问题
单项选择题 A1/A2型题
女,54岁,主诉劳累后左腰部不适5年,无血尿、尿频、尿急和尿痛病史。B超显示左肾盂积水,同侧输尿管未见扩张。IVP显示左肾盂中度积水,未见充盈缺损,肾盂输尿管连接部略狭窄,右肾及输尿管正常。该病人最合理的治疗为()。
A.永久性左肾穿刺造瘘保护肾功能
B.随访观察
C.行左肾盂输尿管连接部成形术
D.行左肾切除术
E.留置输尿管支架管并定期更换
答案
参考答案:C
女,54岁,主诉劳累后左腰部不适5年,无血尿、尿频、尿急和尿痛病史。B超显示左肾盂积水,同侧输尿管未见扩张。IVP显示左肾盂中度积水,未见充盈缺损,肾盂输尿管连接部略狭窄,右肾及输尿管正常。该病人最合理的治疗为()。
A.永久性左肾穿刺造瘘保护肾功能
B.随访观察
C.行左肾盂输尿管连接部成形术
D.行左肾切除术
E.留置输尿管支架管并定期更换
参考答案:C
Since life began eons ago, thousands of creatures have come and gone. Some, such as the dinosaurs, became extinct due to naturally changing ecologic conditions. More recent threats to life forms are humans and their activities. Man has drained marshes, burned prairies, dammed and diverted rivers. Some of the more recent casualties of man’s expansion have been the dodo, great auk, passenger pigeon, Irish elk, and Steller’s sea cow. Sadly, we can no longer attribute the increasing decline in our wild animals and plant species to "natural" processes. Many species are dying out because of exploitation, habitat alteration or destruction, pollution, or the introduction of new species of plants and animals to an area. As mandated by Congress, protecting endangered species, and restoring them to the point where their existence is no longer jeopardized, is the primary objective of the U.S. Fish and Wilidlife Service’s Endangered Species Program. |
Which of the following is NOT a cause of increasing decline of wild animal population
A.Exploitation
B.Pollution
C.Habitat alteration
D.Congressional law