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*For medical professionals to read and reference Xueba Challenge, waiting for you! Female, 30 years old
.
Low-grade fever with joint swelling and pain for 3 months, mild anemia, antinuclear antibody (+), anti-double-stranded DNA antibody (+), suspected systemic lupus erythematosus, the drug of choice for treatment is A.
NSAID B .
Sulfasalazine C.
Immunosuppressants D.
Antibiotics E.
Glucocorticoids Answer: C Analysis: The prominent clinical manifestations of rheumatoid arthritis are: ① recurrent, symmetrical, multiple microarthritis, with The joints of the palms, wrists, and toes of the hands are the most common; ②In the early stage, there are redness, swelling, heat, pain and dysfunction, and in the advanced stage, the joints may have varying degrees of stiffness and deformity
.
The diagnosis requires 2 of the following, and the duration of joint symptoms should be no less than 6 weeks: ① morning stiffness; ② tenderness and pain with movement (as seen by the doctor); ③ history or findings of joint swelling ; Subcutaneous nodules (as seen by the doctor); ⑤ ESR increased, C-reactive protein positive
.
Because hand joints are usually small joints, E is correct, and large joints are generally not involved, so C does not appear, so C is selected
.
Link to the previous article: 53-year-old female rheumatoid arthritis patient, which symptom does not appear?
.
Low-grade fever with joint swelling and pain for 3 months, mild anemia, antinuclear antibody (+), anti-double-stranded DNA antibody (+), suspected systemic lupus erythematosus, the drug of choice for treatment is A.
NSAID B .
Sulfasalazine C.
Immunosuppressants D.
Antibiotics E.
Glucocorticoids Answer: C Analysis: The prominent clinical manifestations of rheumatoid arthritis are: ① recurrent, symmetrical, multiple microarthritis, with The joints of the palms, wrists, and toes of the hands are the most common; ②In the early stage, there are redness, swelling, heat, pain and dysfunction, and in the advanced stage, the joints may have varying degrees of stiffness and deformity
.
The diagnosis requires 2 of the following, and the duration of joint symptoms should be no less than 6 weeks: ① morning stiffness; ② tenderness and pain with movement (as seen by the doctor); ③ history or findings of joint swelling ; Subcutaneous nodules (as seen by the doctor); ⑤ ESR increased, C-reactive protein positive
.
Because hand joints are usually small joints, E is correct, and large joints are generally not involved, so C does not appear, so C is selected
.
Link to the previous article: 53-year-old female rheumatoid arthritis patient, which symptom does not appear?
