某男，52岁。腰背疼痛半年，牙龈出血2周就诊。体检：中度贫血貌，肝肋下1cm，脾肋下刚及。化验：Hb80g／L，WBC3．8×10／L，血小板56×10／L。尿蛋白(+++)，ESR105mm／1h末，骨骼X线摄片L，L有楔形压缩，多根肋骨有虫蚀样破坏。血钙3．25mmol／L，IgG5．0g／L，IgA2．1g／L，IgM0．5s／L，IgD0．003g／L，尿本周蛋白(-)。

本例检查结果BUN20．5mmol／L，肌酐400μmol／L，AKP50U，骨髓涂片原浆加幼浆细胞0．05(5％)，成熟浆细胞0．07(7％)，患者最可能的诊断是

A:反应性浆细胞增多症 B:轻链型多发性骨髓瘤 C:非分泌性多发性骨髓瘤 D:IgG型多发性骨髓瘤 E:IgD型多发性骨髓瘤

Taking Pictures of the World

    Meet Annie Griffiths Belt, a National Geographic photographer. Belt has worked for National Geographic since 1978, and has taken pictures on almost every continent in the world. In fact, Antarcticais the only continent Belt hasn"t seen yet.

    Belt"s photographs are well known for their beauty and high quality. They also reflect very different cultures and regions of the world. Belt has photographed the ancient city ofPetra,Jordan, as well as the green landscapes of the Lake District inEngland. Recently, her pictures appeared in a book about undeveloped natural places inNorth America.

    Everywhere that Belt goes, she takes pictures of people. Belt has found ways to connect with people of all ages and nationalities even when she does not speak their language. " The greatest privilege of my job is being allowed into people"s lives," she has said. "The camera is like a passport, and I am often overwhelmed by ¹ how quickly people welcome me ! "

    Knowing how to break the ice has helped to make Belt a successful photographer, but experts say that anyone can learn to connect with new people. When people speak the same language, greeting and small talk can make strangers feel more comfortable with each other. When people don"t speak the same language , a smile is very helpful. Having something in common can also help break the ice. ²For example , Belt has traveled with her two children , so when she takes pictures of children or their parents, they all have that family connection in common. Even bad weather can help people to connect when they are experiencing it together.

    Belt has some advice if you are thinking about a career in photography. You can volunteer to take pictures for a local organization that can"t afford to hire a professional photographer. You can also take a good, honest look at your best photographs. If you"re a real photographer, your photos are good because of your personal and technical skills. Belt also recommends studying and learning from photos taken by professional photographers.

    Remember, the next time you look as a beautiful photograph, you might be looking at the work of Annie Griffiths Belt. And the next time you meet a new person, don"t be afraid to break the ice. the connection you make could be very rewarding.

词汇：

Landscape/ "lændskeɪp/ n.风景，风景画

rewarding/ rɪˈwɔ:dɪŋ/ adj.值得的，有益的

privilege/ "prɪvəlɪdʒ/ n.特权，优惠 报酬的

nationality /ˌnæʃəˈnæləti/ n.国籍，民族

think about 考虑

overwhelm /ˌəʊvə"welm/ vt.征服;使受不了 使不知所措

注释：

1. I am often overwhelmed by…我常常被……搞得不知所措。

2. Having something in common can also help break the ice. 彼此的共同点也有助于打开话题。

Belt has worked for a number of magazines.

A:Right B:Wrong C:Not mentioned

Taking Pictures of the World

    Meet Annie Griffiths Belt, a National Geographic photographer. Belt has worked for National Geographic since 1978, and has taken pictures on almost every continent in the world. In fact, Antarcticais the only continent Belt hasn"t seen yet.

    Belt"s photographs are well known for their beauty and high quality. They also reflect very different cultures and regions of the world. Belt has photographed the ancient city ofPetra,Jordan, as well as the green landscapes of the Lake District inEngland. Recently, her pictures appeared in a book about undeveloped natural places inNorth America.

