问题 单项选择题

女性,40岁,反复多关节肿痛10余年,伴有明显的晨僵,活动状症状可有所减轻。怀疑为类风湿关节炎

下列关于RA的关节病变不正确的是

A.可累及全身所有关节,呈游走性

B.受累以双手小关节、腕关节多见

C.发作时关节有肿胀、疼痛、压痛并伴有晨僵

D.关节周围组织常同时受累

E.与风混性关节炎实质不同

答案

参考答案:A

阅读理解

In a book called Magnificent Obsession, by Lloyd C. Douglas, a description is given of people helping others but doing it secretly. When difficult problems worried a person, friends nearby would meet to discuss possible solution without the person knowing their actions. When a solution was agreed upon, one or two of the friends would carry out the plan and solve the problem secretly, to the great delight of the worried person. The helpers would stand by privately, content with their success. No reward was given to the problem solvers, not even a sincere “thank you”, because they were never known.

This idea is popular today but in a different way. The phrase “pay it forward” is now used when one person helps another. However, the person helped may not be able to repay the person or group that helped them. So rather than return the favor to their helpers, they are supposed to help someone else in the future, which means they pay it forward. It is a sense of responsibility(责任) which makes us want to give back in equal measure to the one who has helped us. But, in this case, the responsibility turns to helping someone in the future.

Suppose your elderly grandmother pays part of your schooling. She may tell you there is no need to repay her because it is a gift from someone who loves you very much. Nothing would please her more than to have you use her money to get a good education.

You may never be able to repay her for such a gift. However, she not only gave you some money, but she provided you with an example that you should also help other people who need it.

People with serious needs are everywhere. Many are children who need better clothes, more books and even better schools. Some are elderly people who can’t afford their medicine or a doctor’s care. Consider how you can “pay it forward” rather than pay money back to your grandmother.

小题1:The helpers in the book “Magnificent Obsession” were not rewarded because ______________.

A.they hadn’t solved the problems thoroughly

B.they had solved the problems secretly

C.they were friends of the worried individual

D.they expected to be paid back in the future小题2:The underlined word “pay it forward” means ____________________.

A.to repay someone who has helped you

B.to pay someone else who needs help

C.to help someone who has helped you

D.to help someone else who needs help小题3:What does the writer suggest with the example of “your elderly grandmother”?

A.We should learn to respect our grandparents.

B.We should work hard to get a good education.

C.We should also lend a hand to other people in need of help.

D.We should never forget to repay people for their help.小题4:From the passage we know_________________.

A.everybody needs help

B.more children need help than elderly people

C.it costs a lot of money to “pay it forward”

D.nowadays many people help others without being repaid

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