某男，55岁。乏力、消瘦伴上腹胀满半年余。查体：肝肋下2cm，脾平脐。Hb100g/L，WBC110×10/L，PLT198×10/L，白细胞分类:原粒5%，早幼粒3%，中幼粒10%，晚幼粒12%。

此患者最可能的诊断是

A:骨髓纤维化 B:原发性血小板增多症 C:类白血病反应 D:慢性髓细胞白血病 E:慢性淋巴细胞白血病

某男，55岁。乏力、消瘦伴上腹胀满半年余。查体：肝肋下2cm，脾平脐。Hb100g/L，WBC110×10/L，PLT198×10/L，白细胞分类:原粒5%，早幼粒3%，中幼粒10%，晚幼粒12%。

此患者不需做哪项检查

A:骨穿 B:骨髓活检 C:NAP积分 D:骨髓染色体 E:血小板功能

某女性患者，51岁，缺失，前牙区Ⅲ°深覆，余留牙无异常。

可摘局部义齿卡环可放置在

A:4⊥4 B:4⊥3 C:64┘ D:3⊥36 E:64⊥46

某女性患者，51岁，缺失，前牙区Ⅲ°深覆，余留牙无异常。

义齿的基托最好选用

A:铸造基托 B:塑料基托 C:金属网状基托 D:锤造基托 E:树脂基托

某女性患者，51岁，缺失，前牙区Ⅲ°深覆，余留牙无异常。

人工牙可选择

A:瓷牙 B:铸造牙 C:金属舌面牙 D:锤造牙 E:金属面牙

某女性患者，35岁，右颈部结节一周。无畏寒、发热，无咳嗽、咳痰，饮食可。否认结核病史。PE:右颈部可触及一约1.5cm×2cm的结节，质地中等，无压痛，随吞咽动作上下活动。血清FT、FT、TSH、TGAb及TMAb均正常。TcO甲状腺静态显像示右叶甲状腺可见一"冷"结节。

行右叶甲状腺全切和左叶甲状腺大部分切除，右颈淋巴结清扫术，术后病理：分化良好乳头状甲状腺癌（右叶）伴右颈部淋巴结(5／7)转移。随后，行三次I治疗。近期因血甲状腺球蛋白(Tg)进行性升高，最高达648mg,/L，行I显像，结果阴性。F-FDGPET／CT示胸骨柄代谢局灶性异常增高，F-FDG显像阳性结果提示

A:癌细胞分化程度高，预后相对好 B:癌细胞分化程度低，预后相对差 C:癌细胞乏氧 D:癌细胞碘代谢活跃 E:癌细胞糖代谢降低 F:癌组织血流灌注增加

某男性患者，61岁，声音嘶哑半年，CT表现如下图。

有关咽腔划分，正确的表述是

A:分为鼻咽、口咽和喉咽 B:喉软骨包括甲状软骨、环状软骨和会厌软骨 C:喉腔可分为声门上区、声门区和声门下区 D:室带位于声带下方 E:双侧梨状窝可不对称 F:下咽癌包括梨状窝癌、环后癌及咽后壁癌

Across the Deserts

　　The SaharaDesertis the largest desert in the world. It stretches across Africa fromSenegaltoEgypt. TheSaharaDesertis an unfriendly environment. During the day it"s very hot, and at night it’s sometimes very cold. It is also difficult to find water in theSahara.

　　In 2006, Kevin Lin, Ray Zahab, and Charlie Engle decided to do something very difficult. They made the decision to run across the Sahara Desert 4,300 miles (6,920km). It seemed impossible to do, but they wanted to try. The three men liked to test themselves, and this would be a very big test.

　　On the morning of November 2, Kevin, Ray, and Charlie started their trip across theSahara. Every morning they began running at 5:00. At11 a.m. they stopped and rested until 5 p.m. Then they ran again until 9:30 in the evening. Each day they ran about 40 miles (64 km). Every day it was the same thing. They got up and ran. They listened to music on their iPods, and they ran and ran.

　　Kevin, Ray, and Charlie needed to eat a lot of food during their trip. Most people need about 2,000 calories of food each day. Kevin, Ray, and Charlie needed between 6,000 and 9,000 calories every day. That"s a lot of food! They also needed to drink a lot of water.

