问题 单项选择题 A3型题

患儿男,5岁。发热1个月、伴双下肢疼痛一周入院。体检:体温38.5℃,面色苍白,下肢有少许散在出血点,浅表淋巴结易触及,如绿豆至黄豆大,心、肺无异常,肝肋下2cm,脾无肿大,双下肢无明显关节红肿,神经系统检查无异常。血红蛋白98g/L,白细胞数12×109/L,中性粒细胞0.30,淋巴细胞0.7,骨髓细胞学检查证实为急性淋巴细胞白血病。

如系中枢神经系统白血病,应首先采取下列哪项治疗措施()

A.规则三联鞘内注射8次

B.全身重新诱导缓解

C.大剂量MTX

D.颅脑放射治疗

E.造血干细胞移植

答案

参考答案:A

阅读理解

As a high school athletics coach, I gave a speech about football to students and parents, aiming at getting new team members :I talked  about how"everyone  can benefit from football. This year, a worried-looking couple approached me. Their son, who had a sickly childhood, really wanted to play football. They'd tried to talk him out of it, but he had his heart set on joining the team.

When they told me his name , my heart sank. Michael was short and thin. He was a lonely kid and the constant target of other kids' jokes. I knew Michael would never make it. But so close to my  "football is for everyone"  speech,  I told them we could give it a try.

On the opening day of practice, Michael was the first player on the field. We started a one-mile jog around the track. Repeatedly he fell, each time picking himself up. The same thing happened for weeks. But Michael put his whole heart into the training. Cradually, Michael gained strength both socially and physically. He began to laugh and most of the teammates became friendly. By the last week of practice Michael could run the mile without falling. He asked me to add a few more exercises he could work on his own. Soon ,  Michael ran the opening mile faster than anyone.

One day after practice, the team captain, Steve, came up to me. He was talented but lazy.He was popular with students even though he could be heartless. Steve pointed to the field where Michael was jogging all alone and asked me why he was still out there. I told Steve to ask him. The next night, I was surprised to see Steve exercising right next to Michael.

Finally our big game came-at first we were losing by twelve points. I could see that some kids  had already lost heart. But Michael was playing as hard as he could ,  begging the team to keep trying. Finally we won the game by one point in the final ten seconds.

At our celebration dinner, we always gave a big award to the most productive player. Steve had scored the most points that season,  and everyone cheered as he received his award. " There's someone who deserves it more than I do,"  Steve said,  " Everything I accomplished,  and everything the team accomplished this season, is thanks to one person-Michael. " The entire team cheered as Steve turned the prize over to the player who had inspired them all.

小题1:The author gave a speech to the students and parents in order to ____.

A.bring in new team members

B.teach them how to play football

C.tell them about the benefits of playing football

D.help those parents who are worried about their children小题2:How did the author react after the couple told him their son's name?

A.He was very excited about accepting Michael on the team.

B.He refused to accept Michael because he had no talent for sports.

C.He decided to accept Michael though he was unwilling to do so.

D.He agreed to accept Michael because he was moved by his determination.小题3: What happened to Michael after a few weeks' training?

A.He gave up training.

B.He began to laugh at others.

C.He often protected others in the football field.

D.He became strong both in friendly relations and in body.小题4: Which of the following can be the best title for the passage?

A.The Road to Success

B.Heart of a Champion

C.Steve, the Real Winner

D.A Player of Patience

不定项选择