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问题 单项选择题

男性，56岁。上腹不适伴反酸胃灼热10年，要确诊胃食管反流病最主要的检查是（）。

A.内镜检查

B.内镜检查+24h食管pH监测

C.食管测压+内镜

D.上消化道造影

E.上消化道造影+24h食管pH监测

答案

参考答案：B

解析：胃食管反流病最主要的检查措施是内镜检查，但对于内镜阴性的胃食管反流病的患者需进一步行24h食管pH监测以明确。

单项选择题 案例分析题

患者女性，38岁，反复口腔溃疡7年，伴间断四肢大关节游走性肿痛，近1周自觉左眼视物不清，并出现间断腹痛

最可能的诊断是（）

A.系统性红斑狼疮

B.痛风

C.消化道肿瘤

D.白塞病

E.赖特综合征
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填空题



As crime skyrockets in many communities, people are finally beginning to look for long-lasting effective answers to stem the tide of juvenile crime. Reaching the youth who have committed a crime before they become (1) is an essential step in reversing the crime trend. One (2) may be the establishment of teen court. Teen court is known as a sentencing court for youths who have (3) . Teen courts primarily deal with first-time offenders. After arrest, the young offender must (4) to the charge in juvenile court. With (5) , the offender agrees to be sentenced and abide by the decision of peer jury (6) . Another essential component to teen court is that, as part of the sentence, the offender must sit in on one of more future peer juries to (7) for other offenders. For example, a county teen court in Illinois gives young offenders a chance to (8) their arrests from their permanent record by (9) or other duties ordered by the court. Teen court is not a trial court. All teens admit their guilt and (10) a sentence given to them by a jury of their peers. A judge is present to (11) of the court. The teen court alleviates the strain on the (12) and has been implemented in (13) since the first teen court opened in Odessa, Texas. Beside giving the offender a second chance, it gives the youth (14) in the judicial process.
The purpose of the teen court, aside from sentencing youth offenders, is to (15) both the offenders and the teen volunteers while simultaneously promoting (16) between defendants, the community, and the police. By offering this (17) system, teen court allows those teens who have made a bad decision an opportunity to (18) and learn from it. At the same time those teens learn (19) . The police, the community, and the (20) .
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