患者女，20岁，学生。因厌食、消瘦半年入院。半年前因体重较胖有意控制进食，以后每进食后即觉腹胀难受，想吐，吐出刚进的食物感觉胃里会舒服一些，继而逐渐出现厌食，害怕腹胀难受，饭量明显少于正常，有时几天只喝水不进食，体重由原来的65kg下降至26kg（患者身高170cm），伴闭经，脱发，重度贫血，身体十分衰弱。家属有时强行喂东西给她吃，患者就发脾气，吃后便主动诱吐。既往体健，家族史阴性。
以下关于神经性厌食的叙述正确的是（）。
A.多数患者存在体像障碍，即使十分消瘦仍认为自己胖
B.神经性厌食者因食欲减退而不愿进食
C.患者多知道自己体重过低、进食过少是病态，常主动就医
D.患者病后多存在程度不等的内分泌与代谢障碍
E.患者常因食欲差而很少进食，导致明显的体重减轻，或生长发育延迟
F.部分患者可伴有情绪不稳、焦虑、抑郁、强迫观念等不良情绪体验
G.有的患者通过运动、引吐、导泻等手段减轻体重
参考答案：A, D, F, G
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| Sharon wrote this when she was 16 and in the llth grade. Her goal is to become an international diplomat (外 交官) and peace-maker. It was my first day at school. I felt 1 and scared. I went to all my classes with no 2 . It felt like no one 3 . I listened anxiously to all the lessons and waited for lunch 4 at 1:00. Then finally the bell rang. It was time to talk and have 5 . In the lunch line I met a new friend who wore a hijab (穆斯林妇女戴的面纱) on her head, and though I am 6 , we got along fine, and I was so 7 when she said,"Sit with us, at our table." She pointed to the one next to the door. So I 8 , and took my tray and was 9 to walk with her across the floor, when suddenly I felt a jog. "Hey, I saw you on the bus," said a tall girl in a long skirt."I see your Jewish star necklace. You 10 sit with us." At that moment I looked around, and that's when I 11 , to my surprise, the nations of the world, 12 themselves. That's what I saw through my own eyes. The Spanish only sat with Spanish, the Hindus only with Hindus, the Russians always with the Russians, and 13 the Arabs with the Jews. I saw the reason why 14 got started. Everyone 15 to their own kind. The 16 was just like a map of the world, where there should never have been so much separation among nations. But why was everyone so 17 ? And so I turned 18 this girl, and went with the first, and there was no offence, I built a 19 between two worlds when I sat with those 20 from me. | ||||
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