问题 多项选择题 案例分析题

患者女性,28岁,已婚。 * * 不规则出血3月余,时多时少,一月来咳嗽,痰中有血丝。5个多月前曾有自然流产,未做刮宫术。体检:Bp:100/80mmHg,P:70/分,R:20/分。轻度贫血貌,心肺无异常,腹软未触及肿块。妇科检查:已婚外阴, * * 通畅,宫口有暗红血流出,子宫正常大小,软,双附件无异常发现。

提示:5—氟脲嘧啶与更生霉素联合用药二疗程后肺部阴影吸收好转,B超子宫后壁病灶消失,血HCG量下降达400mIU∕ml。 * * 出血停止。第三疗程开始后第三天白细胞下降:4×10∕L,血小板4×10∕L,停药一天,连续三次复查血象,均未回升并继续下降,白细胞3.5×10∕L,血小板10~30×10∕L。下一步应如何处理?()

A.中断这一疗程,待恢复后重新开始

B.改用6巯基嘌呤

C.改用胺甲嘌呤

D.改用溶癌呤

E.输白细胞和血小板

F.输新鲜血200毫升,隔日一次

答案

参考答案:A, E, F

单项选择题 共用题干题
阅读理解

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。

     I was ten when I first sat with my grandmother behind the cashier (收银台) in her general store. 1_____

I quickly learned the importance of treating customers politely and saying "thank you". 

     At first I was paid in candy. 2_____ I worked every day after school, and during the summer and on

weekends and holidays from 8 a.m. to 7 p.m. My father helped me set up a bank account. 3_____ 

     By the time I was 12, my grandmother thought I had done such a good job that she promoted me to selling

cosmetics (化妆品). I developed the ability to look customers directly in the eye. Even though I was just a

kid, women would ask me such things as "What color do you think I should wear?" I took a real interest in

their questions and was able to translate what they wanted into makeup (化妆) ideas. 4_____

    The job taught me a valuable lesson: to be a successful salesperson, you didn't need to be a Rocket

scientist-you needed to be a great listener. 5_____ Expect they are no longer women purchasing cosmetics

from me; instead, they are kids who tell me which toys they would like to see designed and developed.

A. Later I received 50 cents an hour.

B. Before long, she let me sit there by myself.

C. I ended my selling a record amount of cosmetics.

D. Today I still carry that lesson with me: I listen to customers.

E. My grandma's trust taught me how to handle responsibility.

F. Soon I found myself looking more beautiful than ever before.

G. Watching my money grow was more rewarding than anything I could have bought.