试题与答案

患者男性,42岁,既往体健,排暗红色血便1天,伴头晕、尿量减少。查体:体温37℃,血

题型:单项选择题 案例分析题

题目:

患者男性,42岁,既往体健,排暗红色血便1天,伴头晕、尿量减少。查体:体温37℃,血压70/40mmHg,心率130次/分,呼吸30次/分,腹平软,中上腹压痛,移动性浊音(-),肠鸣音活跃。白细胞18.0×109/L,中性粒细胞82%,血红蛋白110g/L,血小板98×109/L,血肌酐140μmol/L。

对该患者肾功能损害病因最有价值的检查项目是()

A.尿比重

B.泌尿系B超

C.肌酐清除率

D.血尿素氮测定

E.肾活检

答案:

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Much of the best scientific research of today shows that many of the results of earlier scientific work that was regarded in its time as good are in fact mistaken. Yet despite the fact that scientists are above all concerned to discover the troth, it is valuable for today’s scientists to study firsthand accounts of earlier scientific work.
Which one of the following, if true, would best reconcile the two statements above ?()

A.Many firsthand accounts of earlier, flawed scientific work are not generally known to be mistaken.

B.Lessons in scientific methodology can be learned by seeing how earlier scientific work was carried out, sometimes especially when the results of that work are known to be incorrect.

C.Scientists can make valuable contributions to the scientific work of their time even if the results of their work will later be shown to be mistaken.

D.There are many scientists today who are not thoroughly familiar with earlier scientific research.

E.Some of the better scientific research of today does not directly address earlier scientific work.

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