问题 多项选择题

[案例]男性,34岁。右手环指甲根部外伤后局部变黑,病变处约1cm×0.3cm,无破溃,无隆起。手术切除病灶,术中冷冻切片见大小不等的梭形、不规则形细胞,富含黑色素,核仁清楚,呈浸润性生长。

本病最可能的发展趋势为

A.自愈

B.短期死亡

C.转变为癌症

D.转变为淋巴瘤 E.迅速转移 F.以上均有可能

答案

参考答案:B,E

解析:典型的镜下病理改变和黑色素提示为恶性黑色素瘤;HMB-45是诊断恶性黑色素瘤最好的标记物,此外S-100也呈阳性;该病的恶性度极高。

阅读理解

根据两封信的内容,选择正确答案。

Dear editor

  I'm not a good-looking boy and I'm not good at studying. Some people don' t

even want to talk to me.  So I usually feel lonely.  Sometimes I think that if I want

ed to leave home,  nobody would care. How can I stop feeling like this?

Peter

Dear Peter

  Without knowing more about you, it is hard for me to give you some good

advice. But first, I am sure that you are wrong that nobody would care if you left

home.  What about your parents? And other family members?  It seems that you

are very sad. You' d better talk to your parents. They will be able to help you.  

Second,  I'm sure there's someone in your class who feels lonely, too.  You never

know how other people feel inside.  Try to make friends with them.  Or you may

join a club to meet new people and to keep yourself busy. You need to find

happiness in yourself. Write a list of all the good things about yourself. Learn to

like yourself, and then others will see your confidence(自信心) and like you,

too.

Your friend

1. What' s the trouble with Peter?

A.He doesn't like his parents.

B. He doesn't like others.

C. His parents don't like him.

D. He isn't good at studying and feels lonely.

2. Why does Peter write to the editor?

A. Because he wants to make friends  with him.

B. Because he wants to ask the editor to  help him.

C. Because he wants the editor to know  about him.

D. Because he wants to give the editor  advice.

3. If Peter joins a club, he can _____.

A. meet new people and make friends  with them

B. keep his friends busy

C. study hard but never think about others

D. become g good-looking boy

4. What does the editor's first advice tell  Peter to do?

A. To see a doctor

B. To talk to his parents

C. To talk with his teacher

D. To help others

5. Peter will probably (很可能) feel _____ when he reads the letter from the

editor.

A. sad          

B. lonely      

C. glad      

D. afraid

单项选择题