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男性，16岁，2周来尿少，全身浮肿明显，尿蛋白定量5g／d，血浆白蛋白18g／L，尿沉渣镜检有红细胞3～5／HP，有透明管型，偶见颗粒管型，血红蛋白正常，血肌酐正常，血尿素氮10mnol／L。

提问：最可能的诊断是（）

A.急性肾炎

B.慢性肾炎急性发作

C.急进性肾炎

D.肾病综合征

E.乙肝病毒相关性肾炎

F.狼疮性肾炎

答案

参考答案：D

单项选择题

某镇组织部姚科长在接受当地记者的采访时说：“近年来刚进入机关的干部对下基层锻炼的兴趣普遍比以前强多了。我镇的机关干部对于下基层的报名十分踊跃，这在几年前几乎是不可思议的。” 姚科长的结论基于以下哪项假设( )

A．机关干部下基层锻炼，对当地的发展也起到推动的作用

B．对待下基层的态度是衡量是否有下基层兴趣的重要标准

C．近年来进入该镇的干部较前几年的比起来有较高的综合素质

D．该镇机关干部对下基层锻炼产生兴趣，是由于基层待遇提高
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问答题

It’s a typical Snoopy card: cheerful message, bright colors, though a little yellow and faded now. Though I’ve received fancier, more expensive card over the years, this is the only one I’ve saved. One summer, it spoke volumes to me.
I received it during the first June I faced as a widow to raise two teenage daughters alone. In all the emotional confusion of this sudden single parenthood. I was overwhelmed with, of all things, the simplest housework: leaky taps, oil changes, even barbeques (烧烤). Those had always been my husband’s jobs. I was embarrassed every time I hit my thumb with a hammer or couldn’t get the lawnmower (割草机) started.
My uncertain attempts only fueled the fear inside me: How could I be both a father and mother to my girls Clearly, I lacked the tools and skills.
On this particular morning, my girls pushed me into the living room to see something. (I prayed it wasn’t another repair job. ) The "something" turned out to be an envelope and several wrapped bundles on the carpet. My puzzlement must have been plain as I gazed from the colorful packages to my daughters’ bright faces.
"Go ahead! Open them! "They urged. As I unwrapped the packages, I discovered a small barbecue grill(烧烤架) and all the necessary objects including a green kitchen glove with a frog pattern on it.
"But why " I asked.
"Happy Father’s Day! " they shouted together.
"Moms don’t get presents on Father’s Day. " I protested.
"You forgot to open the card. " Jane reminded. I pulled it from the envelope. There sat Snoopy, on top of his dog house, merrily wishing me a Happy Father’s Day. "Because," the girls said, "you’ve been a father and mother to us. Why shouldn’t you be remembered on Father’ s Day "
As I fought back tears, I realized they were right, I wanted to be a "professional" dad, who had the latest tools and knew all the tricks of the trade. The girls only wanted a parent they could count on to be there, day after day, performing repeatedly the maintenance tasks of basic care and love.
The girls are grown now, and they still send me Father’s Day cards, but none of those cards means as: much to me as that first one. Its simple message told me being a great parent didn’t require any special tools at all -just a willing worker.
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