急性单核细胞白血病的骨髓细胞学表现为

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• 1颗粒增多的早幼粒细胞白血病骨髓细胞学表现为

  A.骨髓中原粒细胞大于等于90%

  B.骨髓中颗粒增多的早粒幼细胞占30%以上

  C.骨髓中原始及幼稚单核细胞大于30%

  D.骨髓中有核红细胞大于50%，原粒及早幼粒细胞大于30%

  E.骨髓中原始巨核细胞大于30%

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• 2原粒细胞白血病未分化型的骨髓细胞学表现为

  A.骨髓中原粒细胞大于等于90%

  B.骨髓中颗粒增多的早粒幼细胞占30%以上

  C.骨髓中原始及幼稚单核细胞大于30%

  D.骨髓中有核红细胞大于50%，原粒及早幼粒细胞大于30%

  E.骨髓中原始巨核细胞大于30%

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• 3红白血病的骨髓细胞学表现为

  A.骨髓中原粒细胞大于等于90%

  B.骨髓中颗粒增多的早粒幼细胞占30%以上

  C.骨髓中原始及幼稚单核细胞大于30%

  D.骨髓中有核红细胞大于50%，原粒及早幼粒细胞大于30%

  E.骨髓中原始巨核细胞大于30%

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• 4急性巨核细胞白血病的骨髓细胞学表现为

  A.骨髓中原粒细胞大于等于90%

  B.骨髓中颗粒增多的早粒幼细胞占30%以上

  C.骨髓中原始及幼稚单核细胞大于30%

  D.骨髓中有核红细胞大于50%，原粒及早幼粒细胞大于30%

  E.骨髓中原始巨核细胞大于30%

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• 52岁男孩，因反复发热10余天来诊。查体:T385℃，胸前散在少量红色斑丘疹，双侧颈部各触及一个花生米大淋巴结，触痛（+)；眼睑略肿，咽部充血，扁桃体n度肿大，心脏未见异常，双肺呼吸音粗，未闻及啰音，肝肋下15cm，脾肋下2cm。血常规示Hb108g/L，WBC22×109/L/L，中性粒细胞15%，淋巴细胞80%，单核细胞5%，有10%的异形淋巴细胞，PLT120×109/L/L。应诊断为

  A.急性白血病

  B.假性白血病

  C.类白血病反应

  D.视网膜母细胞瘤

  E.传染性单核细胞增多症

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• 6最容易发生弥散性血管内凝血的白血病类型是

  A.急性巨核细胞白血病

  B.急性B-淋巴细胞白血病

  C.急性T-淋巴细胞白血病

  D.急性单核细胞白血病

  E.急性早幼粒细胞白血病

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• 7最容易出现纵隔淋巴结肿大的白血病类型是

  A.急性巨核细胞白血病

  B.急性B-淋巴细胞白血病

  C.急性T-淋巴细胞白血病

  D.急性单核细胞白血病

  E.急性早幼粒细胞白血病

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• 8案例：3-year-old plump， healthy-appearing toddler came to your office for her health maintenance examination. In discussing her dietary history with her mother， you found that the child refused solid food，instead preferring to drink cow’s milk almost exclusively. The parents tried to cut her off once，but could not endure the subsequent whining and gave in to her demands for milk. Her blood pressure， heart rate， and respiratory effort were normal. Her complete blood count was significantly reduced with a hemoglobin level of 70g/L and an MCV level of 60fL.The most likely diagnosis for this child is

  A.Lead poisoning

  B.Iron deficiency anemia

  C.Thalassaemia

  D.Anemia caused by folic acid deficiency

  E.Aplastic anemia

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• 9案例：3-year-old plump， healthy-appearing toddler came to your office for her health maintenance examination. In discussing her dietary history with her mother， you found that the child refused solid food，instead preferring to drink cow’s milk almost exclusively. The parents tried to cut her off once，but could not endure the subsequent whining and gave in to her demands for milk. Her blood pressure， heart rate， and respiratory effort were normal. Her complete blood count was significantly reduced with a hemoglobin level of 70g/L and an MCV level of 60fL.Appropriate therapy should include：

  A.Transfusion of whole blood to get her to a normal hemoglobin，and then initiation of oral iron replacement.

  B.Discussion with the family about dietary changes， and then initiation of oral iron replacement.

  C.Intramuscular iron injection and follow-up visit in 1 week.

  D.Hospital admission to monitor vital signs.

  E.Reassuring the parents that the behavior and laboratory findings are normal.

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• 10案例：3-year-old plump， healthy-appearing toddler came to your office for her health maintenance examination. In discussing her dietary history with her mother， you found that the child refused solid food，instead preferring to drink cow’s milk almost exclusively. The parents tried to cut her off once，but could not endure the subsequent whining and gave in to her demands for milk. Her blood pressure， heart rate， and respiratory effort were normal. Her complete blood count was significantly reduced with a hemoglobin level of 70g/L and an MCV level of 60fL.The following statements describe changes after oral iron therapy in the child， which of the followings is true?

  A.Subjective improvement can occur within 24 hours.

  B.Reticulocytosis peaks at 3 weeks after starting iron.

  C.Iron absorption is improved by drinking tea.

  D.The hemoglobin level will return to normal within a week.

  E.Oral iron replacement should be ceased when the hemoglobin level returns to normal.

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