问题 单项选择题

男性,60岁,半年前左颈部淋巴结肿大,经抗感染治疗未见好转。近1个月鼻涕带血,鼻塞、耳聋、耳鸣。鼻镜检查,左侧鼻咽顶部糜烂,取材后活检,镜下见瘤细胞界限不清,细胞核大、圆或卵圆形呈空泡状,核仁明显;癌细胞间和间质见淋巴细胞浸润。

肿瘤大体分型应为

A.结节型
B.菜花型
C.溃疡型
D.黏膜隆起型 E.糜烂型

答案

参考答案:E

解析:鼻咽癌肉眼观察将其病变分为:①结节型;②菜花型;③糜烂型;④黏膜隆起型;⑤溃疡型;⑥浸润型(内生浸润为主,外观无明显变化)。本例鼻咽癌因主要表现为糜烂,因此属糜烂型。

单项选择题
完形填空

Mrs. Jones was over eighty, but she still drove her old car like a woman half her age. She loved driving very fast, and was proud of the fact   1  she had never, in her thirty-five years of driving, been punished  2  a driving offence (犯规,犯法).

Then one day she nearly   3  her record. A police car  4  her, and the policemen in it saw her   5  a red light without stopping. Of course, she was stopped. It seemed  6  that she would be punished.

7  Mrs. Jones came up to the judge, he looked at her seriously and said that she was   8  old to drive a car, and that the  9  why she had not stopped at the red   10  was most probably that her eyes had become weak   11  old age, so that she had simply not seen it.

When the judge had finished what he was   12, Mrs. Jones opened the big handbag she was  13  and took out her sewing. Without saying a word, she   14  a needle with a very small eye, and threaded it at her first attempt.

When she had   15  done this, she took the thread out of the needle again and handed  16  the needle and the thread to the judge, saying, “Now it is your   17. I suppose you drive a car, and that you are quite sure about your own eyesight.”

The judge took the   18  and tried to thread it. After half a dozen tries, he had still not succeeded. The case (案例) against Mrs. Jones was   19, and her record   20  unbroken.

1. A. which           B. when            C. that               D. this

2. A. about           B. on                C. to                 D. for

3. A. kept             B. won             C. missed          D. lost

4. A. watched       B. after            C. followed        D. ran after

5. A. pass             B. go               C. run                D. rush

6. A. sure             B. indeed          C. certain           D. perhaps

7. A. Before          B. While           C. Until             D. When

8. A. so               B. very             C. too                D. quite

9. A. cause           B. reason          C. matter             D. trouble

10. A. light          B. lamp             C. sign               D. one

11. A. with           B. because        C. for                  D. of

12. A. speaking       B. saying          C. talking            D. telling

13. A. holding        B. getting          C. carrying           D. bringing

14. A. took            B. brought         C. picked             D. chose

15. A. almost         B. hardly           C. successfully      D. successful

16. A. both            B. all                C. neither            D. either

17. A. time            B. turn              C. chance             D. job

18. A. thread          B. glasses         C. needles            D. needle

19. A. dismissed     B. passed          C. settled             D. studied

20. A. was             B. kept             C. seemed             D. remained