乙肝病毒相关性肾炎最常见的病理改变是

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• 1Which is not the side-effect of cyclophosphamide(CTX)

  A.aseptic necrosis of the femoral head

  B.myelosuppression

  C.toxic hepatitis

  D.gonadoinhibitory

  E.hemorrhagic cystitis

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• 2The first choice to treat primary nephrotic syndrome in children is

  A.cyclophosphamide(CTX)

  B.Chinese traditional medicine

  C.corticosteroid

  D.antibiotics

  E.ACEI

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• 3The characteristic of edema in primary nephritic syndrome is

  A.descending，pitting

  B.descending，nonpitting

  C.ascending，pitting

  D.ascending，nonpitting

  E.centrality，nonpitting

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• 4The standard of hypoproteinemia in primary nephritic syndrome is

  A.Serum-albumin less than 40g/ L

  B.Serum-albumin less than 30g/ L

  C.Serum-albumin less than 25g/ L

  D.Serum-albumin less than 20g/ L

  E.Serum-albumin less than 15g/ L

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• 5Which one is correct for diagnosing nephrotic-range proteinuria

  A.quantitative analysis protein in the urine greater than 10mg/ ( kg • d)

  B.quantitative analysis protein in the urine greater than 20mg/(kg • d)

  C.quantitative analysis protein in the urine greater than 30mg/(kg • d)

  D.quantitative analysis protein in the urine greater than 40mg/(kg • d)

  E.quantitative analysis protein in the urine greater than 50mg/(kg • d)

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• 6与乙肝病毒相关性肾炎发病机制可能无关的是

  A.循环免疫复合物

  B.原位免疫复合物

  C.病毒直接感染肾脏细胞

  D.病毒感染致自身抗体和细胞免疫损伤

  E.病毒感染致肝功能损害

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• 7乙型肝炎病毒相关肾炎的临床特点，错误的是

  A.多数患儿无肝炎病史及肝炎的临床表现

  B.所有患儿均出现镜下血尿或蛋白尿

  C.病程长，预后差，易发生肾衰竭

  D.血HBsAg绝大多数均为阳性

  E.起病年龄多为儿童及青少年

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• 8乙型肝炎病毒相关肾炎的诊断除血清HBV抗原阳性、临床表现为肾小球肾炎外，确诊需依据的是

  A.肾活检病理诊断为膜性肾病

  B.血清HBV-DNA阳性

  C.肾组织切片中找到HBV抗原

  D.肝功能异常

  E.肾活检为膜性肾病伴肝功能异常

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• 9乙型肝炎病毒性肾炎最常见的临床表现是

  A.肾小球肾炎

  B.迁延性肾炎

  C.肾病综合征

  D.单纯性血尿

  E.再发性血尿

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• 10确诊乙肝病毒相关性肾炎患者应首选的治疗是

  A.肾上腺皮质激素

  B.抗HBV治疗

  C.免疫抑制剂

  D.抗凝治疗

  E.对症处理

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