问题 多项选择题 案例分析题

历摘要:患者男,18岁,主诉右侧进行性鼻塞半年,回吸性血涕1月余。今来院就诊,无耳鸣、听力下降、耳胀,无头痛、视矇、复视,无面色苍白、全身乏力。体检:T:36.6℃,P:82次/分,R:20次/分,BP:120/80mmHg。头颅无畸形,双颈未及肿大淋巴结,心肺听诊无异常。双侧鼻腔粘膜光滑,右侧鼻咽见一约1.0cm×1.2cm×1.5cm大小的圆形淡红色肿物,表面光滑,堵塞右侧后鼻孔。为进一步诊治,收入院。

哪些是鼻咽纤维血管瘤与鼻咽癌的鉴别要点?()

A.两者病因都与遗传因素有关

B.前者好发于蝶骨底部,后者好发于咽隐窝

C.前者外观一般较光滑,后者外观多粗糙

D.两者都可以出现鼻衄、鼻塞、听力下降、耳鸣等耳鼻症状

E.两者都有恶性侵袭倾向

F.两者都可以引起颅底骨质破坏及颅神经受累症状

G.前者无颈淋巴结转移,后者可出现颈淋巴结转移

H.前者EB病毒抗体多为阴性,后者EB病毒抗体多为阳性

I.前者CT增强扫描强化明显,后者CT增强扫描无强化

J.前者以手术治疗为主,后者以放射治疗为主

答案

参考答案:B, C, D, F

阅读理解
Cleanse, tone and moisturize: three words that everyone should keep in mind when going through their daily routines. As a society, we decide what are important habits to keep up with, such as taking care of your skin.
It takes a good five minutes every morning and night to properly care for your skin, but most men and women believe that they do not have time in their busy schedule to do so. Having good skin boosts(增加)sef-confidence and improve overall health and attitude.
Cleansing the face is important for women who wear make-up because it clears the face from exposure to free radicals(自由基) in the air. Toning your face is important to balance your skin’s PH level ( which needs to be between 4.5 and 5.5 ) and also to remove the impurities from water, which is full of lead. Finally, moisturizing your face hydrates(增湿)the skin.
In this day and age there are more issues with free radicals that damage your skin than ever before. Smog, UVA/ UVB damage, smoke, alcohol, and more are all negative contributing factors to damaging the aging of your skin.
The global community has advanced the environment into a high percentage of free radical, but we also now have the technology for the best skin care. The issue with skin care is most people feel that you only need to take action if you have a serious skin condition, such as acne(粉刺). But no matter what age and what condition your skin is in, you should actively do something to maintain it.
Most skin care products today are all-natural; many of them advertise being 100 percent vegan(素食).
Ingredients(成分)that are natural for anti-aging are : DMAE, alpha lapoic acid, antioxidants, collagen booster, SPF and many more. All of these ingredients help prevent aging and sun damage while regenerating new skin cells. Aging appears fastest on your face, neck, and back of the hands and feet, which means you must apply skin care products to all areas. People need to take care of their skin, whether they have a skin condition or not.
If one wants to age gracefully, one must put forth the effort on their skin.
Title
Beauty begins skin deep.
Topic
The (1)_________ of caring our skin.
(2) ________
Of skin care
● Good skin makes you feel more (3)___________.
● Good skin helps keep you healthy both (4)_________ and mentally.
● Cleansing your face: You can reduce the (5)_________ done to your face by free radicals.
Toning your face: You can maintain the (6)_________  your skin’s PH level.
Moisturizing your face: You can keep your face moist.
● Skin care slows down the speed of (7)___________.
Tips
● (8)__________ five minutes every morning and night caring for your skin.
● Use all-natural skin care products.
● Apply skin products to all areas (9) _________ aging may appear.
(10)________
If you want to keep young, you should put forth the effort to skin care.
单项选择题