问题 单项选择题

患者女性,35岁。因皮肤瘀斑半个月前、头痛1个月前来就诊。体检:贫血貌,全身可见散在大小不等瘀斑,以四肢为主,胸骨下段压痛,肝脾肋下未及。实验室检查:血常规示三系细胞减少;骨髓象示:骨髓增生活跃,其中原始粒细胞占非红系细胞60%,其余各阶段粒细胞占30%,单核细胞占8%,红系增生明显减低,巨核细胞数减少。根据以上描述,此患者最有可能是

A.急性髓系白血病M1

B.急性髓系白血病M2

C.急性淋巴细胞白血病

D.多毛细胞白血病

E.慢性粒细胞白血病

答案

参考答案:B

单项选择题

Don’t have time to read anymore Now you can get free, quick literature via email. More than 100,000 people open their email each day to read a chapter of a book, through Chapter-A-Day, an online book club created two years ago. It’s a free email service that provides a short daily reading for busy people, exposing them to literature they may not find on their own, inspiring some to recommit to the reading habit. About 550 public library systems representing over 3,000 branch libraries already have signed up to offer Chapter-A-Day. Via email, participants get about five minutes’ worth of reading every day. After three chapters are emailed, the installments stop, and those who want to keep reading can borrow the book at their public library or purchase it online. Chapter-A-Day has eight free book clubs, and sells thousands of books each month.

Chapter-A-Day started in 1999 when Suzanne Beecher, a lifelong book lover, realized how many of the women who worked part-time for her software development company didn’t have time in their busy lives to read. She decided to type part of a chapter of a book, and send it to her employees through email. The next day she typed a little more, and continued to send literary installments each day. She says she started getting feedback from the staff about how reading made them feel. "They were interested, and realized that, though they didn’t have time in their busy lives for reading, just reading that little bit each day got them back in the habit." Realizing that many other people could benefit, she decided to take the idea even further and start an email "chapter-a-day" book club to help others ease their way back into daily reading. "Reading makes changes in people’s lives," Beecher says.

Pat Dempsey, a librarian at a public library in Ohio, has found Chapter-A-Day helps her library clients get back in the habit of reading. "It’s a different way to get people hooked on hooks," she says.

Ms Beecher decided to expand her Chapter-A-Day service because ().

A. over 3,000 libraries had joined

B. many other people could benefit

C. eight book clubs supported her

D. free email service was available

单项选择题