问题 单项选择题

患者,女,28岁。右前臂圆形肿物如指头大小,质硬,表面光滑,边缘清楚,无粘连,活动度大。应首先考虑的是

A.粉瘤
B.脂肪瘤
C.神经纤维瘤
D.纤维瘤
E.血管瘤

答案

参考答案:D

解析:A项是皮脂腺囊肿的别称,呈单个或多个,柔软或稍坚实的球形肿物,直径1~3cm,位于皮肤或皮下组织内,与皮肤粘连,但基底可以移动。B项质软有弹性,有的可有假性波动感。不与表皮粘连,活动度大。C项常位于上睑,质柔软,眼睑肿胀增厚,色素沉着,睑下垂,可触及索状物及小结节,无疼痛。D项据其组织成分与性质,又有软、硬两种特殊类型:软纤维瘤又名皮赘,多见于而、颈及胸背部,有蒂、大小不等、柔软有弹性;硬纤维瘤多发于20~40岁女性,以腹壁多见。为坚硬、无痛、无粘连性、活动度大,边界清楚。E项是血管组织发生的肿瘤,或是不高出皮肤表面,轻压即退色,或是略高出皮肤,扪之柔软,有弹性,挤压时缩小,撤压后即复原。
[考点] 纤维瘤的鉴别诊断。

问答题
完形填空

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。

Obtaining fresh water from icebergs

The idea of getting fresh water from icebergs that are moved to populated areas or places was once treated as a joke.Recently, scientists have warned that the human race will outgrow its fresh water supply faster than it runs out of food.小题1: 

Glaciers are a possible source of fresh water that has been overlooked until recently.小题2:  It contains fresh water so much that it could sustain all the rivers of the world for 1,000 years.

Huge glaciers that stretch over the shallow continental shelf give birth to icebergs throughout the year.小题3: However, they are formed entirely on land, breaking off when glaciers spread over the sea.As they drift away from the polar region, icebergs sometimes move mysteriously in a direction opposite to the wind.Because they melt more slowly than smaller pieces of ice, icebergs have been known to drift as far north as 35 degrees south of the equator in the Atlantic Ocean.

小题4: The difficulty exists such as its rapid melting in warmer climates.小题5:

A.Icebergs are not like sea ice, which is formed when the sea itself freezes.

B.Now it is being considered quite serious by many nations.

C.7,659 trillion metric tons of ice are floating on the sea every year.

D.But the water they could provide would be far cheaper than that produced. E.To move them to try parts of the world would not be too difficult.

F.It is not a dream to get water from Icebergs.

G.Three-quarters of the Earth’s fresh water supply is still tied up in glacial ice.