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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

判断题

耕地占用税的纳税人是占用耕地建房或从事其他非农业建设的单位和个人，包括国家机关、企业、事业单位，乡镇集体企业、事业单位、农村居民等。对于农民家庭占用耕地建房的，家庭成员中除未成年人和无行为能力人外，都视为耕地占用税的纳税人。 ( )
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单项选择题

Just how does a person arrive at an idea of the kind of person that he is He develops this (1) of self through a gradual and complicated (2) which continues throughout life. The notion is an (3) that one establishes only with the help of others. (4) the elementary knowledge that one is short or tall is a comparative judgment that we cannot make (5) we have the opportunity to (6) ourselves with others. One’s idea of qualities which are harder to (7) is even more dependent upon other people’s ideas.

Whether one is intelligent, or stupid; attractive, or ugly; these and many other ideas of the self are (8) from the reactions of people with whom we (9) This process of (10) the nature of the self from the reaction of others has been labeled the "Looking-glass Self" by Cooley, who carefully analyzed this psychological (11) of self-discovery.

Just as the picture in the mirror gives an image of the physical self, (12) the perception of the reactions of others gives an image of the social self. We know, (13) , that we are good at certain things and not at others. This (14) came to us from the reactions of other persons, first our parents and then other individuals (15) in life. It should be remembered that, as other people’s reactions could be (16) and understood in more than one way, the looking-glass self with which the individual (17) may easily differ from the image others have actually formed of his (18) Clearly, it is our perception of the responses of others and not their (19) responses that (20) our self-image, and these perceptions are often not accurate.

10（）

A.exploring

B.convicting

C.exploiting

D.extending
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