女性，55岁，双手指关节疼痛2年，间断发作，逐渐加重，近半年出现膝关节疼，上、下楼时明显。1个月来右膝关节肿胀明显，活动受限，行走困难，查体双手远指关节骨性肥大，可见Heber-den结节，右膝关节肿胀，浮髌试验阳性；左膝摩擦感明显
此患者考虑诊断为（）
A.类风湿关节炎
B.骨关节炎
C.强直性脊柱炎
D.Reiter’s综合征
E.反应性关节炎
参考答案：B
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| One day an old carpenter (木匠) told his boss that he was going to give up his job and enjoy his family life. When he heard the news, the boss felt very sad 1______ He asked if the carpenter could help him build one more house. The carpenter agreed. Later the carpenter didn't spend all his energy on his work. In order to shorten (缩短) the time for the project, he built the house in a rough (粗糙的) way. 2______ When the carpenter went to say goodbye to the boss, the boss passed the carpenter the keys to the house and said to him," This is your house, 3______" The carpenter was completely surprised and didn't know what to say. 4______ Now he would have to live in such a house that was built by himself. In our everyday life, there are lots of people like the carpenter. They aren't strict in their work and they spend too little time on it. Once they realize that, 5______ In fact, we never stop building our "houses" every day. Let's spend all our energy in building them. Then our life will become better and better.
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