女，26岁。反复口腔溃疡、颜面部皮疹3年，检验检查外周血白细胞及血小板减少，尿蛋白（+），ANA1：640，C3减低；目前最恰当的诊断是（）
A.系统性红斑狼疮
B.混合结缔组织病
C.重叠综合征
D.复发性口腔溃疡
E.白塞病
参考答案：A
解析：
育龄女性，口腔溃疡、颜面部皮疹，尿蛋白（+），ANA1：640，C3减低；目前最恰当的诊断是系统性红斑狼疮。
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| When I met Mr Jim Lemon I was a seventeen-year-old freshman at Houston's Jackson Junior High.The chances of my finishing high school were __1 _. I was a troubled teenage. Mr Lemon taught American history and was quite __2 _ from the other teachers I had known. Not only was he __3 _, but also he was a great teacher. He pushed and never tolerated the mediocrity(平庸) that had become my standard. On the occasion of our first semester report cards, Mr Lemon __4__ me aside and asked how it was possible that I was a B student in his class and a C student in the __5 _ of my classes. I passionately told him about my __6 _ parents, the local gangs, the drugs, the fights, the police---all of the evils I had been _7 __ to. It was then that Mr Lemon __8__ explained that the only person __9 _ for my situation was me. And the only person with the __10 to change my situation was me. He __11 me that I was failing not because I was a failure. He inspired me to become a better student and he __12 my life. Ten years later I was preparing to graduate from a university when I spoke to him again ._ 13 I did get him on the phone, I told him that I had been saving money so that I could invite him to come to Hawaii at my__14_ to be a part of my graduation. I'll never forget his __15_. He said,"Who is this again?" I was just one of hundreds of the students whose life he changed __16_ he had no idea of his influence. Mr Lemon never came to my graduation, but his __17 taught me another valuable lesson. His final lesson for me was that we will never know or understand the __18 we have on other people's lives. He taught me that we all have the __19 to effect people's lives for the __20 ... Or for the worse. | |||
| ( ) 1.A.near ( ) 2.A.kind ( ) 3.A.strict ( ) 4.A.scolded ( ) 5.A.rest ( ) 6.A.qualified ( ) 7.A.subjected ( ) 8.A.nervously ( ) 9.A.blamed ( )10.A.sense ( )11.A.persuaded ( )12.A.changed ( )13.A.While ( )14.A.cost ( )15.A.attitude ( )16.A.and ( )17.A.absence ( )18.A.importance ( )19.A.duty ( )20.A.easier | B.ready B.excellent B.tough B.called B.most B.learned B.addicted B. patiently B.capable B.potential B.pointed B.turned B.Before B.expense B.unwillingness B.however B.refusal B.ability B.opportunity B.better | C.great C.different C.sympathetic C.pushed C.others C.well-educated C.referred C.strictly C.struggling C.direction C.convinced C.supported C.When C.treat C.teaching C.or C.confusion C.impression C.responsibility C.happier | D.slim D.same D.warm-hearted D.dragged D.all D.divorced D.forced D.confidently D.responsible D.mood D.confirmed D.arranged D.After D.invitation D.response D.so D.decisio n D.influence D.courage D.simpler |