题目内容
男65岁，咽痛、发烧，服消炎痛及肌注青霉素，第4天双下肢出现紫斑、尿少，查尿蛋白()，尿RBC20～30个/HP，尿嗜酸性粒细胞增高，血红蛋白110g/L，血ALB31g/L，血肌酐756μmol/L，B超：左肾11.0cm×5.6cm×4.8cm，右肾11.5cm×5.8cm×4.9cm
最可能的诊断是
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该患者可能会有下列哪项异常
Which of the following statements is true？______.
Part A
Directions: Read the following three texts. Answer the questions on each text by choosing A, B, C or D. Mark your answers on ANSWER SHEET 1.
It is all very well to blame traffic jams, the cost of petrol and the quick pace of modern life, but manners on the roads are becoming horrible. Everybody knows that the nicest men become monsters behind the wheel. It is all very well, again, to have a tiger in the tank, but to have one in the driver's seat is another matter altogether. You might tolerate the odd road-hog, the rude and inconsiderate driver, but nowadays the well-mannered motorist is the exception to the rule. Perhaps the situation calls for a "Be Kind to Other Drivers" campaign, otherwise it may get completely out of hand.
Road politeness is not only good manners, but good sense too. It takes the most cool-headed and good-tempered of drivers to resist the temptation to revenge when subjected to uncivilized behavior. On the other hand, a little politeness goes a long way towards relieving the tensions of motoring. A friendly nod or a wave of acknowledgement in response to an act of politeness helps to create an atmosphere of goodwill and tolerance so necessary in modern traffic conditions. But such acknowledgements of politeness are all too rare today. Many drivers nowadays don't even seem able to recognize politeness when they see it.
However, misplaced politeness can also be dangerous. Typical examples are the driver who brakes violently to allow a car to emerge from a side street at some hazard to following traffic, when a few seconds later the road would be clear anyway; or the man who waves a child across a zebra crossing into the path of on-coming vehicles that may be unable to stop in time. The same goes for encouraging old ladies to cross the road wherever and whenever they care to. It always amazes me that the highways are not covered with the dead bodies of these grannies.
A veteran driver, whose manners are faultless, told me it would help if motorists learnt to filter correctly into traffic streams one at a time without causing the total blockages that give rise to bad temper. Unfortunately, modern motorists can't even learn to drive, let alone master the subtler aspects of roadmanship. Years ago the experts warned us that the car-ownership explosion would demand a lot more give-and-take from all road users. It is high time for all of us to take this message to heart.
According to this passage, troubles on the road are primarily caused by ______ .
患者男性，75岁，非胰岛素依赖型糖尿病史30年，近6年出现蛋白尿及高血压，近2年来肾功能逐渐减退。3个月前开始出现恶心，呕吐，伴双下肢浮肿。近日化验血K+5．5mmol/L，CO2CPl6.5mmol/L,Cr830μmol/L,Hb6.5g/dl，血糖16mmol/L。腹部曾行胃大部切除术
该患者的肾功能目前为
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