問題詳情

120. 58歲女性病人,因為血壓低及意識不清被送至急診。她的內分泌檢查顯示 fT4 0.65 ng/dL, hsTSH 0.32uIU/mL, cortisol (8 am) 5 ug/dL, ACTH 40 pg/mL, GH 2.5 ng/mL, prolactin 6 ng/mL。下列哪一個選項,最支持腦垂體功能不全(hypopituitarism) 診斷?(參考值: fT4 0.70~1.48 ng/dL; hsTSH 0.35~4.94uIU/mL;cortisol (8am) 5~25 ug/dL; cortisol (4pm) 2.5~12.5 ug/dL; ACTH 7.4~57.3pg/mL; GH <8 ng/dL;prolactin 5~23 ng/mL)
(1) insulin hyoglycemia test, 當 glucose <40 mg/dL時, GH 為 6 ng/mL.
(2) Insulin hypoglycemia test, 當 glucose < 40 mg/dL時, cortisol 為 9 ug/dL.
(3) TRH stimulation test, peak TSH 4.25 uIU/mL.
(4) TRH stimulation test, peak prolactin 19 ng/mL.
(5) CRH stimulation test, peak ACTH 90 pg/mL.
(A) (1)+(2)
(B) (2)+(3)
(C) (3)+(4)
(D) (1)+(2)+(3)
(E) (2)+(3)+(5)

參考答案

答案:B
難度:計算中-1
書單:沒有書單,新增

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