问题 多项选择题 案例分析题

患者男性,19岁,体育运动员,主因间歇无痛性肉眼血尿6个月,加重3h就诊。血尿多于剧烈运动时发生,每次血尿发生时无尿急尿频尿痛及排尿困难等症状,偶有左侧腰部酸胀不适,平卧休息后血尿可缓解。查体:瘦高体型,左肾区轻微叩击痛,左侧精索静脉曲张(Ⅲ度)。曾多次行B超检查均示双肾输尿管及膀胱未见明显异常。多次尿常规检查均提示有大量红细胞,蛋白(1+~3+)。

对于"胡桃夹"综合征有确诊意义的检查是()【提示】尿红细胞形态检查提示正常形态红细胞?大于90%。肾脏彩超提示左肾"胡桃夹现象"。膀胱镜检查见左侧上尿路出血。

A.静脉尿路造影(IVU)

B.磁共振水成像(MRU)

C.磁共振血管造影(MRA.

D.单光子发射计算机断层成像术(SPECT)

E.尿路平片(KUB.

F.计算机断层扫描血管造影(CTA.

G.数字减影血管造影(DSA.

答案

参考答案:C, F, G

多项选择题
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     In the US, people prefer waiting for a table to sitting with people they don't know. If you are sitting

at a table with people you don't know, it is impolite to light up a cigarette without first asking if it will

disturb them.

     At American restaurants and coffee shops you are usually served tap water before you order. You

may find the bread and butter is free, and if you order coffee, you may get a free refill.

     Most cities and towns have no rules about opening and closing times for stores or restaurants,

though they usually do make rules for bars. Especially in large cities, stores may be open 24 hours a day.

     Servings in restaurants are often large, too large for many people. If you can't finish your meal but

would like to enjoy the food later, ask your waitress or waiter for a "doggie bag". It may have a picture

of a dog on it, but everybody knows you're taking the food for yourself. Supper and dinner are both

words for the evening meal. Some people have "Sunday dinner". This is an especially big noon meal.

     Tips are not usually added to the check. They are not included in the price of the meal, either. A tip

of about 15% is expected and you should leave it on the table when you leave. In some restaurants,

a check is brought on a plate and you put your money there. Then the waiter or waitress brings you

your change.

1.Which statement is TRUE?

A. American people like sitting with people they don't know.

B. Americans prefer smoking to tap water at the restaurants.

C. Bread and butter and coffee are free at American restaurants.

D. American people usually will not smoke unless they ask for permission.

2.What are the opening and closing times for stores and restaurants in the US?  

A. There are no rules for stores and restaurants.    

B. You can enter a bar at any time in the US.    

C. Stores may be o pen around the clock in large cities.    

D. Restaurants may be open 24 hours a day in every city.

3.What do American people always do when servings are too large for them?

A. They leave the food on the table and go away.

B. They ask the waitress or waiter to keep the food.

C. They take the food home with a "doggie bag" for their dogs.

D. They take the food home with a "doggie bag" and enjoy the food later.

4.What can you learn about "tips" according to the passage?

A. Customers often add tips to their check.   

B. Tips are left on the table when customers leave. 

C. People are not expected to pay tips in addition.      

D. The price of the meal usually includes the tip.