患者男性,53岁,因“右侧肾盂癌根治术后3年,血尿1周”就诊。患者于3年前,因右肾盂

题型:单项选择题 案例分析题

问题:

患者男性,53岁,因“右侧肾盂癌根治术后3年,血尿1周”就诊。患者于3年前,因右肾盂癌于当地医院行右侧肾盂癌根治术,术后门诊定期随诊。1周前患者无明显诱因出现肉眼血尿,无尿频、尿急,无排尿费力等不适。遂至门诊就诊。尿常规检查:尿隐血(+++)。尿脱落细胞检查:可见核异形性细胞。B超检查:右肾缺如,左肾、输尿管未见异常,膀胱内多发低回声占位。膀胱镜检查:膀胱左侧壁、后壁多发菜花样隆起。活检提示膀胱移行细胞癌(G3)。

该患者下一步的治疗方案应首选()【提示】该患者选择了TURBt,术后病理检查:提示膀胱移行细胞癌,肌层组织未见肿瘤侵犯(pT1G3)。患者术后于门诊随访及行卡介苗(BCG)膀胱内灌注。术后3个月,患者门诊复诊,行膀胱镜检查:发现膀胱左侧壁呈地毯样隆起,拟诊肿瘤复发。活检:提示膀胱移行细胞癌(G3)。

A.膀胱灌注化疗

B.继续BCG膀胱内灌注

C.全身化疗

D.放疗

E.根治性膀胱切除+尿流改道

F.TURBt

G.经髂动脉栓塞化疗

考点:泌尿外科学(医学高级)泌尿系统肿瘤泌尿系统肿瘤题库
题型:单项选择题 案例分析题

下图双代号网络计划的关键路线为()。

 

A.1→8

B.1→2→6→8

C.1→3→7→8

D.1→4→5--→7→8

题型:单项选择题 案例分析题

下面用于评价生态系统服务功能的方法中,属于生产成本法的有()

A.市场价格法

B.机会成本法

C.恢复和保护费用法

D.影子工程法

题型:单项选择题 案例分析题
You should eat ____, drink _____, and sleep _____ than before.

A. little; little; much
B. less; little; more
C. less; less; more
D. least; least; most
题型:单项选择题 案例分析题

关于教师职业道德的说法错误的是()。

A.它是教师在从事教育劳动过程中所应遵循的行为规范和必备的品德;

B.它调整教师与学生、其它教师、集体、社会之间的各种关系;

C.它从道义上规定了教师在教育过程中以何种思想、情感、态度和行为教书育人;

D.它是教师追求自身人格完善的主观需要

题型:单项选择题 案例分析题

It was the night of the full moon, a time which always drives Java’s young people mad with excitement.

Fireworks were lit long before the moon (1) . The big noise brought people out (2) the warm night to enjoy the interesting scene. Everywhere, there were the paper remains of (3) fireworks lying on the ground. Little boys (4) more and covered their ears as they waited (5) for the explosions.

The moon appeared above the horizon: huge, (6) ball high above the city, and the (7) filled with people, as Java began to enjoy one of the year’s greatest (8) ."the Night of the Full Moon", a festival that is especially popular (9) young people.

More and more young Javanese (10) together and walked slowly through the (11) . Joking and chatting, they moved towards the mountain (12) the city. They continued to climb (13) they reached the old temple at the (14) of the mountain.

After they were (15) the temple, they drank their water and ate their mooncakes—delicious home-made ones, (16) of dried fruit and nuts. Outside, on the mountain, young people (17) cross-legged in circles, chatting and telling each other jokes. And (18) , in their hundreds, more young people continued to make their way up the mountain to (19) the brightly shining moon.By midnight, the fireworks had stopped shooting up from the (20) city in the valley below them. But during the night, the sound continued to be heard from the distance.

7()

A.mountains 

B.valleys 

C.streets 

D.shops

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