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_爱下问搜题

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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、2指滑膜肥厚，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

单项选择题

项目的开发效益应在哪种文件中详细论证（）

A.项目建议书

B.可行性研究报告

C.初步设计概算

D.施工图预算

完形填空

When high school started, Becky and I became best friends. We   36  many interests and quickly became inseparable. When high school ended, we both cried   37  we would attend different colleges.
Our first term of university life was   38 . Our telephone bill and e-mails were incredibly long. In the second term I found some new friends with whom I felt very   39 and I could   40 out my feelings. I was eager to share my new friends with Becky.
When Becky finally visited me at my school, we were excited. __41__, something unexpected happened when I   42 her to my new friends. Her eyes grew dark and I could see the   43  within them. My new friends tried to share their friendship, but Becky seemed   44 to accept it. I didn’t understand   45  the people I love most couldn’t love each other.
Becky   46 . I knew she was not happy. I thought long about __47__ happened. At last, I found the answer. Becky saw me with my new friends and   48 that we no longer shared the same experiences. She saw all the fun I was having   49  her and wished she could a part of it.
I wrote a letter to Becky   50  she’s always my best friend. I told her everyone had many friends, who were indeed life’s greatest   51 . Becky wrote me back soon. She was in   52  and felt sorry about what she had done.
I think Becky and I both learn an important lesson from it.   53  can influence our friendship and change the experiences we’ve shared. We are now walking on two different paths of   54 . While new friends are special and exciting, old friends are always there,   55  to share their heart and soul, no matter how far apart.

D．comfortable

A．achievement

D．disappointment