问题 单项选择题 案例分析题

患者女性,5岁,因“发现颈前肿物,进行性增大2年”来诊。既往史无特殊。查体:患者一般情况好,无发热。颈前正中稍偏左可及一包块,位于舌骨下方,约30mm×20mm×10mm,触之边界较清晰,未及明显波动感,无触痛,皮温不高。

提示患者颈部B型超声检查:皮下可及一30mm×20mm×10mm的肿物,回声粗糙欠均匀,其内血流丰富。正常甲状腺区域未见甲状腺组织回声。为进一步确诊,须进行的检查是()

A.颈部增强CT

B.颈部增强MRI

C.颈部磁共振血管造影(MRA.

D.甲状腺吸碘率检测

E.甲状腺放射性核素扫描

F.甲状腺功能检测

答案

参考答案:E

单项选择题 A1/A2型题
阅读理解

Many years ago,a French naturalist,the Count de Buffon,wrote some books about natural history.The books were a great success even though some critics did not like them.Some critics said,“Count Buffon is more of a poet than a scientist.”

Thomas Jefferson did not like what the Count had said about the natural wonders of the New World.It seemed to Jefferson that the Count had spoken of natural wonders in America as if they were unimportant.

This troubled Thomas Jefferson.He too was a naturalist,as well as a farmer,inventor,historian,writer and politician.He had seen the natural wonders of Europe.To him,they were no more important than those of the New World.

In 1788,Thomas Jefferson wrote about his home state,Virginia.While writing,he thought of its natural beauty and then of the words of the Count de Buffon.At that moment.Jefferson created a new word—belittle.He said.“The Count de Buffon believes that nature belittles her productions on this side of the Atlantic.”

Noah Webster,the American word expert,liked this word.He put it in this English language dictionary in 1806,“Belittle—to make small,unimportant.”

Americans had already accepted Jefferson’s word and started to use it.In 1797,the Independent Chronicle newspaper used the word to describe a politician the paper supported.“He is an honorable man,”the paper wrote,“so let the opposition try to belittle him as much as they please.”

In 1872,a famous American word expert decided that the time had come to kill this word.He said,“Belittle has no chance of becoming English.And as more critical writers of America,like those of Britain,feel no need of it,the sooner it is forgotten,the better.”

This expert failed to kill the word.Today.belittle is used where the English language is spoken.

小题1:Why did Thomas Jefferson disagree with the Count de Buffon?

A.The Count said something silly about the Atlantic.

B.The Count wasn’t a true scientist in natural history.

C.The Count was a poet from a different country.

D.The Count belittled the natural wonders in America.小题2:We can infer that Jefferson created the word“belittle”out of his .

A.anger

B.excitement

C.kindness

D.responsibility小题3:From the text we can know that .

A.all critics thought little of the Count de Buffon

B.Europe has better wonders than the New World

C.the word“belittle”survived from disagreements

D.word experts can change the future of a new word小题4:Which of the following is true of the word“belittle”?

A.It is gradually accepted by people.

B.It was invented by the Count de Buffon.

C.It was used to describe nature.

D.The Independent Chronicle made it popular.小题5:What is the main idea of the text?

A.How the word“belittle”came into being.

B.The argument about natural wonders.

C.Every word has a long history behind.

D.Noah Webster supported Jefferson’s idea.