患者女性,46岁,对称性多关节肿痛1年,加重3月入院。患者1年前无明显原因出现双手近

题型:多项选择题 案例分析题

问题:

患者女性,46岁,对称性多关节肿痛1年,加重3月入院。患者1年前无明显原因出现双手近端指间关节、掌指关节、双腕关节肿痛,伴有晨僵,每天可持续>1小时,自行口服"双氯芬酸片、泼尼松片"症状可好转,未规律治疗。近3月,出现双肘关节,双足跖趾关节肿痛,以上关节肿痛加重,并出现双肘、枕部皮下结节。为进一步诊治来我院。起病以来,伴有口干、眼干,精神食欲差,睡眠差。既往史、个人史、月经婚育史无特殊。家族史中其母患有类风湿关节炎。体格检查:血压130/76mmHg心肺腹无特殊阳性体征。双肘、枕部皮肤可触及皮下结节,质硬,无压痛。左手第2、3、4近端指间关节、右手第3、5近端指间关节呈梭形肿胀,左2、3、4掌指关节、右3、4、5掌指关节、双腕关节肿胀,压痛(+),双肘关节活动受限,左足第二跖趾关节肿胀,双下肢无水肿。辅助检查血常规:白细胞5.1×109/L,血红蛋白96g/L,血小板538×109/L;血沉76mm/h,CRP0.27mg/dl。

为明确诊断需要进行下列哪些辅助检查?()

A.ANA+ENA酶谱

B.RF

C.抗-CCP抗体

D.AKA

E.胸片+双手X线片

F.ECG

考点:疼痛学主治医师常见的疼痛性风湿病常见的疼痛性风湿病题库
题型:多项选择题 案例分析题

属于强效外用激素的是()。

A.甲泼尼龙

B.0.05%地塞米松

C.0.05%肤轻松

D.0.05%丙酸氯倍他索

E.地塞米松

题型:多项选择题 案例分析题

阅读理解。

    There are two types of people in the world. Although they have equal degree of health

and wealth and other comforts of life, one becomes happy, the other becomes unhappy.

This arises from the different ways in which they consider things, persons, events and

the resulting effects upon their minds.

    People who are to be happy fix their attention on the convenience of things. The pleasant

parts of conversation, the well prepared dishes, the goodness of the wine, the fine weather.

They enjoy all the cheerful things. Those who are to be unhappy think and speak only of the

opposite things. Therefore, they are continually dissatisfied. By their remarks, they sour the

pleasure of society, offend (hurt) many people, and make themselves disagreeable everywhere.

If this turn of mind was founded in nature, such unhappy persons would be the more to be

pitied. The intention of criticizing and being disliked is perhaps taken up by imitation. It grows

into a habit, unknown to its possessors. The habit may be strong, but it may be cured when

those who have it realize its bad effects on their interests and tastes. I hope this little warning

may be of service to them, and help them change this habit.

    Although in fact it is chiefly an act of the imagination, it has serious results in life since it

brings on deep sorrow and bad luck. Those people offend many others; nobody loves them,

and no one treats them with more than the most common politeness and respect. This frequently

puts them in bad temper and draws them into arguments. If they aim at getting some advantages

in social position or fortune, nobody wishes them success. Nor will anyone start a step or speak

a word to favor their hopes. If they bring on themselves public objections, no one will defend

or excuse them, and many will join to criticize their wrong doings. These should change this bad

habit and be pleased with what is pleasing, with out worrying needlessly about themselves and

others. If they do not, it will be good for others to avoid any contact with them. Otherwise, it can

be disagreeable and sometimes very inconvenient, especially when one becomes mixed up in their

quarrels.

1. People who are unhappy _____. [ ]

A. always consider things differently from others

B. usually are affected by the results of certain things

C. usually misunderstand what others think or say

D. always discover the unpleasant side of certain things

2. The underlined phrase "sour the pleasure of society" most nearly means "_____". [ ]

A. have a good taste with social life

B. make others unhappy

C. tend to scold others openly

D. enjoy the pleasure of life

3. Which of the following would be the best title of the passage? [ ]

A. Pity all such unhappy people

B. The unhappy are dangerous

C. How to get rid of the habit of unhappiness

D. Try to understand the unhappy

4. If such unhappy persons insist on keeping the habit, the author suggests that people

    should _____. [ ]

A. prevent any communication with them

B. show no respect and politeness to them

C. persuade them to recognize the bad effects

D. quarrel with them until they realize the mistakes

5. In this passage, the writer mainly _____. [ ]

A. describes two types of people

B. laughs at the unhappy people

C. suggests ways to help the unhappy

D. tells people how to be happy in life

题型:多项选择题 案例分析题

人民法院在民事诉讼过程中,违法采取保全措施,造成损害的,赔偿请求人要求赔偿的程序,适用()。

A.刑事赔偿的规定

B.民事诉讼程序

C.行政赔偿的程序

D.刑事附带民事诉讼的赔偿程序

题型:多项选择题 案例分析题

根据组网方式,ZXA10C200主控板可采用一块或两块,上联方式应该分别如何设计,才合理?

题型:多项选择题 案例分析题

土地相邻通行关系的成立,须具备的条件不包括()。

A.通行权人须为土地所有权人或使用权人

B.土地与道路或通道无适当的联系

C.为土地使用所必要

D.因土地所有权人或使用权人的任意行为所致

更多题库