问题 单项选择题 A3/A4型题

30岁。女性。双膝关节肿胀疼痛半年,近有发热伴面部水肿就诊。体检:体温38℃,面部水肿,口腔黏膜有溃疡,肝肋下1指,脾肋下2指,双膝关节肿胀,有红肿及压痛,BP20/12kPa(150/90mmHg),尿液检查蛋白尿(-),ANA(+),抗Sm抗体(+),确诊为SLE。

病人1年后门诊复查时尿液检查尿蛋白(++),红细胞10~15/HP,BUN10mmol/L,Cr180μmol/L,肾穿病理检查为系膜增生型狼疮肾炎,此时首选治疗是()

A.吲哚美辛(消炎痛)

B.氯喹

C.肾上腺皮质素

D.环孢菌素

E.中草药

答案

参考答案:C

单项选择题

It seems that politicians around the world are thinking about the health of their countries. While in China, Chen Zhu has announced his plans for a universal health service and reform across health services. Gordon Brown, the UK Prime Minister, has also announced he is planning to make some changes in our health service.

The crux of Mr. Brown’ s proposals is related to giving the NHS ( National Health Service) a greater focus on prevention, rather than just curing patients.

He is planning to introduce increased screening for common diseases such as heart disease,strokes and cancer, for example, breast cancer. In Britain there are 200,000 deaths a year from heart attacks and strokes, many of which might have been avoided if the condition had been known about.

Initially, the diagnostic (诊断的) tests will be available for those who are vulnerable, or most likely to have the disease. One example is a plan to offer all men over 65 an ultrasound test to check for problems with the main artery (动脉), a condition which kills 3,000 men a year. The opposition have criticized Mr. Brown’ s proposals, saying that they are just a trick, and Claiming that there is no proper timetable for the changes. They also say that Mr. Brown is reducing the money available for the treatment of certain conditions while putting more money towards testing for them.

The NHS was founded in 1948, and is paid for by taxation. The idea is that the rich pay more towards the health service than the poor. However, in recent years there has been a great increase in the use of private health care, and it’ s much quicker. The NHS waiting lists for operations can be very long, so many people who can afford it choose to pay for medical care themselves.

The author of this passage intends to tell us () .

 

A. the NHS should be reformed right away

B. more and more people are dying from diseases

C. the plan to reform the NHS in the UK

D. the criticism of Mr. Brown’ s proposals

单项选择题