问题 单项选择题

患者,女,22岁。寒战高热,腰痛,尿频、尿急、灼热刺痛,舌红苔黄,脉濡数。检查:体温38℃,双肾区叩击痛,血白细胞19.5×109/L,中性0.90,尿白细胞20个/高倍视野,尿大肠埃希菌培养,菌落计数>105/L。治疗应首选

A.庆大霉素加八正散
B.诺氟沙星加易元散
C.诺氟沙星加龙胆泻肝汤
D.庆大霉素加萆薢分清饮
E.庆大霉素加知柏地黄丸

答案

参考答案:A

解析:治疗应首选庆大霉素加八正散。①选用致病菌敏感的抗生素。无病原学结果前,一般首选对革兰阴性杆菌有效的抗生素,尤其是首发尿感。治疗3d症状无改善,应按药敏结果调整用药。②抗生素在尿和肾内的浓度要高。③选用肾毒性小,副作用少的抗生素。④单一药物治疗失败、严重感染、混合感染、耐药菌株出现时应联合用药。⑤对不同类型的尿路感染给予不同治疗时间。八正散清热泻火,利水通淋。
[考点] 尿路感染的治疗。

阅读理解

“You'll have to take care of the baby today,” a woman told her husband . “ I'm not feeling well.”

“Then you must stay in bed and rest, dear. “ her husband said. “I'll be pleased to look after our baby. “

“Thank you. I'll have a quiet day and I'll soon get better. “ his wife told him.

“Shall I do the shopping for you as well?” her husband asked.

She was very pleased and said, “That will help me very much. I'll give you a list of things to buy. “

She wrote out the list and gave it to him.

“You can get all these things at the supermarket,” she said.

“You can put the baby in the shopping cart, then you won't have to leave him outside.”

The man took the baby to the supermarket and put him in the shopping cart. Then he pushed the shopping cart along the rows of things to buy and looked for those that were on his list.

At first all was well, but then the baby began to cry.

Then he started to scream.

And scream!

And SCREAM!

“Keep calm ,George, ” the man said. “Don't get excited. Don't shout, George. Don't lose your temper, George.”

A woman in the supermarket heard him saying these things. She walked up to him.

“I think you are wonderful ,”she said. “You are so patient with your little George. ”

  “Madam, ”" the man said, “I'm George. He's Edward.”

小题1: Why did the man take care of the baby?

A.it was his turn.

B.His wife was not well.

C.His wife was not at home.

D.He always looked after it.小题2:Why did the man take the baby to the supermarket?

A.He had to go shopping.

B.He wanted to show the baby to his friend.

C.He wanted to give the baby a ride in a shopping cart.

D.The baby liked going to the supermarket.小题3:What did the baby do in the supermarket?

A.pushed the shopping cart

B.lost its temper

C.made a lot of noise

D.helped his father小题4:Finally we can infer from the story that_____ .

A.the man was very calm when the baby was crying

B.the woman was very pleased to see the man

C.the woman mistook George for the baby, while in fact the man was named George

D.the man was very busy in shopping, but he couldn't find all the goods on the list

单项选择题