问题 多项选择题 案例分析题

患者男,10岁,因“左下肢无力5个月”来诊。无明显诱因,起病隐匿,不伴发热、肢体感觉异常、尿粪障碍及关节肿痛。多次血常规检查正常,肌电图检查

应采取的治疗措施包括(提示“双下肢肌肉呈神经源性受损,左侧著”。经口服B族维生素及针灸、按摩等治疗,病情无改善。既往3岁时患急性淋巴细胞白血病(L型),经正规住院治疗2个月完全缓解,又定期随诊治疗3年停药。个人史、家族史无特殊。查体:浅表淋巴结无肿大;心、肺、腹无异常;脑神经(-),左下肢肌力Ⅳ级,左股四头肌及腓肠肌肌腹最大处周长较对侧分别细2cm和3cm,双侧膝跳反射对称引出,跟腱反射左侧消失,右侧减弱,双侧巴宾斯基征(+),脑膜刺激征(-)。提示脑脊液细胞学检查:主要为幼稚淋巴细胞。脊髓MRI:L~L平面脊髓异常信号。)()

A.甘露醇脱水

B.甘油果糖脱水

C.全身化疗可采用VDLP方案

D.鞘内注射大剂量甲泼尼龙

E.静脉注射大剂量甲泼尼龙

F.鞘内注射甲氨蝶呤、阿糖胞苷、地塞米松

G.静脉注射广谱抗生素预防感染

答案

参考答案:C, F

阅读理解

"How are you?" is a nice question. It's a friendly way that people in the USA greet each other. But "How are you?" is also a very unusual question. It's a question that often doesn't need an answer. The person who asks "How are you?" hopes to hear the answer "Fine", even if the person's friend isn't fine. The reason is that "How are you?" isn't really a question and "Fine" isn't really an answer. They are simply other ways of saying "Hello" or "Hi".

Sometimes, people don't say exactly what they mean. For example, when someone asks "Do you agree?", the other person might think, "No, I disagree. I think you're wrong..."But it isn't very polite to disagree so strongly, so the other person might say "I'm not sure." It's a nicer way to say that you don't agree with someone.

People don't say exactly what they are thinking when they want to finish talking with other people. For example, many talks over the phone finish when one person says "I've to go now."Often, the person who wants to hang up gives an excuse:"Someone's at the door.""Something is burning on the stove."The excuses might be real, or not. Perhaps the person who wants to hang up simply doesn't want to talk any more, but it isn't polite to say that. The excuse is more polite, and it doesn't hurt the other person.

Whether they are greeting each other, talking about an idea, or finishing a talk, people don't say exactly what they are thinking. It's an important way that people try to be nice to each other, and it's part of the game of language.

小题1:When a person in America asks "How are you?", he or she wants to hear" ________ "

A.How are you?

B.Hello.

C.I don't know.

D.Fine.小题2:When a person disagrees with someone, it is polite to say"_________ "

A.You are wrong. I disagree.

B.I'm not sure.

C.I'm sure I disagree.

D.I don’t agree with you.小题3:A polite way to finish a talk is to say"__________"

A.You have to go now.

B.I want to hang up.

C.I have to go now.

D.I don't want to talk any more.小题4:When a person says "I've got to go now. Someone's at the door.", the person may be_______.

A.giving an excuse

B.hurting someone's feelings

C.talking to a person at the door

D.going to another place小题5:The rule of the game of language is probably____________ .

A."Always say what you mean"

B."Don't disagree with people."

C."Never say exactly what you're thinking."

D."Be polite."

单项选择题