问题 单项选择题

男,26岁,上肢血压180~200/100~110mmHg,下肢血压140/80mmHg,体检:肩胛间区可闻及血管杂音,伴震颤,尿17-酮,17-羟类固醇正常,尿苦杏仁酸正常。其高血压原因应考虑为继发于()

A.皮质醇增多症

B.主动脉缩窄

C.嗜铬细胞瘤

D.原发性醛固酮增多症

E.单侧肾动脉狭窄

答案

参考答案:B

解析:主动脉狭窄多数为先天性血管畸形,少数为多发性大动脉炎所引起,特点为上肢血压增高而下肢血压不高或降低,呈上肢血压高与下肢血压不高或降低的反常现象。在肩胛间区、胸骨旁、腋部可有侧支循环动脉的搏动和杂音或腹部听诊有血管杂音。胸部X线摄影可显示肋骨受侧支动脉侵蚀引起的切迹。主动脉造影可确定诊断

单项选择题
阅读理解

阅读理解。

      One-hundred-and seventh birthdays aren't usually celebrated for authors who aren't alive anymore.

But Theodor Seuss Geisel-better known as the children's books author Dr. Seuss -who came into the

world on 2 March, 1904, was an unusual man.

     Like generations of children I was raised on his wonderful stories. But when I now read them to my

children it's not just the childhood memories I enjoy. His writing is brilliant and imaginative and flows with

a self-confidence as sure as the words of a Shakespeare poem. Readers ride his characteristic rhythm (韵律) with an effortless joy that cannot be matched by any other modern writer:

     You have brains in your head

     You have feet in your shoes

     You can steer yourself any direction you choose

     And will you succeed?

     Yes indeed, yes indeed!

     Ninety-eight and three-quarters percent guaranteed.

     Seuss's brilliant cartoons and clever words make his books a delight for adults but they attract mostly

children of course. His stories teach kids moral lessons but in indirect and entertaining ways.

     The first Seuss book I was given was The Lorax, written just as the 60s were becoming the 70s.

Seuss was ahead of his time, and in this book the dawn of concern for environmental problems are shown as the Lorax "who speaks for the trees" battles against an evil businessman who wants to destroy the

forest and make goods "which everyone needs".

     It's not only a warning of the heavy price of environmental destruction, written well before most people had thought to worry, but it's also a smart analysis of consumer societies: "Unless someone like you cares

a whole awful lot, nothing is going to get better. It's not." This is of course a moral message, but not of the kind designed to persuade the youngsters into behavior that adults want.

I could go on, but hey, it's a birthday, and I'm sure you folks have some good toasts to raise for the party…

1. What's the purpose of this passage?

A. To introduce Dr. Seuss's life.          

B. To analyze Dr. Seuss's books.

C. To describe Dr. Seuss's writing style.

D. To celebrate Dr. Seuss's achievements.

2. Why does the author include Dr. Seuss's poem? 

A. To encourage readers to use their brains and choose their own way.

B. To give readers a sample of Seuss's story The Lorax.

C. To provide readers with an example of Seuss's writing style.

D. To explain how relevant Seuss's stories remain today.

3. Why do adults also enjoy Seuss's books? 

A. His words and pictures are imaginative enough to be enjoyed by all.

B. His books give children obvious moral messages to learn from.

C. He writes about adult topics in a way that is understandable to children.

D. He was the first person to write about the environment.

4. When was the book The Lorax written?

A. Early 1960s.    

B. Early 1970s.  

C. Late 1960s.  

D. Late 1970s.

5. Which of the following is true about Seuss?  

A. Many of the issues he discussed attracted greater concern in later years.

B. He is widely considered as the twentieth-century Shakespeare.

C. His books are more popular now than when they were first published.

D. Most readers thought his ideas were difficult to understand.