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发布时间:2024-04-29 00:24:35

[不定项选择题]挛缩主要是指关节挛缩,按照Hoffa分类还存在一些其他类型的挛缩,包括皮肤组织挛缩、结缔组织挛缩、肌性挛缩和神经性挛缩,且各有不同特点,如皮肤组织挛缩发生在皮肤,好发于手部,了解这些特点对于康复治疗方案的制定非常重要 神经性挛缩包括
A.神经缩短,功能障碍
B.痉挛性挛缩
C.反射性挛缩、痉挛性挛缩和迟缓性挛缩
D.反射性挛缩
E.反射性挛缩和迟缓性挛缩

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[不定项选择题]挛缩主要是指关节挛缩,按照Hoffa分类还存在一些其他类型的挛缩,包括皮肤组织挛缩、结缔组织挛缩、肌性挛缩和神经性挛缩,且各有不同特点,如皮肤组织挛缩发生在皮肤,好发于手部,了解这些特点对于康复治疗方案的制定非常重要 肌性挛缩的主要病理变化是
A.仅肌外膜胶原发生改变,肌膜弹性下降,硬化
B.肌膜胶原纤维发生改变,肌膜弹性下降,硬化
C.仅肌束膜胶原发生改变,肌膜弹性下降,硬化
D.仅肌内膜胶原发生改变,肌膜弹性下降,硬化
E.肌纤维缩短,收缩成分异常
[不定项选择题]If the trade unionist Jimmy Hoffa were alive today, he would probably represent civil servant. When Hoffa’s Teamsters were in their prime in 1960, only one in ten American government workers belonged to a union; now 36% do. In 2009 the number of unionists in America’s public sector passed that of their fellow members in the private sector. In Britain, more than half of public-sector workers but only about 15% of private-sector ones are unionized.   There are three reasons for the public-sector unions’ thriving. First, they can shut things down without suffering much in the way of consequences. Second, they are mostly bright and well-educated. A quarter of America’s public-sector workers have a university degree. Third, they now dominate left-of-centre politics. Some of their ties go back a long way. Britain’s Labor Party, as its name implies, has long been associated with trade unionism. Its current leader, Ed Miliband, owes his position to votes from public-sector unions.   At the state level their influence can be even more fearsome. Mark Baldassare of the Public Policy Institute of California points out that much of the state’s budget is patrolled by unions. The teachers’ unions keep an eye on schools, the CCPOA on prisons and a variety of labor groups on health care.   In many rich countries average wages in the state sector are higher than in the private one. But the real gains come in benefits and work practices. Politicians have repeatedly “backloaded” public-sector pay deals, keeping the pay increases modest but adding to holidays and especially pensions that are already generous.   Reform has been vigorously opposed, perhaps most egregiously in education, where charter schools, academies and merit pay all faced drawn-out battles. Even though there is plenty of evidence that the quality of the teachers is the most important variable, teachers’ unions have fought against getting rid of bad ones and promoting good ones.   As the cost to everyone else has become clearer, politicians have begun to clamp down. In Wisconsin the unions have rallied thousands of supporters against Scott Walker, the hardline Republican governor. But many within the public sector suffer under the current system, too.   John Donahue at Harvard’s Kennedy School points out that the norms of culture in Western civil services suit those who want to stay put but is bad for high achievers. The only American public-sector workers who earn well above $250,000 a year are university sports coaches and the president of the United States. Bankers’ fat pay packets have attracted much criticism, but a public-sector system that does not reward high achievers may be a much bigger problem for America. John Donahue’s attitude towards the public-sector system is one of _______.
A.disapproval
B.appreciation
C.tolerance
D.indifference
[不定项选择题]患儿,女,11岁。发热20余天,体温37.5~38.2℃,双手指指关节和掌指关节肿痛伴活动障碍,双侧膝关节肿胀,以右侧明显,活动受限。查体无皮疹,浅表淋巴结无肿大,肝脾无明显肿大。红细胞沉降率和C反应蛋白增高,抗核抗体阳性,血白细胞12.5x109/L,尿常规检査正常。 为排除风湿热,应做下列哪项检查
A.头颅CT
B.心脏超声和血ASO检测
C.X线胸片
D.肺功能
E.心电图
[不定项选择题]患者男性,46岁,有胃溃疡病史。近日手指关节肿胀、疼痛,清晨感觉指关节明显僵硬,活动后缓解,经实验室化验确诊为类风湿性关节炎。 为缓解疼痛,该患者可用
A.对乙酰氨基酚

B.美洛昔康

C.吲哚美辛

D.阿司匹林

E.吡罗昔康
[不定项选择题]女,23岁,3个月来四肢关节肿胀,尤以双手腕关节,掌指关节,近端指间关节肿痛明显。 如考虑为类风湿关节炎,应做哪些检查排除其他的结缔组织病( )
A.抗核抗体谱检查
B.血常规,尿常规
C.双手+双足X线片
D.类风湿因子
E.以上均是

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