患者,男,52岁。患扩张型心肌病16年,呼吸困难、活动受限、下肢水肿4年,来院检查。

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问题:

患者,男,52岁。患扩张型心肌病16年,呼吸困难、活动受限、下肢水肿4年,来院检查。查体:血压90/60mmHg,心率96次/分,心律整,双肺底多数湿啰音,左心室舒张末内径69mm,LVEF31%,尿蛋白微量,肾小球滤过率25ml/min。此时对患者进行治疗,最合适的药物是

A.卡托普利+呋塞米+美托洛

B.卡托普利+氢氯噻嗪+硝酸酯

C.氯沙坦钾+呋塞米+螺内酯

D.氯沙坦钾+美托洛尔+硝酸酯

考点:普通考研西医综合西医综合
题型:单项选择题

I do not need a calendar to tell me when it is winter. All I need is my nose. When I wake up in the morning and smell the tasty treats my mom is cooking downstairs, I know winter has arrived.

The first one is the smell of chocolate. During the holiday season (from Thanksgiving to New Year’s Day) my mother makes her special hot chocolate. She always adds a peppermint candy cane (薄荷味拐棍糖) to the drink and tops it with cream.

The hot chocolate gets me out of bed, but it is my mother’s chocolate fudge (软糕) that makes me run downstairs. It is a thick chunk (块) of chocolate that tastes like heaven. My mother adds nuts. That gives it more texture (质感).

But my mother isn’t done yet. She also makes a treat she calls “window panes (窗玻璃)”. She takes a few different colored marshmallows (棉花糖) and melts them together with chocolate. The final product looks like a colorful church window, so we call it “window panes”.

These tasty holiday treats are usually eaten after a meal as a dessert. But don’t tell Santa Claus because I secretly eat them all day long.

小题1:What wakes “me” up in the morning?

A.The alarm clock.

B.My mom.

C.The noise upstairs.

D.The smell of food.小题2: In the author’s eyes, the taste of the chocolate fudge is ____.

A.terrible

B.wonderful

C.awful

D.so so小题3:With nuts, the chocolate fudge tastes _____.

A.softer

B.sweeter

C.harder

D.hotter小题4:The “window panes” the author mentions refer to _____.

A.special hot chocolate drink

B.decorations on the window

C.chocolate cake with fruits on it

D.a mixture of marshmallows and chocolate小题5:Why does the author look forward to the winter?

A.There is plenty of time to play around.

B.The food his mom cooks is mouthwatering.

C.It’s great fun to play outdoors.

D.He can have a good rest during the winter.

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在关系数据库中,用来表示实体之间联系的是

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耐张绝缘子串采用X-4.5或XP-6型悬垂绝缘子。

在海拔高度为1000m及以下的一级污秽地区,220kV耐张绝缘子串不宜少于( )。

A.13片;
B.14片;
C.15片;
D.16片。

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以下对防火墙的说法错误的是()。

A.只能对两个网络之间的互相访问实行强制性管理的安全系统

B.通过屏蔽未授权的网络访问等手段把内部网络隔离为可信任网络

C.用来把内部可信任网络对外部网络或其他非可信任网的访问限制在规定范围之内

D.防火墙的安全性能是根据系统安全的要求而设置的,因系统的安全级别不同而有所不同

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促销首先要抓住(),投其所好或所需。

A.季节促销

B.商品质量

C.消费者心理

D.服务

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