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问题 单项选择题 A3/A4型题

男性，54岁，类风湿关节炎（RA）病史5年，近2个月来感到双手指关节痛加重，晨僵约1小时，从未经过正规系统治疗。检查：双手第1、2MCP滑膜肥厚，右侧第2-4指近指关节肿胀，压痛明显，左侧第2、3指近指关节肿胀伴压痛，双手X线示双腕诸骨间隙消失并融合，双掌指、近指关节间隙明显狭窄。

此病人的首选治疗方案中除应用NSAID对症治疗外，同时可选用的慢作用抗风湿药物是（）

A.肾上腺皮质激素

B.甲氨蝶呤

C.甲氨蝶呤+柳氮磺胺吡啶

D.柳氮磺胺吡啶

E.雷公藤

答案

参考答案：C

阅读理解

阅读理解

Dear Wu Qian,

      Thank you very much for your letter. You want to know about my favorite sport and instruments. Now I tell you. I like playing basketball very much. And I like volleyball and ping-pong. Playing basketball is my favorite instrument is piao. I play the piao every weekend. What about you? What's your favorite sport?

Do you like to play the piano? Who's your favorite player? Please write and tell me.

                                                                                                                            Yours,

                                                                                                                            Han Mei

根据短文内容，选择最佳答案。

1.The letter is from ________.

A. Han Mei  

B. Wu Qian  

C. Lucy    

D. Bob

2. Han Mei's favorite sport is _________.

A. swimming  

B. playing basketball  

C. running    

D. playing volleyball

3.Han Mei is good at________.  

A. dancing    

B. singing    

C. painting    

D. swimming

4. Han Mei wants to know __________-  

A. how old Wu Qian is

B. What Wu Qian has  

C. what Wu Qian's favorite sport is

D. where Wu Qian has

5. The letter is to ______.

A. a teacher    

B. Mary    

C. Han Mei    

D. Wu Qian
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单项选择题 案例分析题

患者，女，38岁，65kg，农民，因喷施农药3h突发腹痛而收住院，腹痛性质为脐周痛，压痛明显，反跳痛明显，在当地医院诊断为农药中毒，给予阿托品3mg静推后紧急转诊求治，入院后测血压100／55mmHg、心率120次／分，神志淡漠，肢端冷，请妇产科会诊，诊断为宫外孕，而行急诊探查手术。

下列有关宫外孕手术的麻醉前准备正确的是（）。

A.先治疗失血性休克，再行手术治疗

B.先手术治疗，再治疗失血性休克

C.一边抗休克，一边尽快手术治疗

D.抗休克治疗以血管活性药为主

E.抗休克治疗补充血液为主

F.抗休克应以晶体为主
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