问题 多项选择题 案例分析题

患者男性,60岁。因乏力、纳差1个月,发现双侧肾上腺肿物2周就诊。患者于1个月前开始出现全身疲乏、无力、嗜睡,恶心、食欲差、进食少等症。20天前行腹部超声检查,提示双侧肾上腺低回声占位,右侧5.8cm×3.5cm,左侧6.7cm×3.4cm,形态规则,边界清楚,周边及内部可见血流信号。患者发病以来体重下降5公斤。无发作性头痛、心悸、大汗病史。既往史:4年前因右肾癌行根治性切除术。家族史无特殊。查体:精神萎靡,神情淡漠,体型消瘦,血压110/70mmHg(1mmHg=0.133kPa),心率100次/分,上腹正中可见切口瘢痕长约16cm。

为明确诊断,下一步需进行的检查是()

A.肾上腺MRI

B.经皮肾上腺肿瘤穿刺活检

C.PET-CT

D.静脉肾盂造影

E.小剂量地塞米松抑制试验

F.大剂量地塞米松抑制试验

答案

参考答案:B, C

完形填空

第三节:完形填空(共20小题;每小题1.5分,满分30分)

阅读下面短文,从短文后所给各题的四个选项(A、B、C和D)中,选出可以填入空白处的最佳选项,并在答题卡上将该项涂黑。

I hired a plumber(水管工) to help me restore an old farmhouse, and he just finished a rough first day on the job: a  41 tire made him lose an hour of work, his electric drill quit and his ancient one ton truck refused to  42  .

   43  I drove him home, he sat in stony silence.    44  arriving, he invited me in to meet his   45 . As we walked toward the front door, he paused briefly at a small   46 , touching the tips of the branches with both   47 .

When   48 the door he passed through an amazing transformation. His brown face was in all smiles and he hugged his two small children and gave his   49 a kiss.  50 he walked me to the car. We passed the tree and my   51 got the better of me. I asked him about what I had   52 him do earlier.

"Oh, that's my   53 tree," he replied. "I know I can't help having troubles on the job, but one thing's   54 :those troubles don't   55 the house with my wife and the children. So I just hang them up on the tree    56  when I come home and ask God to    57 them. Then in the morning I   58 

them up again." "And the   59 thing is," he smiled, "when I come out in the morning to pick them up, there aren't   60 as many as I remember hanging up the night before."

41. A. smooth                  B. broken                  C. failed                     D. flat

42. A. begin                     B. start                       C. set                         D. launch

43. A. While                    B. During                   C. As soon as              D. Though

44. A. In                         B. For                        C. On                         D. At

45. A. friends                   B. parents                   C. family                    D. home

46. A. room                     B. tree                       C. flower                    D. wood

47. A. arms                      B. hands                     C. fingers                   D. feet

48. A. opening                 B. closing                   C. knocking                D. covering

49. A. wife                      B. daughter                C. son                        D. baby

50. A. Meanwhile             B. Afterwards             C. Previously              D. Consequently

51. A. satisfaction             B. responsibility          C. occupation              D. curiosity

52. A. heard                     B. made                     C. seen                       D. let

53. A. comfort                 B. pain                       C. suffering                D. trouble

54. A. at length                B. for sure                  C. at risk                   D. straight away

55. A. belong in               B. hold back               C. fit in                      D. bring to

56. A. one day                 B. every morning        C. one night                D. every night

57. A. take note of            B. take care of            C. look for                 D. focus on

58. A. pick                      B. take                       C. bring                     D. choose

59. A. flexible                  B. funny                    C. casual                    D. humorous

60. A. almost                   B. roughly                  C. nearly                    D. approximately

单项选择题