患者男,18岁,山区居民,反复多关节疼痛5年,加重4个月,查RF(-),X线检查:指末节弯曲,指节增粗。 该病最先出现症状的关节为
A. 近端掌指关节
B. 膝关节
C. 骶髂关节
D. 髋关节
E. 指、趾关节
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患者男,18岁,山区居民,反复多关节疼痛5年,加重4个月,查RF(-),X线检查:指末节弯曲,指节增粗。 下面不在早期诊断参考标准中的是
A. 指末节弯曲
B. 弓状指
C. 疑似指节增粗
D. 踝、膝关节疼痛
E. 晨僵超过1小时
患者男,50岁,体力劳动者。感髌骨深面疼痛不适,下蹲时加重。上下楼时感关节发软、不稳定。体格检查:髌骨内侧关节面压痛,髌股摩擦时有捻发音。X线未见明显异常。 对该患者的治疗,下列说法错误的是
A. 应避免膝关节过度活动
B. 可服用非甾体类抗炎止痛药
C. 理疗
D. 不宜行股四头肌等训练,以免症状加重
E. 保守治疗无效时可考虑手术
WELL—do they or don"t they For years, controversy has raged over whether the electromagnetic fields produced by power lines could cause cancer especially leukemia in young children. But in Britain last week confusion reached new heights. One team from Bristol announced that it had evidence to back a controversial but plausible theory which would explain how power lines might cause cancer(electric fields attract airborne pollutants). Only to be followed by the release of results by another group in London which suggested there is nothing to worry about. What is going on Actually, the confusion may be more apparent than real. There can be no doubt that the effects of power lines on water droplets, pollutants and naturally occurring radon uncovered by the Bristol team are real and interning. But to suggest that they have anything to do with leukemia in children is premature. The extra exposure to pollution for a child living near power lines would be tiny, and it is not obvious why radon, a gas normally associated with lung cancer—would cause leukemia in children. The second study, which drew reassuring blank, is the world" s biggest ever probe of the statistical link between childhood cancers and magnetic fields of the sort produced by power lines and electrical appliances. It is one of several recent studies that have failed to find a link. Unlike earlier research, these newer studies involved going into homes to measure the electromagnetic fields. The fields they measured included input from major power lines if they were. Which is not to say the research is perfectly. Critics argue that Britain" s childhood cancer study, for example, has not yet taken into account the surges in exposure that might come from, say, switching appliances on and off. And some people might wonder why measurements of the electric fields that are also produced by power lines did not figure in last week" s study. But neither criticism amounts to a fatal blow. Electrical fields cannot penetrate the body significantly, for example. A more serious concern is whether the British research provides an all-clear signal for such countries as the US where power lines carry more current and therefore produce higher magnetic fields. Pedants(书呆子)would conclude that it doesn" t. But these counties will not have long to wait for answers from a major Japanese study. In Britain the latest epidemiological study can be taken as the final word on the matter. If the electromagnetic fields in British homes can in some unforeseen way increase the risk of cancer, we can now be as certain as science allows that the increase is too tiny to measure. It can be inferred from the passage that the British outcomes______.
A. are expected to convince nobody but pedants
B. were found to have left much room for doubt
C. could have implications in such countries as the US
D. will be consistent with the Japanese ones in the near future
患者男,29岁,左手第2指近节指骨肿胀,疼痛1个月。查体:左手第2指近节指骨膨隆,局部稍有压痛,关节活动可,以下最适合的治疗方式是
A. 病灶刮除骨水泥填充术
B. 病灶刮除植骨术
C. 截肢术
D. 化疗
E. 化疗+截肢术