题目内容

患者男性,38岁。于饮酒后夜间突发右足第一趾关节剧烈疼痛,不敢行走。既往史:无银屑病、高血压、糖尿病病史。体格检查:体温36.8°C,脉搏75次/分,呼吸20次/分,体重70kg,血压120/80mmHg。面色好,眼睑无水肿,查体右脚无皮肤无破损,第一趾关节红肿。两肺听诊无异常,心音有力、律齐,腹平软,肝脾肋下未触及。实验室检查:血液生化,尿酸(URIC)670μmol/L(参考范围140.0-420.0),尿素氮(UREA)7.5mmol/L(参考范围1.80-7.50),肌酐(CREA)90μmol/L(参考范围49-133),类风湿因子阴性,C反应蛋白(CRP)12mg/L(0-5),其余指标均在正常范围内。关于尿酸的描述,错误的是:

A. 尿酸是细胞内嘌呤核苷酸分解代谢的产物
B. 尿酸是细胞内嘧啶分解代谢的产物
C. 别嘌呤醇可通过抑制黄嘌呤氧化酶进而抑制尿酸的产生
D. 尿酸溶解度相对较小,高尿酸易形成尿酸盐结晶沉积
E. 尿酸溶解度相对较大,易于从尿中排出

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Listen again. What other important things do the people mention?

Task one: People are talking about business they own. What does each people think is the most important?

A. the fish
B. chefs
C. service

What doesthe people think is the most important?

A. the website
B. a good value
C. speed

What doesthe people think is the most important?

A. speed
B. prices
C. quality

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