問題詳情

79 有一個 10 歲心智發育遲緩男孩,能自行負責日常起居,病人具短頭(Brachycephaly)、瞼裂較斜,並具明顯內眥贅皮摺,病人並有手掌斷掌紋,胸部理學檢查則顯示具有 Grade III/VI 之收縮性雜音。 此類病人在 40 歲時幾乎都會發生下列何種疾病?
(A)急性白血病
(B)肝硬化
(C)慢性腎衰竭
(D)阿滋海默氏病(Alzheimer's disease)

參考答案

答案:D
難度:困難0.333333
統計:A(0),B(0),C(4),D(4),E(0)

用户評論

Chris】評論

In Trisomy 21 (Down’s syndrome), the c’some 21 codes for beta amyloid, and if you have three of these, you will make more beta amyloid protein.  And beta amyloid protein is toxic to neurons; so, if you have trisomy 21 are making more beta amyloid protein, then you will be losing more neurons b/c you are losing more of this protein that is toxic to neurons.  This is why they always ask the question about a pt dying at forty and on autopsy, you see atrophy of the brain and it reveals senile plaques in frontal and temporal lobes, and will ask what pt had – Down’s syndrome.  All down’s pts...