问题 单项选择题 A2型题

男,33岁。发作性腰痛伴尿频、尿急5年,时有尿液混浊及终末血尿。此次因发热伴腰痛、尿痛2天入院。查体:T38℃,血压140/90mmHg。尿常规:尿蛋白(+)、红细胞(+)、白细胞(+++)。肾B超:右肾11cm×5cm×3cm,左肾8cm×4cm×2cm,腹部平片:左肾区可见钙化灶。最可能的诊断是()

A.肾结核

B.肾结石

C.急性肾盂肾炎

D.慢性肾盂肾炎

E.慢性肾炎急性发作

答案

参考答案:E

解析:慢性肾小球肾炎时肾脏体积减小。凡蛋白尿,血尿,管型尿,水肿,高血压达一年以上,在除外继发性肾小球肾炎及遗传性肾小球肾炎后,临床上可诊断慢性肾炎。患者在急性发作期。

阅读理解

Every people uses its own special word to show its ideas and feelings. Some of these expressions are commonly used for many years. Others are popular for just a short time. One such American expression is “Where’s the beef? ”It is used when something is not as good as it is said to be. In the early 1980s“Where’s the beef? ”was one of the most popular expressions in the United States. It seemed as if everyone using it at the time.

Beef, of course, is the meat from a cow, and this kind of food is more popular in America than a hamburger made from beef. In the 1960s a businessman named Ray began building small restaurants that sold hamburgers at a low price. Ray called this “McDonald’s”. Ray became one of the richest businessmen at last in America.

Other business people watched his success. Some of them opened their own hamburger restaurants. One company called “Wendy’s” said its hamburgers were bigger than those sold by McDonald’s or anyone else. The Wendy’s Company began to use the expression “Where’s the beef ? ”to make people know that Wendy’s hamburgers were the biggest. The Wendy’s television advertisement showed three old women eating hamburgers. The bread that covered the meat was very big, but inside there was only a bit of meat. One of the women said she would not eat a hamburger with such a little piece of beef. “Where’s the beef? ”she shouted in a funny way. The advertisement for Wendy’s hamburger restaurants was success. As we said, it seemed everyone began using the expression “Where’s the beef? ”.

小题1:    started McDonald’s restaurant.

A.Ray

B.McDonald

C.Wendy

D.Three old women小题2: Other people wanted to open hamburger restaurants because they thought

    .

A.they could sell hamburgers at a low price

B.hamburgers were easy to make

C.beef was very popular in America

D.they could make a lot of money小题3:Wendy’s made the expression known to everybody    .

A.with many old women eating hamburgers

B.by a television advertisement

C.while selling bread with a bit of meat in it

D.at McDonald’s restaurant小题4: We can learn from the passage that the expression “Where’s the beef ? ” means    .

A.The beef in hamburgers is not as much as it is said to be

B.The hamburgers are not as good as they are said to be

C.It is used when something is not as good as it is said to be

D.Wendy’s is the biggest

单项选择题