某男，31岁，主诉3个月乏力，伴左上腹饱胀感。体检：浅表淋岜结未及，肝未及，脾肋下5cm。RBC3．6×10／L，HGB90g／L，WBC170×10／L，PLT300×10／L。分类：原粒0．01，早幼粒0．03，中幼粒0．1，晚幼粒0．4，杆粒0．34，嗜碱性粒细胞0．02，中性粒细胞碱性磷酸酶染色阴性

3年后患者出现发热，皮下出血，贫血加重，脾大肋下6cm。骨髓检查：原淋巴细胞0．76，POX染色阴性，苏丹黑染色阴性，其病情变化的原因是

A:急性淋巴细胞白血病 B:慢粒急淋变 C:慢粒急粒变 D:慢粒急单变 E:慢粒与急淋并存

患者缺失，义齿设计：基牙，弯制卡环，塑料基托连接，义齿蜡型采用混装法装盒

该义齿牙托的用量为

A:0．5ml B:1～1．5ml C:2ml D:3ml E:4ml

某女性患者，58岁，缺失，余留牙良好，下颌舌侧牙槽骨呈斜坡状，用整铸支架可摘局部义齿修复，舌侧设计舌连接杆。

当下颌舌侧牙槽嵴呈斜坡状并且是游离缺失时，为防止压伤牙黏膜，舌杆的下缘1／3～1／4应与黏膜组织形成空隙，此空隙的空间是

A:0．2～0．3mm B:0．4～0．5mm C:0．6～0．7mm D:0．8～0．9mm E:1．0～1．2mm

某女性患者，68岁，心悸、多汗2年，曾不规律服用甲巯咪唑半年，症状缓解不佳。目前：ECG:不正常心电图，房颤。内分泌科建议I治疗。甲功生化：FT:5.6pg/ml(1.8～4.1);FT4:2.1ng/dl(0.81～1.7)，TSH:0.01μIU/ml。来核医学科行甲状腺吸I率测定。甲状腺I摄取率测定，2小时吸碘率为15%，24小时吸碘率为27%。

触诊发现甲状腺右叶下极可触及3cm左右结节，质软，无触痛，活动度可。进一步考虑做下列检查，但应除外

A:甲状腺B超 B:TRAb C:TPOAb、TgAb D:甲状腺高锝［Tc］酸盐显像 E:F-FDG PET显像

某男，21岁，发热2周，体温38～39℃，检查皮肤散在紫癜。颈部及腋下可触及0.5cm×1.5cm大小琳巴结5～6个，脾肋下3cm，血红蛋白85g/L，白细胞10×10/L，血小板25×10/L。

此患者在治疗3周后，出现高热，头痛、呕吐、Kernig征(+)，应采取治疗方案

A:应用广谱抗生素 B:链霉素、雷米封、利福平联合治疗 C:化疗+鞘内注射MTX D:肾上腺糖皮质激素+先锋霉素 E:输血小板

某女性患者，56岁，右侧肢体无力3d。头颅CT显示如下图。

可能的诊断为 ( 提示 2d后复查，CT显示如下图。)

A:急性脑血肿 B:转移瘤伴出血 C:胶质瘤伴出血 D:少枝胶质细胞瘤伴出血 E:血液系统病变伴脑出血 F:脑脓肿 G:血管畸形伴出血

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

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：

On their trip across the desert: the three men ran through five countries.

A:Right B:Wrong C:mentioned