某女,31岁,葡萄胎第二次清宫术后2个月,阴道不规则流血持续存在,尿HCG(+)。B超显示:子宫肌层可见高回声团,边界清但无包膜。组织学可见绒毛退化痕迹。应首先考虑是()

A、葡萄胎
B、侵蚀性葡萄胎
C、绒毛膜癌
D、胎盘部位滋养细胞肿瘤
查看答案
正确答案:

B

答案解析:

侵蚀性葡萄胎和绒毛膜癌患者在临床表现基本相同:葡萄胎清除后出现不规则阴道流血,血、尿HCG测定持续高水平或一度下降后又上升,子宫正常大或不同程度增大,肌层内可见高回声团,边界清但无包膜。区别为,见到绒毛结构或绒毛退变痕迹,即可诊断为侵蚀性葡萄胎;若仅见大量的滋养细胞浸润和坏死出血,未见绒毛结构者,诊断为绒癌;若原发灶和转移灶诊断不一致,只要在任一组织切片中见到绒毛结构即可诊断为侵蚀性葡萄胎。

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PartIVTranslation

Bymakingvehicleslighterinweightaluminumhasgreatlyreducedtheamountoffuelneededtomovethem,(PassageTwo)

Wecanconcludefromthepassagethat________.

A、today'sunder-thirtiesareleadingamiserablelifeinBritain
B、LauraLenox-Conyngham'sattitudetoworkandliferepresentsthatofmanyyoungprofessionalsinBritain
C、Lifecangetharderforunder-thirtiesinBritain
D、eldersenjoyextremelyhighlivingstandardsinBritain

Passage2

Questions6to10arebasedonthefollowingpassage:

Thefoodweeatseemstohaveprofoundeffectsonourhealth.Althoughsciencehasmadeenormousstepsinmakingfoodmorefittoeat,ithas,atthesametime,mademanyfoodsunfittoeat.Someresearchhasshowntat40percentofcancerisrelatedtothedietaswell,especiallycancerofthecolon.Differentculturesatemorepronetogetcertainillnessesbecauseofthefoodthatischaracteristicinthesecultures.Thatfoodisrelatedtoillnessisnotanewdiscovery.In1945,governmentresearchersrealizedthatnitratesandnitrites,commonlyusedtopreservecolorinmeats,andotherfoodadditives,causedcancer.Yetthesecarcinogenicadditivesremaininourfood,anditbecomesmoredifficultallthetimetoknowwhichthingsonthepackaginglabelsofprocessedfoodarehelpfulorharmful.Theadditivesthatweeatarenotallsodirect.Farmersoftengivepenicillintobeefandpoultry,andbecauseofthis,penicillinhasbeenfoundinthemilkoftreatedcows.Sometimessimilardrugsareadministeredtoanimalsnotformedicinalpurposes,butforfinancialreasons.Thefarmersaresimplytryingtofattentheanimalsinordertoobtainahigherpriceonthemarket.AlthoughtheFoodandDrugAdministration(FDA)hastriedrepeatedlytocontroltheseprocedures,thepracticescontinue.

6.Howhassciencedoneadisservicetomankind?

A.Becauseofscience,mostofthefoodsweeattodayarecontaminated.

B.Ithascausedalackofinformationconcerningthevalueoffood.

C.Asaresultofscientificintervention,somepotentiallyharmfulsubstanceshasbeenaddedtoourfood.

D.Thescientistshavepreservedthecolorofmeats,butnotofvegetables.

7.Whatarenitratesusedfor?

A.Theypreservesflavorinpackagedfoods.

B.Theypreservethecolorofmeats.

C.Theyaretheobjectsofresearch.

D.Theycausetheanimalstobecomefatter.

8.TheFDAhastriedrepeatedlytocontrol.

A.theattempttofattentheanimals

B.theattempttocuresickanimals

C.theusingofdrugstoanimals

D.theusingofadditivestopreservethedoloroffood

9.Theword“carcinogenic”meansmostnearlythesameas.

A.trouble-makingB.color-retaining

C.money-savingD.cancer-causing

10.WhichofthefollowingstatementsisNOTtrue?

A.Drugsarealwaysgiventoanimalsformedicalreasons.

B.Someoftheadditivesinourfoodareaddedtothefooditselfandsomearegiventothelivinganimals.

C.Researchershaveknownaboutthepotentialhazardsofthefoodadditivesforoverthirty-fiveyears.

D.Foodmaycausefortypercentofcancerintheworld.

Underthis()pressuresomeoftherocksevenbecameliquid.

A、intensive
B、weighty
C、intense
D、bulky

Imeant____youaboutit,butIforgottodoso.

A、telling
B、havingtold
C、totell
D、tohavetold
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