问题 单项选择题 A1/A2型题

女性,46岁。近1年来出现双手掌指、近端指间关节疼痛,肿胀,晨起时不能握拳,2小时后症状可缓解。查体:无皮疹,浅表淋巴结不大。心肺无异常。双手近端指间关节呈梭形肿胀,活动稍受限。实验室检查:血常规血小板450×1012/L,尿常规正常。血清ANA阳性,RF256IU/L。该患者的诊断首先考虑。()。

A.系统性红斑狼疮

B.骨关节炎

C.类风湿关节炎

D.反应性关节炎

E.脊柱关节病

答案

参考答案:C

解析:该患者为中年女性,双手近端指间关节及掌指关节肿痛,实验室检查血小板增高提示类风湿关节炎活动期。

单项选择题 A1型题
阅读理解

第二部分:阅读理解(共15小题;每小题2分,满分30分)

阅读下列短文,从每题所给的四个选项(A、B、C和D)中,选出最佳选项,并在答题卡上将该项涂黑。

Ramadan

Ramadan is one of the most important festivals for Muslims. The name of the festival comes from the Arabic month in which it is celebrated. Ramadan is celebrated in countries all over the world, especially in Africa and the Middle East. The time for celebrating Ramadan varies each year. People celebrate it in the ninth month of the Arabic lunar calendar. During Ramadan, people must not eat during the day: from when the sun comes up to when the sun goes down, people celebrating Ramadan will not eat or smoke. When the sun has gone down, however, the celebration begins. People often stay up all night eating, singing and dancing.

Easter

In late spring, many people around the world celebrate Easter. The festival is a celebration of spring and it is also a religious holiday. It is the time for Easter bunnies and egg hunts, and of course for eating lots of delicious foods. Easter is celebrated in late March or early April but the exact dates are different from year to year. People celebrate Easter in different ways: in some countries, the Easter Bunny-a big rabbit-will visit people and children will go on egg hunts, looking for eggs and candy that have been hidden by their parents. In other countries, Easter is a time for children to dress up like witches and go from door to door asking for candy---much like Halloween in the US. The Easter Bunny and the Easter Egg are popular symbols of the festival.

41. The word Ramadan is the name of____________.

A. a person    B. a town     C. a month    D. a holy book

42. Ramadan and Easter are_________.

festivals celebrated in Asia and Africa

festivals celebrated by people all over the world

two names of the year

the only festivals that people like to celebrate

43. During Ramadan, people do not ____________ during the day.

A. eat       B. sing       C. talk         D. sleep

44. In some countries, children will go on ____________ during Easter.

A. picnics     B. egg hunts     C. trips        D. fighting

45.The two main popular symbols of Easter are the ________ and the ________.

A. Easter Man, Easter egg            B. Easter Bunny, Easter tree

C. Easter Man, Easter tree            D. Easter Bunny, Easter egg