患者，男性，18岁。以肾病综合征表现就诊。查24小时尿蛋白为4.5g_爱下问搜题

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患者，男性，18岁。以肾病综合征表现就诊。查24小时尿蛋白为4.5g，水肿明显，血压及肾功能正常。幼年时有类似发作史，经正规激素治疗后完全缓解，至本次发病前尿检均阴性。

治疗8周以后，蛋白尿仅稍有减少，其余无多大改善，此时最好应予以（）

A.继续原方案治疗

B.肾活检，待报告后决定治疗方案

C.改用环磷酰胺

D.改用甲基泼尼松龙冲剂

E.以上都不是

答案

参考答案：B

完形填空

完型填空
On my first job, I worked as a sports editor for a small newspaper. I never got a letter from my readers, so I was   l  that there was an envelope（信封）on my desk one morning. From the   2 , I could see it was from a most popular newspaper.
When I opened it, I found a note and it read, “You did a good job. Go on!”
The note was   3  by Mr. John, a famous sports editor. As I was a green hand（新手）, his words made me   4  . After that, I kept the note in my desk drawer. Whenever I doubted 5  I had the ability to be a good editor(编辑) , I would read John’s note and become 6  again.
Later, when I made friends with Mr. John, the note writer, I learned that he often wrote notes to   7  young people in many fields. “When I make   8  feel happy,” he told me, “I feel happy, too.”   9 , why are there few note writers like John in our life? In my   10 , many people are afraid that they cannot be well understood. Also, writing takes more time and it is not 11  to pick up the phone. The problem with phone calls is that they cannot   12   a long time, but a note is a good way of record and our words can be read   13 .
So, when you find some people around you need   14 , please write a note of encouragement to bring them more confidence. Maybe, you are not sure what will 15 , but remember Mr. John’s words—making others feel happy makes you happy, too.

C．more than once

D．less than once

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