问题 多项选择题

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。

该患者可采取以下哪些治疗措施?()

A.适当功能锻炼

B.理疗

C.非甾体抗炎药减轻症状

D.软骨保护药硫酸氨基葡萄糖

E.小剂量激素口服

答案

参考答案:A, B, C, D

选择题
阅读理解

When you’re an employee of a company, no matter the size, it’s common to see co-workers promoted, or transferred to a different department. But there is another way to move around—by creating a new position for yourself. I did this several years ago, though I wasn’t actively looking for a different job.

In 2007, I was hired at the Transamerica Life Insurance Company, as a customer service representative in the distributions services department. I processed requests for distributions from our annuity(养老金)policy holders around the country. Someone might have forgotten to sign a form, for example, or might have omitted security information. To solve the problem, I’d mail the person a letter.

The company had been through several combinations, so in our department alone we had a collection of about 140 templates(模板) for letters related to distributions. The longer I worked with the letters, the more I saw how they could be improved. Some had overlapping information and could be combined. Some had incorrect grammar or needed updating. I also noticed that industry terminology(专业术语) wasn’t standard across all the versions.

When I told my department supervisor about this in 2008, she agreed that the letters needed revamping. She said I should stop what I’d been doing and start the new work. In a relatively short time, I was able to make numerous improvements and reduce the number of letters to 70. It was an informal job change until a managers’ meeting several months later.

At that meeting, a vice president who was unaware of my new work mentioned that the division’s entire stock of 1,700 letters should be reviewed. My manager told her that she knew the perfect person for the job—me. The position was still considered temporary when I took on the extra tasks, but I was able to show that the work had value, and I was officially promoted and given a raise in November 2009.

小题1:According to Paragraph 1, which of the following statements is true?    

A.The author admired those who got a promotion in his company.

B.It is no surprise to see people around us change their positions.

C.The author tried his best to get a promotion in his company

D.The author was eager to seek another job.小题2:Which of the following problems with the letters is NOT mentioned in the passage?

A.Some information was overlooked.

B.Some information needed to be united.

C.Some had grammatical mistakes.

D.Industry terminology didn’t meet the standard.小题3:The underlined word “revamping” in Paragraph 4 is closest in meaning to        .

A.repeating

B.rebuilding

C.improving

D.strengthening小题4:The author started to review the letters when        .

A.he was hired by the company

B.he was promoted

C.he was recommended at a managers’ meeting

D.his department supervisor agreed his idea小题5:Which of the following is the best title for the passage?

A.Where there is will, there is a way.

B.Creating a position, and earning a promotion.

C.Don’t let the chance go, when it comes.

D.Ways to get a promotion.