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男性，30岁，主诉3个月乏力，伴左上腹饱胀感。体检：浅表淋岜结未及，肝未及，脾肋下5cm。RBC3．6×1012／L，HGB90g／L，WBC170×109／L，PLT300×109／L。分类：原粒0．01，早幼粒0．03，中幼粒0．1，晚幼粒0．4，杆粒0．34，嗜碱性粒细胞0．02，中性粒细胞碱性磷酸酶染色阴性。

3年后患者出现发热，皮下出血，贫血加重，脾大肋下6cm。骨髓检查：原淋巴细胞0．76，POX染色阴性，苏丹黑染色阴性，其病情变化的原因是（）

A.急性淋巴细胞白血病

B.慢粒急淋变

C.慢粒急粒变

D.慢粒急单变

E.慢粒与急淋并存

答案

参考答案：B

情景交际

补全对话。

根据对话内容，从对话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。

A: What are you going to do after the graduation exams?

B:   1   I'm too tired and just want to relax myself.

A: What about a journey? I 've just been to Hainan Island.

B:   2   

A: Yes, of course. We saw many different kinds of flowers there.   3   

B: Did you meet any foreign visitors there?

A: Yes, a lot. And I talked with some of them.

B: That sounds great. I can relax myself and practise my English as well.    4   

A: The price of a one-way ticket from Chengdu to Haikou is 1,530 yuan,   5   They

     can give you a 50% discount(折扣).

B: Good. I'd like to go there with my classmates next week.

A. The air line isn’t busy now.

B. Did you go there by train?

C. I have no idea.

D. And we went scuba diving and boating.

E. How much does it cost to fly to Hainan?

F. Did you have a good journey?

G. Good idea!

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单项选择题

Attempts to understand the relationship between social behavior and health have their origin in history. Dubos (1969) suggested that primitive humans were closer to the animals (1) they, too, relied’upon their instincts to stay healthy. Yet some primitive humans (2) a cause and effect relationship between doing certain things and alleviating (3) of a disease or (4) the condition of a wound. (5) there was so much that primitive humans did not (6) the functioning of the body, magic became an integral component ofthe beliefs about the causes and cures of heath (7) Therefore it is not (8) that early humans thought that illness was caused (9) evil spirit. Primitive medicines made from vegetables or animals were invariably used in combination with some form of ritual to (10) harmful spirit from a diseased body.

One of the. earliest (11) in the Western world to formulate principles of health care based upon rational thought and (12) of supernatural phenomena is found in the work of the Greek physician Hippocrates. The writing (13) to him has provided a number of principles underiying modern medical practice. One of his most famous (14) , the Hippocratic Oath, is the foundation of contemporary medical ethics.

Hippocrates also argued that medical knowledge should be derived from a (15) of the natural science and the logic of cause and effect relationships. In this (16) thesis, On Air, Water, and Places, Hippocrates pointed out that human well-being is (17) by the totality of environmental (18) : living habits or lifestyle, climate, geography of the land, and the quality of air, and food. (19) enough, concerns about our health and the quality of air, water, and places are (20) very much written in twentieth century.

19（）

A.Interesting

B.Appealing

C.Demanding

D.Exaggerating
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