患者女性，35岁。颈部增粗，伴失眠，易激动，食欲亢进半年，查体：甲状腺弥漫性肿大，眼球突出，脉搏100次／分，血压130／80mmHg，CT示胸骨后甲状腺肿。

该患者的基础代谢率是（）

A.-30%

B.-20%

C.+20%

D.+30%

E.+39%

Directions:

You just spent your summer holidays in Tom’s hometown, Tom’s home is at a small and quiet countryside. Now, you are going to write him a letter of thanks for all he and his family did for you during your stay there.

Imagine some details of the summary holidays. Write your letter in no less than 100 words. Write it nearly on ANSWER SHEET 2.

Do not sign your own name at the end of the letter; use "Li Ming" instead.

Do not write the address, (10 points)