患者女，65岁，因“全身水肿2个月，心悸、气促1周”来诊。患者怕冷、食欲减退、腹胀，夜里常有呼吸困难。既往有甲状腺功能亢进症病史，23年前曾行放射性碘治疗。查体：T36.5℃，P88次/min，R23次/min，BP150/100mmHg；慢性病病容，结膜苍白，口唇发绀，颈静脉充盈，甲状腺无肿大；双下肺呼吸音减弱，未闻及干、湿性啰音，心界扩大，心音低钝，HR88次/min，律齐；腹部膨隆，移动性浊音（＋），肝、脾肋下未触及，双下肢指压痕（＋）。
进一步治疗，正确使用的药物有（）
A.利尿药
B.甲状腺素片替代治疗
C.硝酸酯类药物扩张冠状动脉
D.血管紧张素转化酶抑制药（ACEI）
E.地高辛
F.他汀类药物
参考答案：A, B, C, D
第Ⅱ卷（非选择题 共35分） 第四部分写作(共两节，满分35分) 第一节：任务型读写(共10小题；每小题1分，满分10分)阅读下面短文，根据所读内容在表格中的空白处填入恰当的单词。注意：每个空格只填一个单词。 Some people succeed, while others may not. This is because some people possess certain qualities, which others do not. The first thing you must remember is that in order to succeed, you must be optimistic. If you do not expect to win, you will not try as hard as those who do expect to win. You also need to have a clear aim and a reason for doing something because motivation is a key to achieving success. If you do not have an aim, you will not be motivated to work hard put your performance under the microscope to make sure that every detail is right. Another quality that helps people succeed is creativity-----thinking about things in a different way and wondering how others would do the same thing. Think about some successful people you know. They might be successful with a little creativity, but the most successful people are the most creative ones. Reading is another to success, as it will help you learn about how other people have achieved success. If you want to learn how to set up a successful business, you should read books about famous people like Bill Gates and Jerry Yang, who have achieved amazing success in their areas of business. Practicing is equally important if you want to succeed because practice makes perfect. Practice every day at whatever career you are in, and by doing so, you will see yourself, your business and your self-confidence begin to grow. If you feel confident about what you do, this confidence will make other people believe in you as well. Your colleagues will be happy to work with you, and your boss will give you more responsibility. Finally if you are a successful person, you will be able to look people in the eye and smile confidently. Success is yours for the taking! Cheers!
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