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女性,31岁,发现“风湿性瓣膜病”2年。2周前因感冒出现呼吸困难,咳嗽,不能平卧。查体:半卧位,颈静脉充盈,双肺底湿啰音。心率127次/分,心房颤动,可闻开瓣音,心尖部舒张期杂音,肝肋下0.5cm,下肢轻度水肿。 以下哪项结果与病情不符合

A. 心电图示左心房肥大
B. 心电图示右心室肥大
C. X线示心影呈“靴型心”
D. 超声心动图示后叶前向移动和瓣叶增厚

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女性,60岁,间断水肿3年,加重1个月,气短、尿少2天。既往有糖尿病病史2年。查体:血压150/90mmHg,腹水征阳性,下肢明显水肿,其余未见异常。辅助检查:尿蛋白(++++),红细胞0~2/HP,血浆白蛋白20g/L。 对该患者确诊和治疗最有意义的检查是

A. 尿白蛋白排泄率
B. 肾功能
C. 肾活检
D. 肾脏B超

Wholly aside from aesthetic and moral considerations, fashion is an economic absurdity, and there is little to be said in its favor. Nevertheless, we Carl appreciate the wisdom in Gina Sombrero’s belief that the enormous stress which women lay on everything pertaining to clothes and the art of personal adornment is connected with the tendency to crystallize sentiment into an object. Woman symbolizes every important event in her life by a special dress; and a jewel or a beautiful gown means to a woman what an official decoration means to a man. "If a woman’s clothes cost the funnily and society a little time, money, and activity, they allow woman, independent of lies and calumnies, to triumph and come to the fore outside of man’s world and competition. They allow woman to satisfy her desire to be the first in the most varied fields by giving her the illusion that she is first, and at the same time enabling her rival to have the same illusion. Clothes absorb some of woman’s activity which might otherwise be diverted to more or less worth-while ends; they give woman real satisfaction, a satisfaction complete in itself, and independent of others, and they constitute safety valve which saves society from much greater and more dangerous evils than those which they cause." The aptness of these observations lies in the emphasis on clothes which are really beautiful and distinctive. But fashion is not primarily concerned with beauty; and fashion connotes conformity, not the individuality so cherished by our society and so artfully suggested by the copywriters. Many people who rigorously follow fashions believe they are following their own inclinations; they are unaware of the primitive, tribal compulsion; and this is true of fashions in manners, morals and literature, as well as in clothes. The author of this article believes that fashion______.

A. is an unimportant force in a woman’s life
B. promotes conformity
C. promotes individuality
D. is primarily concerued with beauty

女性,60岁,间断水肿3年,加重1个月,气短、尿少2天。既往有糖尿病病史2年。查体:血压150/90mmHg,腹水征阳性,下肢明显水肿,其余未见异常。辅助检查:尿蛋白(++++),红细胞0~2/HP,血浆白蛋白20g/L。 对该患者最可能的诊断是

A. 慢性肾炎急性发作
B. 高血压肾损害
C. 糖尿病肾病
D. 肾病综合征

女性,60岁,间断水肿3年,加重1个月,气短、尿少2天。既往有糖尿病病史2年。查体:血压150/90mmHg,腹水征阳性,下肢明显水肿,其余未见异常。辅助检查:尿蛋白(++++),红细胞0~2/HP,血浆白蛋白20g/L。 对该患者最主要的治疗用药是

A. 利尿剂
B. 糖皮质激素
C. 胰岛素
D. 血管紧张素转换酶抑制剂

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