问题 单项选择题

患者男,40岁,近8周反复发作剧烈头痛、心悸,未予治疗。近来三次不同时间测血压分别为220/126mmHg、180/120mmHg、140/95mmHg.对其诊断与处理最重要的考虑为()。

A.继续在不同时间内测血压,以确定是否为高血压病

B.寻找其血压升高的病因,以确定有无继发性高血压

C.试用卡托普利治疗,观察其用药反应

D.作头部CT、心脏超声与肾功能检查,迅速确定靶器官的损害情况

E.暂不处理,3个月后复查血压

答案

参考答案:B

解析:

此题考查了发现高血压症状后的处理。一旦病人三次非同日血压结果证实病人有高血压,应首先确认病人血压的增高是原发性的,还是继发的,以决定下一步的治疗方法。

单项选择题
完形填空

完形填空(共20小题;每小题1.5分,满分30分)

阅读下面短文,从短文后所给各题的四个选项(A、B、C和D)中,选出可以填入空白处的最佳选项,并在答题卡上将该项涂黑。

Many years ago,I owned a service station and roadhouse on the main road between Melbourne and Adelaide.

One very cold,wet night at about 3:30 a.m.,there was a    41   on the front door of our house.A young man,wet from      42     to toe,explained that he had      43     out of petrol about 30 km up the road.He had left his pregnant(怀孕的) wife and his two children    44   at the car and said that he would hitchhike(搭便车) back.

Once I had    45   a can with petrol,I took him back to his car where his two-year-old and four-year-old children were both    46  ,saying that they were cold.Once the car had started,I suggested that he    47   me back.

Before leaving,I had turned the heater    48   in the roadhouse,so that when we went in,it was nice and    49  .While the little ones played and ran    50  ,I prepared bread and butter for the children,and hot chocolate for the    51  .

It was about 5 a.m. before they   52 .The young fellow asked me how much he    53   

me and I told him that the petrol pump(加油泵) had    54   $15.He offered to pay “call-out fee”,but I wouldn’t accept it.

About a month later,I received a    55   from Interstate,a large bus company that we bad been trying to    56   to stop off at our roadhouse for a long time.It    57   out that the young fellow I had helped was its general manager,the most    58   person in the company.

In his letter,he thanked me again and    59   me that,from then on,all their buses would stop at my service station.In this    60  ,a little bit of kindness was rewarded with a huge amount of benefits.

41.A.kick                    B.hit                                   C.beat                          D.knock

42.A.finger                   B.shoulder                    C.head                         D.hand

43.A.driven                  B.used                          C.come                        D.run

44.A.away                    B.behind                      C.over                          D.out

45.A.supplied               B.poured                      C.equipped                   D.filled

46.A.sleeping                B.crying                       C.quarrelling                D.fighting

47.A.allow                   B.ring                          C.lead                          D.follow

48.A.on                        B.off                            C.in                             D.over

49.A.neat                            B.hot                           C.warm                        D.attractive

50.A.around                 B.inside                        C.nearby                      D.along

51.A.drivers                 B.guests                       C.customers                  D.adults

52.A.left                      B.arrived                      C.ate                            D.disappeared

53.A.gave                     B.paid                          C.owed                        D.offered

54.A.appeared               B.exhibited                   C.calculated                  D.shown

55.A.call                      B.letter                         C.check                        D.notice

56.A.get                       B.force                         C.require                      D.hope

57.A.pointed                 B.turned                       C.worked                            D.found

58.A.generous               B.successful                  C.serious                      D.powerful

59.A.praised                 B.persuaded                  C.informed                   D.convinced

60.A.lesson                   B.business                    C.aspect                       D.case