问题 单项选择题

肾小球呈现线形免疫荧光的肾小球肾炎可能是()

A.弥漫性膜性肾小球肾炎

B.弥漫性膜性增生性肾小球肾炎

C.弥漫性新月体性肾小球肾炎

D.弥漫性系膜增生性肾小球肾炎

E.弥漫性毛细血管内增生性肾小球肾炎

答案

参考答案:C

解析:

弥漫性新月体性肾小球肾炎Ⅰ型为抗肾小球基膜抗体引起的肾炎,免疫荧光检查显示特征性的线性荧光,主要为IgG沉积;

Ⅱ型为免疫复合物型肾炎,免疫荧光检查显示颗粒状荧光;

Ⅲ型为免疫反应缺乏型。

弥漫性毛细血管内增生性肾小球肾炎免疫荧光检查显示肾小球内有颗粒状IgG、IgM、C3沉积。弥漫性膜性肾小球肾炎,免疫荧光检查基底膜颗粒状IgG和C3沉积。

弥漫性膜性增生性肾小球肾炎,Ⅰ型免疫荧光检查基底膜显示颗粒状IgG和C3沉积;

Ⅱ型免疫荧光检查基底膜显示带状C3沉积;

弥漫性系膜增生性肾小球肾炎,免疫荧光检查系膜区颗粒状IgG和C3沉积。

阅读理解

When I was struggling with cancer a few years ago, my wife and I formed our own "couple caution circle".  Anytime a doctor came with news of my progress, my wife would give me a big hug. The reports were seldom good during the early stages of my illness, and one day a doctor brought particularly frightening news. Staring at my reports, he said in a low voice, “It doesn't look like you're going to make it.”

Before I could ask him a question, my wife stood up, handed me my clothes, adjusted the tubes fastened to my body and  said, “Let’s get out of here. This man is a risk to your health.” As she helped me struggle to the door, the doctor came near us. “Stay back,” demanded my wife. “Stay away from us.”

As we walked together down the hall, the doctor attempted to catch up with us “Keep going,” said my wife, pushing the intravenous(静脉注射的)stand. “We’re going to talk to someone who really knows what is going on. Then she held up her hand to the doctor. “Don't come any closer to us.”

The two of us moved as one. We escaped to the safety and hope of a doctor who did not confuse diagnosis with conclusion. I could never have made that walk toward wellness alone.

小题1:.

From the passage we know__________.

A.hearing that her husband was not going to make it, the wife went out of her mind

B.the wife's decision in crisis contributed to the husband’s wellness

C.the husband was diagnosed with cancer by mistake

D.the husband became weaker and weaker as a result of the treatment conducted by the doctor小题2:.

What's the author's feeling when writing the passage?

A.Angry.

B.Thankful.

C.Excited.

D.Sad.小题3:.

What can be inferred from the passage?

A.The wife was a woman hard to get along with.

B.The doctor was a dangerous man.

C.The wife loved her husband very much.

D.The husband was a man who believed everything would be OK.小题4:.

What would be the best title for the passage?

A.A Happy Couple in Crisis

B.Struggle with Cancer

C.In Crisis, Become As One

D.Don't Believe the Doctor

单项选择题