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单选题 患者女性,60岁,在精神紧张、情绪激动后感觉头晕、头痛、眼花、耳鸣,血压升高,休息后血压恢复正常。检查无其他异常。临床诊断为原发性高血压。此阶段患者可能有以下哪项病变

A、 小动脉硬化
B、 细动脉硬化
C、 大动脉硬化
D、 细动脉硬化伴心脏肥大
E、 细、小动脉及内脏器官无器质性病变

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