问题 单项选择题 A3/A4型题

女,38岁,反复蛋白尿伴镜下血尿2年。2天前感冒后出现肉眼血尿,无畏寒、发热,无尿频、尿急、尿痛。血压150/96mmHg,尿蛋白3.76g/天,尿沉渣镜检红细胞满视野,均为变形红细胞;血清白蛋白31g/L,肾功能正常。

临床上拟诊应考虑为()

A.急性肾炎

B.IgA肾病

C.急进性肾炎

D.慢性肾炎

E.系膜增殖性肾炎

答案

参考答案:D

单项选择题
单项选择题

Trees should only be pruned when there is a good and clear reason for doing so. And fortunately, the number of such reasons is small. Pruning involves the cutting away of over grown and unwanted branches, and the inexperienced gardener can be encouraged by the thought that more damage results from doing it unnecessarily than from leaving the tree to grow in it sown way.

Firstly, pruning may be done to make sure that trees have desired shape or size. The object may be to get a tree of the right height, and at the same time to help the growth of small side branches, which will thicken its appearance or give it a special shape. Secondly, pruning may be done to make the tree healthier. You may cut out diseased or dead wood, or branches that are rubbing against each other and thus cause wounds. The health of a tree may be encouraged by removing branches that are blocking up the center and so preventing the free movement of air.

One result of pruning is that an open wound is left on the tree and this provides an easy entry for disease, but it is a wound that will heal. Often there is a race between the healing and the disease as to whether the tree will live or die, so that there is a period when the tree is at risk. It should be the aim of every gardener to reduce that risk of death as far as possible. It is important to make the area, which has been pruned, smooth and clean, for healing will be slowed down by roughness. You should allow the cut surface to dry for a few hours and then paint it with one of the materials available from garden shops produced especially for this purpose. Pruning is usually done in winter, for then you can see the shape of the tree clearly without interference from the leaves and also it is very unlikely that the cuts you make will bleed. If this does happen, it is, of course, impossible to paint them properly.

Why is a special material painted on the tree()

A.To help a wound to dry.

B.To cover a rough surface.

C.To make a wound smooth.

D.To prevent disease entering a wound.