    Everywhere that Belt goes, she takes pictures of people. Belt has found ways to connect with people of all ages and nationalities even when she does not speak their language. " The greatest privilege of my job is being allowed into people"s lives," she has said. "The camera is like a passport, and I am often overwhelmed by ¹ how quickly people welcome me ! "

    Knowing how to break the ice has helped to make Belt a successful photographer, but experts say that anyone can learn to connect with new people. When people speak the same language, greeting and small talk can make strangers feel more comfortable with each other. When people don"t speak the same language , a smile is very helpful. Having something in common can also help break the ice. ²For example , Belt has traveled with her two children , so when she takes pictures of children or their parents, they all have that family connection in common. Even bad weather can help people to connect when they are experiencing it together.

    Belt has some advice if you are thinking about a career in photography. You can volunteer to take pictures for a local organization that can"t afford to hire a professional photographer. You can also take a good, honest look at your best photographs. If you"re a real photographer, your photos are good because of your personal and technical skills. Belt also recommends studying and learning from photos taken by professional photographers.

    Remember, the next time you look as a beautiful photograph, you might be looking at the work of Annie Griffiths Belt. And the next time you meet a new person, don"t be afraid to break the ice. the connection you make could be very rewarding.

词汇：

Landscape/ "lændskeɪp/ n.风景，风景画

rewarding/ rɪˈwɔ:dɪŋ/ adj.值得的，有益的

privilege/ "prɪvəlɪdʒ/ n.特权，优惠 报酬的

nationality /ˌnæʃəˈnæləti/ n.国籍，民族

think about 考虑

overwhelm /ˌəʊvə"welm/ vt.征服;使受不了 使不知所措

注释：

1. I am often overwhelmed by…我常常被……搞得不知所措。

2. Having something in common can also help break the ice. 彼此的共同点也有助于打开话题。

Petra is a very old city in Jordan.

A:Right B:Wrong C:Not mentioned

Taking Pictures of the World

    Meet Annie Griffiths Belt, a National Geographic photographer. Belt has worked for National Geographic since 1978, and has taken pictures on almost every continent in the world. In fact, Antarcticais the only continent Belt hasn"t seen yet.

    Belt"s photographs are well known for their beauty and high quality. They also reflect very different cultures and regions of the world. Belt has photographed the ancient city ofPetra,Jordan, as well as the green landscapes of the Lake District inEngland. Recently, her pictures appeared in a book about undeveloped natural places inNorth America.

    Everywhere that Belt goes, she takes pictures of people. Belt has found ways to connect with people of all ages and nationalities even when she does not speak their language. " The greatest privilege of my job is being allowed into people"s lives," she has said. "The camera is like a passport, and I am often overwhelmed by ¹ how quickly people welcome me ! "

    Knowing how to break the ice has helped to make Belt a successful photographer, but experts say that anyone can learn to connect with new people. When people speak the same language, greeting and small talk can make strangers feel more comfortable with each other. When people don"t speak the same language , a smile is very helpful. Having something in common can also help break the ice. ²For example , Belt has traveled with her two children , so when she takes pictures of children or their parents, they all have that family connection in common. Even bad weather can help people to connect when they are experiencing it together.

    Belt has some advice if you are thinking about a career in photography. You can volunteer to take pictures for a local organization that can"t afford to hire a professional photographer. You can also take a good, honest look at your best photographs. If you"re a real photographer, your photos are good because of your personal and technical skills. Belt also recommends studying and learning from photos taken by professional photographers.

    Remember, the next time you look as a beautiful photograph, you might be looking at the work of Annie Griffiths Belt. And the next time you meet a new person, don"t be afraid to break the ice. the connection you make could be very rewarding.

