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2017年广州内科主治医师每日必练选择题(四)

2017年广州内科主治医师每日必练选择题（四）

1、对于原发性高血压的降压治疗，下述哪些是不对的C

A、根据个性化原则选用降压药物

B、大多数病人需要长期用药

C、血压降至正常时即可停药

D、首选第一线降压药物

E、除危重病例外，降压药物从小剂量开始

2、下列哪些不属于继发性高血压E

A、肾A狭窄性高血压

B、嗜铬细胞瘤

C、醛固酮增多症

D、皮质醇增多症

E、急进型高血压

3、下列疾病中，除哪一种外均常导致症状性高血压B

A、急性肾炎

B、急性肾盂肾炎

C、主A缩窄

D、嗜铬细胞瘤

E、肾A狭窄

4、高血压脑病时，最常见的症状是E

A、一时性脑缺血

B、意识丧失、抽搐

C、脑出血

D、偏瘫、失语

E、头痛、头晕

5、在高血压的心脏并发症中首先出现的是C

A、心绞痛

B、心律不齐

C、左室肥厚

D、左室扩大

E、心衰

6、CLBBB的ECG特点是D

A、QRS波群时限≥0.12 s，V1～2导联QRS波群呈rSR’型，V5～6导联S波增宽变深

B、QRS波群时限≥0.12 s，V1～2导联QRS波群呈rS型，V5～6导联S波增宽变深

C、QRS波群时限≥0.12 s，V1～2导联QRS波群呈rSR’型，V5～6导联R波增宽伴有切迹

D、QRS波群时限≥0.12 s，V1～2导联QRS波群呈rS型，V5～6导联R波增宽伴有切迹

E、QRS波群时限≥0.12 s，V1～2导联QRS波群R波增宽伴有切迹，V5～6导联QRS波群呈rSR’型

7、LAH的ECG特点是B

A、QRS波群时限<0.12 s，电轴左偏超过-45°，Ⅰ、aVL导联QRS波群呈rS型，Ⅱ、Ⅲ、aVF导联呈qR型

B、ORS波群时限<0.12 s，电轴左偏超过-45°，Ⅰ、aVL导联QRS波群呈qR型，Ⅱ、Ⅲ、aVF导联呈rS型

C、QRS波群时限<0.12 s，电轴左偏超过-45°，Ⅰ、aVL导联QRS波群呈Rs型，Ⅱ、Ⅲ、aVF导联呈Qr型

D、QRS波群时限<0.12 s，电轴左偏超过-45°，Ⅰ、aVL导联QRS波群呈rS型，Ⅱ、Ⅲ、aVF导联呈Rs型

E、QRS波群时限<0.12 s，电轴左偏超过-45°，Ⅰ、aVL导联QRS波群呈qR型，Ⅱ、Ⅲ、aVF导联呈QS型

8、关于抗心律失常药物，下列哪种阐述是错误的B

A、抗心律失常药物，可减少或消除快速性心律失常的发生

B、抗心律失常药物，均可减少心脏性猝死的发生率

C、小剂量胺碘酮，可降低心脏性猝死的发生率

D、β-RB，可降低心脏性猝死的发生率

E、某些抗心律失常药物，存在促心律失常作用

9、属于Ic类抗心律失常药物的是D

A、利多卡因

B、维拉帕米

C、普萘洛尔

D、普罗帕酮

E、莫雷西嗪

10、属于Ⅲ类抗心律失常药物的是B

A、奎尼丁

B、胺碘酮

C、美西律

D、普罗帕酮

E、普鲁卡因胺

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