男,15岁。半年前因右肱骨下端骨肉瘤行截肢手术,半个月前出现右胸痛、咳嗽;X线片示右

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问题:

男,15岁。半年前因右肱骨下端骨肉瘤行截肢手术,半个月前出现右胸痛、咳嗽;X线片示右肺上叶转移性肿瘤。肿瘤转移的途径可能是()

A.直接蔓延扩散

B.通过动脉传播

C.通过淋巴回流

D.通过静脉回流

E.沿神经干蔓延扩散

考点:北京住院医师麻醉科Ⅰ阶段骨科(选择轮转科目)骨科(选择轮转科目)题库
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将小鼠骨髓瘤细胞与一种B淋巴细胞融合,可使融合的细胞经培养产生单克隆抗体,其依据是[ ]

A.B淋巴细胞可以产生抗体,但不能无限增殖

B.B淋巴细胞只有与骨髓瘤细胞融合后才能产生抗体

C.骨随瘤细胞可以无限增殖,但不能产生抗体

D.骨髓瘤细胞可以产生抗体,但不能无限增殖

题型:单项选择题

系统性硬化病心脏病变最常见的是()

A.心律失常

B.以上都不是

C.肺心病

D.心肌受损

E.心包积液

题型:单项选择题

阅读理解。

     In their book Time to Eat the Dog:The Real Guide to Sustainable Living,Robert and Brenda

 Vale say keeping a mediumsized dog has the same ecological impact as driving 10,000 km a year

in a 4.6 liter Land Cruiser.

     "We're not actually saying it is time to eat the dog.We're just saying that we need to think about

and know the ecological impact of some of the things we do and that we take for granted."

     Constructing and driving the jeep for a year requires 0.41 hectares of land,while growing and

manufacturing a dog's food takes about 0.84 hectares-or 1.1 hectares in the case of a large dog

such as a German shepherd.

     Convincing flesheating cats and dogs to go vegetarian for the sake of the planet is a nonstarter,

the Vales say.Instead they recommend keeping "greener",smaller,and more sustainable pets,such as

goldfish,chickens or rabbits.

     The book's playful title,and serious suggestion that pet animals may be usefully"recycled",by

being eaten by their owners or turned into pet food when they die,may not appeal to animal fans.

     Annoying as the idea may be,the question is valid given the planet's growing population and limited

resources,Robert Vale said.

     "Issues about sustainability are increasingly becoming things that are going to require us to make

choices which are as difficult as eating your dog.It's not just about changing your light bulbs or taking

a cloth bag to the supermarket,"he said.

     "It's about much more challenging and difficult issues," he added.

1.The authors gave their book the playful title to________.

A.make it amusing  

B.create a vivid image

C.show writing skills  

D.arouse people's concern

2.In Paragraph 3 the writer mainly wants to tell us________.

A.the amount of consumed land

B.the neglected ecological impact

C.some familiar examples

D.some actual figures

3.Who may not like the idea of "recycling" pet animals?

A.Manufacturers.  

B.Drivers.

C.Animal fans.  

D.The authorities.

4.What do the authors think of living a sustainable life?

A.Challenging.  

B.Inspiring.

C.Inviting.  

D.Touching.

题型:单项选择题

患者,男,30岁。感冒后咳嗽有痰,伴有咽喉疼痛,治疗时用牛蒡子最宜配伍的药物是()

A.浙贝母

B.桔梗

C.苦杏仁

D.百部

E.川贝母

题型:单项选择题

某人站在20m的平台边缘,以20m/s的初速度竖直上抛一石子,则抛出后石子通过距抛出点15m处的时间不正确的是(不计空气阻力,取g=10m/s2)()

A.1s

B.3s

C.(-2)s

D.(+2)s

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