问题 单项选择题

男,40岁,无痛性双侧颈部淋巴结进行性肿大伴发热半个月,发病以来体温最高37.5,无盗汗,体重无明显变化。查体:双侧颈部各触及一个2+2cm大小淋巴结,左腋窝一个2.1cm大小淋巴结,活动,无压痛,腹软,肝脾肋下未触及。化验:HB126g/l,WBC5.3×109/L,分类,PLT155×109/L,胸腹部CT未见明显淋巴结肿大,右颈部淋巴结活检为弥漫性大B细胞淋巴瘤。本例最可能的分期是()。

A.Ⅲ期A

B.Ⅰ期B

C.Ⅱ期B

D.Ⅰ期A

E.Ⅱ期A

答案

参考答案:C

解析:根据病变范围可分为四期。Ⅰ期:病变限于一个淋巴结或限于一个淋巴结外器官。Ⅱ期:病变局限于膈的一侧。单独累及2个以上的淋巴结区或同时直接蔓延至相邻的淋巴结外器官或组织,Ⅲ期:膈两侧淋巴结都受累,可累及脾、并直接蔓延到邻近的淋巴结外器官。Ⅳ期:肿瘤扩散至淋巴结外。累及一个或多个淋巴结外器官或组织。每期再分为A和B:A:无全身症状B:有以下一种全身症状。38℃以上不明原因发热、盗汗,6个月内原因不明的体重减轻10%。

问答题
阅读理解

  The trend in everyday conversation is to use grandiose(夸大的)words.“Outstanding” is the

new “good,”  “amazing” is the new “OK, ” and “huge” is the new “big.”

I was in a restaurant in Washington D.C.last weekend and every question I asked was answered with exaggeration.

Me:How is the salmon?

Sever:Fantastic!

Me:Does it come with rice?

Sever:Absolutely!

Would a “good” and a “yes” have been enough? Of course!

My father is an average-sized man.He hasn’t gained weight or height for the past 30 years. Therefore, his size remains the same.However,in the same amount of time,his T-shirt size has gone from small to medium to large to extra large.

The reason for the exaggerated word is clear:we are bored with our lives. We want the next

—next thing now.Immediately!

And we also want others to think that we still care,that we can still be delighted,that we know that everything is just great.Even when deep inside we know it can’t be.Everything can’t be great.

I’m not a scientist,so many methods of proof leave little to be desired,or a lot to be desired,or an immensity(无限).   

Listen to the voices around you.Listen to your own voices.There is nothing on the radio that is good or bad,weather is either beautiful or horrible.

Listen,the next time when someone asks you something and you agree,because when you

could simply say “yes”, instead you will say “absolutely’’ or “without doubt ” or “Oh,yeah,unquestionably ---- absolutely without doubt."

Have people forgotten what it is like to be OK? Simply OK with what they have and who they are? If everything is outstanding,if everything is the most amazing thing ever,is anything ever amazing at all?

小题1:By telling his experience in the restaurant,the author intends to ________.

A.show his interest in exaggerated words

B.prove that exaggerated words are widely used

C.blame the restaurant for using exaggerated words

D.tell us the food in the restaurant is extremely good小题2:What do we know about the author’s father?

A.He has gained height and is now a tall man.

B.He likes following the fashion in clothing.

C.His weight is getting greater and greater.

D.The size of his T-shirt is described in exaggerated words.小题3:.So many people like using exaggerated words because_________.

A.they are not satisfied with being normal

B.they don’t want to be looked down upon by others

C.they want to be different from others

D.they are brave in telling their true feelings小题4:According to the passage,if you approve of something,you’d better say “________”.

A.fantastic

B.perfect

C.OK

D.absolutely