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65岁妇女，绝经15年，近半年 * * 流血性分泌物，量中等，间断有少量 * * 流血，妇查： * * 呈漏斗型，宫颈呈溃疡状，触痛（+），子宫小、固定，双侧宫旁呈团饼状增厚，质硬，达盆壁，锁骨上淋巴结（-）

宫颈活检为鳞癌，正确的诊断是（）。

A.宫颈鳞癌Ⅳ期

B.宫颈鳞癌Ⅱa期

C.宫颈鳞癌Ⅱb期

D.宫颈鳞癌Ⅲa期

E.宫颈鳞癌Ⅲb

答案

参考答案：E

单项选择题 共用题干题

患者，男性，67岁，反复夜尿频半年余，排尿困难2个月，B超检查双肾未见占位性病变，膀胱充盈良好，前列腺5cm×4cm×3cm大小。残余尿量120ml。

上述患者最可能的诊断是（）

A.神经源性膀胱

B.膀胱过度活动症

C.前列腺增生

D.膀胱肿瘤

E. * * 狭窄
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单项选择题

Looking back on my childhood, I am convinced (1) naturalists are born and not made. Although we were all brought (2) in the same way, my brothers and sisters soon gave up their pressed flowers and insects. (3) them, I had no ear (4) music and languages, I was not an early reader and I could not do mental arithmetic.Before World War I we (5) our summer holidays in Hungary. I have only the memory of the house we lived (6) , of my room and my toys. I can hardly (7) clearly the large family of grandparents, aunts, uncles and cousins who gathered (8) door. But I do have a clear memory of the dogs, the farm (9) , the local birds and, (10) all, the insects.I am a (11) , not a scientist. I have a p (12) of the natural world, and my enthusiasm has led me into varied investigation. I love discussing my favorite topics and enjoy (13)  the midnight oil  (14)  reading about other people’s observations and discoveries. Then  (15)  happens that brings these observations together  (16)  my conscious mind. Suddenly you fancy (想象), you see the answer  (17)  the riddle, and books, of which some might honor with the title of scientific research.But curiosity, a keen eye, a good memory and enjoyment of the animal and plant world do not make a scientist; one of the outstanding and essential  (18)  required is self-discipline, a quality I lack. A scientist requires not only  (19)  but also hard training, determination and a goal. A scientist, up to a point, can be made. A naturalist is  (20) . If you can combine the two, you get the best of both worlds.

 

 

第（20）空应选择（）

A．made

B．born

C．produced

D．found
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