问题 单项选择题 A1/A2型题

患者女性,29岁,高热伴进行性贫血,衰竭2周。肝肋下3cm,脾肋下7cm,浅表淋巴结肿大,巩膜黄染。Hb60g/L,白细胞2.3×109/L,血小板50×109/L,骨髓增生活跃,粒、红、巨核系大致正常,见到5%异常巨大,细胞形态极为奇特,呈镜影核,核仁大而畸形,胞浆中有吞噬的红细胞和血小板,本例最可能的诊断是下列哪一种疾病().

A.传染性单核细胞增多症

B.霍奇金淋巴瘤

C.恶性组织细胞病

D.尼曼-匹克病

E.多发性骨髓病

答案

参考答案:B

解析:异常巨大,细胞形态极为奇特,呈镜影核,核仁大而畸,胞浆中有吞噬的红细胞和血小板,符合R-S细胞的特点,典型的R-S细胞在霍奇金病的诊断上有重要意义。结合此患者的临床表现最可能的诊断是霍奇金病。

多选题
单项选择题

Mass production, the defining characteristic of the Second Wave economy, becomes increasingly obsolete as firms install information intensive, often robotized manufacturing systems capable of endless cheap variation, even customization. The revolutionary result is, in effect, the demassification of mass production.

The shift toward smart flex techs promotes diversity and feeds consumer choice to the point that a Wal-Mart store can offer the buyer nearly 110,000 products in various types, sizes, models and colors to choose among. But Wal-Mart is a mass merchandiser. Increasingly, the mass market itself is breaking up into differentiated niches as customer needs diverge and better information makes it possible for businesses to identify and serve micro markets.

Specialty stores, boutiques, superstores, TV home-shopping systems, computer based buying, direct mail and other systems provide a growing diversity of channels through which producers can distribute their wares to customers in an increasingly demassified marketplace. When we wrote Future Shock in the late 1960s, visionary marketers began talking about "market segmentation". Today they no longer focus on " segments" but on " particles "—family units and even single individuals. Meanwhile, advertising is targeted at smaller and smaller market segments reached through increasingly demassified media.

The dramatic breakup of mass audiences is underscored by the crisis of the once great TV networks, ABC, CBS, and NBC, at a time when Tele-Communications, Inc. of Denver, announces a fiber optic network capable of providing viewers with five hundred interactive channels of television. Such systems mean that sellers will be able to target buyers with even greater precision. The simultaneous demassification of production, distribution and communication revolutionizes the economy and shifts it from homogeneity toward extreme heterogeneity.

The author calls those marketers "visionary" mainly because()

A. they began talking about "market segmentation" in 1960s

B. they focus on "market particles"

C. they have a good sense of market prediction

D. they are good at identifying micro markets