少的药物安慰性治疗

答案

参考答案：D

填空题

Part 4


Questions 26-45


·Read the following passage and choose the best word for each space.
·For questions 26-45, mark one letter A, B, C or D on the Answer Sheet.
During the past ten years (26) attention has been given to "telling it like it is". My impression is that this devotion to (27) one’s mind has more often led to hurt feelings and ruined relationships than (28) great joy.
I think we generally agree that never expressing real feelings and (29) all less-than-lovely thoughts about each other always leads to constructive communication. It’s a great (30) to allow ourselves to admit our human weaknesses and pursue more honest relationships with others. (31) we need to keep a balance between telling it all and telling nothing.
Recently I received a letter from a mother who had been (32) by her son to attend a weekend meeting with him. Under pressure from the group, her defenses cracked and she heard herself (33) her son for the first time that he (34) an accident—that she hadn’t been planning to have a child. He (35) told her that he couldn’t recall a single day in his childhood that he’d been happy. We cried and (36) ; I thought telling the truth had been good for us. But the trouble is, it wasn’t the whole truth. By the time Tommy was born I did want him, and at (37) he was happy. Ever since that day, we (38) . by some terrible feelings we exchanged. I must admit I’ve (39) the conclusion that some things are better left uncovered. Honesty is a fine policy, but we need a new sense of (40) . Disclosing is not a solution to every problem (41) even an end in itself. It’s useful under some circumstances and terribly hurtful under (42) . It’s a good idea, I think, to bite your (43) for ten or fifteen minutes before saying what’s (44) your mind. Try to decide whether it’s going to open up new and better ways of communication or (45) wounds that may never heal.

A．cure

B．leave

C．heal

D．clean
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单项选择题

下列选项哪项不属于检维修项目的“三不交工”内容（）

A.无管理报告不交工

B.无修理记录不交工

C.卫生不合格不交工

D.不符合质量标准不交工
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