问题 单项选择题 案例分析题

患者,女,30岁,半年前发现颈前部右侧鸽蛋大小包块,随吞咽上下移动,表面光滑,生长缓慢。1周前感冒咳嗽后颈部包块迅速增大,伴吞咽疼痛,局部有触痛。

对于该患者最恰当的治疗方法是()

A.B超引导下穿刺抽液,局部注射碘剂

B.放射性碘治疗

C.甲状腺腺瘤单纯切除

D.患侧甲状腺大部分切除

E.抗生素+皮质激素+甲状腺制剂

F.甲状腺瘤全部切除

答案

参考答案:D

单项选择题

Standard English is the variety of English which is usually used in print and which is normally taught in schools and to non-native speakers learning the language. It is also the variety which is normally (1) by educated people and used in news broadcasts and other (2) situations. The difference between standard and nonstandard, it should be noted, has (3) in principle to do with differences between formal and colloquial (4) ; standard English has colloquial as well as formal variants.

(5) , the standard variety of English is based on the London (6) of English that developed after the Norman Conquest resulted in the removal of the Court from Winchester to London. This dialect became the one (7) by the educated, and it was developed and promoted (8) a model, or norm, for wider and wider segments of society. It was also the (9) that was carried overseas, but not one unaffected by such export. Today, (10) English is arranged to the extent that tile grammar and vocabulary of English are (11) the same everywhere in the world where English is used; (12) among local standards is really quite minor, (13) the Singapore, South Africa, and Irish varieties are really very (14) different from one another so far as grammar and vocabulary are (15) .Indeed, Standard English is so powerful that it exerts a tremendous (16) on all local varieties, to the extent that many of long-established dialects of England have (17) much of their vigor and there is considerable pressure on them to be (18) . This latter situation is not unique (19) English: it is also true in other countries where processes of standardization are (20) .But it sometimes creates problems for speakers who try to strike some kind of compromise between local norms and national, even supranational ones.

8()

A.to

B.in

C.as

D.for

填空题