患者男，75岁，因贫血、发热、左上肢骨痛，活动后加剧入院。查体_爱下问搜题

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问题多项选择题共用题干题

患者男，75岁，因贫血、发热、左上肢骨痛，活动后加剧入院。查体发现贫血貌，胸骨压痛不明显，左上肢按压痛，双下肢皮肤有少量出血点。实验室检查：WBC3.8×10⁹/L，Hb89g/L，尿蛋白（+），血沉105mm／h（魏氏法）。X线检查发现头盖骨等处有“溶骨性”病变。

诊断多发性骨髓瘤需有形态学特征、临床实验室和影像学检查所见，对于该患者必要的检测包括（提示该例患者疑为多发性骨髓瘤。）（）

A.骨髓细胞检测

B.血红蛋白检测

C.尿本-周蛋白检测

D.骨髓组织检测

E.X线检查、血沉

F.β2-微球蛋白检测、血清蛋白检测

答案

参考答案：A, B, C, D, E, F

单项选择题

关于RU486（米非司酮）抗早孕原理，正确的是（）

A.使子宫收缩

B.干扰孕激素与受体结合抗早孕

C.干扰雌激素与受体结合抗早孕

D.抑制受精卵分裂

E.使着床不能顺利进行

完形填空

My husband and I are both musicians. I took it 36  granted that one day our daughter Holly would learn to play an instrument.
In 2000 Holly fell 37  and the doctor said she may have been left   38   deaf. “She won’t be able to hear music in any shape or form,” said the doctor. It was a great   39  .
In 2001, her right ear was fitted with a cochlear implant --- electronic equipment that provides a sense of    40   for people who are completely deaf. Seven years later, another was fitted in her    41   ear. The doctors played us a model of what music would sound like to Holly --- I was horrified   42  it was just white noise.
“Holly will hear music,” I   43   saying to myself. I tried to put what had gone wrong right, so we constantly   44  words and sounds to her. She has been having lessons since she was seven . she’s   45  all the time. I’m always surprised by just how much better she does.
When she   46  a national piano competition, the adjudicator   47  Holly for appearing to listen to the sounds she was making --- her whole body, he said to us, was   48  in the process of making music.
I   49  that the model we originally heard of how music sounds with a cochlear implant isn’t   50  holly hears it. The brain is complex and adapts to many   51  ;in some way, Holly has made   52  of it all. She loves life. She doesn’t think about what happened to her and says   53  , “I don’t want to talk about bad things. Let’s talk about good things.”
I was determined that her life would not be   54  by a miserable event, but never imagined that she could   55  what she has. I can only describe this as a miracle.