问题 单项选择题

女,59岁,寒战、发热(最高体温达39℃),全身不适,恶心呕吐1天。体检:血压145/85mmHg,肾区有叩击痛。尿常规:蛋白(++),白细胞满视野,红细胞8~10/HP。中段尿细菌培养为阳性。查双肾B超、肾功能均无异常。5年来有多次类似发作,近2年来夜尿明显增多。此患者最可能的诊断为慢性肾盂肾炎()

A.低热型

B.复发型

C.血尿型

D.隐匿型

E.高血压型

答案

参考答案:B

解析:慢性肾盂肾炎复发指治疗后菌尿转阴性,停药后6周内再发,且致病菌和先前感染的完全相同。故本题选B。

单项选择题
单项选择题

Children are a relatively modem invention. Until a few hundred years ago they look like adult, wearing grown-up clothes and grown-up expressions, performing grown-up tasks. Children did not exist because the family as we know it had not evolved.
Children today not only exist; they have taken over in no place more than in America, and at no time more than now. It is always Kids Country here. Our civilization is child-centered, child-obsessed. A kid’s body is our physical ideal. In Kids Country we do not permit middle-aged. Thirty is promoted over 50, but 30 knows that soon his time to be overtaken will come.
We are the first society in which parents expect to learn from their children. Such a topsy-turvy situation has come to abort at least in part because, unlike the rest of the world, ours is an immigrant society, and for immigrants the only hope is in the kids. In the Old Country, that is, Europe, hope was in the father, and how much wealth he could accumulate and pass along to his children. In the growth pattern of America and its ever- expanding frontier, the young man was ever advised to GO WEST; the father was ever inheriting from his son. Kids Country may be the inevitable result.
Kids Country is not at all bad. America is the greatest country in the world to grow up in because it is Kids Country. We not only wear kids clothes and eat kids food; we dream kids dreams and make them come tree. It was, after all, a boys’ game to go to the moon.
If in the old days children did not exist, it seems equally true today that adults, as a class, have begun to disappear, condemning all of us to remain boys and girls forever, jogging and doing push-ups against eternity.

It was suggested but not stated that the American West is the place where ______ .

A.young people are reluctant to go

B.people may possibly get wealthy

C.it is more interesting to settle

D.the old people’s dreams can be realized