问题 单项选择题 A1/A2型题

某女性患者,40岁,右颈淋巴结肿大,伴发热、盗汗和体重减轻,诊断为"霍奇金病",应用含有氮芥的MOPP方案。关于氮芥的叙述错误的是()

A.干扰核酸生物合成的药物

B.骨髓抑制严重者能使全血细胞减少

C.使用本品前宜加用镇静止吐药

D.多次注射可引起血管硬变、疼痛及血栓性静脉炎

E.因有蓄积毒性,故疗程间歇不宜少于2~4周

答案

参考答案:A

解析:氮芥为作用于DNA化学结构的烷化剂。骨髓抑制可引起显著的白细胞及血小板减少,严重者能使全血细胞减少;恶心、呕吐,常出现于注射后3~6小时后,可持续24小时,使用本品前宜加用镇静止吐药;对局部组织的刺激作用较强,多次注射可引起血管硬变、疼痛及血栓性静脉炎,如药物外溢可致局部组织坏死;因有蓄积毒性,故疗程间歇不宜少于2~4周。故答案是A。

单项选择题

King Richard III was a monster. He poisoned his wife, stole the throne from his two young nephews and ordered them to be smothered in the Tower of London. Richard was a sort of Antichrist the King --"that bottled spider, that poisonous bunchbacked toad. "

Anyway, that was Shakespeare’s version. Shakespeare did what the playwright does: he turned history into a vivid, articulate, organized dream-repeatable nightly. He put the crouch back onstage, and sold tickets.

And who Would say that the real Richard known to family and friends was not identical to Shakespeare’s memorably loathsome creation The actual Richard went dimming into the past and vanished. When all the eye-witnesses are gone, the artist’s imagination begins to twist.

Variations on the King Richard Effect are at work in Oliver Stone’s JFK. Richard III was art, but it was propaganda too. Shakespeare took the details of his plot from Tudor historians who wanted to blacken Richard’s name. Several centuries passed before other historians began to write about Richard’s virtues and suggest that he may have been a victim of Tudor malice and what is the cleverest conspiracy of all: art.

JFK is a long and powerful harangue about the death of the man--Stone keeps calling "the slain young king.’ What are the rules of Stone’s game Is Stone functioning as commercial entertainer Propagandist Documentary filmmaker Historian Journalist Fantasist Sensationalist Crazy conspiracy-monger Lone hero crusading for the truth against a corrupt Establishment Answer: some of the above.

The first superficial effect of JFK is to raise angry little scruples like welts in the conscience. Wouldn’t it be absurd if a generation of younger Americans, with no memory of 1963, were to form their ideas about John Kennedy’s assassination from Oliver Stone’s report of it But worse things have happened--including, perhaps, the Warren Commission report

Stone uses a suspect, mixed art form, and JFK raises the familiar ethical and historical problems of docudrama. But so what Artists have always used public events as raw material, have taken history into their imaginations and transformed it. The fall of Troy vanished into the Iliad. The Battle of Borodino found its most memorable permanence in Tolstoy’s imagining of it in War and Peace.

Especially in a world of insatiable electronic storytelling, real history procreates, endlessly conjuring new versions of itself. Public life has become a metaphysical breeder of fictions. Watergate became an almost continuous television miniseries--although it is interesting that the movie of Woodward and Bernstein’s All The President’s Men stayed close to the known facts and, unlike JFK, did not validate dark conjecture.

Shakespeare’s creation is used in the text to introduce()

A.his powerful imaginations

B.artists’ distortion of history

C.his well-established fame

D.historians’ interest in art

单项选择题