问题 单项选择题 A1/A2型题

诊断甲亢(Graves病)最有价值的体征是()

A.皮肤湿润多汗、手颤

B.阵发性心房颤动

C.窦性心动过速

D.收缩压升高,舒张压降低,脉压增大

E.甲状腺肿大伴震颤和血管杂音

答案

参考答案:E

解析:

甲亢的临床表现:

①甲状腺毒症表现有高代谢综合征,皮肤湿润多汗。精神神经系统表现有手和眼睑震颤。心血管系统有心动过速,收缩压升高、舒张压降低、脉压增大,阵发性心房颤动。

②甲状腺肿表现为弥漫性、对称性,无压痛,甲状腺上、下极可触及震颤,闻及血管杂音,此体征最有价值。故选E。

③眼征。

④胫前黏液性水肿。

单项选择题
阅读理解

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53.The part before the letter ________.

A.describes ancient Roman Emperor Charlemagne

B.introduces Vatican City, the independent state in Europe

C.tells about the famous Italian scientist and artist Michelangelo

D.gives an imaginary picture of the grandness of National Geographic Society

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A.quality of presentation           B.importance of sales

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A.the recipient (接受者)         B.the recipient, his wife and children

C.art historians                   D.traveling salesmen