患儿,女,6岁。左胫骨畸形骨髓炎抗生素治疗半年后,左小腿局部窦道形成。今日持续体温升高,血白细胞14×109/L,原有窦道脓性分泌物流出,X线显示死骨形成。当前正确的处理是()
A. 清除病灶、肌瓣填塞
B. 摘除死骨、闭式灌洗
C. 摘除死骨、开放引流
D. 摘除死骨、植骨、闭合伤口
E. 切开引流、使用抗生素
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男,35岁。做足第一跖趾关节突发红肿热痛和据按8小时。化验:血尿酸800 µmol/L。此时最适合的治疗药物是()
A. 别嘌呤醇
B. 苯溴马隆
C. 别嘌呤醇联合非甾体抗炎药
D. 苯溴马隆联合非甾体抗炎药
E. 非甾体抗炎药
Which of the following drugs is most efficient to relieve angina pectoris? ( )
A. Nifedipine
B. Digoxin
C. Atropine
D. Nitroglycerin
E. Morphine
The most useful cardiac biomarker in acute myocardial infarction are ( )
A. MYO, CK-MB, cTnI/cTnT
B. NT-proBNP/BNP
C. AST, ALT, r-GT
D. CK, LDH
E. CRP, TGF-beta
A 27-year-old woman comes to the physician for a follow-up examination. She has a 10-week history of persistent nonproductive cough that is worse at night and a 1-month history of a hoarse voice. She otherwise feels well. She has not had loss of appetite or change in exercise tolerance. She has never smoked. Empiric treatment with an oral decongestant and albuterol inhaler has not improved her symptoms. She has no history of serious illness. Her temperature is 37°C (98.6°F), pulse is 68/min, respirations are 12/min, and blood pressure is 110/76 mm Hg. Cardiopulmonary examination and an x-ray of the chest show no abnormalities. Her FEV1 is normal. Which of the following is the most appropriate next step in management? ()
A. 24-Hour monitoring of esophageal pH
B. Echocardiography
CT scan of the chest
D. Inhaled corticosteroid therapy
E. Nitroglycerin therapy