问题 多项选择题 案例分析题

者,女,54岁,发现左颈前气管旁包块1年,渐长大,体检包块4.5cm×3cm,质地较硬,边界欠清,无明显压痛。近1个月来自觉吞咽有异物感、梗阻感,并出现声音嘶哑,伴间歇性气憋。无吞咽疼痛、呕血、咯血、发热、多汗、烦躁、易怒等不适。食管吞钡检查提示颈段食管管腔局限性隆起,黏膜完整、连续、无缺损及皱襞紊乱。空腹血糖9.2mmol/L。

如患者电子喉镜检查发现声门上区灰白色肿物伴左侧梨状窝类似物,活检提示高分化鳞状细胞癌,应采取的治疗措施是()

A.直接行放化疗

B.全喉+下咽肿瘤切除

C.双侧根治性颈淋巴结清扫

D.术后留置胃管2周

E.术后放置咽腔扩张管

F.术后辅助放疗

答案

参考答案:B, C, D, F

阅读理解

阅读理解

     In recent years advances in medical technology have made it possible for people to live longer than

in the past. New medicines and machines are being developed every day to extend life. However, some

people, including some doctors, are not in favor of these life extending measures, and they argue that

people should have the right to die when they want. They say that the quality of life is as important as life

itself and that people should not be forced to go on living when conditions of life have become unbearable. They saw that people should be allowed to die with dignity (尊严) and to decide when they want to die.

Others argue that life under any conditions is better than death and that the duty of doctors is always to

extend life as long as possible. And so the battle goes on and on without a definite answer.

1. The best title for this passage is _____. 

A. The Right to Live        

B. The Right to Die         

C. The Doctor's Duty      

D. Life Is Better Than Death

2. In recent years, people can live longer than in the past. It's because of _____ .

A. the development of medical technology      

B. big hospitals  

C. good doctors                            

D. both B and C

3. According to some people whether a dying patient has the right to die or not is up to _____ .              

A. the doctors                     

B. the surroundings         

C. his or her family                  

D. the patient himself or herself

4. In the writer's opinion _____ .

A. death is better than life            

B. life is better that death   

C. neither death nor life is good      

D. none of the above

单项选择题