[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$fCTbnjUjGqCkCsrOE-wnFNf7QRInBbZG6W-YMCi5Cxsg":3},{"answer":4,"createTime":5,"id":6,"options":7,"origin":13,"question":20,"related":21,"source":33,"type":34},[],"2025-05-23 09:11:08",190164786,[8,9,10,11,12],"足","肘","耳轮","手","膝",{"count":14,"courseId":15,"courseImg":16,"courseName":17,"workId":18,"workName":19},68,"65788deca717c119201b478bc15924ac","https:\u002F\u002Ftihai-oss-cloud.itihey.com\u002Fimg\u002Fd9db2d5efddaa106e36cd224f3bb20e3.jpg","内科护理学2","work_43649737","国际市场营销作业1","痛风石的最常见部位()",[22,35,45,55,65,75,78,88,98,108],{"answer":23,"createTime":24,"id":25,"options":26,"question":32,"source":33,"type":34},[],"2025-05-23 09:11:07",190164761,[27,28,29,30,31],"缓慢起病、自首发大关节,如膝关节、髋关节等活动后加重","急性起病、首发第一跖趾关节,疼痛剧烈伴红、肿、热,夜间加重","缓慢起病、以腰背部疼痛明显,部位不固定,阴天时加重","缓慢起病、首发小关节,如双手指间关节、掌指关节等,休息后加重","缓慢起病、自首发腕、膝关节,休息后缓解","急性痛风发作的特点是()","v1",0,{"answer":36,"createTime":5,"id":37,"options":38,"question":44,"source":33,"type":34},[],190164766,[39,40,41,42,43],"原发性痛风患者中,尿酸排泄减少者不足10%","限制嘌呤饮食5 天后,每日尿酸排出超过 1000mg,可认为尿酸生成过多","尿酸排泄障碍中,以肾小管分泌尿酸减少最为重要","酶的缺陷是导致尿酸排泄减少的主要原因","多数高尿酸血症患者都要发生痛风","关于痛风,说法正确的是()",{"answer":46,"createTime":5,"id":47,"options":48,"question":54,"source":33,"type":34},[],190164771,[49,50,51,52,53],"秋水仙碱","消炎痛","皮质类固醇","丙磺舒","别嘌呤醇","治疗痛风性关节炎急性发作的特效药物是()",{"answer":56,"createTime":5,"id":57,"options":58,"question":64,"source":33,"type":34},[],190164776,[59,60,61,62,63],"骨关节炎","结核性关节炎","化脓性关节炎","类风湿关节炎","痛风性关节炎","男性,54岁,突发右膝关节疼痛1d,查体右膝关节红肿,压痛(+),X线示:关节腔内有平行于关节皮质的细线状高密度影,关节腔穿刺滑液检查见针状尿酸盐结晶,诊断考虑()",{"answer":66,"createTime":5,"id":67,"options":68,"question":74,"source":33,"type":34},[],190164781,[69,70,71,72,73],"复查血尿酸","建议多饮水,戒酒","进一步寻找高尿酸血症病因及相关因素","低嘌呤饮食","立即给予别嘌呤醇降尿酸","67 岁男性平素体健,饮酒多年,体检发现血尿酸 520umol\u002FL,进一步处理不恰当的是()",{"answer":76,"createTime":5,"id":6,"options":77,"question":20,"source":33,"type":34},[],[8,9,10,11,12],{"answer":79,"createTime":5,"id":80,"options":81,"question":87,"source":33,"type":34},[],190164791,[82,83,84,85,86],"多见于中、老年男性","女性多在更年期后发病","多有家族史","急性发作时,血尿酸一定高于正常","常与肥胖、高血压、高血脂伴发","下列关于原发性痛风不正确的是",{"answer":89,"createTime":5,"id":90,"options":91,"question":97,"source":33,"type":34},[],190164797,[92,93,94,95,96],"男性<380mmol\u002FL,女性<340mmol\u002FL","男性<400mmo\u002FL,女性<350mmol\u002FL","男性<420mmo\u002FL,女性<360mmol\u002FL","男性<440mmol\u002FL,女性<370mmol\u002FL","男性<460mmol\u002FL,女性<380mmol\u002FL","血中尿酸水平的正常值为",{"answer":99,"createTime":5,"id":100,"options":101,"question":107,"source":33,"type":34},[],190164802,[102,103,104,105,106],"精米和精面","水果和蔬菜","鸡蛋","牛奶","沙丁鱼","痛风患者进行饮食治疗时,最应限制的食物是()",{"answer":109,"createTime":5,"id":110,"options":111,"question":117,"source":33,"type":34},[],190164807,[112,113,114,115,116],"先有关节软骨缘破坏,关节面不规则,继之关节间隙狭窄,破坏仅限于关节软骨及骨皮质","先有关节软骨缘破坏,关节面不规则,继之关节间隙狭窄,软骨下骨内及骨髓内均可见痛风石沉积","破坏始自关节软骨中央,关节面不规则,继之关节间隙狭窄,破坏仅限于关节软骨及骨皮质","破坏始自关节软骨中央,关节面不规则,继之关节间隙狭窄,软骨下骨内及骨髓内均可见痛风石沉积","先有关节软骨缘破坏,关节面不规则,继之关节间隙增宽,软骨下骨内及骨髓内均可见痛风石沉积","痛风反复发作后,其X线表现为()"]