问题 单项选择题

高血压合并糖尿病,BP180/100mmHs,心率65次/分,尿蛋白(+),血肌酐正常,选用下列哪类药物降压最合适

A.ACEI制剂

B.β-受体阻滞剂

C.钙离子拮抗剂

D.利尿剂

E.α-受体阻滞剂

答案

参考答案:A

解析:高血压治疗的药物选择是常考点,尤其是有各种特殊合并症时的药物选择。详见[2006N053]的归纳表格。血管紧张素酶抑制剂(ACEI)可使高血压合并糖尿病肾病早期患者尿蛋白减少,因此高血压合并糖尿病首选ACE抑制剂(A)。

判断题
单项选择题

Lichens may grow on the bark of a tree in a steaming tropical rain forest, on the bricks of big city buildings, on rocks in hot springs, on wind-swept mountaintops, and in the driest desserts. In the arctic, they provide the principal food for caribou, and they are one of the few plants that grow in Antarctica. They are pioneers, appearing in barren rocky areas and starting the formation of soil in which mosses, then ferns, and then other plants can take root.
Lichens are a partnership of two plants — fungi and algae. The lichen body is made up of a network of fungal strands. In the upper layers of these grow groups of algae. The two organisms live together to the benefit of both, a relationship known as symbiosis. The fungi provide support, absorb water, and shelter the tender algae from direct sunlight. The algae carry on photosynthesis and provide the fungi with food. The algae can live independently and are recognizable as a species that grows alone. The fungi, on the other hand, cannot live apart from their partners. They can be placed in known classes of fungi but are unlike any species that lives independently.
So definite are the form, color, and characteristics of these double organisms that for hundreds of years, they were classified as one. More than 15,000 "species" were named. If these organisms are classified as separate species, it is difficult to fit them into the existing system of classification. But if they are classified separately, these species of fungi seem rather strange. Lichens are a splendid example of the difficulties faced by taxonomists in classifying species.

Which of the following best expresses the main idea of Paragraph 2

A.Because of their characteristics as double organisms, it is difficult to classify lichens.
B.Over 15,000 varieties of lichens have been identified.
C.Double organisms should always be classified as separate species.
D.Taxonomists always find it difficult to classify new species of plants.