问题 单项选择题

女性,28岁。反复出现低热、口腔和外阴部溃疡1年,伴双下肢红色结节样皮疹、关节痛1个月,无鼻塞、流涕。咳嗽,无腹痛、腹泻。ESR40mm/h,ENA、抗ENA、ANCA等自身抗体均阴性。该患者最可能的诊断是()

A.干燥综合征

B.复发性口腔溃疡

C.系统性红斑狼疮

D.白塞病

E.Wegener肉芽肿

答案

参考答案:D

解析:年轻女性,反复口腔和外阴部溃疡,皮肤结节红斑,满足白塞病诊断标准中的3项。且有关节痛,血沉中度增快,多种自身抗体阴性等,均支持本病诊断。伴多系统症状,不支持复发性口腔溃疡。除口腔溃疡外,缺乏其他系统性红斑狼疮相关症状且多种自身抗体阴性,不支持系统性红斑狼疮诊断。缺乏鼻塞、流涕、咳嗽等呼吸道受累表现、肾损害及典型胸部X线特征,不支持Wegener肉芽肿诊断。无口眼干燥表现及自身抗体均阴性,可除外干燥综合征。

阅读理解

阅读理解        

        Look! This is a picture of our classroom.  There are fifty desks and chairs in it.  They are for

students.  On the desks are our books.  There is also a big desk in the classroom.  It’s for our teachers.  Under the teacher’s desk,  there are two basketballs and a football.  We can play basketball and

football after class.  What other things can you see?  Yes,  there are two maps on the wall,  a map of

China and a map of the world.  Our classroom is very nice.  I like it very much.

根据短文内容,回答问题

1. Is this a picture of our school?  

                                                                          

2. How many students are there in our class?

                                                                          

3. Is our teacher’s desk big?

                                                                          

4. What are under the teacher’s desk?

                                                                          

5. What are on the wall?

                                                                          

单项选择题 A1型题