问题
单项选择题 A1型题
中年女性患者，尿频、尿痛、尿急3个月余，伴尿液混浊，一般抗菌药物治疗无效，下一步应先做哪项检查（）
A.CT
B.排泄性肾盂造影
C.膀胱镜检查
D.逆行肾盂造影
E.膀胱造影
答案
参考答案：B
解析：此患者应高度怀疑泌尿系结核，排泄性肾盂造影可以明确双肾、输尿管的形态及双肾功能，对泌尿系结核的诊断有很大帮助。
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中年女性患者，尿频、尿痛、尿急3个月余，伴尿液混浊，一般抗菌药物治疗无效，下一步应先做哪项检查（）
A.CT
B.排泄性肾盂造影
C.膀胱镜检查
D.逆行肾盂造影
E.膀胱造影
参考答案：B
解析：此患者应高度怀疑泌尿系结核，排泄性肾盂造影可以明确双肾、输尿管的形态及双肾功能，对泌尿系结核的诊断有很大帮助。
It was her giggling that drew my attention．Note taking really wasn’t all that funny． Walking over to the offender, I asked for the 21 ．Frozen, she refused to give it to me．I waited, all attention in the classroom on the quiet 22 between teacher and student．When she finally 23 it over she whispered, “Okay, but I didn’t draw it”. It was a hand-drawn 24 of me, teeth blackened and the words “I’m stupid” coming out of my mouth．I managed to fold it up calmly．My mind, 25 , was working angrily as I struggled not to 26 . I figured I knew the two most likely candidates for drawing the picture．It would do them some 27 to teach them a lesson, and maybe it was high time that I did it! Thankfully, I was able to keep myself 28 . When there were about six minutes remaining, I showed the class the picture．They were all silent as I told them how 29 this was for me．I told them there must be a reason 30 and now was their chance to write down anything they needed to tell me．Then I let them write silently while I sniffed in the back of the classroom． As I 31 the notes later, many of them said something like, “I’ve got nothing against you,” or “I’m sorry you were hurt．” Some kids said, “We’re 32 of you．” But two notes, from the girls who I 33 were behind the picture, had a list of issues．I was too 34 , too strict… Reading those notes, I realized that over the course of this year, instead of 35 my students, I had begun commanding them to 36 ．Where I thought I was driving them to success I was 37 driving them away． I had some apologizing to do．But the next day in the classroom, one boy and one girl each handed me a card．The one 38 by all the boys expressed sincere regret for the ugly joke．The one from the girls asked for 39 . This was a lesson for both the kids and me．Forgiveness does not change the past, but it does enlarge the 40 .
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