问题 单项选择题 共用题干题

患者,女,46岁,因“反复咳嗽、咳痰5个月余,加重伴左胸痛1个月”来诊。体格检查无特殊发现。CT检查结果提示:左下肺近胸膜处见团块影,边界毛刺征明显,局部胸膜牵拉,左肺门淋巴结长大。血清CEA和CA125浓度明显升高。

经检查,确诊为“左肺腺癌”,相关检查未发现转移,接下来应安排的治疗是()。

A.新辅助化疗

B.手术治疗

C.局部放疗

D.靶向治疗

E.同步放、化疗

答案

参考答案:B

单项选择题
单项选择题

Weak dollar or no, $ 46,000-the price for a single year of undergraduate instruction amid the red brick of Harvard Yard-is (1) But nowadays cost is (2) barrier to entry at many of America’s best universities. Formidable financial-assistance policies have (3) fees or slashed them deeply for needy students. And last month Harvard announced a new plan designed to (4) the sticker-shock for undergraduates from middle and even upper-income families too.

Since then, other rich American universities have unveiled (5) initiatives. Yale, Harvard’s bitterest (6) , revealed its plans on January 14th. Students whose families make (7) than $60,000 a year will pay nothing at all. Families earning up to $ 200,000 a year will have to pay an average of 10% of their incomes. The university will (8) its financial- assistance budget by 43%, to over $ 80m.

Harvard will have a similar arrangement for families making up to $180,000. That makes the price of going to Harvard or Yale (9) to attending a state-run university for middle-and upper-income students. The universities will also not require any student to take out (10) to pay for their (11) , a policy introduced by Princeton in 2001 and by the University of Pennsylvania just after Harvard’s (12) . No applicant who gains admission, officials say, should feel (13) to go elsewhere because he or she can’t afford the fees.

None of that is quite as altruistic as it sounds. Harvard and Yale are, after all, now likely to lure more students away from previously (14) options, particularly state-run universities, (15) their already impressive admissions figures and reputations.

The schemes also provide a (16) for structuring university fees in which high prices for rich students help offset modest prices for poorer ones and families are less (17) on federal grants and government-backed loans.

Less wealthy private colleges whose fees are high will not be able to (18) Harvard or Yale easily. But America’s state-run universities, which have traditionally kept their fees low and stable, might well try a differentiated (19) scheme as they raise cash to compete academically with their private (20) . Indeed, the University of California system has already started to implement a sliding-fee scale.

13()

A.pressured

B.ashamed

C.insecure

D.unhappy