问题 单项选择题 A3/A4型题

男性,30岁,发热、咽痛10天后出现肉眼血尿,此后3天肉眼血尿消失,3周后尿沉渣镜检RBC20~25/HP,以变形红细胞为主,尿蛋白(++)。查体未见异常,BP130/80mmHg。血肌酐正常,ANA阴性,C3降低。父母及哥哥体健。

有关此患者是否需做肾活检,正确的是()

A.立即肾活检

B.可不行肾活检

C.若2个月内病情无明显好转,应行肾活检

D.临床缓解后1个月,再肾活检明确是否痊愈

E.待出现白细胞尿时做肾活检

答案

参考答案:C

阅读理解

阅读理解。

     Jim suffered heart problems. In conversation he expressed little joy and it seemed that his life was

drawing to a close.

     When his heart problems led to operation, Jim went through it successfully, and a full recovery was

expected. Within days, however, his heart was not beating properly. Jim was rushed back to operation,

but nothing was found to explain the cause of his illness. He died on the operating table on the day before

his 48th birthday.

     Dr. Bruce Smoller, a psychologist, had had many conversations with him, and the more he learned, the

stranger he realized Jim's case was. When Jim was a child, his father, a teacher, suffered a heart attack and

stayed home to recover. One morning Jim asked his father to look over his homework, promising to come

home from school at noon to pick it up. His father agreed, but when Jim returned his father had died. Jim's

father was 48.

     "I think all his life Jim believed he killed his father," Dr. Smoller says. "He felt that if he had not asked him

to look at his homework, his father would have lived. Jim had been troubled by the idea. The operation was

the trial (判决) he had expected for forty years." Smoller believes that Jim willed himself not to live to the age

of 48.

     Jim's case shows the powerful role that attitude plays in physical health, and that childhood experiences

produce far-reaching effect on the health of grown-ups. Although most cases are less direct than Jim's,

studies show that childhood events, besides genes, may well cause such midlife diseases as cancer, heart

disease and mental illness.

1. Jim was sent back to operation because _____. [ ]

A. his heart didn't work well

B. he expected a full recovery

C. his life was drawing to a close

D. the first one wasn't well performed

2. What made Dr. Smoller feel strange about Jim's case? [ ]

A. Jim died at a young age.

B. Jim died on the operating table.

C. Both Jim and his father died of the same disease.

D. Jim's death is closely connected with his father's.

3. From Smoller's words, we can infer that _____. [ ]

A. Jim's father cared little about his study

B. Smoller agreed that Jim did kill his father

C. Jim thought he would be punished some day

D. Smoller believed Jim wouldn't live to the age of 48

4. Which of the following could have strong effect on one's physical health according to the text?

    a. One's genes.

    b. One's life in childhood.

    c. One's physical education.

    d. The date of one's birthday.

    e. The opinions one has about something. [ ]

A. a, b, d

B. a, b, e

C. a, c, e

D. b, c, d

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