问题 单项选择题 共用题干题

患者男性,59岁,声嘶伴咽部不适半年,痰中带血1月。查体:甲状软骨膨大,右上颈部门Ⅱ区)可及大小的2cm×2.5cm质韧固定包块,无压痛。既往否认结核病史。患者行颈部MRI提示肿瘤位于声门上区,并侵及会厌前间隙、左侧咽壁、会厌及甲状软骨,左侧声带固定,口咽及咽部无侵犯,上颈可见多个肿大淋巴站,直接喉镜病检提示门上区中分化鳞癌。其他辅助检查未见转移。

若行常规术前放疗,则下面说法不正确的是()。

A.照射靶区应包括原发肿瘤区+区域淋巴结引流区

B.常规双侧水平野的上界平第一颈椎水平,下界为环状软骨下缘,前界为颈前缘,后界应为棘突后缘

C.必须行上、中颈淋巴结引流区阳射.而下颈、锁骨上区不做预防照射

D.DT40-50Gy时复查,如肿瘤消退满意可改行根治性放疗

E.照射剂量接近36~40Gy时应避开颈段脊髓。颈后区辅以电子线照射补量

答案

参考答案:C

阅读理解

阅读理解。

     Two years ago my grandmother was going to turn 75. My family discussed what was the best way to

celebrate. Should we throw her a party ? Should we take her on a trip ? We remembered that she had

touched so many people's lives, and there were so many people for her to consider. Then someone got

the idea that we should include everyone in the celebration by turning it into a tribute (献礼) to my

grandmother.

     We secretly sent out letters to the people in Grandmother's address book and asked them to send a

letter with a memory that they had shared with her. People sent us letters with poems, stories and pictures. The deep feeling that was shared through the response (回应) surprised us. We compiled (编辑) these

letters into a memory book and amazed her with it on the morning of her birthday.

     The unusual thing about my grandmother's friends was not the number that she had, but the connection

they shared. In many ways this book of friendship was the greatest achievement of my grandmother's life.

     I believe that developing true friendships is one of the most important things that anyone can do in

one's lifetime. It is not a matter of the number of friends one has, but the quality of the bonds. If one has

had at least one true friendship before dying, then one can say one has lived a successful life. I have made many friends and I believe I have begun to develop the same types of friendships my grandmother kept

up over her lifetime. I only hope that I will be as successful as she has been.

1. How did the author's family celebrate Grandmother's birthday ?

A. They took her on a trip across the country.

B. They gave her a memory book of friendship.

C. They invited all her friends to her birthday party.

D. They asked all her friends to send her cards.

2. When receiving her birthday gift, the author's grandmother probably felt _____.

A. disappointed and lonely

B. sorry and sad

C. surprised and pleased

D. nervous and excited

3. According to the passage, the author probably agrees that _____. 

A. the more friends you have, the better

B. friends are more important than family

C. understanding leads to greater success

D. true friendship is very important to us

4. Which of the following words can best describe the author's grandmother ?

A. Kind.

B. Great.

C. Polite

D. Pleasant

选择题