问题 单项选择题

男孩,10岁,发热2周余,1周来左膝关节肿痛,4天来双踝关节肿痛,发病前2周曾患化脓性扁桃体炎。查体:T38℃,胸部有淡红色充血性皮疹,部分呈环形红斑,心率96次/分,左膝关节及双踝关节红肿热痛伴活动受限。检验:血红蛋白110g/L,白细胞14× 109/乙中性0.86,淋巴0.12,血沉63mm/ 1h,类风湿因子阴性。

最恰当的下一步检查是

A.血培养

B.PPD

C.ASO

D.补体C3

E.心电图运动试验

答案

参考答案:C

解析:风湿热的诊断有赖于临床表现和实验室检查的综合分析;1992年修改的 Jones诊断标准包括3个部分:①主要指标;②次要指标;③链球菌感染的证据。在确定链球菌感染证据的前提下,有两项主要表现或一项主要表现伴两项次要表现即可诊断。

问答题 简答题
单项选择题

There are many kinds of friends. Some are always (1) you, but don’t understand you. Some say only a few words to you, but understand you. Many people will step in your life, but only (2) friends leave footprints.

I shall always recall the autumn and the girl with the (3) . She will always bring back the friendship between us. I know she will always be my best friend.It was the golden season. I could see the yellow leaves (4) with the cool (5) . In such a season, I liked walking alone on the roads covered with leaves, (6) to the sound of them.Autumn is a (7) season and life is uninteresting. The free days always get me (8) . But one day, the sound of a violin (9) into my ears like a stream flowing in the mountains. I was so surprised that I jumped to see what it was. A young girl, standing in the wind, was (10) in playing her violin.

I had (11) seen her before. The music was so nice that I listened quietly. Lost in the music, I didn’t know that I had been (12) there for so long but my existence did not seem to disturb her.Leaves were still falling. Every day she played the violin at the comer of the building (13) I went downstairs to watch her performance. I was the only listener. The autumn seemed no longer lonely and life became (14) . (15) we didn’t know each other, I thought we were already good friends. I believe she also loved me.Autumn was nearly over. One day, when I was listening carefully, the sound suddenly (16) . To my astonishment, the girl came over to me.

"You must like music from the violin." she said."Yes. And you play very well. Why did you stop’." I asked.Suddenly, a (17) expression appeared on her face and I could feel something unusual."I came here to see my grandmother, but now I must leave. I once played very badly. It was your listening every day that (18) me. " she said."In fact, it was your playing (19) gave me a meaningful autumn," I answered, " Let’s be friends. "The girl smiled, and so did I. I never heard her play again in my life. I no longer went downstairs to listen to her. Only thick leaves were left behind. But I will always remember the fine figure of the girl. She is like a (20) —so short, so bright, like a shooting star giving off so much light that makes the autumn beautiful.

第(6)空应选择()

A.watching 

B.listening 

C.seeing 

D.hearing