问题 单项选择题

患者女,36岁,因“左侧耳鸣6个月,双侧颈部上段肿物2个月”来诊。查体:鼻咽左侧壁肿物,左颈Ⅱ区触及1枚淋巴结,3.5cm×3.5cm,右颈Ⅱ区触及1枚淋巴结,2cm×3cm,质中,活动,无压痛;脑神经无麻痹。影像学检查:鼻咽部肿物侵犯顶后壁、左侧头长肌、左侧咽旁间隙、左侧翼内肌及翼外肌,颅底骨质无破坏,双颈Ⅱ区淋巴结肿大,最大3cm×3cm;未发现远处转移。鼻咽肿物活检:未分化型非角化性癌。

经根治性放射治疗,颈部肿物消失。2年后右颈上段再现肿物。查体:鼻咽部未见肿物,右颈上段触及1枚淋巴结,3cm×4cm,质硬,活动,无明显压痛。影像学检查:鼻咽未见明显复发,右颈Ⅱ区1枚淋巴结,2.5cm×3.5cm,中央坏死,未侵犯颈总动脉、颈内动脉和颈外动脉;未发现远处转移。首选治疗方案是().

A.诱导化学治疗+颈部同步放射化学治疗

B.颈部同步放射化学治疗+辅助化学治疗

C.颈淋巴结清扫术

D.顺铂+5-FU+西妥昔单抗化学治疗

E.颈淋巴结放射性粒子植入治疗

答案

参考答案:C

选择题
阅读理解

阅读理解。

     A snow leopard roars in the high mountains of Asia. A black rhinoceros gallops across the plains of Africa.

A grizzly bear hunts for fish in a North American river. A mother blue whale and her calf glide through the

deep waters of the ocean.

     All of these animals share the Earth with us. They fascinate us with their beauty, their grace, and their

speed. We love observing their behavior, and learning more about their habits. But just loving them is not

enough. All of these animals are endangered. Many of them have died, and without special care, they may

someday disappear from the Earth.

     Why is it important to care for animals like these?One reason is to protect the balance of life on Earth.

Another reason is the beauty of the animals themselves. Each species of animal is special. Africa was once

filled with an abundance of wild animals. But that is changing fast. One of these animals, the black rhinoceros,

lives on the plains of Africa. It has very poor eyesight and a very bad temper!Even though the black rhino is

powerful, and can be dangerous, its strength can't always help it to escape hunters. Some people think that the

rhino's horn has magical powers, and many hunters kill rhinos for their valuable horns. This has caused the

black rhino to be placed on the endangered species list.

     The elephant seems to represent all that is strong and wild in Africa. It once had no natural enemies, but is

now endangered-killed for its ivory tusks.

      The fastest land animal, the cheetah, also lives in Africa. It,too, is becoming extinct as people take over

more and more of the land that is the cheetah's natural habitat.

      Imagine Africa without the powerful rhino, the gentle, intelligent elephant, or the lightning quick cheetah.

Once they are gone, they are gone forever.

1. The best title for this passage would be "______".

A. Do what we can

B. Gone forever

C. Help animals

D. Live or die

2. Why has the black rhino been placed on the endangered list according to the passage?

A. Because its eyesight is poor and its temper is bad.

B. Because it has a horn.

C. Because it is believed that its horn has magical power.

D. Because people think it is powerful and dangerous.

3. Which of the following does NOT support the main idea of the article?

A. Ocean-dwelling animals are in danger of extinction as well.

B. Beautiful birds like the great green macaw are also becoming extinct.

C. Wherever people are careless about the land, there are endangered species.

D. The elephant seems to represent all that is strong and wild in Africa.

4. How does the writer feel about the fate of endangered animals?

A. Disinterested.

B. Concerned.

C. Optimistic.

D. Confused.