问题 单项选择题

患者女,48岁。发现左膝肿块半年余。

诊断考虑的疾病是().(提示:MRI示肿瘤呈分叶状,T2加权高信号,脂肪抑制时呈低信号。)

A.硬纤维瘤

B.囊肿

C.滑膜肿瘤

D.脂肪源性肿瘤

E.黄色瘤

F.纤维肉瘤

G.横纹肌肉瘤

H.平滑肌肉瘤

答案

参考答案:D

阅读理解

This year’s Newsweek list of the top 100 high schools shows that today those with fewer students are rising.

Ten years ago, when the first Newsweek Top School List based on college-level test participation was published, only three of the top 100 schools had graduating classes smaller than 100 students. This year there are 22.

Fifty years ago, they were the latest thing in educational reform: big, modern high schools outside the cities with thousands of students. Big schools meant economic efficiency, a greater choice of courses, and better football teams. But only years later did we understand that it involved the difficulty of strengthening personal connections between teachers and students. SAT scores began dropping; on average, 30% of students did not complete high school in four years, a figure that rose to 50% in poor city neighborhoods. High schools for a variety of reasons seemed to have made little progress.

Size isn’t everything, but it does matter, and the past decade has seen a noticeable trend toward smaller schools. This has been partly due to the Bill and Melinda Gates Foundation, which has invested $1.8 billion in American high schools, helping to open about 1,000 small schools — most of them with about 400 kids, each with an average enrollment of only 150 students per grade. About 500 more are on the drawing board. Districts all over the country are taking notice, along with mayors in cities like New York, Chicago and San Diego. And most noticeable of all, there is the phenomenon of large urban and suburban high schools that have split up into smaller units of a few hundred.

Hillsdale High School in San Mateo, California, is one of those ranking No.423 — among the top 2% in the country. In 2003, Hillsdale remade itself into three “houses”. 300 students arriving ninth graders are randomly assigned to one of the houses, where they will keep the same four core subject teachers for two years before moving on to another for 11th and 12th grades. Teachers meet with students in groups of 25, five mornings a week, for open-ended discussions of everything from homework problems to bad Saturday-night dates. The advisers also meet with students privately and stay in touch with parents. Along with the new structure came the percentage of freshmen taking biology jumped from 17 to 95.”It was rough for some. But by senior year, two-thirds have moved up to physics,” says Jeff Gilbert. “Our kids are coming to school in part because they know there are adults here who know them and care for them.”

But not all schools show advances after downsizing, and it remains to be seen whether smaller schools will be a cure-all solution.

Ranking schools is always controversial. Over the years this system has been criticized for its simplicity — list of top U.S. high schools was made merely according to the proportion of students taking college-level exams. This year a group of 38 superintendents (地区教育主管) from five states wrote to ask that their schools should be excluded from the calculation. “It is impossible to know which high schools are ‘the best’ in the nation,” their letter read. “Determining whether different schools do or don’t offer a high quality of education requires a look at many different measures, including students’ overall academic accomplishments, their later performance in college, and taking into consideration the unique needs of their communities.”

小题1:What can we learn about the schools sponsored by the Bill and Melinda Gates Foundation?

A.They are often located in poor neighborhoods.

B.They are popular with high-achieving students.

C.They are mostly small in size.

D.Another 150 schools invested by the Foundation are planned to be set up.小题2:According to Jeff Gilbert, the classes at Hillsdale were set up so that students could ______.

A.tell their teachers what they did on weekends

B.experience a great deal of pleasure in learning

C.maintain closer relationships with their teachers

D.deal with the demanding biology and physics courses小题3:Newsweek ranks high schools according to ______.

A.their students’ academic achievement

B.the number of their students admitted to college

C.the size and number of their graduating classes

D.their college-level test participation小题4:What attitude does the author have towards the present trend in high school education?

A.Subjective.

B.Objective.

C.Indifferent.

D.Disapproving.小题5:Which of the following can be the best title for the passage?

A.Providing Good Education for Baby Boomers

B.Top School List Winning National Support

C.Small Schools Rising in popularity

D.Students Meeting Higher Academic Standards

阅读理解与欣赏

阅读下文,完成下题。

  万石君,名奋,姓石氏。年十五,侍高祖。高祖与语,爱其恭敬,问曰:“若何有?”对曰:“奋独有母,不幸失明。家贫。有姊,能鼓琴。”高祖曰:“若能从我乎?” 曰:“愿尽力。”于是高祖召其姊为美人,以奋为中涓,徙其家长安中戚里

  其官至孝文时,积功劳至大中大夫。无文学,恭谨无与比。及孝景即位,以为九卿。奋长子建,次子甲,次子乙,次子庆,皆以驯行孝谨,官皆至二千石。于是景帝曰:“石君及四子皆二千石,人臣尊宠乃集其门。”号奋为“万石君”。

  孝景帝季年,万石君归老于家。以岁时为朝臣,过宫门阙,必下车趋,见路马必式焉。子孙为小吏,来归谒,必朝服见之,不名。子孙有过失,不谯让,为便坐,对案不食。然后诸子相责,因长老肉袒固谢罪,改之,乃许。子孙胜冠者在侧,虽燕居必冠,申申如也。童仆诉诉如也。万石君以孝谨闻乎郡国,虽齐鲁诸儒质行,皆自以为不及也。

  长子建为郎中令,少子庆为内史。建老白首,万石君尚无恙。建为郎中令,每五日洗沐归谒亲,窃问侍者,取亲中裙,身自浣涤,复与侍者,不敢令万石君知,以为常。庆为太仆,御出,上问车中几马,庆以策数马毕,举手曰:“六马。”庆于诸子中最为简易矣,犹如此。为齐相,举齐国皆慕其家行,不言而齐国大治,为立石相祠。万石君以元朔五年中卒。长子郎中令建哭泣哀思,扶杖乃能行。岁余,建亦死。诸子孙成孝,然建最甚,甚于万石君。

  太史公曰:仲尼有言曰,“君子欲讷于言而敏于行”,其万石君之谓邪?是以其教不肃而成,不严而治。斯可谓笃行君子矣!(选自《史记·万石张叔列传》)

  [注]①中戚里:京城皇室外戚居住的地方。②路马:通“辂马”,天子所乘之马,此指天子的车驾。下列对文章的理解和分析,不符合文意的一项是(     )

A.万石君出身低微,十五岁初侍高祖,因为端庄有礼,虽无才能却颇受汉高祖信任并官至大中大夫。 B.汉景帝称石奋为“万石君”是一种褒扬。这是针对石奋父子五人所受恩宠及官阶俸禄说的。

C.文章表现石奋父子为官治家的恭敬孝谨,客观上也反映了朝臣们谨小慎微而又惶恐的心理。

D.司马迁认为石奋品行忠厚,善于教化而不苛刻,做到了孔子所说的“讷于言而敏于行”。