患者,男性,46岁。3天前查体发现血压160/98mmHg,平素无任何症状。既往体健

题型:多项选择题 共用题干题

问题:

患者,男性,46岁。3天前查体发现血压160/98mmHg,平素无任何症状。既往体健,吸烟20年,每日20支,其母死于高血压脑出血。查体:BP178/100mmHg,P62次/分,肥胖体型,双肺(-),心脏不大,A2>P2,下肢不肿。

提示:2年后,患者BP160/90mmHg,心率88次/分,尿蛋白(+),血肌酐458μmol/L,空腹血糖7.0mmol/L,超声心动图示:左心室肥厚,左室舒张末内径60mm。问题5:此时患者宜选用的治疗药物是()

A.卡托普利25mg,每日3次

B.氨氯地平5mg,每日1~2次

C.氯沙坦100mg,每日1次

D.呋塞米40mg,每日1次

E.氢氯噻嗪50mg,每日1次

F.螺内酯40mg,每日1次

G.特拉唑嗪2mg,每日1次

考点:山东住院医师内科Ⅰ阶段实践技能实践技能题库
题型:多项选择题 共用题干题
The world would be a better place if we all had children’s eyes. This is not because children’s eyes are too sharp to allow any blot(污点,瑕疵)to pass without being     , but because adults have too many conflicting concerns to keep their eyes open to all wrongdoing.
Not long before, an examination, intended to     some police officers to higher positions, was held in Gansu province. Someone     with a good idea that 18 primary pupils could be invited to act as invigilators (监考人). At that age, students would do as they are told and act fearlessly.      , they caught 25 officers cheating on the spot, which has caused a stir (轰动,搅动) and      the question of whether adult invigilators would      their duties as well.
The implication of this event goes      its impact on the work style of local police officers and the examinations. Most people said what these children have done points to the sad fact of      being less trustworthy. If adults acted as invigilators, they would quite      turn a blind eye to cheating.
We Chinese have been holding the      that human nature was good at birth: as      of blot as a sheet of blank paper, which can be      with content (good or bad) in the process of growing up. Everything should be done on the basis of certain principles(原则).      , nowadays the repeated reports of cheating in examinations, selling ranks and      and embezzling (挪用) public funds paint a      picture of common social morals.    Adults have become too concerned with their own personal gains to      basic sense of principles. When no one      any principle and the only concern is personal interest, everyone will      , not only those who first break the rules.
Besides, cheats are unfair to honest examinees, and when the success of cheats      more people to cheat, the consequences will be disastrous.
In a word, we adults need to have our eyes as      as children’s on matters of principle.
小题1:
A.praisedB.dismissedC.caughtD.thrown
小题2:
A.developB.investigateC.preventD.promote
小题3:
A.caught upB.came up C.kept up D.put up
小题4:
A.SurprisinglyB.UsuallyC.SafelyD.Slowly
小题5:
A.hid B.recommendedC.raisedD.affected
小题6:
A.acceptB.ignore C.refuse D.perform
小题7:
A.without B.beyond C.into D.for
小题8:
A.tutorsB.pupils C.adults D.teachers
小题9:
A.probably B.suddenly C.luckilyD.gradually
小题10:
A.opportunityB.dream C.belief D.hope
小题11:
A.free B.busy C.uglyD.dirty
小题12:
A.describedB.filledC.purchased D.charged
小题13:
A.Unless B.Therefore C.However D.Thus
小题14:
A.namesB.titlesC.goodsD.products
小题15:
A.brightB.beautiful C.pleasant D.sad
小题16:
A.care aboutB.put asideC.contribute toD.come across
小题17:
A.understandsB.observes C.possesses D.change
小题18:
A.actB.existC.sufferD.survive
小题19:
A.advises B.encourages C.warns D.informs
小题20:
A.beautifulB.young C.wide D.clear
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