问题 单项选择题 案例分析题

患者男,65岁,原因不明腹痛,不向肩背部放射,体检发现中上腹直径4cm肿瘤,TBil15mmol/L,CA19-980U/L。平扫CT发现胰头局部低密度肿块,胰管扩张最宽处为5mm,胰管内钙化;增强CT中肿瘤中央部位的强化程度明显高于周围胰腺组织,初步考虑胰腺导管内 * * 状黏液性肿瘤(IPMN)。

典型的IPMN,ERCP表现是()

A.可以观察到缩小的十二指肠 * * ,可观察到黏液从 * * 中排出

B.可以观察到扩大的十二指肠 * * ,可观察到黏液从 * * 中排出

C.无法观察到扩大的十二指肠 * * ,可观察到黏液从 * * 中排出

D.十二指肠溃疡

E.十二指肠梗阻

答案

参考答案:B

完形填空
完形填空。
      Mr Newton was a famous scientist. He liked thinking of some   1   and for it he was often
absent-minded (心不在焉的).One evening, when he    2   home at eight o'clock, his family were out.
He waited for a long time, but none   3  .He became so worried about them that he couldn't eat. He
wanted to eat nothing at all. Then he 4 his wife always took the children to the park on Wednesday
and after that she would take them to the   5  .And it was  Wednesday that day.
      Mr Newton was no longer worried. He began to feel   6  . He ate some bread, meat and tomatoes.
After supper he fell    7   in the chair. Later on a little noise woke him up. He   8 that someone had
entered the house. They slipped into(潜入)the sitting room,   9   turning on the lights.
     Jumping off the chair, he thought,"  10  "
     Then he heard, "What are you doing here, Daddy?" Now he understood: they were his children.
( )1. A. games      
( )2. A. left        
( )3. A. disappeared
( )4. A. remembered  
( )5. A. hotel      
( )6. A. full        
( )7. A. asleep      
( )8. A. felt        
( )9. A. with        
( )10. A. Policemen  
B. papers  
B. arrived
B. served  
B. learned
B. cinema  
B. weak    
B. awake  
B. thought
B. without
B. Singers
C. problems  
C. watched    
C. called    
C. guessed    
C. post office
C. clean      
C. lonely    
C. heard      
C. for        
C. Thieves    
D. tickets  
D. came out  
D. appeared  
D. expected  
D. hospital                        
D. hungry    
D. nervous  
D. described
D. of        
D. Doctors  
单项选择题