某女患者，36岁。心搏增快，乏力，怕热多汗，烦躁易怒、食亢、易饥、消瘦四年，加重月余。其兄有类似病史。体查：T37.0℃，心率120次／分，BP142/70mmHg，甲状腺Ⅱ。增大、质软、右叶可闻及血管杂音、未扪及结节。双眼稍突、皮肤潮湿，双手抖（+）。
本患者拟诊断为甲亢的临床根据有哪些（）
A.高代谢表现
B.有神经系统功能亢进表现
C.有消化系统功能亢进的表现
D.甲状腺肿大
E.以上都对
参考答案：E
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Yesterday evening I was watching the evening news on TV. The news was about a prize for sci entific discoveries. The 1 said something that caught my 2 . "All great discoveries," he said, "are made by people between the ages of 25 and 30." Being a little over 30 myself, I wanted to 3 with him. Nobody wants to think that he has passed the age of making any 4 . The next day I went to the public  library, spending several hours, and 5 to find the ages of famous people and their discoveries. The announcer was right! First, I looked at some of the 6 discoveries. One of the earliest, the famous one that 7 that bodies of different weights 8 at the same speed, was made by Galileo when he was 26. Madam Curie started her research that led to a Nobel Prize when she was 28. Einstein was 26 when he 9 his world-changing Theory of Relativity. Well, 10 of that. Yet I wondered if those "best years" were true in other 11 . Then how about this in 12 ? Surely it needs the wisdom of 13 to  make a good leader. Perhaps it does, but look when these people 14 their careers. Winston Churchill was elected to the House of Commons at the age of 26. Abraham Lincoln 15 the life of a country lawyer and was elected to the government at what age? Twenty-six! But why don't best years come after 30? After 30, I 16 , most people don't want to take risks or try new ways. Then I thought of people 17 Shakespeare and Picasso. The 18 was writing wonderful 19 at the late age of 50, 20 the latter was still trying new ways of painting when he was 90! Perhaps there is still hope for me. | ||||
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