试题与答案

患者,女,42岁。诊断为Cushing综合征,为与肥胖症鉴别,最有价值的表现是A.高

题型:单项选择题

题目:

患者,女,42岁。诊断为Cushing综合征,为与肥胖症鉴别,最有价值的表现是

A.高血压

B.月经少或闭经

C.糖耐量减低

D.血皮质醇失去昼夜规律

答案:

参考答案:D

解析:单纯性肥胖少数也可有与皮质醇增多症相似的表现。可合并高血压,糖耐量降低,闭经或月经稀少,痤疮及(或)多毛,非典型紫纹,条纹细且多为白色,少数为淡红色。但一般单纯性肥胖无向心性肥胖、皮肤菲薄、多血质、瘀斑及典型紫纹。X线检查蝶鞍无扩大,尿17-羟较少明显增高,血浆皮质醇无明显增高,且保存正常昼夜分泌节律。而皮质醇增多症尿游离皮质醇>552μmol/24h(>200μg/24h);尿17-羟>55.2μmol/24h(>20mg,/24h);血皮质醇:晨间基础值高于正常、节律消失。即0点>138μmol/升(>5μg/dl);过夜地塞米松抑制试验:次晨8时,血皮质醇>110μmol/L(>4μg/dl)或下降<50%;小剂量地塞米松抑制试验:服药第2日,尿游离皮质醇>55.2μmol/24h(>20μg/24h),17-(OH)CS>11μmol/24h(>4mg/24h)

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1. What is Mrs. King doing? 

    _______________________________________________

2. Why does Jodie come to the kitchen? 

    _______________________________________________

3. 写出(A)处kitchen 的汉语意思。 

    _______________________________________________

4. 改写(A)句,句意不变。 

    _______________________________________________

5. 在(B)处填上适当的词语,使句子完整,文章通顺。 

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