词汇：

Landscape/ "lændskeɪp/ n.风景，风景画

rewarding/ rɪˈwɔ:dɪŋ/ adj.值得的，有益的

privilege/ "prɪvəlɪdʒ/ n.特权，优惠 报酬的

nationality /ˌnæʃəˈnæləti/ n.国籍，民族

think about 考虑

overwhelm /ˌəʊvə"welm/ vt.征服;使受不了 使不知所措

注释：

1. I am often overwhelmed by…我常常被……搞得不知所措。

2. Having something in common can also help break the ice. 彼此的共同点也有助于打开话题。

Volunteering is one way to begin a photography career.

A:Right B:Wrong C:Not mentioned

Taking Pictures of the World

    Meet Annie Griffiths Belt, a National Geographic photographer. Belt has worked for National Geographic since 1978, and has taken pictures on almost every continent in the world. In fact, Antarcticais the only continent Belt hasn"t seen yet.

    Belt"s photographs are well known for their beauty and high quality. They also reflect very different cultures and regions of the world. Belt has photographed the ancient city ofPetra,Jordan, as well as the green landscapes of the Lake District inEngland. Recently, her pictures appeared in a book about undeveloped natural places inNorth America.

    Everywhere that Belt goes, she takes pictures of people. Belt has found ways to connect with people of all ages and nationalities even when she does not speak their language. " The greatest privilege of my job is being allowed into people"s lives," she has said. "The camera is like a passport, and I am often overwhelmed by ¹ how quickly people welcome me ! "

    Knowing how to break the ice has helped to make Belt a successful photographer, but experts say that anyone can learn to connect with new people. When people speak the same language, greeting and small talk can make strangers feel more comfortable with each other. When people don"t speak the same language , a smile is very helpful. Having something in common can also help break the ice. ²For example , Belt has traveled with her two children , so when she takes pictures of children or their parents, they all have that family connection in common. Even bad weather can help people to connect when they are experiencing it together.

    Belt has some advice if you are thinking about a career in photography. You can volunteer to take pictures for a local organization that can"t afford to hire a professional photographer. You can also take a good, honest look at your best photographs. If you"re a real photographer, your photos are good because of your personal and technical skills. Belt also recommends studying and learning from photos taken by professional photographers.

    Remember, the next time you look as a beautiful photograph, you might be looking at the work of Annie Griffiths Belt. And the next time you meet a new person, don"t be afraid to break the ice. the connection you make could be very rewarding.

词汇：

Landscape/ "lændskeɪp/ n.风景，风景画

rewarding/ rɪˈwɔ:dɪŋ/ adj.值得的，有益的

privilege/ "prɪvəlɪdʒ/ n.特权，优惠 报酬的

nationality /ˌnæʃəˈnæləti/ n.国籍，民族

think about 考虑

overwhelm /ˌəʊvə"welm/ vt.征服;使受不了 使不知所措

注释：

1. I am often overwhelmed by…我常常被……搞得不知所措。

2. Having something in common can also help break the ice. 彼此的共同点也有助于打开话题。

Belt has worked for a number of magazines.

A:Right B:Wrong C:Not mentioned

Taking Pictures of the World

    Meet Annie Griffiths Belt, a National Geographic photographer. Belt has worked for National Geographic since 1978, and has taken pictures on almost every continent in the world. In fact, Antarcticais the only continent Belt hasn"t seen yet.

    Belt"s photographs are well known for their beauty and high quality. They also reflect very different cultures and regions of the world. Belt has photographed the ancient city ofPetra,Jordan, as well as the green landscapes of the Lake District inEngland. Recently, her pictures appeared in a book about undeveloped natural places inNorth America.

    Everywhere that Belt goes, she takes pictures of people. Belt has found ways to connect with people of all ages and nationalities even when she does not speak their language. " The greatest privilege of my job is being allowed into people"s lives," she has said. "The camera is like a passport, and I am often overwhelmed by ¹ how quickly people welcome me ! "

    Knowing how to break the ice has helped to make Belt a successful photographer, but experts say that anyone can learn to connect with new people. When people speak the same language, greeting and small talk can make strangers feel more comfortable with each other. When people don"t speak the same language , a smile is very helpful. Having something in common can also help break the ice. ²For example , Belt has traveled with her two children , so when she takes pictures of children or their parents, they all have that family connection in common. Even bad weather can help people to connect when they are experiencing it together.

