Abnormal uterine bleeding (AUB) during the perimenopausae years is mainly caused by（    ）

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• 1溴隐亭治疗高催乳素血症的机制是（    ）

  A.抑制多巴胺的分泌

  B.促进多巴胺时分泌

  C.抑制TRH的分泌

  D.促进TRH的分泌

  E.激活多巴胺受体

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• 2可以抑制PRL分泌的是（    ）

  A.多巴胺

  B.GnRH

  C.GHRH

  D.TRH

  E.CRH

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• 3绝经后激素治疗时，选择药物剂量的原则是（    ）

  A.个体化选择有效剂量

  B.开始大剂量，以后逐步减至有效剂量

  C.开始小剂量，以后逐步增至有效剂量

  D.周期治疗，选择大剂量；连续治疗，选择小剂量

  E.个体化，选择最小有效剂量

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• 4绝经后激素治疗时，选择孕激素的目的是（    ）

  A.改善血管舒缩症状

  B.治疗骨质疏松

  C.改善血脂代谢

  D.保护子宫内膜

  E.保护心血管系统

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• 5经前期综合征是（    ）

  A.反复在黄体期出现周期性以躯体、精神症状为主要特征的综合征；月经来潮后，症状自然消失

  B.反复在卵泡期出现周期性以躯体、精神症状为主要特征的综合征；月经来潮后，症状自然消失

  C.反复在黄体期出现周期性以躯体、精神症状为主要特征的综合征；月经来潮后，症状不消失

  D.反复在卵泡期出现周期性以躯体、精神症状为主要特征的综合征；月经来潮后，症状不消失

  E.反复在黄体期出现周期性以躯体、精神症状为主要特征的综合征；月经结束后，症状才消失

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• 6Primary amenorrhea is defined as（    ）

  A.the absence of menses by 16 years of age in the presence of normal secondary sexual characteristics， or by 14 years of age when there is no visible secondary sexual characteristic development

  B.the absence of menses by 14 years of age in the presence of normal secondary sexual chararcteristics， or by 12 years of age when there is no visible secondary sexual characteristic development

  C.the absence of menses by 14 years of age in the presence of normal secondary sexual chararcteristics

  D.by 14 years of age when there is no visible secondary sexual characteristic de¬velopment

  E.the absence of menses by 16 years of age in the presence of normal secondary sexual chararcteristics， or by 12 years of age when there is no visible secondary sexual characteristic development

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• 7Secondary amenorrhea is defined as（    ）

  A.absence of menstruation for 12 months

  B.absence of menstruation for 6 normal menstrual cycles

  C.absence of menstruation for 3 normal menstrual cycles or 6 months

  D.absence of menstruation for 6 normal menstrual cycles or 9 months

  E.absence of menstruation for 9 normal menstrual cycles or 2 months

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• 8Which of the following is associated with postpartum necrosis of the pituitary（    ）

  A.Turner’s syndrome

  B.MRKH syndrome

  C.Sheehan’s syndrome

  D.Asherman’s syndrome

  E.Kallmans syndrome

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• 9Acanthosis nigricans is considered a marker for（    ）

  A.hyperandrogenism

  B.anovulation

  C.insulin resistance

  D.obesity

  E.Cushing’s syndrome

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• 10In chronic anovulatory patients with PCOS， persistently elevated estrogen levels， uninterrupted by progesterone， increase the risk of（    ）

  A.ovarianneoplasms

  B.endometrial carcinoma

  C.insulin resistance

  D.obesity

  E.diabetes

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