问题 单项选择题 A3/A4型题

女性,62岁。绝经10年,纳差、下腹胀半年,伴体重减轻。体格检查:腹水征(+),双侧腹股沟淋巴结肿大。盆腔检查:子宫正常大小,子宫后位可触及一约7cm×8cm大小之不规则包块,与子宫界限不清,活动差。血CA125970U/ml。钡灌肠显示乙状结肠呈外压性狭窄。

手术治疗时如发现乙状结肠已发生转移,且无法将肿瘤剥离时,以下措施哪项较为合适()

A.应进行彻底的肿瘤细胞减灭术及乙状结肠部分切除吻合术

B.进行乙状结肠部分切除及乙状结肠造瘘术

C.无需进行盆腔淋巴结清扫术

D.仅进行活检,停止手术

E.切除全子宫及双附件,乙状结肠转移瘤暂不处理

答案

参考答案:A

阅读理解

How to improve our life? Many people think that they have to accept whatever life throws at them. They'll say, "This is my destiny. I cannot change it."

Of course not! You don't have to suffer needlessly. Your life depends on you, not on other factors.

I know a woman who says she just accepts what life gives her because she has done everything she can to improve it. Guess what her lifestyle is? She wakes up in the morning, goes to work, comes back home, relaxes, chats with people, watches TV, and then goes to sleep. Next day, the same routine cycle follows.

Huh! Is this what she calls "doing her best"? She believes she has tried her best and just accepts it in her heart that this is the life that has been intended for her and that her luck can only change if God wills it. She hasn't realized that we have to do our share of making the effort to live the life of our dreams.

Remember that you harvest what you sow. You have to get off the sofa, get your eyes off the TV screen, get your hands off the phone (unless it’s helpful to your success), and get your mind and body to work! Don't expect your luck to change, unless you do something about it. If something goes wrong, don't just regard it as a temporary(暂时的) problem; Instead, learn your lesson, make the most of the situation, and do something to solve the problem. It's not enough to think positively; you also have to act positively.

If someone's life is in trouble, do you just hope and pray that things will turn out fine? Of course not! You get to do anything you can to save the person. So it is with your own life. It is not enough to hope for the best, but you have to do your best. In other words, don't just stand or sit there, do something to improve your life.

小题1:According to the woman mentioned in Para. 3, her life ___________.

A.doesn't need improving

B.will be better some day

C.can’t improve itself

D.will be worse in the future小题2:What does the author think of the woman's life?

A.Positive

B.Disturbing

C.Colorful

D.Negative (消极的)小题3:Which of the following statements is the author's opinion?

A.Your temporary problem is not discouraging.

B.You should treat yourself in the way you treat friends.

C.Your luck can be changed by your own efforts.

D.You can only achieve success when God wills it.小题4:In Para. 5, the author emphasized(强调)the importance of _________.

A.positive thinking

B.positive action

C.hope for the best

D.intention to succeed小题5:The text is mainly written to advise you to __________.

A.improve your life

B.understand yourself

C.believe in yourself

D.change your normal way

判断题