　　The three men had some problems on their trip, and many times they wanted to quit and go home. It was often very hot (140°F/60°C) during the day, and the heat made them sick. Their legs and feet hurt. Sometimes it was very windy, and they couldn"t see. One time they got lost. But they didn"t quit. After 111 days, Kevin, Ray; and Charlie successfully finished their trip across theSaharaDesert. They hugged each other and put their hands in the water of theRed Sea. Then they ran to a hotel to take a long shower.

　　词汇：

　　Stretch / strɛtʃ / v. 延伸，伸展

　　Calorie / "kælərɪ / n. 卡(路里)，小卡，大卡

　　Quit / kwɪt / v. 停止，放

　　注释：

Each day the men ran for approximately eight hours.

A:Right B:Wrong C:mentioned

Across the Deserts

　　The SaharaDesertis the largest desert in the world. It stretches across Africa fromSenegaltoEgypt. TheSaharaDesertis an unfriendly environment. During the day it"s very hot, and at night it’s sometimes very cold. It is also difficult to find water in theSahara.

　　In 2006, Kevin Lin, Ray Zahab, and Charlie Engle decided to do something very difficult. They made the decision to run across the Sahara Desert 4,300 miles (6,920km). It seemed impossible to do, but they wanted to try. The three men liked to test themselves, and this would be a very big test.

　　On the morning of November 2, Kevin, Ray, and Charlie started their trip across theSahara. Every morning they began running at 5:00. At11 a.m. they stopped and rested until 5 p.m. Then they ran again until 9:30 in the evening. Each day they ran about 40 miles (64 km). Every day it was the same thing. They got up and ran. They listened to music on their iPods, and they ran and ran.

　　Kevin, Ray, and Charlie needed to eat a lot of food during their trip. Most people need about 2,000 calories of food each day. Kevin, Ray, and Charlie needed between 6,000 and 9,000 calories every day. That"s a lot of food! They also needed to drink a lot of water.

　　The three men had some problems on their trip, and many times they wanted to quit and go home. It was often very hot (140°F/60°C) during the day, and the heat made them sick. Their legs and feet hurt. Sometimes it was very windy, and they couldn"t see. One time they got lost. But they didn"t quit. After 111 days, Kevin, Ray; and Charlie successfully finished their trip across theSaharaDesert. They hugged each other and put their hands in the water of theRed Sea. Then they ran to a hotel to take a long shower.

　　词汇：

　　Stretch / strɛtʃ / v. 延伸，伸展

　　Calorie / "kælərɪ / n. 卡(路里)，小卡，大卡

　　Quit / kwɪt / v. 停止，放

　　注释：

In the middle of the day: the men usually stopped running.

A:Right B:Wrong C:mentioned

Across the Deserts

　　The SaharaDesertis the largest desert in the world. It stretches across Africa fromSenegaltoEgypt. TheSaharaDesertis an unfriendly environment. During the day it"s very hot, and at night it’s sometimes very cold. It is also difficult to find water in theSahara.

　　In 2006, Kevin Lin, Ray Zahab, and Charlie Engle decided to do something very difficult. They made the decision to run across the Sahara Desert 4,300 miles (6,920km). It seemed impossible to do, but they wanted to try. The three men liked to test themselves, and this would be a very big test.

　　On the morning of November 2, Kevin, Ray, and Charlie started their trip across theSahara. Every morning they began running at 5:00. At11 a.m. they stopped and rested until 5 p.m. Then they ran again until 9:30 in the evening. Each day they ran about 40 miles (64 km). Every day it was the same thing. They got up and ran. They listened to music on their iPods, and they ran and ran.

　　Kevin, Ray, and Charlie needed to eat a lot of food during their trip. Most people need about 2,000 calories of food each day. Kevin, Ray, and Charlie needed between 6,000 and 9,000 calories every day. That"s a lot of food! They also needed to drink a lot of water.

　　The three men had some problems on their trip, and many times they wanted to quit and go home. It was often very hot (140°F/60°C) during the day, and the heat made them sick. Their legs and feet hurt. Sometimes it was very windy, and they couldn"t see. One time they got lost. But they didn"t quit. After 111 days, Kevin, Ray; and Charlie successfully finished their trip across theSaharaDesert. They hugged each other and put their hands in the water of theRed Sea. Then they ran to a hotel to take a long shower.

　　词汇：

　　Stretch / strɛtʃ / v. 延伸，伸展

　　Calorie / "kælərɪ / n. 卡(路里)，小卡，大卡

　　Quit / kwɪt / v. 停止，放

　　注释：

They sometimes felt sick because it was so hot.

A:Right B:Wrong C:mentioned