问题
单项选择题
患者，男性，39岁，职业为银行信贷部经理，工作中应酬较多。因左足大脚趾的跖趾关节红肿、疼痛而就诊。查白细胞14.6×109/L，血尿酸673μmol/L，血沉48mm/h。
该患者最可能的诊断是
A．类风湿关节炎
B．痛风性关节炎
C．风湿性关节炎
D．多发性骨髓瘤
E．骨关节炎
答案
参考答案：B
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患者，男性，39岁，职业为银行信贷部经理，工作中应酬较多。因左足大脚趾的跖趾关节红肿、疼痛而就诊。查白细胞14.6×109/L，血尿酸673μmol/L，血沉48mm/h。
该患者最可能的诊断是
A．类风湿关节炎
B．痛风性关节炎
C．风湿性关节炎
D．多发性骨髓瘤
E．骨关节炎
参考答案：B
Two runners stand side by side at the starting line of a race． 36 look very strong and fast． 37 one runner speeds ahead and wins the race．The other __38__． Some athletes can reach great 39 such as winning an Olympic gold medal．Others never live up to their 40 ．What kind of preparation before a race or before other kinds of events makes the 41 ? Everyone knows that athletes try to 42 their bodies．But research shows that strengthening the mind may be just as 43 ．Careful study indicates that the best athletes win 44 because they think they can wi  n．Positive thoughts seem to provide the edge for 45 in sports．People who say "I know I can do this" to themselves over and over 46 find that they have the advantage to win．On the other hand, people who think "I can't win" often 47 ． One procedure that helps many athletes is creating 48 in their mind．They are told to think of each jump they must make to 49 ．Some use pictures that are more fanciful．One skater liked to think about a star bursting inside her, 50 her with energy．Another athlete who wanted to feel 51 pictured himself as  a bird floating in the air．Next time you want to do something well．try training your 52 to help you．Perhaps a teacher or other instructors can 53 you plan your training．If you imagine yourself doing better, you may soon see improvements in 54 you really can do．Positive thinking and pictures 55 in your mind can help you win!
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