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问题 单项选择题

女，42岁，间断发热1个月，体温最高40．1℃，最低37．5℃，每日午后发热明显，伴有四肢关节疼及颜面和前胸部皮疹，体温正常时皮疹消失，关节疼痛可缓解。查血沉82mm／h，血WBC16．0×109／L，血清铁蛋白增高，ANA(-)，最可能的诊断是（）

A.系统性红斑狼疮

B.类风湿关节炎

C.皮肌炎

D.成人Still’s病

E.干燥综合征

答案

参考答案：D

解析：成人Still's病属于特殊类型类风湿关节炎，是一组临床综合征，主要表现为反复发热、关节痛／关节炎、一过性皮疹和白细胞升高等。并且，关节痛、皮疹和发热常平行伴随出现。急性期患者除血沉升高外还可出现血清铁蛋白的显著升高。自身抗体多为阴性。有助于与其他疾病进行鉴别。

多项选择题

根据《化学药品和生物制品说明书规范细则》规定，说明书中有关【药物过量】说法正确的是（）

A.详细列出过量应用该药品可能发生的毒性反应

B.详细列出过量应用该药品的处理方法

C.详细列出过量应用该药品的剂量

D.未进行该项实验且无可靠文献的，可以不标明该项

E.未进行该项实验且无可靠文献的，应当在该项下予以说明
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单项选择题

The nobler and more perfect a thing is, the later and slower it is becoming mature. A man reaches the mature (1) of his reasoning powers and mental faculties (2) before the age of twenty-eight; a woman at eighteen. And then, too, in the case of woman, it is the only reason of a sort--very mean in its (3) . That is why women remain children their whole life long; never seeing (4) but what is quite close to them, (5) fast to the present moment, taking appearance for (6) , and preferring (7) to matters of the first importance. For it is (8) his reasoning faculty that man does not live in the present only, (9) the brute, but looks about him and considers the past and the future; and this is the origin of (10) , as well as that of care and anxiety which so many people (11) Both the advantages and the disadvantages, which this (12) , are (13) in by the woman to a smaller extent because of her weaker power of reasoning. She may, in fact, be described as intellectually shortsighted, (14) , while she has an immediate understanding of what lies quite close to her, her field of (15) is narrow and does not reach to what is (16) ; so that things which are absent, or past, or to come, have much less effect upon women than upon men. This is the reason why women are inclined to be (17) and sometimes carry their desire to a (18) that borders upon madness. In their hearts, women think it is men’s business to earn money and theirs to spend it--if possible during their husband’s life, (19) , at any rate, after his death. The very fact that their husband hands them (20) his earnings for purposes of housekeeping strengthens them in this belief.

16（）

A.obscure

B.invisible

C.remote

D.primitive
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