问题 单项选择题 A1/A2型题

男,65岁。咳嗽,痰中带血伴喘息3个月,头面部及双上肢肿胀2周。胸部X线片示右肺门影增大,右肺可见不规则分叶状团块影,右上纵隔明显增宽。最可能的诊断是()

A.纵隔肿瘤

B.肺结核

C.中央型肺癌

D.周围型肺癌

E.肺炎

答案

参考答案:C

解析:老年人,痰中带血伴呼吸困难,X线片显肺门增大,示分叶状团块影,为典型的肺癌表现。头面部及双上肢肿胀是因为癌肿晚期压迫上腔静脉引起,以及右上纵隔明显增宽,故本例考虑中心型肺癌可能性较大。周围型肺癌X线片显肺野周围孤立性圆形或椭圆形块影。块影轮廓不规则,常呈现小的分叶或切迹,边缘模糊毛糙,常显示细短的毛刺影。肺门淋巴结结核易与中央型肺癌相混淆,多见于儿童、青年,多有发热、盗汗等结核中毒症状。支气管肺炎发病较急,感染症状比较明显。X线检查显示为边界模糊的片状或斑点状阴影,密度不均匀,且不局限于一个肺段或肺叶。纵隔肿瘤难以和肺癌鉴别的是纵隔淋巴肉瘤,X线片上表现为两侧气管旁和肺门淋巴结肿大。

单项选择题 A1型题
阅读理解

“I’ve changed my mind.I wanted to have a telescope, but now I want my dad back.” Lucien Lawrence’s letter to Father Christmas, written after his father had been knifed to death outside his school gate, must have touched everyone’s heart.Lucien went on to say that without his father he couldn’t see the stars in the sky.When those we love depart from us, we cannot see the stars for a while.

But Lucien, the stars are still there, and one day, when you are older and your tears have gone, you will see them again.And, in a strange way, I expect that you will find your father there too, either in your mind or heart.I find that my parents, who died years ago, still linger (留连) in many of my dreams and that I think of them perhaps more than I ever did when they were alive.I still live to please them and I’m still surprised by their reactions.I remember that when I became a professor, I was so proud, or rather so pleased with myself that I couldn’t wait to cable my parents.The reply was a long time in coming, but when it did, all my mother said was “I hope this means that now you will have more time for the children!” I haven’t forgotten.The values of my parents still live on.

It makes me pause and think about how I will live on in the hearts and minds of my children and of those for whom I care.Would I have been as ready as Philip Lawrence has been to face the aggressors(入侵者), and to lay down my life for those in my care? How many people would want me back for Christmas? It’s a serious thought, which gives me pause.

I pray silently, sometimes, in the dead of night, that ancient cry of a poet “Deliver my soul from the sword and my darling from the power of the God.” Yet I know death comes to us all, and sometimes comes suddenly.We must therefore plan to live together, but live as if we will die tomorrow.We live on, I’m sure, in the lives of those we loved, and therefore we ought to have a care for what they will remember and what they will treasure.If more parents knew this in their hearts to be true, there might be fewer knives on our streets today.

小题1:According to the whole text we can see that the first paragraph ________.

A.puts forward the subject of the text

B.shows the author’s pity on the kid

C.serves as an introduction to the discussion

D.makes a clear statement of the author’s views小题2:In the second paragraph the author mainly wants to explain to us ________.

A.how much he misses his parents now

B.why his parents often appear in his dream

C.when Lucien will get over all his sadness

D.how proud he was when he succeeded in life小题3:In the author’s opinion, the value of a person’s life is ________.

A.to leave a precious memory to the people related

B.to have a high sense of duty to the whole society

C.to care what others will remember and treasure

D.to share happiness and sadness with his family小题4:What does the writer mean by the sentence taken from an old poem?

A.Call on criminals and murderers to lay down their guns.

B.Advise parents to stay with their children safely at home.

C.Spend every day meaningfully in memory of death.

D.Try to keep violence and murder far away from society.