患者女，19岁，因“乏力、面色苍白15天”来诊。查体：贫血外观，浅表淋巴结未触及。肝

发布时间：2017-06-25 23:04 │ 来源：www.tikuol.com

题型：单项选择题共用题干题

问题：

患者女，19岁，因“乏力、面色苍白15天”来诊。查体：贫血外观，浅表淋巴结未触及。肝、脾肋下未触及，神经系统检查未见异常。功能状态（PS）评分2分。外周血常规：白细胞85.2×10⁹/L，血红蛋白81g/L，血小板56×10⁹/L。骨髓形态学检查：骨髓增生极度活跃，原始和幼稚淋巴细胞占0.65。流式细胞术检查：原始细胞表达CD34、HLA-DR、TdT、CD19、CD20、CD22、CD10和CD13、CD33，而Cyu、sIgM、CyCD3、MPO阴性。染色体核型：46，XX［20］。MLL-AF4、BCR-ABL1和E2A-PBX1融合基因阴性。

为达长期生存，患者完全缓解后治疗宜采用（）

A.单纯化学治疗

B.化学治疗+中枢神经系统白血病（CNSL）预防

C.自体干细胞移植

D.自体干细胞移植后生物反应调节剂治疗

E.人类白细胞抗原（HLA.配型相合的亲缘或无关供者移植

考点：血液病学(医学高级)医学高级血液病学（副高）考前押题四

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什么叫胸膜腔内压？胸内压的形成和生理意义？

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电饭煲、电水壶和电熨斗分别标有“220V 1000W”、 “220V 1800W”和“220V 500W”的字样，它们各自正常工作相同时间，________（选填“电饭煲”、“电水壶”和“电熨斗”）产生的热量最多；标有“220V 1000W”的电饭煲正常工作0.2h，电流所做的功为______kW·h。

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完形填空。

     The day was Thankful Thursday. It's a weekly   1   that my two little girls and I began years ago.
Thursday has become our day to go out and make a positive   2 .
     My girls shouted "McDonald's, McDonald's" as we   3   along a busy Houston road. Suddenly I   4
that almost every crossing I passed through was   5   by a panhandler (乞丐). And then it hit me! All
these panhandlers must be hungry, too. Perfect! After we ate, I ordered a(n)   6   15 lunches and we set
out to deliver them. We would pull   7 a panhandler, make a contribution, and tell him or her that we
hoped things got better. Then we'd say, "Oh,   8 , here's lunch."
     We handed our final contribution to a small woman and then immediately   9   back in the opposite
direction for home.  10 , the light caught us again and we were stopped at the same crossing where this
small woman stood. I was  11  and didn't know quite how to behave.
     She made her way to our car, "No one has ever done  12  like this for me before," she said with  13 .
Feeling uneasy, and wanting to move the conversation along, I asked, "So,  14  do you think you'll eat
your lunch?"
     She just looked at me with her huge, tired brown eyes and said, "Oh honey, I'm not going to eat this
lunch." I was  15 , but before I could say anything, she continued, "You see, I have a little girl and she just
loves McDonald's, but I don't have the money. But you know  16  tonight if she is going to have
McDonald's!"
     I don't know if the kids  17  the tears in my eyes. So many times I had questioned whether our acts of
kindness were too  18  or insignificant to really affect change.  19  in that moment, I recognized the  20
of Mother Teresa's words:"We cannot do great things-only small things with great love."

( )1. A. tradition
( )2. A. decision
( )3. A. walked
( )4. A. reminded
( )5. A. crowded
( )6. A. additional
( )7. A. close
( )8. A. in fact
( )9. A. faced
( )10. A. Unfortunately
( )11. A. excited
( )12. A. something
( )13. A. amazement
( )14. A. what
( )15. A. shocked
( )16. A. whether
( )17. A. realized
( )18. A. many
( )19. A. Therefore
( )20. A. promise

B. ceremony
B. choice
B. ran
B. realized
B. occupied
B. expensive
B. across
B. to tell the truth
B. headed
B. Luckily
B. embarrassed
B. everything
B. fear
B. how
B. confused
B. if
B. felt
B. small
B. Although
B. oath

C. custom
C. contribution
C. wandered
C. understood
C. discovered
C. cheap
C. alongside
C. generally speaking
C. turned
C. Unexpectedly
C. frightened
C. anything
C. sorrow
C. where
C. pleased
C. what
C. noticed
C. big
C. Meanwhile
C. truth

D. habit
D. plan
D. drove
D. thought
D. laid
D. special
D. throughout
D. by the way
D. looked
D. Hopefully
D. annoyed
D. nothing
D. amusement
D. when
D. worried
D. that
D. recognized
D. simple
D. Yet
D. spirit

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民族风格

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各级管理部门要加强票据管理，做好（）。

A、及时核对

B、定期清查盘点

C、不定时稽查

D、盘存工作

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