某患者,女,14岁,尿频、尿急、尿痛3天,伴腰痛。肾区叩击痛,血分析见白细胞及中性粒细胞百分比升高,尿分析见尿液浑浊,尿白细胞+++,临床诊断为急性肾盂肾炎。 该患者首选的治疗药物为
A. 头孢噻肟
B. 左氧氟沙星
C. 林可霉素
D. 阿奇霉素
E. 甲硝唑
查看答案
In ancient (古老的) times the most important examinations were spoken instead of written. In the schools of ancient Greece and Rome, testing usually includes saying poetry aloud or giving speeches. In the European universities of the Middle Ages, those students who were working for advanced degrees had to discuss questions in their field of study with people who had made a special study of the subject. This custom exists today as part of the process (过程) of testing candidates (考生) for the doctor’s degree. Generally, however, modem examinations are written. The written examination, where all students are tested on the same question, was probably not known until the nineteenth century. Perhaps it came into existence with the great increase in population and the development of modem industry. A room full of candidates for a state examination, timed exactly by electric clocks and carefully watched over by managers, resembles (类似) a group of workers at an automobile factory. Generally, during examinations teachers and students are expected to act like machines. One type of test is sometimes called an "objective" (客观的) test. It is designed to do with facts, not personal opinions. To make up an objective test the teacher writes a series of (一系列的) questions, each of which has only one correct answer. Along with each question the teacher writes the correct answer and also three statements that look like correct answers to students who have not learned the material properly. In ancient times students ______.
A. almost never wrote exams
B. specialized in one subject
C. were timed by electric clocks
D. took objective tests
某患者,女,45岁,身高160cm,体重75kg,临床诊断为2型糖尿病。实验室检查:空腹血糖8.7mmol/L,餐后2小时血糖13.1mmol/L,糖化血红蛋白7.1%。经饮食控制、规律锻炼,血糖控制仍未达到理想水平。 该患者经治疗2周后,空腹血糖恢复正常,餐后血糖仍未达标,最适宜加用的降血糖药物是
A. 格列喹酮
B. 吡格列酮
C. 瑞格列奈
D. 胰岛素
E. 伏格列波糖
某患者,女,14岁,尿频、尿急、尿痛3天,伴腰痛。肾区叩击痛,血分析见白细胞及中性粒细胞百分比升高,尿分析见尿液浑浊,尿白细胞+++,临床诊断为急性肾盂肾炎。 引起该疾病最可能的致病菌为
A. 金黄色葡萄球菌
B. 溶血性链球菌
C. 鲍曼不动杆菌
D. 铜绿假单胞菌
E. 大肠埃希菌
患者,男,64岁,身高174cm,体重92kg,既往有高血压、高脂血症及心肌梗死病史,近日因反复胸闷就诊,临床处方:阿司匹林肠溶片、辛伐他汀片、特拉唑嗪片、氨氯地平片、曲美他嗪片、单硝酸异山梨酯注射液进行治疗。 关于本病例合理用药指导意见的说法,错误的是
A. 应注意监护血压变化,防止血压过度降低
B. 患者使用抗血小板聚集药物,应注意预防出血
C. 单硝酸异山梨酯能扩张血管引起头痛,即使可耐受也必须停药
D. 出现弥漫性肌痛或乏力,同时伴全身不适时,应及时就医
E. 口服阿司匹林肠溶片时不要嚼碎服用或掰开服用