问题 多项选择题 案例分析题

患者男,15岁。因“反复高热伴白细胞和血小板减少1年”来诊。患者于1年前(2011年6月)突发高热,体温最高40.6℃,当地医院检查发现白细胞及血小板减少,氨基转移酶明显升高,具体数值及其他检查结果不详。抗感染治疗15天左右,体温、血常规恢复正常后出院。上述症状分别在2011年10月、2012年3月和6月再次发作,每次发作临床表现类似,伴咽痛、咳嗽及血常规异常。抗感染治疗有效。既往史无特殊。末次发作3天后收住入院。入院查体:体温36.7℃,脉搏120次/分,呼吸20次/分,血压100/65mmHg(1mmHg=0.133kPa)。意识清。巩膜无黄染。皮肤穿刺部位有片状淤斑。浅表淋巴结无肿大。黏膜无出血及皮疹。肺听诊无干、湿啰音。浅表淋巴结及肝未触及肿大,脾肋下约7cm。

为明确诊断,适当的检查是()

A.血常规

B.胸部X线片

C.骨髓涂片

D.肺功能

E.人类疱疹病毒DNA检测

F.动脉血气分析

G.骨髓活检病理及免疫组织化学

H.IgH和TCR重排

答案

参考答案:A, B, C, E, G, H

单项选择题
单项选择题

Egyptian wine has an extensive history within the history of Egyptian civilization. Grapes were not (1) to the landscape of Egypt, rather the vines themselves are (2) to have been imported from the Phoenicians, (3) the actual origins remain in (4) . What is known, is that (5) the third millennium BC, Egyptian kings of the first (6) had extensive wine cellars, and wine was used extensively in the temple ceremonies. The main (7) of wine in Egypt, took place between the king, nobles, and the priests in temple ceremonies, and is (8) by numerous painted relief’s, and other (9) evidence. The vineyards of ancient Egypt, were quite different from the modern methods of wine making today. (10) viticulture ( or wine making), ceased to (11) an exclusively ceremonial purpose, the Egyptians began to experiment with simple structures for their vines to train on, (12) found a way to train their vines so they were easy low (13) bushes, and found ways for the soil to (14) more moisture for the vines. Egyptian wine making experiments included the use of different wine presses, adding heat to the must ( the grape juice ready for fermentation) (15) make the wine sweet, and differences in vat types and materials. The (16) finished product of wine, was poured through a cloth filter, and then into earthenware jars, (17) they would be sealed with natural tar and left to (18) . The Egyptians kept accurate records of their vintages, and (19) of their wines, each jar of wine was clearly (20) with it’s own vintage, and quality.

6()

A.generation

B.dynasty

C.sovereignty

D.empire