泌尿系统2（Urinary system 2）.docVIP

泌尿系统2（Urinary system 2） Each of the following questions has five alternative answers: A, B, C, D, and E. Please choose the best answer from the corresponding letter card, and the corresponding number in the answer will be the black box. 1. * * * female, 32 years old, sudden chills, fever, and pain, frequent urination, urgency, dysuria 3 days of treatment. Check the body: there is percussion pain in the renal area, test: urine protein (+), microscopic examination: white blood cell full view, white cell tube type 0~2 /HP, the most likely diagnosis is A. acute glomerulonephritis B. acute attack of chronic glomerulonephritis C. acute pyelonephritis D. chronic pyelonephritis occult E. acute cystitis The answer you have chosen: The correct answer is: C Solution: if the female urination, frequent urination is serious; plus white blood cells increased, can be suspected of being infected with urinary tract, such as urine quantitative bacterial culture is more than 105 / ml, pathogenic bacteria were Escherichia coli, Klebsiella, proteus, coagulase negative staphylococci were diagnosed as urinary tract infection. Patients with acute onset, have obvious chills, high fever and other systemic symptoms, acute pyelonephritis is the most likely. Cystitis usually has no obvious symptoms of systemic infection. 2. * * * chronic renal anemia is the most important reason A. bone marrow suppression B. blood loss C. malnutrition D. increased red cell destruction E. decreased erythropoietin The answer you have chosen: The correct answer is: E Solution: the cause of chronic renal insufficiency uremia anemia are as follows: the renal production of erythropoietin reduce the red blood cell; shorten the life; the existence of inhibition of erythropoiesis in hematopoietic material; lack of material; the chronic blood loss. Among them, the decrease of erythropoietin is the main cause of renal anemia. 3. * * * male, 35 years old. A diagnosis of nephrotic syndrome with prednisone, 60mg/d2 months, th