问题 单项选择题

女性,30岁,腰痛、尿频、尿急,血压 21.3/13.3kPa(160/100mmHg),尿蛋白(+),沉渣红细胞8~10个/HP,白细胞15~20个/HP。肾盂造影示右肾缩小,肾盏扩张,最可能诊断是

A.慢性肾炎

B.慢性肾盂肾炎

C.肾结核

D.多囊肾

E.肾盂积液

答案

参考答案:B

解析:[解题思路] 该中年女性病人有尿频、尿急等尿路刺激症状和腰痛,化验尿常规发现有尿蛋白和超过正常数量的红细胞和白细胞,因此肯定属尿路感染,而肾盂造影发现右肾缩小,肾盏扩张,肾脏影像学的改变是诊断慢性肾盂肾炎的重要依据,所以综合病史、化验和影像学结果考虑最可能的诊断是慢性肾盂肾炎。[命题规律] 考察“肾盂肾炎的诊断”。必须掌握。

阅读理解

The issue of privacy versus openness is a paradox, particularly when it comes to the American home. “Lots” or “yards” (gardens) can be large and many are not enclosed by the walls, fences or hedges so popular in other cultures. Similarly, “window treatments” frame the window. but the use of European-style net curtains to screen out nosy neighbors is rare. In the same style, first-time visitors to an American home may be proudly given the full tour; even walk-in closets and en suite bathrooms are not considered off-limits. They may also be encouraged to help themselves to a soda from the fridge. All this gives an impression of openness.

Yet Americans do value their personal space and privacy. A Brazilian expatriate (侨民) who dropped in on her usually friendly Connecticut neighbors unannounced got the clear impression she should have called first. Similarly while a typical suburban home features large, shared areas, such as an open-plan kitchen and family room or “den”, ample private space is also allowed in the floor plan. A visit to a family home in the evening would likely find the family members dispersed, each independently watching TV, on the phone, surfing the Internet, or otherwise recharging batteries in the privacy of their own bedroom.

American individualism, expansiveness, and abundance are expressed in lifestyle. Despite the fact that the average household size has declined over the past thirty years from3.1 people to 2.6 people per household, the average size of a new family home increased during the same period from 1,500 to 2,200 square feet.

A common observation is just how outsized everything is. The beds are king-sized, the TVs have giant screens, the burgers are “whoppers (庞然大物),” appliances are “industrial” size. The largest popcorn or soda at the movies can be “supersized.” Closets are “walk in,” and some cars are the size of a military vehicle.

小题1:The passage suggests that Americans__________.

A.are rich enough to afford large size houses and luxurious electricity appliances

B.are very shy when talking about keeping their privacy and their personal space

C.would like to express their lifestyles in public to show them off

D.enjoy openness as well as individualism although they seem to contradict each other小题2:Why can we say that American individualism, expansiveness, and abundance are expressed in their lifestyle?

A.Because the average size of a new house has increased during the past thirty years.

B.Because Americans often use European-style net curtains to screen out nosy neighbors.

C.Because many houses are equipped with walk-in closets.

D.Because the house size, outsized household furniture and independent living habits have proved it.小题3:The underlined phrase in the passage means________.

A.filling a battery with electrical power

B.recovering your strength and energy by resting for a while

C.changing your batteries again

D.obtaining new batteries because old ones are running out小题4:According to the passage, if you drop in on an American family which is usually friendly to you in the evening, you________.

A.will be deeply impressed by their family get-together scene

B.will be invited to a party which is well-prepared

C.will find family members scattered, and enjoying themselves individually

D.will be warmly welcomed even if they don’t get informed of your visit earlier

单项选择题