问题 单项选择题 A1型题

42岁.G2P2,末产5年前, * * 不规则出血半年,伴轻微咳嗽2个月,妇科检查:子宫正常大小,质较软,右附件可及拳头大小囊性肿物,活动,无压痛,尿HCG阳性,胸片可见棉球状阴影,最可能的诊断是()

A.肺结核及子宫内膜结核

B.不全流产

C.侵袭性葡萄胎

D.绒毛膜癌

E.右卵巢颗粒细胞瘤

答案

参考答案:D

解析:这一道是临床分析应用题,考核学生对绒毛膜癌的临床分析能力。常见的错误是选C,原因是没有考虑先行妊娠(足月妊娠)5年前出现症状,一般先行妊娠到出现临床症状的时间大于12月预后差。该患者为5年,而且出现 * * 不规则出血、附件囊性肿物、尿HCG阳性及肺部转移灶等症状体征,应诊断为绒毛膜癌。

单项选择题
阅读理解

第三部分 阅读理解(共20小题;每小题2分,满分40分)

从A、B、C、D四个选项中,选出最佳选项。

A group of graduates,highly established in their careers,got together to visit their old university professor.

The conversation soon turned into complaints about stress in work and in life.offering his guests coffee,the professor went to the kitchen and returned with a large pot of coffee and a variety of cups——plastic,glass,crystal(水晶),some plain—looking,some expensive,some fine——telling them to help themselves to the coffee.

When all the students had a cup of coffee in hand,the professor said:“If you noticed,all the nice—looking,expensive cups were taken up,leaving behind the plain and cheap ones.While it is normal for you to want only the best for yourselves,that is the source of your problems and stress.”

“What all of you really wanted was coffee,not the cup,but you consciously went for the best cups and were eyeing each other’s cups.”

“Now consider this:Life is the coffee and the jabs,money and position in society are the cups.They are just tools to hold and contain life,and do not change the quality of life.Sometimes,by concentrating only on the cup,we fail to enjoy the coffee.So,don’t let the cups drive you...enjoy the coffee instead.”

56.Why did the conversation soon turn into complaints?

A.Because there was no coffee to drink.

B.Because there was nothing to talk about except complaints

C.Because life was not easy for everyone.

D.Because there was nothing better than to complain.

57.The professor brought in a variety of cups because           .

A.he was richer than his students

B.he was fond of collecting cups

C.there were too many people to drink coffee

D.the cups would play an important part in his talk

58.In the author’s opinion          .

A.it is necessary to have a variety of cups to meet the needs of different guests

B.one should concentrate on main things in life

C.the students liked drinking coffee mole than anything else

D.cups are more important than coffee

59.We can infer that       .

A.in our daily life most people want only the best for themselves

B.coffee was as important as a cup

C. a teacher should have a11 kinds of cups at home

D.whether coffee is nice to drink depends on the cup