问题 单项选择题

患者,男,22岁。面色苍白、乏力3个月。体格检查:皮肤可见散在性出血点,浅表淋巴结不大,胸骨无压痛,肝脾未触及。血象:RBC2.0×1012/L,Hb60g/L;WBC3.6×10g/L,中性粒细胞0.30,淋巴细胞0.70,血小板30×109/L,网织红细胞0.004。该患者最可能的诊断是()。

A.急性淋巴细胞白血病

B.慢性淋巴细胞白血病

C.巨幼细胞贫血

D.再生障碍性贫血(普通型)

E.再生障碍性贫血(重型)

答案

参考答案:D

解析:该患者全细胞减少,但中性粒细胞>0.5×109/L,血小板>20×109/L,所以最可能的诊断是再生障碍性贫血(普通型)。

完形填空
完形填空。
     My parents divorced(离婚)when I was 8 years old: Their   1   was a mistake(错误)of World War Ⅱ. And about 50 years ago, I was the only child I knew who didn’t have a father at home on Father’s
Day. Divorce was very   2   back then.
     So when my friends were in town   3   for presents for their fathers, I decided since my
mother was both Mother and Father,    4   . else was like her, who better deserved (值得)a present on
Father’s Day than her?
     I bought her a little set of tools(工具), just a few things, hammer, pliers and screwdriver and a box to
put all these things in. I got some   35   from my grandfather and named it Mother’s Tool Box. She was
   6   , more at the thought of being cared for on Father’s Day than of the present.She always said she   7    her Father’s Day memories better than the Mother’s Day Ones. It made her feel   8   and she was. I have noticed(注意到)in the past few years, greeting cards are even made for“Mother on Father’s Day”.    9   , my mother has got cards on Father’s Day.By the way,she   10   just how to use those tools over the years.
( )1. A. decision      
( )2. A. unfriendly    
( )3. A. choosing      
( )4. A. somebody      
( )5. A. ideas        
( )6. A. surprised    
( )7. A. remembered    
( )8. A. special      
( )9. A. From then on  
( )10. A. wondered    
B. agreement  
B. uncommon    
B. buying      
B. nothing    
B. themes      
B. excited    
B. got        
B. important  
B. After that  
B. thought    
C. marriage    
C. uncomfortable
C. shopping    
C. anyone      
C. service      
C. crazy        
C. liked        
C. helpful      
C. Since then  
C. decided      
D. experience  
D. unlucky    
D. planning    
D. no one      
D. support    
D. grateful    
D. missed                    
D. welcome    
D. Even then  
D. knew        
单项选择题