E.滑膜液CPPD阳性 2648.一年轻女性患者出现双手指、腕关节肿胀、疼痛伴晨僵一月,ESR80mm/hr,RF1110u 风湿科医生诊断该病人为“类风湿关节炎”,目前疾病处于活动期。那么该患者选择的最佳 治疗措施是(中,应用) A.非甾体抗炎药 B.非甾体抗炎药+糖皮质激素 C.非甾体抗炎药+甲氨蝶呤 D.非甾体抗炎药+金制剂 E.中药治疗 2649. A 35-year-old woman presents with a 3-year history of progressive rheumatoid arthritis that has been partially responsive to various nonsteridal anti-inflammatory medications and to low-dose oral corticosteroids. After the examination, you decide to treat her active arthritis with methotrexate, the most widely used and effective agent currently used to treat rheumatoid arthritis Some of the facts about methotrexate therapy to tell her include(难,记忆) A. Therapeutic effects are delayed so that clinical improvement is not generally seen for 3 to 6 weeks after initiation of treatment B. Adverse effects may include oral ulcers, nausea, vomiting, pneumonitis, bone marrow suppression, and cirrhosis C. Complete blood count, platelet count, alkaline phosphatase level, and serum glutamic-oxaloacetic transaminase (SGOT) level should be obtained every 4 to 6 weeks to monitor therapy D. Birth control measures must be in use before methotrexate is started E. All of the above 2650.一女性病人,39岁,双手指关节、掌指关节、腕关节肿痛2月,每天晨僵时间平均 为2小时。无皮疹。RF150u,ANA(-),抗Sm(-) dS-DNA24,抗SSA(-),抗SSB(-), 抗 UIRNP(-)。ESR40mmhr。双手X线片示:无异常发现。此病人的诊断是(易,应用) 系统性红斑狼疮E．滑膜液 CPPD 阳性 2648．一年轻女性患者出现双手指、腕关节肿胀、疼痛伴晨僵一月，ESR80mm/hr，RF 1 110u。 风湿科医生诊断该病人为“类风湿关节炎”，目前疾病处于活动期。那么该患者选择的最佳 治疗措施是（中，应用） A．非甾体抗炎药 B．非甾体抗炎药+糖皮质激素 C．非甾体抗炎药+甲氨蝶呤 D．非甾体抗炎药+金制剂 E．中药治疗 2649．A 35-year-old woman presents with a 3-year history of progressive rheumatoid arthritis that has been partially responsive to various nonsteridal anti-inflammatory medications and to low-dose oral corticosteroids. After the examination, you decide to treat her active arthritis with methotrexate, the most widely used and effective agent currently used to treat rheumatoid arthritis. Some of the facts about methotrexate therapy to tell her include（难，记忆） A. Therapeutic effects are delayed so that clinical improvement is not generally seen for 3 to 6 weeks after initiation of treatment. B. Adverse effects may include oral ulcers, nausea, vomiting, pneumonitis, bone marrow suppression, and cirrhosis. C. Complete blood count, platelet count, alkaline phosphatase level, and serum glutamic-oxaloacetic transaminase (SGOT) level should be obtained every 4 to 6 weeks to monitor therapy. D. Birth control measures must be in use before methotrexate is started. E. All of the above 2650．一女性病人，39 岁，双手指关节、掌指关节、腕关节肿痛 2 月，每天晨僵时间平均 为 2 小时。无皮疹。RF150u，ANA（-），抗 Sm（-）ds-DNA2.4，抗 SSA（-），抗 SSB（-）， 抗 U1RNP(-)。ESR40mm/hr。双手 X 线片示：无异常发现。此病人的诊断是（易，应用） A．系统性红斑狼疮