患者女,62岁,因“ * * 出血”来诊。患者无高血压或血压剧烈波动史,无电解质紊乱或其他

题型:多项选择题 案例分析题

问题:

患者女,62岁,因“ * * 出血”来诊。患者无高血压或血压剧烈波动史,无电解质紊乱或其他症状。B型超声:右腹腔上方低回声团,考虑肾上腺来源肿瘤可能。CT:右肾上腺占位。手术见右肾上腺区一肿瘤,5cm×3cm×3cm,肿瘤与周围组织粘连明显。大体检查:结节状肿物1个,4cm×3cm×3cm。切面质软,淡黄灰褐色,可见灶性出血。镜下:肿瘤一侧见正常肾上腺皮质组织,肿瘤边界清楚,未见明确包膜。肿瘤细胞呈多角形、卵圆形或圆形,核有多形性,大小不一,可见个别巨核细胞,核浆比例较大,胞质嗜碱性,核分裂0~3个/10HPF。肿瘤细胞大多成片排列,但可见明显的以血管为中心的菊形团结构。可见灶性坏死及血管内瘤栓。

该肿瘤的鉴别诊断包括()。

A.肾上腺皮质腺瘤

B.嗜铬细胞瘤

C.转移性神经内分泌癌

D.神经内分泌癌

E.神经母细胞瘤

F.后腹膜肿瘤浸润肾上腺

考点:病理学(医学高级)医学高级病理学模拟试题二
题型:多项选择题 案例分析题

女性,50岁。2天前无意中发现右乳外上象限包块,约3cm×4cm大小,边界不清,局部皮肤凹陷,右腋窝可及直径1cm淋巴结,质硬,活动度可。

经过术前治疗,包块缩小至2cm。施行保乳手术,其术后必不可少的治疗是()。

A.放疗

B.内分泌治疗

C.免疫治疗

D.生物治疗

E.抗感染治疗

题型:多项选择题 案例分析题

可用于抗高血压的利尿药有:

A.氢氯噻嗪

B.螺内酯

C.呋塞米

D.甘露醇

题型:多项选择题 案例分析题

定义: ①自我强化:个人依据强化原理安排自己的活动或生活,每达到一个目标即给予自己一点物质的或精神的酬报,直到最终目标完成。 ②自我认同:个体依据个人的经历所反思性地理解到的自我。 ③自我暗示:又称自我肯定,是对某种事物的有力、积极的叙述,这是使一种我们正在想象的事物坚定和持久的表达方式。 典型例证: (1) 许多幼儿在活动时,会把大人推得远远的。他不需要大人在旁边,也不需要鼓励、奖励,但玩得很开心 (2) 一个人如果故意对他人说心情不好,他见一个人就说“我心情不好,别碰我”,说得多了,他真的就心情不好了 (3) 抑郁患者的幻觉、妄想和梦想常常包含着自我惩罚、丧失和剥夺这样一些主题 上述典型例证与定义存在对应关系的数目有( )。

A.0个

B.1个

C.2个

D.3个

题型:多项选择题 案例分析题

One thing the tour books don’t tell you about London is that 2,000 of its residents are foxes. As native as the royal family, they fled the city about centuries ago after developers and pollution moved in. But now that the environment is cleaner, the foxes have come home, one of the many wild animals that have moved into urban areas around the world.

Several changes have brought wild animals to the cities. Foremost is that air and water quality in many cities has improved as a result of the 1970s pollution-control efforts. Meanwhile, rural areas have been built up, leaving many animals on the edges of suburbs. In addition, urban wildlife refuges (避难处) have been created. The Greater London Council last year spent $750, 000 to buy land and build 10 permanent wildlife refuges in the city. Over 1,000 volunteers have donated money and cleared rubble from abandoned spots. One evening last year a fox was seen on Westminster Bridge looking up at Big Ben.

  For peregrine falcons (游隼), cities are actually safer than rural cliff dwellings (悬崖栖息地). By 1970 the birds had died out east of the Mississippi because the DDT had made their eggs too thin to support life. That year, scientist Tom Cade of Cornell University began raising the birds for release in cities, for cities afforded abundant food.

  Cities can attract wild animals without turning them harmful. The trick is to create habitats where they can be self-sufficient but still be seen and appreciated. Such habitats can even be functional. In San Francisco, the local government is testing different kinds of rainwater control basins to see not only which ones retain (保持) the cleanest water but which will attract the most birds.

小题1:The first paragraph suggests that ________.

A.environment is the key to wildlife

B.tour books are not always a reliable source of information

C.London is a city of fox

D.foxes are highly adaptable to environment小题2:Which of the following is NOT a reason that wildlife is returning to the cities?

A.Food is plentiful in the cities.

B.Wildlife is appreciated in the cities.

C.Wildlife refuges have been built in the cities.

D.Air and water quality has improved in the cities.小题3:It can be inferred from the passage that ________.

A.Londoners are putting more and more wild animals into their zoos

B.Londoners are happy to see wild animals return to their city

C.Londoners are trying to move wild animals back to the countryside

D.Londoners have welcomed the wild birds, but found foxes a problem小题4:What is the passage mainly about?

A.Wildlife returning to large cities.

B.Foxes returning to London.

C.Wild animals living in zoos.

D.A survey of wildlife in New York.

题型:多项选择题 案例分析题

钻时曲线图的比例通常情况下为()。

A、1:100

B、1:200

C、1:250

D、1:500

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