问题 多项选择题

患者女,51岁。2004年6月15日因"体检时胸片发现右下肺占位性病变2天"入院。入院后胸部CT示:右下肺占位性病变,周围型肺癌可能性大,不排除右下肺门淋巴结转移。纤维支气管镜见右肺下叶支气管开口处新生物,活检报告为"右下肺腺癌"。经完善术前检查后患者于2004年6月23日行右肺下叶切除术,术中探查发现肿瘤位于右肺下叶,大小约6cm×6cm×5cm,胸膜在肺表面有凹陷、皱缩,肺门淋巴结及纵隔淋巴结肿大并融合,右肺上、中、下三叶间裂完整。患者术后恢复良好,病理报告为:"右肺下叶中分化腺癌,肺门淋巴结(7/9枚)、纵隔淋巴结(1/7枚)癌转移,支气管旁淋巴结(5枚)及支气管残端未见癌组织"。患者术后于2004年7月19日~10月21日行辅助化疗4周期,2004年11月13日~12月22日行放疗50Gy/25F,放疗结束后患者在门诊随访。2006年2月17日因声嘶行胸部CT示:纵隔淋巴结增多、肿大,转移癌可能。遂于2006年2月20日~7月31日行化疗6周期,复查胸部CT示:纵隔未见肿大淋巴结,遂停止治疗,门诊随访。患者2007年5月7日复查胸部CT示:双肺多发小结节影,考虑转移可能。遂于2007年5月11日起行分子靶向治疗至今,期间复查胸部CT示:双肺病灶明显缩小。患者既往无吸烟史。

如果你是患者的主治医生,那么在2006年2月20日~7月31日间可以为患者选择的化疗方案有().

A.吉西他滨+顺铂

B.紫杉醇+顺铂

C.多烯他赛+顺铂

D.紫杉醇

E.多烯他赛

F.培美曲塞

答案

参考答案:E, F

单项选择题

Robert J. Oppenheimer was a famous American physicist, who directed the (1) of the first atomic bombs.

Oppenheimer was born in New York City on April 22, 1904, and was educated at Harvard University and the universities of Cambridge. After (2) the International Education Board from 1928 to 1929, he became a professor of physics at the University of California and the California Institute of Technology, where he built up large (3) of theoretical physics. He was noted for his contributions (4) to the theory of relativity, cosmic rays, and neutron stars.

From 1943 to 1945 , Oppenheimer served as director of the atomic bomb project at Los Alamos, New Mexico. His leadership and organizational skills (5) him the Presidential Medal of Merit in 1946. In 1947 he became director of the Institute for Advanced Studies in Princeton, New Jersey, serving there (6) the year before his death. He was also chairman of the General Advisory Committee of the Atomic Energy Commission from 1947 to 1952 and served (7) as an adviser. In 1954, however, he was suspended from this position (8) his past association with Communists. This action (9) the political atmosphere of the time, as well as the dislike of some politicians and military (10) for Oppenheimer’s opposition to development of the hydrogen bomb and his (11) of arms control. His (12) was not really in doubt. (13) , efforts were made to clear his name, and in 1963 the AEC (14) him its highest honor, the Enrico Fermi Award. Oppenheimer (15) his final years to study of the relationship between science and society. He died in Princeton on February 18, 1967.

1()

A.orientation

B.manipulation

C.development

D.management

单项选择题