问题 多项选择题 案例分析题

患者男性,53岁,因咯血1周就诊。患者一般状况良好,ECOG评分为0分,既往体健,无内科疾患。胸部X线平片提示双肺多发结节,最大者直径2.0cm,考虑为转移瘤。进一步行腹部CT检查提示右肾中部有8cm肿瘤,右肾静脉及下腔静脉未见异常,腹膜后可见数枚淋巴结,最短径线为1.8cm,肝脏未见转移征象。患者的血清尿素氮(BUN)、血清肌酐(Cr)均正常,但血清碱性磷酸酶(ALP)、胆红素及丙氨酸氨基转移酶(ALT)明显升高。

该患者下一步的治疗方案为()【提示】患者接受了应用干扰素900万U每周3次的治疗方案。治疗12周后,影像学评估发现双肺有新发转移灶,腹部未见复发、转移征象,骨扫描未见异常。

A.参加转移性肾癌治疗的临床研究

B.继续应用干扰素900万U,每日1次

C.继续应用干扰素900万U,每周3次,12周后再做评估

D.应用舒尼替尼

E.应用索拉非尼

F.应用依维莫司

G.应用肿瘤疫苗

H.应用双磷酸盐预防骨转移

答案

参考答案:A, D, E, F

阅读理解

One of the requirements of every graduation ceremony speaker is that they offer some advice. Well, get ready, here it comes.

Soon you will be leaving the company of those who think they have all the answers –your professors, instructors and counselors-and going out into what we like to call the real world. In time you will meet up with other people who think they have all the answers. These people are called bosses. My advice is: humor them.

A little later you’ll meet additional people who think they have all the answers.

These are called spouses (配偶) . My advice is: humor them, too.

And of all goes well, in a few years you will meet still another group of people who think they have all the answers. These are called children. Humor them.

Life will go on, your children will grow up, go to school and someday they could be taking part in a graduation ceremony just like this one. And who knows, the speakers responsible for handing out good advice might be you. Halfway through your speech, the graduate sitting next to your daughter will lean over and ask, “Who is that woman up there who thinks she has all the answers?”

Well, thanks to the reasonable advice you are hearing today and that I hope you will all pass on, she will be able to say, “That is my mother. Humor her.”

小题1:According to the text, at a graduation ceremony you’ll most probably hear ________ given by the speaker.

A.wishes

B.proposals

C.warnings

D.instructions小题2:Among the people mentioned who think they have all the answers, which of the following are not referred to?

A.teaching staff

B.company staff members

C.recreational and sports person

D.family members小题3: Which of the following is closest in meaning to the expression “have all the answers”?

A.know a great deal about something through man’s life

B.know all the keys to any test before any graduation

C.be clever enough to do anything well in school

D.be experienced in giving advice on any subject小题4: What should you do with those who think they know all the answers according to the writer?

A.Argue with them to keep them angry

B.Keep them happy by accepting their wishes

C.Refuse them to make them complain

D.Turn deaf ears to them小题5: What is the best title for the passage?

A.The Requirement Of Speakers

B.How to Offer Advice

C.Humour them!

D.To Hell with them!

单项选择题