问题 单项选择题 A3/A4型题

1岁女孩,持续高热、频咳4天,喘憋加重伴精神萎靡2日就诊。就诊中突发全身发作性抽搐1次。查体:体温40℃,嗜睡,呼吸58次/分,心率150次/分,双肺少量湿啰音,右下肺闻及管状呼吸音,肝肋下1cm。查血常规:白细胞计数12.0×109/L。X线片显示大小不等的片状病灶或融合性病灶,以两肺下野及右上肺多见。

若患儿突然出现少尿,尿钠40mmol/L,尿沉渣可见棕色颗粒管型,则考虑患儿合并()

A.心力衰竭

B.肾前性少尿

C.尿路感染

D.尿路梗阻

E.急性肾衰

答案

参考答案:E

单项选择题
阅读理解

阅读理解。

     Dr. Jack M. Gwaltney, Jr. a professor at the University of Virginia School of Medicine, infected

six student volunteers with virus, the most common cause of colds. A few days later, when they were

coughing and sneezing, he gathered 37 more people and divided them into three groups. Group 1

members spent three days and nights in the same room with one of the infected students, separated

by a screen so they couldn't touch one another. Group 2 sat around a table while an infected volunteer

talked, coughed and sang to them. Group 3 held hands with an infected student for ten seconds, and

then touched their own noses or eyes.

     Although most scientists at the time, the mid-70s, believed colds were spread by virus-laden

droplets spread through the air when infected people coughed or sneezed, Gwaltney suspected

physical contact might play an important role. Sure enough, of the 15 people who had touched a

student volunteer, 11 became infected-compared with only one of those who had been sitting at the

table, and none who had spent three days and nights together.

     "The best evidence we have is that hand-to-hand contact is the most efficient way of transmitting

virus," says Gwaltney. The study was one of a series that helped establish Gwaltney's reputation as

a leading authority. Dr. Robert Couch says, "It would not be inappropriate to call him Mr. Common

Cold."

     When Gwaltney is asked how close scientists are to finding a cure, he replies: "If you mean 'get

rid of', I don't think we're going to be able to do that with cold viruses any time soon. But if you

look in the dictionary, you'll see that 'cure' is explained as a successful treatment. And we're not just

getting more effective at treating the symptoms (症状)-we're getting at the root cause too. "

1. Dr. Jack M. Gwaltney conducted the experiment in order to__________.

A. find out the most common cause of colds

B. infect the student volunteer

C. find out the role physical contact plays in the common colds

D. find out the role virus-laden air plays in the infection of colds

2. The result of the experiment shows that _________ plays an important role in the infection of colds.

A. sneezing at the infected person

B. touching the infected person

C. sitting together with the infected person

D. talking with the infected person

3. Which of the following statements is TRUE according to the passage?

A. Dr. Gwaltney was sure that hand-to-hand touch is the cause of the common cold.

B. Only one of the people who had spent three days and nights together became infected.

C. Dr. Gwaltney conducted many an experiment as to the cause of colds.

D. Dr. Gwaltney tested altogether 43 volunteers to see how they could develop colds.

4. Mr. Common Cold is______.

A. a newly-found virus

B. a nickname (绰号) of respect to Dr. Gwaltney

C. a method to cure colds

D. a way by which the other scientists laughed at Dr. Gwaltney

5. When Dr. Gwaltney gives a reply in the end of the passage, he means that______.

A. they have found the fundamental cause of colds

B. they have managed to wipe out the cold viruses

C. they have meant to experiment more

D. they have made much progress in dealing with colds