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[单选]一名52岁的女性接受了氨氯地平和赖诺普利治疗，据推测是原发性高血压，已经治疗了数年。全科医生看到她抱怨左腰持续疼痛。她的血压为150/95mmHg。她的左腰部柔嫩，两个肾脏都显得肿大。在尿液试纸测试中，有镜下血尿。此时，以下哪一项可能是最合适的调查？A52-year-oldwomanhasbeentreatedforseveralyearswithamlodipineandlisinoprilforwhathasbeenpresumedtobeprimaryhypertension．SheisseenbyherGPhavingcomplainedofpersistentleftloinpain．HerBPis150/95mmHg．Sheistenderintheleftloinandbothkidneysappeartobeenlarged．Onurinedipsticktesting，thereismicroscopichaematuria．Whichofthefollowingislikelytobethemostappropriateinvestigationatthispoint？

[单选]您会看到一位48岁的卡车司机，他会给您提供饭后三个月的胃灼热病史，而这还没有与抗酸剂和PPI一起解决。您怀疑患者患有裂孔疝。诊断裂孔疝最合适的检查方法是：Youseea48-year-oldlorrydriver，whopresentstoyouwithathree-monthhistoryofheartburnaftermealswhichhasnotbeensettlingwithantacidsandPPIs．Yoususpectthatthepatienthasahiatushernia．Themostappropriateinvestigationfordiagnosingahiatusherniais:

[单选]一名56岁的男性有2周的腹泻病史，在发生“食物中毒”事件后仍未解决。以下哪项是最合适的调查？A56-year-oldmanpresentswitha2-weekhistoryofdiarrhoeawhichhasnotsettledfollowinganepisodeof‘foodpoisoning’．Whichofthefollowingwouldbethemostappropriateinvestigation？

[单选]您阅读了一份报告，该报告手写在您怀疑患有炎症性肠病的患者的医疗记录中。该报告写道：‘…回肠末端回荡，并出现玫瑰刺溃疡。这些发现暗示了克罗恩病。选择该报告最有可能来自的调查：Youreadareportwhichwashandwritteninapatient’smedicalnoteswhoyoususpecthasinflammatoryboweldisease．Thereportreads，‘…thereiscobblestoningoftheterminalileumwiththeappearanceofrosethornulcers．ThesefindingsaresuggestiveofCrohn’sdisease’．Selectthemostlikelyinvestigationthatthisreportwasderivedfrom:

[单选]一名58岁的男子表现出呼吸困难，他报告在过去的三个月中由于恶心，呕吐和呼吸困难而感到不适。您会发现他的脚踝肿胀，胳膊上有瘀伤。病人说他没有像平常那样排尿。最合适的调查是：A58-year-oldmanpresentswithbreathlessness，hereportsfeelingunwelloverthelastthreemonthswithnausea，vomitinganddifficultybreathing．Younoticehisanklesareswollenandhehasbruisesonhisarms．Thepatientmentionshehasnotbeenurinatingasoftenasnormal．Themostappropriateinvestigationis:

[单选]最近有一名19岁的男子被诊断患有1型糖尿病，并在您的诊所就未来可能出现的并发症进行了询问。他提到一个叔叔因糖尿病控制不佳而患有晚期肾脏疾病，并特别询问是否需要进行肾脏损害的早期迹象的检测。最合适的调查是：A19-year-oldmanisrecentlydiagnosedwithtype1diabetesandattendsyourclinictoaskaboutpossiblecomplicationsinthefuture．Hementionsanunclewhohasend-stagerenaldiseaseduetopoorlycontrolleddiabetesandspecificallyenquiresabouttestingforearlysignsofrenalimpairment．Themostappropriateinvestigationis:

[单选]一名64岁男子在倒塌后出现事故和紧急情况。他描述了一次停电，随后在地板上恢复了意识。他目前感觉良好，没有其他症状。但是，他提到自己在过去几个月中无意中减轻了一些体重。没有过去的病史。验血显示血红蛋白水平为9g/dL，平均细胞体积为71fL。该患者最适合的下一次检查是：A64-year-oldmanpresentstoaccidentandemergencyfollowingacollapse．Hedescribesablackout，subsequentlyregainingconsciousnesswhenonthefloor．Hepresentlyfeelswellanddescribesnoothersymptoms．However，hementionsthathehasunintentionallylostsomeweightoverthepastfewmonths．Thereisnopastmedicalhistory．Bloodtestsrevealahaemoglobinlevelof9g/dLwithameancellvolumeon71fL．Themostappropriatenextinvestigationofthispatientis:

[单选]血液中正常淋巴细胞百分比为：Normallymphocytespercentageinbloodis：

[单选]血液中正常嗜碱性粒细胞百分比为：Normalbasophilpercentageinbloodis：

[单选]血液中正常嗜酸性粒细胞百分比为：Normaleosinophilpercentageinbloodis：

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