患儿，女，11岁。发热20余天，体温37.5～38.2℃，双手指指关节和掌指关节肿痛伴活动障碍，双侧膝关节肿胀，以右侧明显，活动受限。查体无皮疹，浅表淋巴结无肿大，肝脾无明显肿大。红细胞沉降率和血反应蛋白增高，抗核抗体阳性，血白细胞12.5×109／L，尿常规检查正常。
如果初诊类风湿关节炎，首先应给予哪种药物治疗（）
A.糖皮质激素
B.非甾体类抗炎药
C.病情缓解抗风湿药
D.静脉注射丙种球蛋白
E.抗肿瘤坏死因子单克隆抗体
参考答案：B
I’m glad it’s Sunday again. I can stay in bed 36 I like, drinking tea and 37 those thick newspapers that are brought 38 the newsboy through the letterbox at 8:30. In this way, I can catch up with all the 39 I haven’t got time to read during my work time. When I 40 the papers, I then prepare my bath. The Sunday morning bath is 41 of the week. There’s no need to hurry because there’s no bus to 42 and my friends are told not to call me up before noon on Sundays, so there is no danger of 43 by the telephone. 44 spend the afternoon after lunch is always a bit of problem. In summer I can go to the park and sit in a chair 45 boys playing football, while in winter I sit in front of the fire and 46 when reading a book, sometimes I turn on the television and sleep through an old film. Then there’s the 47 ahead of me. Perhaps I’ll call on some friends or go to the cinema 48 a new film I want to see or to town for a concert. Oh, there are 49 pleasant ways of passing Sunday evenings. The only sad thing is that Monday morning is getting 50 .
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