问题
单项选择题 共用题干题
患者女性，40岁。近半年来消瘦、多汗。查体：甲状腺轻度肿大，心率100次/分，脾大平肚脐，质地坚实，无压痛。白细胞50×10<sup>9</sup>/L，骨髓Ph染色体（+）。
最有可能的诊断是（）
A.甲亢
B.急性粒细胞性白血病
C.慢性粒细胞性白血病
D.类白血病反应
E.肝硬化
答案
参考答案：C
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患者女性，40岁。近半年来消瘦、多汗。查体：甲状腺轻度肿大，心率100次/分，脾大平肚脐，质地坚实，无压痛。白细胞50×10<sup>9</sup>/L，骨髓Ph染色体（+）。
最有可能的诊断是（）
A.甲亢
B.急性粒细胞性白血病
C.慢性粒细胞性白血病
D.类白血病反应
E.肝硬化
参考答案：C
On the first day of school our teacher let us know someone. Looking out, we found an old woman 16 at the door. She said, “Hi, my name is Susan, I’m seventy years old.” While we were 17 what made her take this challenge (挑战) at her age, she said with a smile, “I'm here to meet a rich husband, get 18 , have two children and travel together.” Hearing this, all of us laughed. “In fact,” she went on, “I always 19 of having a college education, and now I’m getting 20 !” After class we had chocolate and milk together. We became good 21 . I often listened to this “time machine” as she shared her study with me. At the end of the term we invited Susan to give us a 22 . When she was stepped up to the front, suddenly she found she took the wrong paper. She felt a little frustrated（沮丧的） and said, “I'm sorry. I’m so nervous that I can’t get my ready talk 23 , so I have to tell you 24 I know .” In her speech she told us, “We don’t stop playing as we are old, we grow old because we stop playing. The secret of staying 25 , being happy and getting success is that we should laugh and find something 26 every day. I think there is a great 27 between growing old and growing up. I am seventy now. If I 28 in bed for one full year and never do anything. I’ll become seventy – one. Since anybody can grow older, my idea is to grow up by always finding the chance in change. Growing older can’t be avoided(避免的), growing up can be 29 . It’s never too late to be all you can be possible.” During the four years’ study, it was so easy for Susan to make friends 30 she went. In the end, the wonderful woman got a college degree.
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