lt西氏内科学gtCHAPTER

年最新版的CecilMedicine新增项目，部分章节后附有习题，快来测试一下吧~（已经被我的注释淹没了??）

REVIEWQUESTIONS

1.A72-year-oldwomanpresentswithgradualonsetofdigitalparesthesia手指感觉异常anddifficultywithfinemovement精细运动ofthehands.Morerecently,shehasnoticedanelectricalsensationrunningdownhertrunk躯干andintoherlimbs四肢whenshebendsherheadforward.Sheisfoundtohaveahemoglobinconcentrationof9.8g/dLandameancellvolumeoffL.Abloodfilmshowsmacrocytes巨幼红细胞,ovalmacrocytes,andhypersegmentedneutrophils多节核中性白细胞.Whichofthefollowingisthemostlikelydiagnosis?

A.Neuroacanthocytosis神经棘红细胞增多症

B.VitaminB12deficiency

C.Folicacid叶酸deficiency

D.Alcoholicliverdisease

E.Copper铜deficiency

Answer:BThepatienthasdescribedthefeaturesofperipheralneuropathyandLhermittesyndrome莱尔米特综合征.TheseneurologicfeaturesinapatientwithmacrocyticanemiaandhypersegmentedneutrophilsareindicativeofvitaminB12deficiencycausingmegaloblasticanemia巨幼红细胞性贫血,peripheralneuropathy,andsubacute







































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