问题 单项选择题 案例分析题

患者女,34岁,因“头晕、乏力1个月,发热5天”来诊。查体:皮肤苍白,双下肢散在出血点,颈部各区浅表淋巴结触及肿大。胸骨压痛(+),纵隔不增宽。心、肺未见异常。肝肋下未及,脾肋下2cm。功能状态(PS)评分2分。外周血常规:白细胞101×109/L,原始、幼稚淋巴细胞0.87。血红蛋白82g/L,血小板23×109/L。

最佳的治疗可选择()

A.利妥昔单抗联合化学治疗

B.大剂量甲氨蝶呤、环磷酰胺和左旋门冬酰胺酶治疗

C.完全缓解(CR)后异基因干细胞移植

D.CR后自体干细胞移植

E.利妥昔单抗单药治疗

F.利妥昔单抗联合甲氨蝶呤、环磷酰胺治疗

答案

参考答案:C

阅读理解

阅读理解。

     Knowing how much her own children loved presents at Christmas, Ann Sutton always tried to seek help

for one or two poor families. With a social worker mother, the Sutton children had inherited her commitment

to service, and knew never to take their good fortune at Christmas for granted. This year, Kinzie, her seven-

year-old daughter was thrilled that Santa Claus would make a special visit to a 22-year-old mother named

Ashley who worked in a factory raising her 12-month-old son by herself.

     The phone rang on Sunday. A representative from a local organization was calling to say that the aid Ann

had requested for Ashley had fallen through. No Santa Claus, no presents, nothing.

     Ann saw the cheer vanish from her children's faces at the news. Without a word, Kinzie ran into her

bedroom. She returned, her face set with determination. Opening up her piggy bank, she put all the coins onto

the table: $3.30. Everything she had.

     "Mom," she told Ann, "I know it's not much. But maybe this will buy a present for the baby."

     At a breakfast meeting the next day, Ann told her coworkers about her daughter's story. To her surprise,

staff members began to open their purses and empty their pockets to help Kinzie. By day's end, the story of

Kinzie's gift had spread beyond Ann's office. She received a call from an unknown donor. If a seven-year-old

could give everything she had, he said, he should at least match her gift 100 to 1. He contributed $300.

     On Christmas Eve, Ann drove through the pouring rain to the small trailer where the Ashleys lived. Then

she began to unload the gifts from the car, handing them to Ashley one by one.

     Ashley was very moved. Reflecting on a little girl's generosity, Ashley says she'll one day be able to do

something similar for someone else in need. "Kinzie could have used that money for herself, but she gave it

away," Ashley says. "She's the type of kid I'd like my son to grow up to be."

1. According to the text, Ann Sutton _____.

A. is making lots of money

B. is ready to help others

C. is only caring about herself

D. is a hard-working mother

2. Which of the following is NOT true according to the text?

A. Ashley lived a hard life with her little son.

B. The Sutton children took Anne as an example to follow.

C. The coworkers of Ann helped Kinzie to realize her wish.

D. Ann Sutton tried to ask for help for her own children.

3. What can we learn about Kinzie?

A. She was afraid that Santa Claus would visit the Ashleys.

B. She should get some presents from her mother at Christmas.

C. She devoted all her coins to buying a present for the baby.

D. She was cheerful when hearing the aid had fallen through.

4. Which of the following can be inferred from the text?

A. It rained heavily on Christmas Eve.

B. Ann handed gifts to Ashley one by one.

C. Ashley hoped she would help someone else in need.

D. A good deed can influence many people's behavior.

5. What would be the best title for the text?

A. A Young Girl's Gift

B. A Mother's Love

C. A Story of Young Girl

D. An Unknown Donor

多项选择题