问题 单项选择题 案例分析题

患者男性,22岁,主因“发现双肾积水半年”就诊。患者出生时发现脊膜膨出,8个月大时手术治疗。患者从小排尿困难,伴尿频,大便干燥,但一直未检查。半年前体检时发现双肾积水。

此时,应对该患者做何处理()。【提示】泌尿系B超提示双肾中度积水,残余尿量为50ml。最大尿流率为12.3ml/s,尿量为130ml。血肌酐为150μmol/L。

A.双肾造瘘

B.肾内科就诊

C.留置尿管,膀胱持续引流

D.不需处理,嘱患者定期复查

E.嘱患者压腹排尿,定期复查

F.间断清洁自家导尿

答案

参考答案:C

解析:

患者现有双肾积水,血肌酐偏高,应考虑为下尿路功能异常引起。因此,该患者首先应留置尿管,膀胱持续引流,观察积水能否减轻,肾功能是否恢复正常。

阅读理解

阅读理解。

     Young people and older people don't always agree with each other. They sometimes have different ideas

about living, working and having fun. But in one special program in New York, adults and teenagers live

together in peace.

     Each summer 200 teenagers and 50 adults live together for eight weeks as members of a special work

group. Everyone works for several hours each day. The purpose of this program is not just to keep busy. It

is also to find meaning and enjoyment in work. Some teenagers work on the farms near the village. Some

learn to make furniture and to build houses. The adults teach them these skills.

     There are several free hours each day. Weekends are free, too. During the free time, some of the teenagers

learn photography and painting. Others sit around and talk or sing. Each teenager chooses his own way to

spend his free time.

     When people live together, rules are always necessary. In this program the teenagers and the adults make

the rules together. If someone breaks a rule, the whole group will discuss the problem. They ask, "Why did it

happen? What should we do about it?"

     One of the teenagers has this to say about the experience, "You don't only think about yourself. You learn

how to think about the group."

1. The purpose of this program is _______.

A. to keep busy

B. to find meaning in work

C. to find enjoyment in work

D. A, B and C

2. Which of the following is not the teenagers' activity during their free time?

A. To learn photography.

B. To learn painting.

C. To learn to make furniture.

D. To sit around and talk or sing.

3. If someone in the group breaks a rule, _______.

A. he must go away.

B. the problem must be discussed by the group.

C. he will be punished (惩罚) by others.

D. he will be kept busy working.

4. People who join the group _______.

A. live together in peace

B. are busy working in order to learn more skills

C. only think about themselves

D. want to make friends with children

5. Which is the best title (标题) of this passage?

A. Teenagers and adults

B. A special program

C. How to spend your free time

D. Enjoyment in work

填空题