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问题 单项选择题

男性，72岁，因活动后心悸、气短2周入院。查体：BP145／90mmHg，心界扩大，心率110次／分，心音减弱，可闻及舒张期奔马律。1年前曾行冠状动脉造影示三支血管严重病变，最可能的诊断是（）

A.高血压性心脏病

B.缺血性心肌病

C.甲状腺功能亢进性心肌病

D.原发性扩张型心肌病

E.炎症性心肌病

答案

参考答案：B

解析：患者主要临床表现为心脏扩大和心力衰竭，冠状动脉造影示三支血管严重病变，应首先考虑缺血性心肌病，入院后查体有高血压，有可能系心力衰竭的表现，其他各项更无证据。

单项选择题

在（23）中，①代表的技术通过对网络数据的封包和加密传输，在公网上传输私有数据、达到私有网络的安全级别;②代表的技术把所有传输的数据进行加密，可以代替telnet，可以为ftp 提供一个安全的 “通道”;③代表的协议让持有证书的Internet 浏览器软件和 WWW 服务器之间构造安全通道传输数据，该协议运行在 TCP/IP 层之上，应用层之下。

A．①SSH②VPN③SSL

B．①VPN②SSH③SSL

C．①VPN②SSL③SSH

D．①SSL②VPN③SSH
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单项选择题

Throughout the 19th century and into the 20th, citizens of the United States maintained a bias against big cities. Most lived on farms and in small towns and believed cities to be centres of (1) , crime, poverty and moral (2) Their distrust was caused, (3) , by a national ideology that (4) farming the greatest occupation and rural living (5) to urban living. This attitude (6) even as the number of urban dwellers increased and cities became an essential (7) of the national landscape. Gradually, economic reality overcame ideology. Thousands (8) the precarious (不稳定的) life on the farm for more secure and better paying jobs in the city. But when these people (9) from the countryside, they carried their fears and suspicions with them. These new urbanities, already convinced that cities were (10) with great problems, eagerly (11) the progressive reforms that promised to bring order out of the (12) of the city.

One of many reforms came (13) the area of public utilities. Water and sewerage systems were usually operated by (14) governments, but the gas and electric networks were privately owned. Reformers feared that the privately owned utility companies would (15) exorbitant (过渡的) rates for these essential services and (16) them only to people who could afford them. Some city and state governments responded by (17) the utility companies, but a number of cities began to supply these services themselves. (18) of these reforms argued that public ownership and regulation would (19) widespread access to these utilities and guarantee a (20) price.

（12）（）

A.chaos

B.chores

C.chorus

D.outbreaks
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