患者,女性,30岁。近3个月来出现低热、消瘦、多关节疼痛。查体可见双下肢轻度可凹性水

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问题:

患者,女性,30岁。近3个月来出现低热、消瘦、多关节疼痛。查体可见双下肢轻度可凹性水肿。尿常规检查:尿蛋白(++),红细胞10~20个/HP。p-ANCA阳性,余自身抗体均阴性肾穿刺病理显示:微小动脉有坏死性炎症性改变,无免疫复合物沉着肾血管造影未发现血管狭窄。该患者最可能的诊断为()。

A.结节性多动脉炎

B.Wegener肉芽肿

C.系统性红斑狼疮

D.显微镜下型多血管炎

E.干燥综合征

考点:北京住院医师神经内科Ⅰ阶段风湿免疫科(轮转科目)风湿免疫科(轮转科目)题库
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阅读理解。

     Butterflies are common all over the world but the ones in hot countries are usually bigger and more brightly

colored than those in cooler countries, and there are more different kinds. Usually the male (雄性) butterfly is

more brightly colored than the female (雌性).The females have bigger and heavier bodies because they carry

the eggs. The gay (艳丽的) colors of the male help to attract the female and the dark colors of the female make

them difficult to be caught by enemies before they have laid their eggs.

     Some butterflies have bright colors on their wings (翅膀) which show when they fly, but when they stop

on a tree or leaf, they close their wings. On their wings there are green and brown marks which look like the

tree or leaves. They are difficult to see. The best example of this is the Dead Leaf Butterfly. When its wings

are closed, it really looks like a dead leaf. There are even marks that look like the holes in a dead leaf. When a

bird is running after a butterfly, and it closes its wings, it seems to have disappeared completely.

     Many butterflies have round marks on their wings that look like eyes. When they are resting, and their wings

are folded, these can't be seen. When a bird sees one, and begins to attack it, the butterfly opens its wings. The

bird thinks that it sees two eyes staring (凝视) at it, and, frightened, it flies away.

1. The male butterflies are usually ______ than the female butterflies. [ ]

A. heavier

B. bigger

C. more brightly

D. more common

2. When the butterflies stop on a tree or leaf, they ______. [ ]

A. show their bright colors

B. shake their wings

C. close their wings

D. are sleeping

3. There are green and brown marks which look like the tree or leaves on the butterflies' wings

     in order ______. [ ]

A. to see themselves

B. not to be found

C. show themselves

D. to be showed

4. When a bird attacks a butterfly, the butterfly may ______. [ ]

A. opens its wings and frighten the bird

B. fly away at once

C. close its wings

D. Both A and C

5. Which of the following statements is RIGHT? [ ]

A. The butterflies are the same in the world.

B. Different butterflies likes living in different places.

C. The Dead Leaf Butterfly looks like a dead leaf when it stops.

D. Many butterflies have many eyes.

题型:单项选择题

用于治疗虚寒胃反的是()

A.大半夏汤

B.大乌头煎

C.两者均是

D.两者均非

题型:单项选择题

高氯酸应避免与()接触

A、有机物

B、无机物

C、化合物

题型:单项选择题

简答移送执行的案件范围。

题型:单项选择题

垛基的形式分为()。

A.固定式

B.移动式

C.可拆卸式

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