男，66岁。自觉双下肢胫前皮肤瘙痒1年余，以夜间为重，近2个月来渐扩展至全身，近2天来因进食辛辣食物症状加重，全身皮肤多处可见抓痕、血痂，双胫前皮肤肥厚，苔藓化。
以下哪项治疗方案最不可取（）。
A.口服抗组胺药
B.使用性激素治疗可能有一定疗效
C.根据病情选用含止痒剂的炉甘石洗剂、皮质激素软膏和霜剂
D.局部用药前应先用热水肥皂清洁皮肤
E.口服镇静催眠药
F.皮质激素局部封闭
参考答案：D
假如你是一位youth worker，一位名叫Simon的初三学生给你来信倾诉他的烦恼，内容见下表。请据此给他写一封回信，提出针对性的建议（表中建议可供参考），要求不少于80词，信的开头和结尾已给出，不计入总词数。
Thank you for your letter. I hope I can offer you some useful advice. I don’t think it’s wise to spend too much time watching TV and playing computer games. ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ______________________________________________________________________ I hope my advice will be of some value to you. Bill Smith |