问题 单项选择题 A3/A4型题

女性,45岁,自觉清晨两手指间和掌指关节强直,4个月后运动时疼痛和肿胀。给予阿司匹林、其他的非固醇类抗炎药和金制剂等治疗均未见效,且病情渐恶化,出现乏力、食欲不振、体重减轻及不规律发热,两肘关节有运动障碍,血清γ-球蛋白升高,类风湿因子(++),ESR60mm/第1小时末,CRP升高。

一般抗风湿药治疗无效的主要原因是()

A.为非风湿性疾病

B.有并发症的风湿性疾病

C.体质差异

D.抗风湿药选择和用法不当

E.病情属中晚期、关节变形、病情呈进行性加剧、顽固的炎症

答案

参考答案:D

阅读理解

阅读理解。

     When I was an educational official in Palo Alto, California, Polly Tyner, the president of our

school board, wrote a letter that was printed in the Palo Alto Times. Polly's son, Jim, had great

difficulty in school. He was classified as educationally disabled and required a great deal of

patience on the part of his parents and teachers. But Jim was a happy kid with a great smile that

lit up the room. His paront8 acknowledged his academic difficulties, but always tried to help him

see his strengths so that he could walk with pride. Shortly after Jim finished high school, he was

killed in a motorcycle accident. After his death, his mother submitted (提交) letter to the newspaper.

     Today we buried our 20-yeer-old son. He was killed instantly in a motorcycle accident on

Friday night. How I with I had known when I talked to him last that it would be the last time. If I

had only known I would have said, "Jim, I love you and I'm very proud of you"

     I would have taken the time to count the many blessings he brought to the lives of the many

who loved him. I would have taken the time to appreciate his beautiful smile, the sound of his

laughter, hit genuine love of people.

     When you put all the good qualities on the scale and try to balance all the irritating phenomena

such as the radio which was always too loud, the haircut that wasn't to our liking, the dirty socks

under the bed, etc., your angry feelings won't amount to much.

     I won't get another chance to tell my son all that I would have wanted him to bear, but, ether

parents, you do have a chance. Tell your young people what you would want them to hear if you

knew it would be your last conversation. The last time I talked to Jim was the day he died. He

called me to say, "Hi, Mom! I just called to say I love you. Got to go to work. Bye." He gave me

something to treasure forever

     If there is any purpose at all for Jim's death, maybe it is to make others appreciate more of life

and to have people, especially family members, take the time to let each other know just how much

we care.

1. Accosting to the passage, we know that ______.

A. Jim kept to himself                

B. Jim did very well in his studies

C. Jim a parents were patient with him    

D. Jim failed to finish his high school

2. By writing the letter printed in the Pain Alto Times, the author intends to ______.

A. mourn her son's sudden death in a traffic accident

B. remind people to be cautious of motorcycles

C. advise people to take the chance to express their love in time

D. appreciate more of life than ever before

3. What can be the best title of the passage?

A. Love your Family.                  

B. Do it Today.

C. Walk with Pride.                    

D. Appreciate Smiles.

4. The underlined word "irritating" in Paragraph 4 means ______.

A. annoying

B. aggressive

C. impatient

D. thrilling

单项选择题