问题 多项选择题 案例分析题

患者男,47岁。因"发现颈部包块伴乏力、消瘦3个月余"入院。患者于3个月前无意中发现右颈包块,约2cm×2cm大小,伴四肢无力,身体消瘦,3个月来上述症状逐渐加重,体重下降8kg,为求进一步诊治转入院。查体:T37.6℃,一般情况差,ECOG2级,形体消瘦,体重50kg,双颈可及多个肿大淋巴结,最大者约3cm×3cm,表面红肿,压之部分有疼痛,心肺未见异常,肝脾不大,双上肢手指肿胀,双下肢无水肿。实验室资料:血常规、肝肾功能正常,LDH明显升高,达1202mmol/L,胸片、肝脾B超检查未见异常;骨髓涂片示三系增生且未见异常细胞。右颈淋巴结活检病理:外周T细胞性淋巴瘤(非特异型)。

患者的治疗方案包括()

A.化疗

B.纵隔颈部放疗

C.利妥昔单抗分子靶向治疗

D.手术

E.支持治疗

F.大剂量化疗及干细胞移植治疗

答案

参考答案:A, B, E

单项选择题
单项选择题

It is incongruous that the number of British institutions offering MBA courses should have grown by 254 percent during a period when the economy has been sliding into deeper recession. Optimists, or those given to speed, assumptions, might think it marvelous to have such a resource of business school graduates ready for the recovery. Unfortunately, there is now much doubt about the value of the degree not least among MBA graduates themselves, suffering as they are from the effects of recession and facing the prospect of shrinking management structures.

What was taken some years ago as a ticket of certain admission to success is now being exposed to the scrutiny of cost-conscious employers who seek "can-dos" rather than "might-dos", and who feel that academia bas not been sufficiently appreciative of the needs of industry or of the employers’ possible contribution.

It is curious, given the name of the degree, that there should be no league table for UK business schools; no unanimity about what the degree should encompass; and no agreed system of accreditation. Su rely there is something wrong. One wonders where all the tutors for this massive infusion of business expertise came from and why all this mushrooming took place.

Perhaps companies that made large investments would have been wiser to invest in already existing managers, perched anxiously on their own internal ladders The Institute of Management’s 1992 survey, which revealed that eighty-one per cent of managers thought they personally would be more effective if they received more training, suggests that this might be the case. There is, too, the fact that training alone does not make successful managers. They need the inherent qualifications. Of character; a degree of self-subjugation; and above all, the ability to communicate and lead; more so now, when empowerment is a buzzword that is at least generating genuflexions, if not total conviction.

One can easily think of people, some comparatively unlettered, who are not lauded captains of industry. We may, therefore, not need to be too concerned about the fall in applications for business school places, or even the doubt about MBAs. The proliferation and subsequent questioning may have been an inevitable evolution. If the Management Charter Initiative, now exploring the introduction of a senior management qualification, is successful, there will be a powerful corrective.

We believe now that management is all about change. One hopes there will be some of that in relationship between management and science within industry, currently causing concern and which is overdue for attention. No-one doubts that we need more scientists and innovation to give us an edge in an increasingly competitive world. If scientists feel themselves undervalued and under-used, working in industrial ghettos, that is not a promising augury for the future. It seems we have to resolve these misapprehensions between science and. industry. Above all, we have to make sure that management is not itself smug about its status and that it does not issue mission statements about communication without realizing that the essence of it is a dialogue. More empowerment is required and we should strive to achieve it.

What is the writer’s view in the reading passage()

A. He believes that there are too many MBAs

B. He believes that the degree is over-valued

C. He believes that standards are inconsistent

D. He believes that the degree has dubious value