题目内容

女,27岁,妊娠4月,因尿痛、尿频、尿急2天来诊,无发热与肉眼血尿。尿常规:蛋白(±),沉渣镜检白细胞满视野。 3天后复查尿常规,蛋白(+),红细胞管型3~4个/Hp,白细胞5~10个/Hp,应采取下述哪项检查

A. 新鲜尿沉渣涂片染色,找细菌
B. 双肾超声检查
C. 静脉肾盂造影
D. 尿细菌培养+药敏试验
E. 尿细菌高渗培养+菌落计数

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男性,40岁,面部及双下肢间断水肿13年,BP 19.5/11.7kPa(150/90mmHg),尿蛋白(++),RBC 4~6个/HP,颗粒管型1~2个/HP,BNU 11mmol/L,诊断最可能为

A. 慢性肾小球肾炎
B. 慢性肾盂肾炎
C. 慢性肾功能衰竭
D. 肾病综合征
E. 隐匿性肾炎

肾盂肾炎最常见感染途径是

A. 血行感染
B. 淋巴道感染
C. 器械感染
D. 直接感染
E. 上行感染

Directions: Read the following text. Choose the best word(s) for each numbered blank and mark A, B, C or D on the ANSWER SHEET. March 11th marks the second anniversary of the tsunami that killed 18,500 people in Japan. Good news is scant. Almost 315,000 evacuees still 1 in cramped temporary housing, and need new 2 . A different kind of suffering weighs on about 20m people (a sixth of the 3 ) at this time of year which, though less than anguish-filled, is not trivial. 4 late February until May they 5 pollen allergies, mostly 6 by Japanese cedar, or sugi, trees. Usually the affliction, entailing sneezing, eye irritation and huge medical bills, is shrugged off—it can’t be helped. 7 a way could be found to ease the allergies that could also 8 rebuild homes. It would involve thinning out the sugi and other conifer plantations that 9 about 40% of Japan’s forest, most of which are now 10 as uneconomic. The timber could be used to restore and beautify lost villages. The sugi were planted across Japan after the war as material to 11 destroyed cities and 12 . Sugi, straight and tall, are 13 for construction. But after taxes fell, imported wood put the sugi foresters out of business. The higher they grow, the more pollen the magnificent, abandoned trees emit. Officials say some owners, many now in their 70s, reject 14 to plant new ones that emit less pollen 15 the payback is too long. As a result, 16 Kevin Short, a columnist for the Daily Yomiuri, an English-language newspaper, "immense clouds of yellow-green sugi pollen dust 17 down onto the urban areas, like some amorphous monster out of a science-fiction movie." 18 Kiyohito Onuma of the Forestry Agency says his sneezing wife and children often ask him to do more to 19 the problem, the public pressure is muted. Partly this is because the sugi have always 20 near temples and shrines, and are part of national folklore.

A. lived
B. brought
C. grown
D. raised

静脉滴注先锋霉素治疗蜂窝织炎,2天后出现肉眼血尿、少尿及肾功能急剧恶化,下列哪项不支持药物性急性间质性肾炎

A. 大量蛋白尿
B. 尿中嗜酸性粒细胞增多
C. 发热,关节痛
D. 停药后肾功逐渐恢复
E. 强的松治疗可促进肾功能恢复

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