问题 多项选择题 案例分析题

患者男,23岁,因“皮肤紫纹、血压升高8个月,向心性肥胖3个月”来诊。查体:BP145/95mmHg;典型皮质醇增多症体征。实验室检查:空腹血糖7.0mmol/L,血钾3.5mmol/L,钠142mmol/L;过夜小剂量地塞米松抑制试验:血F(8AM):服药前28.79μg/dl,服药后23.01μg/dl;血ACTH84.6~85.6pg/ml。

为明确皮质醇增多症的病因诊断,应进行的检查项目包括()。

A.大剂量地塞米松抑制试验

B.小剂量地塞米松抑制试验(2d法)

C.24h尿钾、钠、氯

D.CRH兴奋试验

E.LDDST-CRH联合试验

F.岩下静脉插管取血测ACTH

答案

参考答案:A, C, D, F

填空题
完形填空

完形填空(共20小题;每小题1.5分,满分30分)

阅读下面短文,掌握其大意,然后从36~55各题所给的四个选项(A、B、C和D)中,选出最佳选项,并在答题卡将该项涂黑。

Lang Lang is a world-class young pianist who grew up in Shenyang.He went to a piano school in Beijing when he was just eight.“You need   36  ,”his father said.“But if you don’t work hard,no fortune will come.”

What made him sad was   37   his piano teacher in Beijing didn’t like him.“You have no talent(天赋).You will never be a pianist.”   38   a nine-year-old boy,Lang Lang was badly   39  .He decided that he didn’t want to be a   40   any more.For the next two weeks he didn’t touch the piano._   41  ,his father didn’t push,but waited.

Luckily,the day came when his teacher asked him to    42     some holiday songs.He didn’t want to,but as he placed his fingers on the piano keys,he   43   that he could show others that he had talent   44  .That day he told his father   45   he had been waiting to hear—that he wanted to study with a new teacher.   46   that point on,everything turned around.

He started   47   competitions(比赛).In the 1994 International Young Pianists Competition,when it was   48   that Lang Lang had won,he was too   49   to hold back his tears.Soon   50   was clear that he couldn’t stay in China forever—he had to play on the world’s big   51  .In 1997 Lang Lang   52   again,this time to Philadelphia,U.S.There he spent two years practising,and by 1999 he had worked hard enough for fortune to take over.After his   53   performance at Chicago’s Ravinia Festival,gigs(特邀演出) in Lincoln Center and Carnegie Hall started   54   in.Lang Lang finally worked to reach the place where fortune spots(发现) him,and lets him   55  .

36.A.exercise                B.fortune                      C.knowledge                 D.wealth

37.A.whether                B.why                          C.when                        D.that

38.A.Like                     B.With                         C.To                                   D.As

39.A.hurt                            B.weakened                  C.ruined                       D.frightened

40.A.singer                   B.pianist                       C.conductor                  D.player

41.A.Hopefully             B.Patiently                   C.Wisely                      D.Painfully

42.A.play                            B.sing                          C.write                        D.study

43.A.seemed                 B.admitted                    C.noticed                      D.realized

44.A.in all                    B.above all                   C.after all                            D.at all

45.A.that                      B.what                         C.which                       D.when

46.A.From                   B.At                                   C.Since                        D.After

47.A.receiving                     B.accepting                   C.winning                    D.beating

48.A.told                      B.mentioned                 C.announced                 D.recognized

49.A.excited                 B.encouraged                C.shocked                     D.satisfied

50.A.this                      B.it                              C.that                           D.what

51.A.concerts                B.tours                         C.competitions              D.stages

52.A.started                  B.left                           C.moved                      D.performed

53.A.successful             B.cheerful                    C.respectful                  D.meaningful

54.A.pulling                 B.breaking                    C.falling                       D.pouring

55.A.brighten               B.shine                         C.admire                      D.develop