问题 单项选择题 A3/A4型题

患者,女,25岁,发热伴下肢和腹部皮肤瘀斑5天,查体:T38.5℃,双下肢和腹部皮肤有数处瘀斑,双侧颈部,腋窝和腹股沟可触及淋巴结肿大,活动无压痛,最大者为2cm×2.5cm,胸骨压痛(+)。腹软,肝肋下1.5cm,脾肋下2cm,化验:Hb78g/L,WBC18×10<sup>9</sup>/L,分类可见原始细胞和幼稚细胞,PLT25×10<sup>9</sup>/L,网织红细胞0.002。

该患者最可能的诊断是()。

A.急性淋巴细胞型白血病

B.非霍奇金淋巴癌

C.急性粒细胞白血病

D.霍奇金淋巴癌

E.系统性红斑狼疮

答案

参考答案:A

阅读理解

D

Here are a few tips we’ve put together to help you learn English well.

Speak, speak, speak!

Practise speaking as often as you can—even speaking to yourself is good practice. Try recording yourself whenever you can. Compare your pronunciation with the master version, see how you can do better and have another try. If you do this several times, you will find that each version is better than the last.

Why not learn with someone else?

It helps if you can learn with someone else. If you can persuade a friend or family member to study with you, it will make you keep working. Agree times to meet and set goals for the week, and test each other regularly.

Don’t get stuck by a word you don’t know

Practise improvising (即兴的) ways of getting your meaning across while speaking spontaneously (本能), even if you don’t know the exact words or phrases. Think of things you might want to say whenever you have spare time. A basic example is the use of tenses. If you don’t know the past tense but want to talk about yesterday, use the verb in the present tense and use the word for “yesterday”. Use facial expressions, hand movements, anything to get your meaning across.

Language learning is also about intuition (直觉)

Guesswork is important in learning a new language. When listening to recorded material, you aren’t expected to understand everything first time round. If you play the same piece several times, you will most probably understand something new each time. Learn to make maximum use of all the clues you can pick up. For example, what do the speakers sound like? Happy? Angry? Calm? Etc.

Build up your vocabulary

A wide vocabulary is the key to successful language learning but don’t try to learn too much at once. It’s best to study frequently, for short periods of time. Take a maximum of six or seven items of vocabulary and learn them. Put them into sentences to fix them in your mind, then come back to them later. Much of the vocabulary in the course is presented by topic.

And above all, have fun!

68. Why should one have himself recorded when practicing speaking?

A. To encourage others to start.

B. To record his own progress.

C. To improve his speaking.

D. To compare himself with others.

69. Which of the following is the most important in learning English?

A. Speaking.      B. Pleasure.      C. Intuition.     D. Vocabulary.

70. It is important in Tip 3 that        is helpful when you are learning English.

A. body language  B. a good memory  C. a good friend  D. a proper dictionary

71. Which of the following seems NOT to be true in learning a language?

A. Practice makes perfect.          B. A good beginning is half done.

C. Rome is not built in a day.      D. Don’t run before you can walk.

判断题