问题 单项选择题

男性,40岁,发热伴鼻出血1周。检查牙龈肿胀,肝脾轻度肿大;血红蛋白40g/L,白细胞6.0×109/L,血小板15×109/L,骨髓象原始细胞占60%,过氧化物酶染色阳性,非特异性酯酶阳性,阳性反应可被氟化钠抑制,应诊断为

A.急性粒细胞性白血病

B.急性早幼粒细胞白血病

C.急性淋巴细胞性白血病

D.急性红白血病

E.急性单核细胞性白血病

答案

参考答案:E

解析:该中年男性病人急性发病,有明显贫血和血小板减少,骨髓象原始细胞>30%(病人是60%),急性白血病诊断肯定。病人有牙龈肿胀,骨髓原始细胞的过氧化物酶染色阳性,非特异性酯酶阳性和阳性反应可被氟化钠抑制,这些都是单核细胞白血病的特点,所以应诊断为急性单核细胞性白血病。

完形填空

II. 英语知识运用(共两节,满分35分)

第一节:完形填空(共10小题;每小题1.5分,满分15分)    

阅读下面短文,掌握其大意,然后从1—10各题所给的四个选项(A、B、C和D)中,选出最佳选项,并在答题卡上将该项涂黑。

A British man who went on a wild spending spree(狂欢) after doctors said he only had a short time to live wants compensation because the diagnosis(诊断) was wrong and he is now healthy — but broke.

John Brandrick, 62, was diagnosed with liver cancer two years ago and told that he would probably ___21___within a year.

He quit his job, sold or gave away ___22___ all his possessions, stopped paying his mortgage and spent his ___23___ dining out and going on holiday.

Brandrick was left with little more than the black suit, white shirt and red tie that he had planned to be ___24___ in when it became known a year later that his suspected “tumor(肿瘤)” was no more than a non-life ___25___ inflammation(炎症) of liver.

“When they tell you you’ve got a limited time and everything you do is ___26___ life,” Brandrick, from Cornwall in the west of England, told Sky television.

“I’m really pleased that I’ve got a second ___27__ in life; but if you haven’t got no money after all this, which is my fault —I ___28___ it all —they should pay something back.”

If he can’t get compensation, he is considering selling his house or accusing the hospital that diagnosed him. The hospital has said that while it ___29___ with Brandrick, a review of his case showed no ___30___ diagnosis that have been made.

21. A. recover        B. cure           C. die                   D. ache

22. A. almost         B. most          C. already              D. nearly

23. A. savings        B. accounts     C. cheques             D. cash

24. A. sold             B. buried        C. displayed           D. hidden

25. A. astonishing   B. threatening C. disappointing     D. surprising

26. A. waste       B. end            C. extend               D. enjoy

27. A. job                     B. suit            C. chance                     D. liver

28. A. spent           B. lost           C. lent                   D. deposited

29. A. sympathizes B. agrees        C. deals                 D. argue

30. A. correct         B. different     C. serious              D. exact

判断题