问题 配伍题 B型题

假性痛风()
类风湿关节炎()
骨关节炎()

A.老年人初发单关节炎,尤其膝受累时,白天活动多加重,X线示膝关节有骨赘形成,骨缘唇样变及关节间隙狭窄,关节无强直

B.中年初发膝关节疼痛剧烈,发热和压痛伴运动受限

C.中年突发脚踝关节或脚趾,手臂、手指关节处疼痛、肿胀、发红,伴有剧烈疼痛。显微镜下发现患处组织内有松针状尿酸盐沉淀

D.老年人初发单关节炎,尤其膝受累时,关节液检查可见有焦磷酸盐结晶,X线检查有软骨钙化

E.中年初发掌指、腕、近端指间关节痛,并有晨僵、类风湿因子阳性,软组织肿胀,骨质疏松

答案

参考答案:D,E,A

解析:1.单关节,焦磷酸盐结晶是假性痛风的特异性改变。2.老年,负重关节受累和典型的X线表现提示骨关节炎的诊断。3.晨僵,小关节肿、痛,RF(+)均提示类风湿关节炎可能性大。

完形填空

三、完形填空(共20小题,每小题1分,共20分)

A   37   thing happened   38   me last Sunday. It was such a beautiful day __39_ I drove to go for a look in the country.

On the way back home, my   40   stopped. It was out of gas on a   41   road far from a town! I decided to walk until I found someone   42  could sell some gas. I had walked almost a mile   43  I finally found a house near the __44__. I was glad to see it because it was getting dark.

I knocked at the door and a little old lady with long white hair __45_. She said, “I’ve been __46__ for you here for a long time. Come in.   47   is almost ready.”

“But I only came for some gas,” I answered. I couldn’t   48   what she was talking about.

“Oh, Alfred! Gas? You   49  tea,” said she.

I quickly   50  that my car was out of   51  , but she didn’t seem to listen to me. She just kept   52  me Alfred and talking about how long it had been   53   she had seen me. She was acting very strangely and I was anxious to leave. As soon as she went to get tea, I went out of the house as fast as I   54  .

Fortunately, there was another house down the road and I was able to buy the gas I needed. When I told the man about my   55 , he said, “Oh, that’s Miss Emily. She lives by herself in that big house. She’s strange, but she wouldn’t   56  anybody. She is still waiting for the man she was going to marry thirty years ago. The day before their wedding he left home and never came back because of the war.”

37. A. happy   B. strange       C. common     D. bad

38. A. on B. in       C. upon   D. to

39. A. and      B. so       C. but     D. that

40. A. car       B. bus     C. bike    D. truck

41. A. narrow B. lonely C. crowded     D. busy

42. A. what     B. whom C. who    D. how

43. A. before  B. after   C. while  D. as

44. A. street    B. path    C. way    D. road

45. A. came    B. answered    C. opened       D. appeared

46. A. asking  B. looking      C. calling       D. waiting

47. A. Gas      B. Coffee       C. Tea     D. Lunch

48. A. consider       B. understand  C. accept D. think

49. A. like      B. love    C. used to like D. liking

50. A. answered     B. explained   C. refused       D. promised

51. A. gas       B. tea      C. strength      D. energy

52. A. calling  B. call     C. to call D. called

53. A. until     B. before C. since   D. when

54. A.could     B.can      C. would D. wanted

55. A. accident       B. incident      C. experience  D. surprise

56. A.hit  B. injury C. hurt    D. frighten

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