问题 多项选择题

患者女性,25岁,无意中发现左颈部肿块3天,无不适。体格检查:甲状腺左叶下极可扪及结节,直径2cm,质中,随吞咽上下活动。颈部淋巴结不肿大。

提示:给予患者手术治疗,术中冰冻报告结节为 * * 状腺癌。关于手术治疗,下述正确的是()。

A.不可同时结扎双侧甲状腺上、下动脉,以免造成缺血

B.配合颈淋巴结清扫术

C.术前不需给予碘剂;处理甲状腺下动脉,要离开腺体背面,避免损伤喉返神经

D.处理甲状腺上动、静脉,要远离甲状腺上极,以免损伤喉上神经

E.行左侧腺体连同峡部全部切除、对侧腺体大部切除术

F.行左侧腺体全部切除术为妥

答案

参考答案:C, E

单项选择题 A1型题
阅读理解

Wong Fuk-wing(黄福荣), a Hong Kong volunteer(志愿者)at an orphanage(孤儿院)in Yushu, was killed in the earthquake when he was trying to save others on April 14, 2010.

Wong managed to run safely out of the building with some children when the first quake happened at 7:50 am on April 14, but he went back inside to rescue three other children and three teachers inside, although he knew the danger of aftershocks(余震).

At 10 am, all the children and one of the teachers were saved. However, Wong was buried under the fallen building and died. The other two teachers were still waiting to be rescued.

46-year-old Wong was a truck driver, who often said he could only give his efforts to charity(慈善)instead of money, as he did not earn a lot. His tragic(悲剧的)end touched the hearts of many people both in Hong Kong and on the mainland.

Wong began volunteering in 2002. In 2003, Wong was told by the doctor he got serious illness, which gave him a great blow. However, the illness did not deter the warm-hearted man. When the earthquake struck Wenchuan is Sichuan Province in 2008, Wong rushed to the disaster area of Shifang to offer his help though his family did not want him to go.

In fact, Qinghai is a place Wong had often visited since 2006. As a volunteer, he gave out medicine and clothing to the orphanage there. No one could expect that Wong would die helping others.

Hong Kong Chief Secretary Henry Tang Ying-yen said he had “the highest respect” for the hero who gave his life for others. “What he did has shown the Hong Kong spirit.” The citizens of Hong Kong called him “ the pride of Hong Kong’s people” and people on the mainland have also praised him as “ a true hero”.

小题1:Wong died in the earthquake          .

A.after he sent medicine and clothing to the orphanage

B.when he returned to save the teachers and students

C.because he suffered from his serious illness again

D.as the first earthquake happened小题2:The underlined word “ deter” in Para. 5 refers to “      ”.

A.prevent

B.refuse

C.beat

D.encourage小题3:What can we know about Wong from the passage?

A.He never visited Qinghai before 2010.

B.He was supported by his family being a volunteer.

C.He was thought highly of by the Chinese.

D.He was a taxi driver before he died.小题4:Why are so many people deeply moved by the story of Wong?

A.He always offered money to the orphanage.

B.He fought against his illness bravely.

C.He helped the orphanage though being poor.

D.He put other people’s lives above own.