问题 多项选择题 案例分析题

患者,女,26岁。腹痛、腹泻2周,抗感染治疗无效。病程中伴有四肢关节酸痛及低热。体格检查:面部对称性暗红色斑疹,双手指甲周红斑,指腹侧瘀点。实验室检查:外周血WBC4.2×109/L、RBC302×1012/L、Hb116g/L、PLT86×109/L;尿常规示:尿蛋白(+++);大便常规示:黏液样便,脓球(-),WBC(-);腹部B超示:腹腔少量积液,肝脾正常。

如查抗ANA抗体(+);抗dSDNA抗体(+);24小时尿蛋白1.86g/L;C30.43g/L;ESR64mm/h;选择哪种治疗方案最合理()。

A.氯喹及羟氯喹

B.CTX

C.抗生素

D.足量糖皮质激素

E.小剂量糖皮质激素

F.输血

答案

参考答案:B, D

单项选择题

A little boy invited his mother to attend his school’s first teacher-parent meeting. To the little boy’s (1) , she said she would go. This (2) be the first time that his classmates and teacher (3) his mother and he felt (4) of her appearance. Although she was a beautiful woman, there was a severe sear (疤痕) that (5) nearly the entire right side of her face. The boy never wanted to (6) why or how she got the sear.At the meeting, the people were (7) by the kindness and natural beauty of his mother (8) the sear, but the little boy was still embarrassed (尴尬) and (9) himself from everyone. He did, however, get within (10) of a conversation between his mother and his teacher.The teacher asked (11) ," How did you get the scar on your face"The mother replied, " (12) my son was a baby, he was in a room that caught fire. Everyone was (13) afraid to go in because the fire was (14) , so I went in. As I was running toward his bed, I saw a long piece of wood coming down and I placed myself over him trying to protect him. I was knocked (15) but fortunately, a fireman came in and saved both of us. " She (16) the burned side of her face. "This scar will be (17) , but to this day, I have never (18) what I did. "At this moment, the little boy came out running toward his mother with tears in his eyes. He held her in his arms and felt a great (19) of the sacrifice (牺牲) that his mother had made for him. He held her hand (20) for the rest of the day.

第(13)空应选择()

A.so 

B.much 

C.quite 

D.too