问题 单项选择题 案例分析题

男性,40岁,尿频、尿急、尿痛5年,有时出现肉眼血尿。体检:贫血貌,血尿素氮33mmoL,肌酐612mmoL,尿常规脓细胞20~30个/HP,B超显示:膀胱容量小,每次排尿50ml。

最可能的诊断为()

A.慢性膀胱炎

B.慢性肾盂肾炎

C.一侧肾结核,一侧肾积水

D.膀胱感染

E.双肾结核

答案

参考答案:C

解析:该病人有膀胱刺激症状,尿中有脓细胞,B超示膀胱容量小,提示存在肾结核引起的膀胱挛缩,同时肾功能较差,只有一侧肾结核,一侧肾积水可能会导致该病人的相应状况。

阅读理解

Once there was a little orphan (孤儿) who always wished that he could fly like a bird. It was very difficult for him to understand why he could not fly.

There was another little boy who was crippled. One day the orphan came to a park, where he saw the little crippled boy playing in the sand alone.

He ran over to the little crippled boy and asked him if he had ever wanted to fly like a bird.

“No,” he said. “But I’ve been thinking about what it would be like to walk and run like others.”

“That is very sad,” said the little orphan. “Do you think we could be friends?”

“Sure,” said the little crippled boy.

The two little boys played for hours. Neither of them felt as lonely as they had been before. Then the little crippled boy’s father came with a wheelchair to pick up his son. The little orphan ran over to him and said something into his ear.

“That would be OK,” said the man.

The little orphan ran back to his friend and said, “You are my only friend and I wish I could do something to make you walk and run like others. Unluckily, I can’t. But there is something that I can do for you.”

The little orphan boy turned around and told his friend to slide onto his back. Then he began to run across the grass. He ran faster and faster, carrying the little crippled boy on his back.

The father began to cry with tears as his son shouted at the top of his voice, “I’m FLYING! Daddy, I’m FLYING!”

小题1:The underlined word “crippled” in the second paragraph means ______.

A.having no arms

B.not being able to walk

C.not being able to fly

D.not being able to see小题2: What did the little orphan most probably say to the crippled boy’s father?

A.May I carry him on my back for a run?

B.Could you be my daddy, too?

C.Would you join us in our game?

D.Could I be friends with your son?小题3:Why did the little crippled boy’s father cry?

A.Because the orphan boy became his son’s only friend.

B.Because his son was able to fly.

C.Because he was happy to see his son’s excitement.

D.Because the orphan boy was riding on his son’s back.

单项选择题