B代谢率升高的程度 C.甲状腺肿大的程度 D体重下降的程度 E.131吸收率 2230. A 40 years old woman comes to you because of generalized weakness, dizziness, and cold intolerance. A physical examination is positive for a mildly enlarged, firm, rubbery textured goiter. Her thyroid test reveals a free thyroxine level of 0. 5ug per deciliter(normal 0.7-1. 85)with TSH level of 28mlU/ml (normal: 0.3-5 ). The patient is begun on levothyroxine at 100ug per da Approximately I month later, she presents back to you with a 10 day history of generalized weakness, nausea, and vomiting and is noted to be hypotensive in the office. All the following are likely to be present in this patient EXCEPT:(易、应用) A. positive antimicrosomal antibody titers B C. A M. cortisol level of 3ug per deciliter D. History of transient hyperthyroidism a few months ago E. Normal FT4 level after I month on levothyroxine therapy 2231.A 32-year-old man is referred to you for evaluation of thyrotoxicosis. A referring physician noted, as you do from the history, that the patient has had increasing heat intolerance over the past 3 to 4 months, with a 10-to 15-ob weight loss, insomnia, tremor, and palpitations. The initial lab word done by the referring physician and sent to you revealed a Ft4 level of 0.6 ug per deciliter(normal: 0.5 to 1.85)and TSH level of less than 0.05 mlU per milliliter( normal: 0.32 to 5.0). A thyroid scan with uptake reveals essentially no visualization of the thyroid, and the 24-hour uptake was 1.5%. The patient denies any tenderness of the neck or any other symptoms except those noted. On examination, the patient has a normal blood pressure with a pulse of 110 beats per minute;warm,clammy skin; a fine tremor of his hands; velvety smooth skin; and small thyroid He has no history of thyroid surgery. His repeated FT4 and TSH tests confirm the findings by the The next step to take in the evaluation of this patient would be(易、应用) A. Repeat his thyroid scan and uptake B. Measure TSH receptor antibodies C. Do a thyrotropin-releasing hormone stimulation test D. Measure total serum T3 level E. place the patient on levothyroxine therapy and return him to his primary care physician 2232. Features associated with Graves's disease include which of the following?(易、应用) A Infiltrative ophthalmopathy B. Pretibial myxede C. Thtroid acropachy D Diffuse lymphadenopathy with splenomegaly E. All of above *2233. A 25-year-old woman in her eighth week of pregnancy is referred to you with an actual 3-lb weight loss during her pregnancy, palpitations, decreased appetite, tremor, and insomnia. Her obstetrician noted that her thyroid was enlarged to three times normal in a diffuse manner, and her thyroid test revealed a FT4 level of 3. 4 u g per deciliter(normal: 0.5 to 1.8)and TSH level fo less than 0.05 mlU per milliliter(normal: 0.5 to 5.0). The patient has had no nausea or vomiting Your physical examination reveals a diffusely enlarged, nontender thyroid, and she is noted to have bilateral proptosis, with a measurement by a Hertel exophthalmometer of 23mm(normalB.代谢率升高的程度 C.甲状腺肿大的程度 D.体重下降的程度 E.131I 吸收率 2230.A 40 years old woman comes to you because of generalized weakness, dizziness, and cold intolerance. A physical examination is positive for a mildly enlarged, firm, rubbery textured goiter. Her thyroid test reveals a free thyroxine level of 0.5ug per deciliter (normal 0.7-1.85)with TSH level of 28mIU/ml (normal: 0.3-5). The patient is begun on levothyroxine at 100ug per day. Approximately 1 month later, she presents back to you with a 10 day history of generalized weakness, nausea, and vomiting and is noted to be hypotensive in the office. All the following are likely to be present in this patient EXCEPT: （易、应用） A. positive antimicrosomal antibody titers B. eosinophilia C. A.M. cortisol level of 3ug per deciliter D. History of transient hyperthyroidism a few months ago E. Normal FT4 level after 1 month on levothyroxine therapy 2231.A 32-year-old man is referred to you for evaluation of thyrotoxicosis. A referring physician noted, as you do from the history, that the patient has had increasing heat intolerance over the past 3 to 4 months, with a 10- to 15-ob weight loss, insomnia, tremor, and palpitations. The initial lab word done by the referring physician and sent to you revealed a FT4 level of 0.6μg per deciliter(normal: 0.5 to 1.85) and TSH level of less than 0.05 mIU per milliliter(normal: 0.32 to 5.0). A thyroid scan with uptake reveals essentially no visualization of the thyroid, and the 24-hour uptake was 1.5%. The patient denies any tenderness of the neck or any other symptoms except those noted. On examination, the patient has a normal blood pressure with a pulse of 110 beats per minute; warm, clammy skin; a fine tremor of his hands; velvety smooth skin; and small thyroid. He has no history of thyroid surgery. His repeated FT4 and TSH tests confirm the findings by the referring physician. The next step to take in the evaluation of this patient would be（易、应用） A. Repeat his thyroid scan and uptake B. Measure TSH receptor antibodies C. Do a thyrotropin-releasing hormone stimulation test D. Measure total serum T3 level E. place the patient on levothyroxine therapy and return him to his primary care physician 2232. Features associated with Graves’s disease include which of the following? （易、应用） A. Infiltrative ophthalmopathy B. Pretibial myxedema C. Thtroid acropachy D. Diffuse lymphadenopathy with splenomegaly E. All of above *2233. A 25-year-old woman in her eighth week of pregnancy is referred to you with an actual 3-lb weight loss during her pregnancy, palpitations, decreased appetite, tremor, and insomnia. Her obstetrician noted that her thyroid was enlarged to three times normal in a diffuse manner, and her thyroid test revealed a FT4 level of 3.4μg per deciliter(normal: 0.5 to 1.8) and TSH level fo less than 0.05 mIU per milliliter (normal: 0.5 to 5.0). The patient has had no nausea or vomiting. Your physical examination reveals a diffusely enlarged, nontender thyroid, and she is noted to have bilateral proptosis, with a measurement by a Hertel exdophthalmometer of 23mm (normal: