男性，54岁，因发现左侧肩胛区包块伴胸背部疼痛3个月就诊，查体：肝脾不大，血常规未见异常。胸X线片见肋骨、肩胛骨、胸椎多处溶骨性破坏。血清蛋白电泳出现窄底高峰，尿蛋白（+++）。局部包块活检后发现原始浆细胞
骨髓中发现异常浆细胞0．54，最可能的诊断为（）
A.急性白血病
B.类风湿关节炎
C.骨髓转移癌
D.多发性骨髓瘤
E.淋巴瘤
参考答案：D
根据对话内容，从方框中选择适当的选项补全对话。选择中有两项为多余的选项。（每小题1; 满分5）
A: Hello, Xiao Hong! B: Hello! A: You look a little upset. 小题1: B: Yes. It’s just my mom. She always nags(唠叨)me. A: Really? What does your mother nag you about? B: 小题2: “ Get up now... Everything must be in place... Don’t forget your piano lesson...” A: Well, all the mothers like saying these words to their children. B: Also, I’m fond of pop music. 小题3: We don’t have the same interest in many things. A: 小题4: But I should say she nags you because she cares about you. You’re lucky to have such a good mother. B: I agree with you. 小题5: . A: That’s right. Understanding is important. If your mom knows that everything is fine, she will never nag. |