问题 单项选择题 共用题干题

女性,60岁,近2个月出现 * * 流血。查体:患者呈肥胖体态,体重91kg,身高161cm,BP152/95mmHg,T37.2℃,心、肺检查正常,腹部肥大,未触及肿块。妇科检查:外生殖器正常, * * 无异常,宫颈光滑,子宫似正常大小,附件未触及肿块。56岁绝经,G1P1,并患高血压病,现口服降压药物治疗,既往曾有PCOS病史。其母亲死于乳腺癌。

该患者术前MRI检查示子宫前壁病灶直径为2cm,侵蚀深度为1/3肌层,下缘达宫颈内口下0.5cm,深达0.5cm。最佳处理方案是()。

A.筋膜内子宫切除及双附件切除

B.筋膜外子宫切除+双附件切除+盆腔及腹主动脉淋巴结切除术

C.广泛子宫切除术及附件切除+盆腔及腹主动脉淋巴结切除术

D.放射治疗

E.大剂量孕激素治疗

答案

参考答案:C

填空题
完形填空

(共5小题;每小题2分,满分10分)

根据短文内容,从短文后的选项中选出能填入空白处的最佳选项。选项中有两项为多余选项。

Two brightly colored butterflies have just flown by. They seems to be exactly alike, but actually one is a little larger than the other. 小题1: The smaller one has a wingspread of less than three inches and also a black line on its back wings.

At first sight, it is hard to tell them apart. Would you guess from this that they are different-sized butterflies of the same species?  小题2: If you said yes to either question, you would be wrong, for these look-alikes belong to quite different families.

The larger insect is the monarch butterfly (黑脉金斑蝶). As a baby insect, the monarch feeds on milkweed, which seems to give the monarch a disagreeable taste and smell.  小题3:  Birds that eat butterflies soon recognize the monarch and quickly learn to leave it alone.

小题4:  Birds would find this insect tasty, but because it looks like the monarch, birds keep away from it. The viceroy’s similarity to the monarch gives it some protection from its enemies and helps it survive.

There are other pairs of look-alike butterflies, bees and moths. In each case, one either has a disagreeable taste or smell, or can give a painful sting (叮咬). The larger is called the model. 小题5:  (词数206)

A.The smaller insect is the viceroy (副王峡蝶), which feeds on the leaves of trees.

B.The larger insect has a wingspread (翼长) of up to four inches.

C.The bright coloring of the monarch acts as a warning sign to its enemy.

D.Birds protect their babies from eating such dangerous enemies.E. The insect that imitates this model for protection is called the mimic(保护色).

F. Or that they are different species of butterflies but close relatives belonging to the same family?

G. Do you like this kind of special species?