问题 单项选择题

[案例] 患者女性,24岁。因反复发生面部红斑、脱发、口腔溃疡2年,病情加重1个月,伴发热、头痛就诊。查体T 39.8℃,面部对称蝶形红斑,患者不能准确回答提问,伴定向障碍,颈部轻度抵抗。

临床诊断最可能是()

A.皮肌炎

B.结核性脑膜炎

C.脑梗死

D.系统性红斑狼疮合并心理障碍

E.系统性红斑狼疮合并中枢神经系统损害

F.混合性结缔组织病

答案

参考答案:E

解析:

考查系统性红斑狼疮的诊断。

填空题
单项选择题

Walking through my train yesterday, staggering from my seat to the buffet and back, I counted five people reading Harry Potter novels. Not children-these were real grown-ups reading children’s books,
Maybe that would have been understandable. If these people had jumped whole-heartedly into a second childhood it would have made more sense. But they were card-carrying grown-ups with laptops and spreadsheets returning from sales meetings and seminars. Yet they chose to read a children’s book.
I don’t imagine you’ll find this headcount exceptional. You can no longer get on the London Tube and not see a Harry Potter book. Nor is it just the film; these throwback readers were out there in droves long before the movie campaign opened.
So who are these adult readers who have made JK Rowling the second-biggest female earner in Britain (after Madonna) As I have tramped along streets knee-deep in Harry Potter paperbacks, I’ve mentally slotted them into three groups.
First come the Never-Readers, whom Harry has enticed into opening a book. Is this a bad thing Probably not. Writing has many advantages over film, but it can never compete with its magnetic punch. If these books can re-establish the novel as a thrilling experience for some people, then this can only be for the better. If it takes obsession-level hype to lure them into a bookshop. that’s fine by me. But will they go on to read anything else Again, we can only hope.
The second group are the Occasional Readers. These people claim that tiredness, work and children allow them to read only a few books a year. Yet now—to be part of the crowd, to say they’ve read it—they put Harry Potter on their oh-so-select reading list. It’s infuriating, and maddening. Yes, I’m a writer myself, currently writing difficult, unreadable, hopefully unsettling novels, but there are so many other good books out there, so much rewarding, enlightening, enlarging works of fiction for adults; and yet these sad cases are swept along by the hype, the faddism, into reading a children’s book.
The third group are the Regular Readers, for whom Harry is sandwiched between McEwan (英国当代作家) and Balzac, Roth (德国现代诗人) and Dickens. This is the real baffler—what on earth do they get out of reading it Why bother But if they call rattle through it in a week just to say they ve been there—like going to Longleat (朗利特山庄英国名胜) or the Eiffel Tower—the worst they’re doing is encouraging others.

What’s the bad effect of the way the Regular Readers read Harry Potter

A.It will promote too many visits to the places the book mentions.

B.It will discourage people from reading real masterpieces.

C.It will foster reading as part of a fast-food culture.

D.It will cause a confusion of faddism with classics.