问题 单项选择题

男,49岁,半年来乏力、面色苍白,既往体健。化验Hb70g/L,WBC3.2×109/L,分类N65%,132%,M3%,Plt45×109/L,骨髓增生明显活跃,原始细胞15%,可见Auer小体,全片见巨核细胞48个,易见小巨核细胞,骨髓细胞外铁(++),骨髓细胞内可见环状铁粒幼细胞10%。临床考虑MDS,根据FAB分型最可能的类型是()

A.RA型

B.RAS型

C.RAEB型

D.RAEB-t型

E.CMML型

答案

参考答案:D

解析:

MDS的FAB分型如下表,RAEB-t型标准为:外周血原始细胞比例>5%;骨髓原始细胞比例>20%~30%;原始细胞出现Auer小体。三项中满足一项即归入RAEB-t。

完形填空
     I graduated from a small public school in Michigan. One day, Mr. Ledy, our football coach, asked me to play football. I couldn't help__1__: me, play football? I was six feet tall and was not much__2__a hundred pounds in weight. I thought that they might just need__3__fool to increase the number of the players.
However, he was persistent(坚持的) and__4__I joined the football team. That__5__to be one of my best decisions as a kid.
     Our worst game__6__was the one against Crystal Falls. They beat us 56 to 6. Yeah! That was a football not a basketball__7__. We played them again when we were seniors. They__8__us again but the score
was much more__9__, 30 to 20.
     Coach Ledy would not let that __10__again. He encouraged us to beat them, to pay them back. And
we did so in the last game we played before__11__. I had scored 6 points alone in the game. Coach Ledy praised me. It was a huge__12__for me.
     Was I a football hero?  Ha! Ha! No, I couldn't__13__it without our team. The thing I learned through
football was__14__. We won as a team and we__15__as a team.
     I think Mr. Ledy would be__16__of me if he knew that I had broken the athletic__17__at the University of Michigan. I'm__18__to him as I would not have today’s honor without him. I'll __19__life's final war with pain to win the victory; I'll seek the lights of glory wholeheartedly and I'll__20__working hard so as not to
let him down.

( )1. A. shouting 
( )2. A. up  
( )3. A. another  
( )4. A. immediately
( )5. A. took out  
( )6. A. never  
( )7. A. game  
( )8. A. won  
( )9. A. accessible
( )10. A. happen  
( )11. A. liberation
( )12. A. honor  
( )13. A. take  
( )14. A. courage  
( )15. A. united  
( )16. A. proud  
( )17. A. time  
( )18. A. pleased  
( )19. A. fight  
( )20. A. take on 

 

B. screaming
B. over      
B. other    
B. secretly  
B. turned out
B. once      
B. team      
B. met      
B. comfortabl
B. succeed  
B. closing  
B. hope      
B. manage    
B. devotion  
B. appeared  
B. fond      
B. record    
B. grateful  
B. join      
B. put on    

 

C. laughing  
C. more  
C. some  
C. personally  
C. gave off  
C. ever  
C. story  
C. beat        
C. sensitive  
C. spread  
C. graduation  
C. success  
C. solve  
C. teamwork  
C. prepared  
C. full  
C. date  
C. hopeful  
C. desire  
C. rely on  

D. applauding  
D. out        
D. any        
D. finally    
D. gave out    
D. again      
D. score      
D. fought      
D. acceptable  
D. develop    
D. school      
D. surprise    
D. explain    
D. contribution
D. lost        
D. kind        
D. ability    
D. loyal      
D. enjoy      
D. keep on    

单项选择题