女性，50岁，反复双腕、MCP、PIP、踝关节肿痛20年，伴双手手指畸形改变。关节畸形后肿痛3年，查RF（+），ESR>100mm/h。近半年感口干、眼干和视物模糊、龋齿增多。经检抗核抗体谱：抗SSA抗体（+），抗SSB抗体（+），唾液流率试验（+），泪液流率试验（+），应考虑（）
A.RA合并SLE
B.OA合并干燥综合征
C.老年性RA表现
D.RA合并继发干燥综合征
E.RA合并SLE
参考答案：D
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| Spring Festival is the Chinese New Year's Day. It usually comes 1 February.Everyone in China 2 Spring Festival very much. When Spring Festival 3 ,Li Hong usually 4 his parents clean their house and 5 some shopping and other housework. On that 6 , everyone in China eats dumplings, New Year's cakes and other good 7 . Li Hong likes New Year's cakes. But Wang Hai says dumplings are 8 than New Year's cakes. The Chinese people _9 New Year's cakes and dumplings in their houses. How 10 _they are ! | |||
| ( )1. A. after ( )2. A. has ( )3. A. goes ( )4. A. helps ( )5. A. buys ( )6. A. morning ( )7. A. food ( )8. A. smaller ( )9. A. find out ( )10. A. happy | B. on B. like B. comes B. makes B. does B. evening B. drinks B. better B. buy B. Delicious | C. in C . remembers C. reaches C. gets C. goes C. day C. vegetables C. bigger C. eat C. lovely | D. by D. likes D. hears D. takes D. carries D. afternoon D. fruit D. sweeter D. sell D. great |