问题 不定项选择 案例分析题

女性,26岁,关节痛反复发作年余,伴血沉增快,间断服用泼尼松后好转,停用泼尼松半年后,出现低热,面部蝶形红斑,下肢浮肿就诊。化验:血红蛋白70g/L,尿液检查蛋白(++++)、红细胞5~10个/HP,24小时尿蛋白定量3.5g,为非选择性蛋白尿,A/G=35/42g/L,超声提示心包、双胸腔少量积液和少量腹水,心电图有ST段和T波改变(缺血样改变)。

对诊断帮助最大的检查是()

A.抗链球菌溶血素O测定

B.抗核抗体测定

C.抗ds-DNA抗体测定

D.补体成分C3测定

E.肾功能测定

答案

参考答案:C

选择题
阅读理解

Watching some children trying to catch butterflies one hot August afternoon, I was reminded of an incident in my own childhood.When I was a boy of 12 in South Carolina, something happened to me that cured me forever of wanting to put any wild creature in a cage.We lived on the edge of a wood, and every evening at dusk the mockingbirds would come and rest in the trees and sing. There isn’t a musical instrument made by man that can produce a more beautiful sound than the song of the mockingbird.

I decided that I would catch a young bird and keep it in a cage and in that way would have my own private musician.

I finally succeeded in catching one and put it in a cage. At first, in its fright at being captured, the bird fluttered about the cage, but eventually it settled down in its new home. I felt very pleased with myself and looked forward to some beautiful singing from my tiny musician.

I had left the cage out on our back porch, and on the second day of the bird’s captivity my new pet’s mother flew to the cage with food in her mouth. The baby bird ate everything she brought to it. I was pleased to see this. Certainly the mother knew better than I how to feed her baby.

The following morning when I went to see how my captive was doing, I discovered it on the floor of the cage, dead. I was shocked! What had happened! I had taken excellent care of my little bird, or so I thought.

Arthur Wayne, the famous ornithologist, happened to be visiting my father at the time, hearing me crying over the death of my bird, explained what had occurred. “A mother mockingbird, finding her young in a cage, will sometimes bring it poison berries. She thinks it better for her young to die than to live in captivity.”

Never since then have I caught any living creature and put it in a cage. All living creatures have a right to live free.

小题1:Why did the writer catch a mockingbird when he was a boy of 12?

A.He had just got a new cage.

B.He liked its beautiful feather.

C.He wanted it to sing for him.

D.He wanted a pet for a companion.小题2:The mockingbird died because it ______.

A.was frightened to death

B.ate the poisonous food its mother gave it

C.refused to eat anything

D.drank the poisonous water by mistake小题3:An ornithologist probably means ______.

A.a religious person

B.a kind person

C.a schoolmaster

D.an expert in birds小题4:What is the most important lesson the writer learned from the incident?

A.Freedom is very valuable to all creatures.

B.All birds put in a cage won’t live long.

C.You should keep the birds from their mother.

D.Be careful about food you give to baby birds.