问题 单项选择题 案例分析题

女性,36岁,4年前妊娠后期曾有发热、发冷;尿急、尿频和尿痛,经抗生素治疗后症状消失。之后的4年中,时常有发热、发冷;尿急、尿频和尿痛反复发作,发作时还常伴下肢水肿,发作时检查,尿蛋白(+++),有脓细胞和白细胞管型,每次发作经抗感染治疗,症状均可消失,近半年来,每次发作常伴有血肌酐和BUN的升高。

请问患者最可能患有如下哪种肾脏疾病()

A.慢性硬化性肾小球肾炎

B.急性弥漫性增生性肾小球肾炎

C.急性弥漫性增生性肾小球肾炎反复发作成慢性肾小球肾炎

D.狼疮性肾炎

E.急性肾盂肾炎反复发作成慢性肾盂肾炎

答案

参考答案:E

开放性试题
单项选择题

The world is undergoing tremendous changes. The rise of globalization, both an economic and cultural trend that has swept throughout the world, has forged new ground as we enter the 21st century. But are the effects of globalization always positive Some say no.

Michael Tenet, head of the International Institute for Foreign Relations in Atlanta, is worried about current resentment throughout the world toward the rise of globalization. "Ever since the 1980s and the economic collapse of the Asian Tigers in the late 1990s, there has been a re-evaluation of the role of globalization as a force for good," he said. "Incomes in many countries has declined and the gap between the most rich and the most poor has been aggravated. Without further intervention by governments, we could see a tragedy expressed in an increased level of poverty throughout the Latin America and Asia. " Yet George Frank, an influential economist who works on Wall Street, sees no such danger. "Economic liberalization, increased transparency and market-based reforms have positive effect in the long run, even if market mechanisms can produce short-term destabilization problems," he said. "What is most important is that barriers to trade continue to fall so that active competition for consumer goods reduces prices and in turn raises the average level of income. "

Others feel that globalization’s cultural impact may be more important than its economic implications. Janice Yawee, a native of Africa, feels ply that globalization is undermining her local culture and language. "Most of the world’s dialects will become extinct under globalization. We’re paving the world with McDonald’s and English slang. It tears me up inside," she said.

Governments of different countries have had mixed responses to the wave of globalization. The United States is generally seen as an active proponent of greater free trade, and it certainly has enormous cultural influence by virtue of its near monopoly on worldwide entertainment. But other countries, most notably in Europe and developing nations, have sought to reduce the impact that globalization has on their domestic affairs.

"When I was a boy we had very little to speak of," says one Singaporean resident. "Now our country has developed into a booming hub for international finance. " Others, however, are not so optimistic. "Globalization is an evil force that must be halted," a union official at a car plant in Detroit recently commented, "It’s sucking away jobs and killing the spirit of our country.

When mentioning Janice Yawee, the author is talking about()

A. her local culture and language

B.the cultural implications of globalization

C.McDonald’s and English slang

D. the economic impact of globalization