女，50岁，月经不规律1年，伴潮热、出汗，现 * * 流血淋漓不净1月余。放环25年，G[3]P[2]。检查：外阴正常， * * 内有少量血迹，宫颈光，子宫水平位，正常大小，双附件未触及明显肿物。
为进一步确诊，首先选用的辅助检查方法是
A．性激素测定
B．诊刮术
C．宫腔镜检查
D．腹腔镜检查
E．B超检查
参考答案：E
解析：50岁未绝经期妇女性，出现少量 * * 流血，节育器放置25年。应考虑的疾病有：内膜病变(功能失调性子宫出血、内膜癌、内膜息肉、黏膜下肌瘤等)、节育器所致内膜炎或位置下移、体检未触及的卵巢肿瘤等。首先行B超检查子宫附件，对下一步的检查提供必要的靶信息。
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| There was a woman in Detroit, who had two sons. She was worried about them, especially the younger one, Ben, because he was not doing well in school. Boys in his class made jokes about him because he seemed so 1 .The mother 2 that she would herself have to get her sons to do better in school. She told them to go to the Detroit Public Library to read a book a week and do a book report for her. One day, in Ben's 3 , the teacher held up a rock and asked if anyone knew it. Ben put up his hand and the teacher let him 4 . "Why did Ben put up his hand? his classmates wondered." He 5 said anything What could he possibly want to say? "Well, Ben not only 6 the rock, but also said a lot about it. He named other rocks in its group and even knew 7 the teacher had found it. The teacher and the students were 8 . Ben had learned all this from doing one of his book 9 ." Ben later went on to the 10 of his class. When he finished high school, he went to Yale University and at last became one of the best doctors in the United States. | |||
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