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)。

患者的治疗方案包括()

A.化疗

B.纵隔颈部放疗

C.利妥昔单抗分子靶向治疗

D.手术

E.支持治疗

F.大剂量化疗及干细胞移植治疗

答案

参考答案:A, B, E

多项选择题
阅读理解

阅读理解。

     Meeting people from another culture can be difficult. From the beginning, people may send the wrong

signal. Or they may pay no attention to signals from another person who is trying to develop a relationship.

Different cultures emphasize (强调) the importance of relationship building to a greater or lesser degree.

For example, business in some countries is not possible until there is a relationship of trust. Even with

people at work, it is necessary to spend a lot of time in "small talk", usually over a glass of tea, before

they do any job. In many European countries - like the UK or France - people find it easier to build up a

lasting working relationship at restaurants or caf?s rather than at the office.

     Talk and silence may also be different in some cultures. I once made a speech in Thailand. I had

expected my speech to be a success and start a lively discussion; instead, there was an uncomfortable

silence. The people present just stared at me and smiled. After getting to know their ways better, I

realized that they thought I was talking too much. In my own culture, we express meaning mainly through

words, but people there sometimes feel too many words are unnecessary.

     Even within Northern Europe, cultural differences can cause serious problems. Certainly, English and

German cultures share similar values; however, Germans prefer to get down to business more quickly.

We think that they are rude. In fact, this is just because one culture starts discussions and makes decisions more quickly.

     People from different parts of the world have different values, and sometimes these values are quite

against each other. However, if we can understand them better, a multicultural environment will offer a

wonderful chance for us to learn from each other.

1. The author mentions his experience in Thailand to show that _________. 

A. the English prefer to make long speeches      

B. too many words are of no use

C. even talk and silence can be culturally different

D. people from Thailand are quiet and shy by nature

2. According to the text, how can people from different cultures understand each other better? 

A. By sharing different ways of life.    

B. By accepting different habits.

C. By recognizing different values.    

D. By speaking each other's languages.

3. What would be the best title for the text?

A. Multicultural Environment          

B. Cross-Cultural Differences

C. How to Understand Each Other      

D. How to Build Up a Relationship