问题 单项选择题 案例分析题

中年女性,关节痛3个月,发热,泡沫尿,纳差,双手、双腿无力1个月,消瘦10斤。见蝶形红斑,双上睑红斑,上下肢近端肌力Ⅳ级,血红蛋白69g/L。

临床首选诊断()

A.系统性红斑狼疮

B.风湿性关节炎

C.皮肌炎

D.慢性肝病

E.慢性贫血

答案

参考答案:C

解析:皮肌炎是风湿病中最易合并肿瘤的疾病,如常规治疗效果差应全身查找肿瘤。

单项选择题

This was one of my experiences (1) . When I was in my 30s, I was working for a large international company which had its head office in London. I was working in the (2) department.

The company had a training centre which was just outside London. Different courses were held there throughout (3) and I (4) go on one training course a year. These usually started (5) a Sunday evening and lasted six days.

Once I was (6) a week’s training course with about forty (7) sales people. I was in the bar on the Friday evening and suddenly a woman who was (8) behind the bar asked mea curious question. "I hope you don’t (9) my asking," she said, "but I’ve been (10) about it all week. Have you got a sister (11) Mary" The woman’s name was June. And she used to do various jobs at the training centre. She worked in the office, she organized all the food and drink for the centre and she worked in the bar at lunchtime and in the evening.

My answer (12) June’s question was "Yes", and June said, "I thought (13) . I met her last September when she was organizing a course here. " At that time, my sister was working for (14) company but in a different part of the country. That was (15) she came to be at the training centre.

(16) surprised me was how June guessed we were brother and sister. Three things made it even more (17) . First, she had met my sister six months before she met me. Second, they have about sixty new people every week at the training centre. So about one thousand five hundred people had (18) the centre in those six months. And (19) , my sister is married, so she doesn’t have the same family name as me.

We’re not (20) , but I guess we must look quite like each other.

8().

A.hearing

B.waiting

C.serving

D.seeing

单项选择题