女,30岁,半年来肥胖,皮肤出现痤疮、紫纹,化验血皮质醇增高,血糖增高,小剂量地塞米

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问题:

女,30岁,半年来肥胖,皮肤出现痤疮、紫纹,化验血皮质醇增高,血糖增高,小剂量地塞米松抑制试验血皮质醇较对照低38%,大剂量地塞米松抑制试验血皮质醇较对照低78%。该患者最可能的诊断是()

A.肾上腺皮质腺瘤

B.肾上腺皮质腺癌

C.Cushing病

D.异位ACTH综合征

E.糖尿病

考点:江苏住院医师急诊科酮症酸中毒(内分泌)酮症酸中毒(内分泌)题库
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小军看一本书,每天看20页,7天看完,这本书有______页.

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写出Z-I关系的表达公式()

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《中华人民共和国建筑法》规定,从事建筑活动的( ),应当依法取得相应的执业资格证书,并在执业资格证书许可的范围内从事建筑活动。

A.专业技术人员

B.监理工程师

C.建设管理人员

D.建筑施工人员

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一般急诊处方的用量是()

A.1日用量

B.2日用量

C.3日用量

D.4日用量

E.5日用量

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Exercise, everyone advises! But immediately, when you try, you run into trouble. (46)There is so much contradictory, sometimes incorrect advice about exercising that you become confused. Test yourself on the following true false quiz. It will tell you what you need to know.
1. The best way to reduce the mid-section is to do abdominal exercise.
False. Many people believe that when specific muscles are exercised, the fatty tissues in the immediate area are "burned up." (47)The truth-is that exercise burns fat from all over the body and not from one specific area, regardless of the type of exercise. Of course, if you reduce the fat throughout your body, you will certainly see results around your waistline too!
2. To maintain an adequate level of physical fitness, you need to exercise only twice a week.
False. Studies conducted by NASA, the National Aeronautics and Space Administration, show that unexercised muscles lose their strength very quickly. After 48 to 72 hours, you must use the muscles again to reestablish the good physical effect. And what does that mean to you (48) NASA scientists concluded that while daily exercise is most beneficial, three alternating days each week will maintain an adequate level of physical fitness.
3. To lose weight you should always "work up a good sweat" when exercising.
False. Sweating only lowers body temperature to prevent overheating; it does not help you reduce weight. You may weigh less immediately after a workout, but this is due to water loss. Once you replace the liquid, you replace the weight.
4. If your breathing doesn’t return to normal within minutes after you finish exercising, you’ve exercised too much.
True. Five minutes or so after exercising, your breathing should be normal, your heart shouldn’t be pounding, and you shouldn’t be exhausted. (49) Beneficial exercise is not overly difficult, unpleasant, and exhausting; it is moderate, enjoyable, and refreshing.
5. Walking is one of the best exercises.
True. Walking helps circulation of blood throughout the body, and thus has a direct effect or your overall feeling of health.
6. The minimum amount of time you should spend exercising in a day is 20 minutes.
True. There are more than 400 muscles that attach to your skeleton. (50) A good exercise routine should contract and stretch all these muscles, and this simply cannot be done with four or five exercises in five to ten minutes. From experience, I’ve found that about 20 minutes is the minimum amount of time needed for an adequate workout.

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