患者,男性,45岁,对称性小关节肿痛伴晨僵3年。近3个月来症状加重,晨僵时间明显延长

题型:单项选择题 A3/A4型题

问题:

患者,男性,45岁,对称性小关节肿痛伴晨僵3年。近3个月来症状加重,晨僵时间明显延长,并出现干咳,气短,活动后呼吸困难,无夜间阵发性呼吸困难。查体:双手腕关节,掌指关节肿胀,压痛(+),双手握力下降,双肘部发现无痛性皮下结节,两下肺可闻及Velcro啰音(肺底及腋下区可闻及爆裂性啰音)。

可能的诊断是()

A.类风湿关节炎活动

B.类风湿关节炎活动伴肺间质病变

C.类风湿关节炎活动+心功能不全

D.类风湿关节炎

E.系统性红斑狼疮

考点:肾内科学(医学高级)类风湿性关节炎类风湿性关节炎题库
题型:单项选择题 A3/A4型题

第三部分:阅读理解(共20题;每小题1.5分,满分30分)

阅读下列短文,从每题所给的四个选项中,选出最佳选项。

From age eight to eleven, I attended a small school in Bath, England. It was a small school of four classes with about twenty-five children in each class according to age. For the most part, one teacher had to teach all subjects to the children in the class. However, sometimes the headmaster, Mr. Ronald Broaches, would come in and spend an hour or so, teaching some subjects in which he was especially interested. He was a large man with a very happy nature. He had a sense of humor and would delight in telling the children small stories that would make us laugh. He was a very fair man and had a great influence on many of the children. In my own case, I found that he took great interest in me and he quickly found that I enjoyed puzzles. He would often stop me as I was going to class and take a piece of paper out of his pocket, often with a puzzle already on it. The puzzles were usually mathematical or logical. As time went on, they slowly got more difficult, but I loved them. Not only that, they made me interested in math and problem solving that stays with me to this day. They also served to show me that intellectual activity was rewarding when the correct answers were found, but perhaps more importantly it was great fun. To this day, I can remember Mr. Broaches’ cheerful cry of “Well done!” whenever I got a problem right. The simple communication with a man whom I loved greatly has had a deep influence on my life. I shall forever be thankful that our paths crossed. Mr. Broaches died just two weeks after I had won the 1993 Nobel Prize in Physiology or Medicine. Unluckily, I had no chance to speak to him before he died. I learnt later that he had heard of my success and I will always hope that he knew the deep influence he had made on my life.

56. There were ________ children in each class when Richard was in     the school in Bath, England.

A. 4          B. 8        C. 11              D. 25

57. From the text, we can learn that ___________.

A. the puzzles made the students laugh

B. the students were afraid of the headmaster

C. the puzzles made Richard enjoy math

D. the headmaster never taught in the school

58. The writer felt sorry because __________.

A. Mr. Broaches had passed away before he won the Nobel Prize

B. he didn’t express his thanks before Mr. Broaches died

C. he couldn’t find Mr. Broaches after he grew up

D. Mr. Broaches didn’t know his success

59. What is the best title(标题)for the text ?

A. The Story of Mr. Broaches.

B. The Story of Richard J. Roberts.

C. My Early School Life.

D. An Important Teacher in My Life.

题型:单项选择题 A3/A4型题

下列对于硬膜外隙的说法,正确的是()

A.向上不通颅腔

B.与第四脑室相通

C.内含脑脊液

D.下端缩细为脊髓圆锥

E.位于软膜和蛛网膜之间

题型:单项选择题 A3/A4型题

理解土地所有权的概念,下列不属于应掌握的基本要点的是( )。

A.权利的主体.
B.权利的客体(标的物)
C.权利的利用
D.权利的性质

题型:单项选择题 A3/A4型题

心理评估中最常用的方法是()

A.会谈法

B.调查法

C.观察法

D.临床评定量表

E.心理测验法

题型:单项选择题 A3/A4型题

网球肘俗称肘关节痛,医学上术语指外上踝炎,即()部位发炎。

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