第6题: [单项选择]男性,54岁,类风湿关节炎(RA)病史5年,近2个月来感到双手指关节痛加重,晨僵约1小时,从未经过正规系统治疗。检查:双手第1、2MCP滑膜肥厚,右侧第2-4指近指关节肿胀,压痛明显。左侧第2、3指近指关节肿胀伴压痛,双手X线示双腕诸骨间隙消失并融合,双掌指、近指关节间隙明显狭窄此患者的首选治疗方案中除应用NSAID对症治疗外。同时可选用的慢作用抗风湿药物是() A. 肾上腺皮质激素 B. 甲氨蝶呤 C. 甲氨蝶呤+柳氮磺胺吡啶 D. 柳氮磺胺吡啶 E. 雷公藤 参考答案:C
A. they saw a stranger in the office B. their morning break was ended C. no one wanted to talk to Marie D. the boss was about to arrive 参考答案:D 答案解析:[解析]由末段中“Then Marie realized that the day’s work in the office began just before Mr.Smith arrived”可知