问题 多项选择题 案例分析题

患者男,47岁。因"发现颈部包块伴乏力、消瘦3个月余"入院。患者于3个月前无意中发现右颈包块,约2cm×2cm大小,伴四肢无力,身体消瘦,3个月来上述症状逐渐加重,体重下降8kg,为求进一步诊治转入院。查体:T37.6℃,一般情况差,ECOG2级,形体消瘦,体重50kg,双颈可及多个肿大淋巴结,最大者约3cm×3cm,表面红肿,压之部分有疼痛,心肺未见异常,肝脾不大,双上肢手指肿胀,双下肢无水肿。实验室资料:血常规、肝肾功能正常,LDH明显升高,达1202mmol/L,胸片、肝脾B超检查未见异常;骨髓涂片示三系增生且未见异常细胞。右颈淋巴结活检病理:外周T细胞性淋巴瘤(非特异型)。

若患者CHOP方案化疗2周期后,病情改善不明显,应考虑()

A.放疗

B.更改化疗方案

C.继续原方案化疗2周期

D.手术

E.放弃放化疗

F.最佳支持治疗

答案

参考答案:A, B

实验题
完形填空

第Ⅱ卷

I.阅读表达题(每小题2分,共10分)

阅读下面的短文,并根据短文后的要求答题。(请注意问题后的字数要求)

Modern life is a lot less to the advantage of friendships and neighborliness than it used to be. The average American moves every five years. People drive straight into their garages, hire lawn services, hang out in their backyards instead of their front porches (前走廊). These days, neighbors don't even know each other's names.

Good neighbors and good friends are a lot like electricity or running water: We don't know how much we depend on them until we don't have them. In fact, the authors of a recent book, Refrigerator Rights, claim that refrigerators are signs of close relationships--after all, you wouldn't snatch a drumstick(鸡腿) from the refrigerator of a stranger.

  The surprising thing is that all it takes to strengthen your relationship with friends and neighbors is respect for their feelings, concern for their property, and a helping hand when it's needed. Here's how to develop your relationships with two types of vitally important people in your life.

  _________________. A true friend doesn't flee when changes occur. The sign of a good friend is one who stays true through it all--marriage, parenthood, new jobs, new homes, the losses. Just because situations change doesn't mean the person has to.

  Friendships fade away if there isn't an balance between the give and the take. So make sure you aren't being a burden to your friends. Be sensitive to how much your friend can and can't offer you--be it time, energy, or help -- and don't step over the line. Meanwhile, friendships that drain(耗尽) you will not last. If a friendship is out of balance in this way, you'll need to talk the situation through.

61. Which sentence in the passage is the closest in meaning to the following one?

A true friend will stay the same even when the situations change.

  _______________________________________________________________

62. Fill in the blank in Paragraph 4 with a proper sentence. (Within 10 words)

  _______________________________________________________________

63. What advice is given in the last paragraph? (Within 10 words)

  _______________________________________________________________

64. What do you think the author will go on talking about if the passage continues?

(Within 10 words)

  _______________________________________________________________

65.Translate the underlined sentence in the last paragraph into Chinese.

  _______________________________________________________________