问题 单项选择题

患者女性,59岁,以“双膝关节、腰部疼痛7个月”来诊。疼痛于劳累及久站后加重,休息后减轻。查体:双手可见Heberden结节,膝关节略肿胀,活动时可闻骨擦音,活动轻微受限。腰椎L3~L5棘突两侧压痛阳性。化验:ESR 10mm/1h,CRP 5mg/L,RF阴性,ANA阴性。

该患者诊断初步考虑()。

A.骨关节炎

B.类风湿关节炎

C.强直性脊柱炎

D.腰椎间盘突出

E.痛风

答案

参考答案:A

问答题 简答题
完形填空
One day my math teacher asked me to help him save back-up copies of his work in the computer. I then realized I was able to  36 the grades for all of his classes. I showed him how to copy files from one disk to another and he  37 me.
A few days later be asked me to help him again, because he   38 how to do it. when I began to show this to him, some students in my class   39 and began to talk among themselves   40 . Later that day, at lunch time, I was   41 by several of them.
“Hey, could you help us change our grades in math? We’ll  42 you…”
I could not believe what I was hearing.I could get paid for something very   43 ." All right.I'll do it." The next day my math teacher   44 me to help him out.When he was not paying attention, I began to change their grades from F's to A's.
I soon became very   45  among my friends.They began to treat me like a god with a magical  46 .I began to change the grades of students.Word   47  quickly and I became very rich.
Everything was going fine   48  I was called into the headmaster's office.When I got there, my teacher was mad, and the headmaster had an angry   49  in his eyes.  "I have known you for three years now.I don't want to  50  what your teacher said, but I'm afraid that I must.He has too much  51  , " he said." Do you have anything to say   52  yourself?" he asked.
"No." I said finally.I did not realize how serious my actions had been.I had violated the     53 of my teacher, and the headmaster.And there was no way   54 .I was forced to leave my school.
That was a good   55 for me.
小题1:
A.accessB.assessC.changeD.mark
小题2:
A.guidedB.supportedC.thankedD.accepted
小题3:
A.doubtedB.remembered C.remindedD.forgot
小题4:
A.hidB.noticedC.complainedD.agreed
小题5:
A.disappointedlyB.quietlyC.freelyD.angrily
小题6:
A.appointedB.approvedC.approachedD.appreciated
小题7:
A.payB.praiseC.followD.inspire
小题8:
A.familiarB.simpleC.interestingD.pleasant
小题9:
A.forcedB.advisedC.encouragedD.got
小题10:
A.optimisticB.popularC.sensitiveD.grateful
小题11:
A.energyB.strengthC.rightD.power
小题12:
A.escapedB.slippedC.spreadD.fled
小题13:
A.untilB.sinceC.asD.after
小题14:
A.sightB.lookC.lightD.feeling
小题15:
A.believeB.ignoreC.opposeD.influence
小题16:
A.experienceB.pressureC.confidenceD.evidence
小题17:
A.toB.byC.forD.of
小题18:
A.intentionB.honorC.promiseD.trust
小题19:
A.onB.inC.backD.down
小题20:
A.lessonB.skillC.storyD.example