问题 单项选择题

原发性肾病综合征患者,首次治疗,每日用强的松60mg。三周后尿蛋白仍为(++++),此时应

A.改用地塞米松

B.将强的松加量到80mg/日

C.改用环磷酰胺

D.用原量继续观察

E.减少强的松用量到40mg/日,加用免疫抑制剂

答案

参考答案:D

解析:应用糖皮质激素治疗肾病综合征的用药原则是:起始足量、缓慢减药、长期维持;口服糖皮质激素8周,必要时延长至12周。该病例服用强的松仅3周,因此目前的治疗方案为用原量继续观察。

阅读理解

     People are overweight for many reasons, the most important one of which is that they eat the wrong

foods, get the wrong types of calories per meal, and they also eat meals at the wrong time each day.

Food is more powerful than any weight loss pill, because the food that you eat can either make you thin

or fat. This is true because your body is like an engine, and it only needs certain foods at certain intervals(间隔)each day.

     Low-calorie Diets Do Not Work

The reason people cannot lose weight by starving themselves is that their metabolism(新陈代谢)will

detect any major drop in calories and it will then adjust(调整)itself by burning fewer calories each day.

That is the reason why you can eat 1,000 calories per day and not lose any weight, while your friends

can eat 2,500 calories per day and not gain any weight.

     Low-fat Diets Do Not Work

     Many people in today's society are buying mostly low- fat or non-fat food at the grocery store.

Everybody knows how much fat is inside the food they buy. However, people are getting fatter than ever

before by doing this. They are not losing weight by changing to this low-fat lifestyle.                  

     Losing weight has nothing to do with these things. One of the most important things you can do to

control your weight is to eat the proper foods, such as fruit and vegetables, eat them at the right time, and

exercise every day. If people make this a habit, they will lose weight.

1. What is the main reason why people are overweight according to the author?

A. They eat the wrong foods at the wrong time.

B. They eat food with lots of calories.

C. They don't take any weight loss pills.

D. They burn many calories every day.

2. The article is written in order to _______.

A. tell readers not to buy low-fat or non-fat food

B. tell readers how to lose weight

C. tell readers about an important scientific discovery

D. call on people to lose weight and stay healthy

3. To realize the aim of your weight loss plan, you should ________.

a. do exercise every day      

b. eat meals at the right time

c. eat fruits and vegetables    

d. eat low-fat or sweet food

e. eat the proper foods at each meal

A. a, b, c, d              

B. a, b, d, e    

C. a, c, d, e              

D. a, b, c, e

单项选择题