患者女，42岁，发作性咳喘5年余，春秋季易发作，每次发作持续1个月，当地医院诊断为“慢性支气管炎”，给予抗菌、镇咳、平喘治疗后可缓解。近2年病情加重，全年均有症状，当地医院诊断“哮喘”，给予“沙美特罗替卡松干粉吸入剂50/250μg，2次/d”治疗，患者自觉效果不佳未规律使用。

疾病最可能的诊断是（）

A.变应性支气管肺曲菌病

B.侵袭性肺曲菌病

C.肺结核

D.支气管哮喘

E.支气管扩张症

Although Tom did not actually get the best scores on every single test, ____________his high scores on the psychological tests____________finally won him his position as the best pilot.

A．it is; which

B．it was; that

C．it has been; that

D．it was; where