问题 单项选择题 案例分析题

患者女性,29岁,多尿、骨痛、双下肢无力1年,加重10天,查体:血压160/118mmHg,心律不齐,心率107次/分,可闻及期前收缩7~9次/分,尿常规蛋白(+),白细胞1~4个/HP,红细胞0~4个/HP,血K2.97,血pH7.25,血Cr309μmol/L,B超示双肾大小正常,双肾可见结石,心电图:窦性心率,频发室性期前收缩,ST-T改变

相关检查结果回报:血C1130mmol/L,血钙0.59mmol/L,晨尿pH7.0,初步诊断为肾小管性酸中毒Ⅰ型,确诊应选择的检查是()

A.U-PCO2试验

B.NaHCO3再吸收试验

C.肾素血管紧张素醛固酮测定

D.肾脏放射性核素检查

E.肾小球滤过率测定

答案

参考答案:A

阅读理解

China’s Ministry of Culture has recommended 10 cyber games(网络游戏) that are suitable for minors to play as part of its drive to purify the on-line environment for the young.

The 10 cyber games were selected by the ministry’s on-line games censorship committee from scores of games recommended by the Chinese public.l

The games are all domestic products. They include five role playing games (RPG), four recreation and chess games, and one educational game, such as “Warring States Ⅱ Online,” “Rainbow Island Online,” and “Wonderlands of learning and games.”

These games have made their way into the final recommendation list because they are considered “healthy” and can “enhance intelligence,” according to the ministry.

The ministry hoped the list could serve a a guidance for parents to better direct their children in the winter vacation, which usually lasts nearly two months from January to February each year.

This was the third time for the ministry to publish recommended cyber games list. The previous two were made public respectively in January 2006 and August 2005 with a total of 25 games inlisted.

In the past few years, on- line games have become the favorite pastime of young people. However, it is argued that such social problems as game addiction, juvenile delinquency (青少年犯罪) and perversion among minors by on-line violence and pornography (色情) have come from an inadequately regulated Internet.

About 9.72 percent of Chinese netizens between the ages of 13 and 30 suffer Internet addiction, said a report issued last month by the China Youth Association for Network Development (CYAND).

According to the China Internet Network Information Center (CINIC), the main Internet watchdog, China had 210million Internet users at the end of 2007 and its online population is on course to become the world’s largest at the beginning of this year.

Net users between 18 and 30 accounted for 49.9percent of the total users. Although the CINIC did not give the figure of those below 18, teenagers and youths have obviously taken up more than half of the total number of net users. And the number of users under age 18 increased rapidly last year, the CINIC noted.

小题1:What do you know about the 10cyber games ?

A.They are expected to help parents to better direct their children in the summer vacation.

B.They include five RPG, forty chess games and one educational game.

C.They are suitable for teenagers.

D.They are all foreign products.小题2:According to the passage, how many teenagers and youths become net users at the end of 2007?

A.Mor than 105 million.

B.Less than 105 million.

C.About 210 million.

D.104.79 million.小题3:What can be inferred from the passage?

A.A lot of Chinese netizens suffer Internet addition.

B.On-line games can cause a lot of social problems such as game addition, juvenile delinquency.

C.Parents sometimes have trouble in directing their children about on-line games.

D.The ministry has recommended 25 games till now.小题4:What’s the best title of the passage?

A.How to purify the on-line environment for the young.

B.10 “suitable” cyber games for teenagers.

C.The disadvantages of cyber games.

D.Chinese authority lists 10 “suitable” E-games for teenagers.