問題詳情
1.35歲女性病人主訴多處關節腫痛已經二個星期，包括兩側wrist joints，proximal interphalangeal joints及Knee joints，其晨間關節僵硬，約一小時。皮下並沒有發現結節（nodules），血中類風濕因子為低濃度陽性，雙手X光無特別變化。請問最適當的處置方式為何？
(A)立即給予大量類固醇治療
(B)給予抗生素治療一至二星期
(C)立即選擇一種以上病程改善葯物（DMARD）使用
(D)應考慮馬上使用生物製劑如TNF blocker
(E)給予非類固醇消炎止痛劑（NSAID）並觀察病情發展
(A)立即給予大量類固醇治療
(B)給予抗生素治療一至二星期
(C)立即選擇一種以上病程改善葯物（DMARD）使用
(D)應考慮馬上使用生物製劑如TNF blocker
(E)給予非類固醇消炎止痛劑（NSAID）並觀察病情發展
參考答案
答案：E
難度：計算中-1
書單：沒有書單，新增
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