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案例分析题女性36岁,主诉头晕乏力,3年来月经量多,浅表淋巴结及肝脾未触及,血红蛋白58g/L,白细胞8×109/L,血小板185×109/L,血片可见红细胞中心淡染区扩大,网织红细胞计数0.005. 对上述治疗效果反应最早的指标是()

A. 白细胞数量
B. 血红蛋白含量
C. 网织红细胞计数
D. 叶酸,维生素B12含量
E. 铁蛋白浓度

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Is it difficult for you to get up in the morning Yes Then Hiroyuki of Japan has a special bed for you. Hiroyuki’s bed will get you up in the morning! The bed is connected to an alarm clock. First, the alarm clock rings. You have a few minutes to wake up. Next a tape recorder in the bed plays soft music or other pleasant sounds. The tape recorder in Hiroyuki’s then says in a sweet voice, "Wake up, darling, please. " A few minutes later, a second recording plays. The second recording can be loud music or unpleasant sounds. Hiroyuki hears a recording of his boss. His boss shouts, "Wake up immediately, or you’ll be late!" If you don’t get up after the second recording, you’ll be sorry. A mechanical "foot" is in the bed. The mechanical foot kicks you in the head. Then the bed waits a few more minutes. What! You’re still in bed! Slowly, the tip of the bed rises higher and higher. The foot of the bed goes lower and lower. Finally, the bed is vertical (垂直的). You slide off the bed and onto the floor. You are awake and out of bed. The main idea of the passage is ______.

A. how the bed works
B. who makes the bed
C. why the bed is made
D. who can use the bed

缺铁性贫血()

A. 血清铁增高,总铁结合力正常,血清铁蛋白正常或增高
B. 血清铁降低,总铁结合力降低,血清铁蛋白正常或增高
C. 血清铁降低,总铁结合力增高,血清铁蛋白降低
D. 血清铁降低,总铁结合力降低,血清铁蛋白降低
E. 血清铁增高,总铁结合力降低,血清铁蛋白降低

Mr. Fern was born in a big city. His father owned several companies and earned a lot of money. He could give his son all the young man wanted. He was busy with his business and never asked him how he got along with his studies. So the boy spent most time in the restaurants or cinemas. Of course he was not good at his lessons and learned nothing at school. He made many friends but none of them was good and when they knew he came from a rich family, they began to teach him to gamble(赌博). Of course he lost much money.Now Mr. Fern was twenty and finished middle school. He could do nothing. But his father didn’ t mind it until one day he found the young man had sold one of his companies. He became so angry that he made him leave his house. The young man couldn’ t gamble any longer. His friends made him pay his debt. He had to ask his mother to help him and the woman often gave him some money. But one evening his father happened to find it. The old man stopped his wife from doing so. They began to fight in the room. The young man brought out a knife and killed Iris father. His mother helped him run away, but soon after that he was caught and sentenced(判刑)to death.It was a cold and wet day. Suddenly it began to rain heavily when Mr. Fern was being sent to the execution ground(刑场). Soon he and the soldiers were wet through. He said angrily, "Bad luck! I shall be shot in such bad weather !""Don’t complain(抱怨), brother," said one of the soldiers. "You’ re luckier than us all. We’ll have to go back to the city after that!\ Which of the following is true().

A. Mr. Fern was luckier than the soldiers.
Both Mr. Fern and the soldiers were out of luck.
C. Nothing made Mr. Fern complain.
D. The soldiers wanted to help Mr. Fern.

案例分析题女性,18岁,发热鼻出血,皮肤紫癜2周,舌尖可见血泡,双下肢可见瘀斑,浅表淋巴结及肝脾未及,胸骨压痛阴性,血红蛋白52g/L,白细胞2.0×109/L,分类中性0.24,淋巴0.75,嗜碱粒0.01,血小板22×109/L,网织红细胞0.001,胸部X线片示右下肺炎。 明确诊断应先做哪一项检查()

A. B超
B. 硫酸亚铁或右旋糖酐铁
C. 骨髓检查
D. MBI
E. 同位素骨扫描

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