女性患者，35岁，右眼视力下降2年，查右眼视力0.02，眼压35mmHg，角膜轻度水肿，内皮面浑浊，色素性KP（+）。前房深，房水清，虹膜上色素样结节，瞳孔上移，光反应弱，晶状体透明，眼底视盘C／D=0.9。最可能的诊断（）
A.急性闭角型青光眼
B.原发性开角型青光眼
C.Cogan-Reese综合征
D.Axenfeld-Rieger综合征
E.Fuchs内皮营养不良
参考答案：C
解析：Cogan-Reese综合征是一大类虹膜角膜内皮综合征的组合，以异常角膜内皮增生在角膜、虹膜角膜夹角和到达虹膜表面上为特征。临床上观察到此综合征伴有角膜水肿、周边前房粘连、青光眼和虹膜萎缩、色素性结节。
任务型阅读 Tuberculosis(肺结核，TB) killed 1,300,000 people arould the world in 2007. In addition, almost half a million people who were infected with tuberculosis and with HIV also died. Those were listed as HIV deaths. About one-third of all people are infected with tuberculosis. But the body’s natural defenses are usually strong enough to prevent an active case. Even so, the bacteria remain in the body. If the immune system weakens at any point, they begin to spread and then attack. The bacteria that cause TB usually settle in the lungs. They spread through the air when the person coughs or even sings and talks. One of the most important things is to identify cases quickly. The patients need to be kept away from other people and begin treatment as soon as possible. Multidrug resistant tuberculosis, orMDR-TB, will not get better with antibiotics normally used for tuberculosis. So doctors must use stronger, “second line “ drugs when the first ones fall. Now, researchers say they have found a much faster way to identify drug-resistant TB. The study’s lead author is Graham Hatfull at the University of Pittsburgh in Pennsylvania. The scientists used viruses called bacteriophages to speed the process. These viruses attack bacteria. The researchers injected them with a gene that produces green light. They also injected some with first line antibiotics and others with second line drugs. Then they combined the bacteriophages with TB bacteria. If the bacteria produces green light, it means they are drug-resistant. The researchers say a clinic worker could identify the green light with equipment easy to get in many clinics. Test results would not have to wait for the bacteria to grow in a lab far away. For now , the test itself needs more testing. But Professor Hatfull is hopeful this will take months and not years. Title:__1___
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