问题 多项选择题 案例分析题

患者男,55岁,因“反复腹泻3个月,发现腋下肿块1周”来诊。患者于1周前洗澡时突然发现腋下肿块,肿块无压痛并迅速增大。查体:双侧腋下、腹股沟肿大淋巴结。实验室检查:血红蛋白80g/L,白细胞17.0×109/L,血小板67×109/L,乳酸脱氢酶350U/L。结肠镜:多发性息肉样改变。

该患者的首选治疗方案是()

A.利妥昔单抗+环磷酰胺+长春新碱+泼尼松(R-COP方案)

B.利妥昔单抗+环磷酰胺+多柔比星+长春新碱+泼尼松(R-CHOP方案)

C.利妥昔单抗+苯达莫司汀

D.外科手术

E.局部放射治疗

F.等待、观察

答案

参考答案:A, B, C

综合

读图并阅读材料,回答下列问题:

材料一:循环经济是一种以资源的高效利用和循环利用为核心,以“减量化、再利用、资源化(即3R)”为原则,以低消耗、低排放、高效率为基本特征,符合可持续发展理念的经济增长模式,是对“大量生产、大量消费、大量废弃”的传统增长模式的根本变革。

继2009年12月24日国务院正式批准实施《甘肃省循环经济总体规划》,2010年3月15日国务院又批复《青海省柴达木循环经济实验总体规划》,重点规划建设格尔木工业园、德令哈工业园、乌兰工业园、大柴旦工业园等四个循环经济工业园,构建以盐湖化工为核心的六大循环经济主导产业体系,形成资源、产业和产品多层面联动发展的循环型产业格局,争取在经济发展的同时实现废水、废气、废渣等“零”排放或者是最少的排放。

材料二:誉为“聚宝盆”的柴达木盆地,现已探明储量的矿产有57种,其中钾、镁、锂、锶、芒硝、石棉、电石级石灰岩等7种矿产储量居全国首位,许多矿产资源间的关联度极强,综合利用率高。

(1)读“柴达木盆地示意图”。图中字母A—D代表的地理事物是:

A矿产地是:___________;B矿产地是:___________;

C处是:___________山脉;D处是:___________山脉。

材料三:柴达木部分循环经济产业链示意图。

(2)读“柴达木部分循环经济产业链示意图”回答:

①在图中填出甲、乙两处的工业部门:甲.____________;乙.____________。

②示意图中反映了至少_________条循环经济产业链?符合可持续发展理念的做法有哪些?

(3)该地区生态环境比较脆弱,在发展循环经济的过程中,还应采取哪些措施保护和改善生态环境?绿色,发展循环经济的核心,柴达木盆地下一轮循环经济发展的另一支柱,即在能源开发方面应重点开发的绿色能源是什么?

(4)生态农业是发展的八大循环体系之一,这里发展种植业的有利和不利的自然条件分别是什么?适合种植的粮食作物是什么?

单项选择题

It was two years ago today that the hunting ban came into force, supposedly ending centuries of tradition. However, the law has been an unmitigated failure-not that either side is shouting about it.
It was a nightmare vision that struck fear and loathing into the hearts of millions. When the hunting ban became law, it was said, 16, 000 people would lose their jobs, thousands of hounds would be put down, rotting carcasses would litter the countryside, hedgerows would disappear, riders would face on-the-spot fines, law-abiding people from doctors to barristers would be dragged from their horses and carted off to prison, while dog owners would be prosecuted if their mutt caught a rabbit.
These were just some of the claims as desperate countryside campaigners battled to save their sport in the lead-up to the hunting ban, which Labour rammed into law using the Parliament Act on November 18, 2004.
For many, the fears were real. Others exaggerated as they fought an increasingly aggressive anti-hunting lobby which had rejected acres of independent evidence affirming that hunting is the most humane way of killing foxes. In the battle to"fight prejudice, fight the ban", every emotive argument was deployed.
For its part, the anti-hunting brigade extravagantly claimed that the ban would put an end to the rich parading in red jackets. A senior Labour MP, Peter Bradley, admitted in this newspaper that it was, as many suspected, about "class war". He lost his seat shortly afterwards. But people in red coats did not disappear.
In fact, none of the forecasts came true. What did happen was something nobody had predicted: the spectacular revival and growth of hunting with hounds. In short, the hunting ban has been a failure.
Today, on the second anniversary of the ban’s coming into force on February 18, 2005, new figures show that participation in the sport has never been higher. It is so cheerful that two new packs have been formed, something that has not happened for centuries.
They include the seductively named Private Pack, set up by the financier Roddy Fleming in Gloucestershire. It operates on an invitation-only basis, a sort of hunting private members’ club. This can only mean one thing: like it or not, hunting is cool. Young people are taking it up, enticed by the element of rebellion and the mystique of what actually happens as hunts attempt to keep within the law.

As a result of the ban, ______.

A.hunting activities have become more secretive

B.people have become more curious about hunting

C.citizens have become more confused by the law

D.the country tradition has been radically shaken