问题
单项选择题 案例分析题
患者女，35岁，左膝关节隐痛1年余，近1周加重，活动后明显疼痛。查体：左股骨下端外侧肿胀，压痛。行左膝关节正侧位CR，并行左膝关节CT扫描，见下图。
对本病例，应首先考虑的诊断是（）
A.动脉瘤样骨囊肿
B.骨囊肿
C.成软骨细胞瘤
D.骨结核
E.骨巨细胞瘤
F.非骨化性纤维瘤
答案
参考答案：E
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患者女，35岁，左膝关节隐痛1年余，近1周加重，活动后明显疼痛。查体：左股骨下端外侧肿胀，压痛。行左膝关节正侧位CR，并行左膝关节CT扫描，见下图。
对本病例，应首先考虑的诊断是（）
A.动脉瘤样骨囊肿
B.骨囊肿
C.成软骨细胞瘤
D.骨结核
E.骨巨细胞瘤
F.非骨化性纤维瘤
参考答案：E
Gary is very popular in his college and nearly everybody knows him. He is a basketball starand has played in quite a few important matches held in his home state. And for this reason, he has become the (21) of the college, envy of the boys, and hero of the girls. Among his many (22) is a girl called Nola. Nola is Gary’s classmate, and Professor Johnson’s daughter. Mr. Johnson is a strict father, and in a family where a sports star is not (23) regarded, Nola never dares to mention Gary’s name. In school, they seldom speak to each other and always keep a certain (24). Nola’s family lives on the campus and there is a big sports ground near their (25) . Every afternoon, after school, Gary would spend at least one hour practicing basketball before returning (26). Nola lives on the third floor, and from their (27) she can see the sports ground. As a (28) , Nola would sit in a chair on the balcony, reading or doing her homework everyday (29) she comes home. Sometimes she would raise her head to watch Gary shoot or (30) how many times he can hit the basket. Gary doesn’t seem to pay any attention to Nola on the balcony. One afternoon, Nola moved her chair into the room (31) the breeze outside. But she could still hear the noise from the sports ground. The (32) suddenly stopped and the sports ground became very quiet. Nola thought it (33) and looked out through the window. She saw Gary bending down there and (34) something on the ground with a piece of chalk. What was he writing? She (35). Gary finished writing and (36), he picked up his bag and dragged his way home. After Gary left, Nola went (37) quickly and walked quietly to the sports ground. When she got to the place where Gary had just (38), she found these words, “Nola, why didn’t you watch me play?” She picked up the (39) end on the ground and added below the line, “(40) yes, I did.”
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