问题 多项选择题 案例分析题

病历摘要:患者女,36岁,反复头皮、双肘膝伸侧,皮肤出现红色斑块及银白色鳞屑5年余,每年冬季发作。近半年出现双手指掌关节疼痛,最近2月左食指及右拇指关节红肿明显。X线检查发现肿胀的骨关节边缘被侵蚀,血沉化验60mm/h。查RF(-)

关于关节病型银屑病,以下哪些正确()。

A.没有银屑病史和皮疹,根据关节病症状亦可确诊

B.关节损害主要为非对称性外周多关节炎

C.不发生关节畸形

D.类风湿因子阳性

E.损害不累及大关节

F.受累关节可红肿疼痛,晨僵,畸形变,甚至强直

答案

参考答案:B, F

阅读理解

阅读理解。

     Are you sometimes a little tired and sleepy in the early afternoon? Many people feel this way after lunch.

They may think that eating lunch is the cause of the sleepiness. Or, in summer, they may think it is the heat.

However, the real reason lies inside their bodies. At that time-about eight hours after you wake up-your body

temperature goes down. This is what makes you slow down and feel sleepy. Scientists have tested sleep habits

in experiments where there was no night or day. The people in these experiments almost always followed a

similar sleeping pattern. They slept for one long period and then for one short period about eight hours later.

     In many parts of the world, people take naps (小睡) in the middle of the day. This is especially true in

warmer climates (气候), where the heat makes work difficult in the early afternoon. Researchers are now

saying that naps are good for everyone in any climate. A daily nap gives one a more rested body and mind

and therefore is good for health in general. In countries where naps are traditional (传统的), people often

suffer less from problem such as heart disease.

     Many working people, unfortunately, have no time to take naps. Though doctors may advise taking naps,

employers do not allow it! If you do have the chance, however, here are a few tips about making the most

of your nap. Remember that the best time to take a nap is about eight hours after you get up. A short sleep

too late in the day may only make you feel more tired and sleepy afterward. This can slao happen if you sleep

for too long. If you do not have enough time, try a short nap-even ten minutes of sleep can be helpful.

1. If you get up at 6:30 am, what is the best time for you to take a nap?

A. About 12:30 pm

B. About 2:30 pm

C. About 1:30 pm

D. About 3:30 pm

2. What advice does the writer give on taking a nap?

A. You'd better take a nap about an hour after you have lunch.

B. You can sleep as long as you like so that you will not feel tied or sleepy.

C. Only people in warmer climate need to take a nap.

D. If your time is limited, a short nap can also help.

3. Naps are good for everyone in any climate because _________ .

A. a nap makes both your body and mind have a good rest.

B. a daily nap benefits your health.

C. people who often take naps suffer less from problems such as heart disease than those who don't.

D. All the above.

4. What would be the best title for the text?

A. Just for a Rest

B. All for a Nap

C. A Special Sleep Pattern.

D. Taking Naps in Warmer Climate.

单项选择题