问题 多项选择题

患者男性,19岁。头晕、乏力、面色苍白半月余,近2天鼻出血、双下肢出现瘀斑入院。体检:腹股沟淋巴结可触及,蚕豆大小,胸骨下端压痛,肝肋下1.5cm,脾肋下2.0cm。实验室检查:RBC 2.2×1012/L,Hb 65g/L,MCV 90fl,Hct 20%,WBC 20×109/L,血小板30×109/L。

关于急性白血病疗效的完全缓解(CR)标准正确的是

A.骨髓象:原始细胞≤5%

B.红血细胞及巨核细胞正常

C.血象:男性血红蛋白≥100g/L

D.血象:女性血红蛋白儿童血红蛋白≥90g/L

E.中性粒细胞绝对值≥2.5×109/L血小板≥100×109/L外周血分类白血病细胞≤1%临床:无白血病浸润所致的症状和体征

答案

参考答案:A,B,C,D,F,H

解析:
急性白血病疗效的完全缓解(CR)标准(1987)是:①骨髓象:原始细胞≤5%,红血细胞及巨核细胞正常;②血象:男性血红蛋白≥100g/L,女性及儿童血红蛋白≥90g/L,中性粒细胞绝对值≥1.5×109/L,血小板≥100×109/L,外周血分类中无白血病细胞;③临床:无白血病浸润所致的症状和体征,生活正常或接近正常。

阅读理解

Everyone has got two personalities — the one that is shown to the world and the other that is secret and real.You don’t show your secret personality when you’re awake because you can control your behavior,but when you’re asleep, your sleeping position shows the real you.In a normal night,of course,people frequently change their position.The important position is the one that you go to sleep in.

If you go to sleep on your back,you’re a very open person.You normally trust people and you are easily influenced by fashion or new ideas.You don’t like to upset people,so you never express your real feelings.You’re quite shy and you aren’t very confident.

If you sleep on your stomach,you are a rather secretive(不坦率的)person.You worry a lot and you’re always easily upset.You’re very stubborn(顽固的),but you aren’t very ambitious.You usually live for today not for tomorrow.This means that you enjoy having a good time.

If you sleep curled up(卷曲),you are probably a very nervous person.You have a low opinion of yourself and so you’re often defensive.You’re shy and you don’t normally like meeting people.You prefer to be on your own.You’re easily hurt.

If you sleep on your side,you have usually got a well-balanced personality.You know your strengths and weaknesses.You’re usually careful. You have a confident personality.You sometimes feel anxious,but you don’t often get depressed.You always say what you think even if it annoys people.

小题1:According to the writer,you naturally show your secret and real personality __________.

A.only in a normal night

B.only when you go to sleep

C.only when you refuse to show yourself to the world

D.only when you change sleeping position小题2:Which is NOT mentioned in the second paragraph about a person’s personality?

A.He or she is always open with others.

B.He or she always likes new ideas earlier than others.

C.He or she is always easily upset.

D.He or she tends to believe in others.小题3:Point out which sentence is used to show the personality of a person who is used to sleeping

on his or her stomach?

A.He or she is careful not to offend others.

B.He or she doesn’t want to stick to his or her opinion.

C.He or she can’t be successful in any business.

D.He or she likes to bring others happiness.小题4:Maybe you don’t want to make friends with a person who sleeps curled up.Why?

A.He or she would rather be alone than communicate with you.

B.He or she is rarely ready to help you.

C.He or she prefers staying at home to going out.

D.He or she wouldn’t like to get help from you.小题5:It appears that the writer tends to think highly of the person who sleeps on one side because ________________.

A.he or she always shows sympathy for people

B.he or she is confident,but not stubborn

C.he or she has more strengths than weaknesses

D.he or she often considers annoying people

单项选择题