风湿系统（Rheumatic system）.docVIP

风湿系统（Rheumatic system） Each of the following questions has five alternative answers: A, B, C, D, and E. Please choose the best answer from the corresponding letter card, and the corresponding number in the answer will be the black box. 1. * * * in the diagnosis of systemic lupus erythematosus is the most specific inspection items A. lupus cells B. antinuclear antibody C. rheumatoid factor D. anti Sm antibody E. anti double stranded DNA antibody The answer you have chosen: The correct answer is: D Solution: the anti Sm antibody almost appeared only in the SLE, so it is also called a SLE labeled antibody specific for SLE high, up to 99%, but the positive rate is only 30%, and the disease activity of SLE. 2. * * * a rheumatoid arthritis patients, duration of more than 1 years, a symmetric multi joint swelling, untreated, three conventional liver and kidney function tests were normal, the preferred solution is to A. a NSAIDs (nonsteroidal anti-inflammatory drug) B. two NSAIDs combined use C. slow medication D. slow medication plus NSAIDs E. slow acting drugs plus glucocorticoids The answer you have chosen: The correct answer is: D Solution: rheumatoid arthritis is still lack of cure. The purpose of medical treatment is to control inflammation, relieve symptoms, control the development of the disease, maintain joint function and prevent bone destruction and joint deformity. Improve the symptoms there are three major categories of drugs: non steroidal anti-inflammatory drugs (NSAIDs) used to relieve joint pain; the slow acting antirheumatic drugs, that long-term use of progress to prevent the patients role; the glucocorticoid, for joint symptoms or extra articular symptoms. 3. * * * female, 30 years old. With low joint pain 3 months, mild anemia, anti nuclear antibody (+), anti double stranded DNA antibody (+), suffering from systemic lupus erythematosus, drug treatment is preferred A. non steroidal anti-inflammatory drugs B. glucocorticoids C. immunosuppressive agent D.