问题 单项选择题

男,35岁,尿频、尿痛、尿急一年,超声检查可见左肾略大,实质区可见多个大小不等无回声暗区及其后伴有声影的强回声光团,其无回声暗区相互交通并与肾盂相通,左输尿管全程扩张,膀胱壁弥漫性增厚、僵硬,容积明显缩小,应诊断为()

A.急性肾盂肾炎

B.肾癌

C.肾积水

D.肾囊肿

E.肾结核

答案

参考答案:E

解析:上述病变表明肾脏实质区可见多个相互交通的空洞并与肾盂相通,空洞内可见钙化灶,由于病变累及膀胱造成膀胱壁纤维化增厚,膀胱腔缩小,同时合并输尿管积水,此表现符合肾结核蔓延至膀胱征象,而临床症状又是典型的炎症改变;病程以及肾脏的形态大小已经否定了急性肾盂肾炎的诊断。

填空题

阅读下面短文,用括号内所给动词的适当形式填空 (必要时可加情态动词或助动词)。

       Henry found a job in a bookstore after he finished middle school. He wouldn't do anything but wanted to get

rich.

       It was a cold morning. It 1._______ (snow) and there was thin ice on the streets. Few people went to buy

the books and the young man had nothing 2.______ (do). He hated to read, so he watched the traffic. Suddenly

he 3.______ (see) a bag fall off a truck and it landed by the other side of the street.

       "It 4.             (be) full of expensive things." Henry said to himself. "I have to get it right now, or others

5.______ (take) it away." 

       He went out of the shop and ran across the street. A driver saw him and began to whistle (鸣笛), but he

didn't hear it and went on 6.______ (run). The man drove to the side, hit a big tree and 7.______ (hurt) in the

accident. Two weeks later Henry was taken to court. A judge asked if he heard the whistle when he was running

across the street. He said that something was wrong with his ears and he could hear nothing.

       "But you 8.______ (hear) me this time," said the judge.

       "Oh, I'm sorry. Now I can hear with one ear."

       "9.______ (cover) the ear with your hand and listen to me with your deaf one. Well, can you hear me?"

       "No, I can't, sir." 

       "You 10.______ (tell) lies. There is nothing wrong with either of your ears." The judge said.

填空题