    Belt has some advice if you are thinking about a career in photography. You can volunteer to take pictures for a local organization that can"t afford to hire a professional photographer. You can also take a good, honest look at your best photographs. If you"re a real photographer, your photos are good because of your personal and technical skills. Belt also recommends studying and learning from photos taken by professional photographers.

    Remember, the next time you look as a beautiful photograph, you might be looking at the work of Annie Griffiths Belt. And the next time you meet a new person, don"t be afraid to break the ice. the connection you make could be very rewarding.

词汇：

Landscape/ "lændskeɪp/ n.风景，风景画

rewarding/ rɪˈwɔ:dɪŋ/ adj.值得的，有益的

privilege/ "prɪvəlɪdʒ/ n.特权，优惠 报酬的

nationality /ˌnæʃəˈnæləti/ n.国籍，民族

think about 考虑

overwhelm /ˌəʊvə"welm/ vt.征服;使受不了 使不知所措

注释：

1. I am often overwhelmed by…我常常被……搞得不知所措。

2. Having something in common can also help break the ice. 彼此的共同点也有助于打开话题。

Petra is a very old city in Jordan.

A:Right B:Wrong C:Not mentioned

Taking Pictures of the World

    Meet Annie Griffiths Belt, a National Geographic photographer. Belt has worked for National Geographic since 1978, and has taken pictures on almost every continent in the world. In fact, Antarcticais the only continent Belt hasn"t seen yet.

    Belt"s photographs are well known for their beauty and high quality. They also reflect very different cultures and regions of the world. Belt has photographed the ancient city ofPetra,Jordan, as well as the green landscapes of the Lake District inEngland. Recently, her pictures appeared in a book about undeveloped natural places inNorth America.

    Everywhere that Belt goes, she takes pictures of people. Belt has found ways to connect with people of all ages and nationalities even when she does not speak their language. " The greatest privilege of my job is being allowed into people"s lives," she has said. "The camera is like a passport, and I am often overwhelmed by ¹ how quickly people welcome me ! "

    Knowing how to break the ice has helped to make Belt a successful photographer, but experts say that anyone can learn to connect with new people. When people speak the same language, greeting and small talk can make strangers feel more comfortable with each other. When people don"t speak the same language , a smile is very helpful. Having something in common can also help break the ice. ²For example , Belt has traveled with her two children , so when she takes pictures of children or their parents, they all have that family connection in common. Even bad weather can help people to connect when they are experiencing it together.

    Belt has some advice if you are thinking about a career in photography. You can volunteer to take pictures for a local organization that can"t afford to hire a professional photographer. You can also take a good, honest look at your best photographs. If you"re a real photographer, your photos are good because of your personal and technical skills. Belt also recommends studying and learning from photos taken by professional photographers.

    Remember, the next time you look as a beautiful photograph, you might be looking at the work of Annie Griffiths Belt. And the next time you meet a new person, don"t be afraid to break the ice. the connection you make could be very rewarding.

词汇：

Landscape/ "lændskeɪp/ n.风景，风景画

rewarding/ rɪˈwɔ:dɪŋ/ adj.值得的，有益的

privilege/ "prɪvəlɪdʒ/ n.特权，优惠 报酬的

nationality /ˌnæʃəˈnæləti/ n.国籍，民族

think about 考虑

overwhelm /ˌəʊvə"welm/ vt.征服;使受不了 使不知所措

注释：

1. I am often overwhelmed by…我常常被……搞得不知所措。

2. Having something in common can also help break the ice. 彼此的共同点也有助于打开话题。

Volunteering is one way to begin a photography career.

A:Right B:Wrong C:Not mentioned