试题与答案

女,46岁,工人。腰背部疼痛伴双下肢无力4个月来诊。无明显外伤史及午后低热、消

题型:单项选择题

题目:

女,46岁,工人。腰背部疼痛伴双下肢无力4个月来诊。无明显外伤史及午后低热、消瘦病史。体格检查:胸腰段后凸畸形,叩痛。双下肢自L3平面以下皮肤痛觉减退,双下肢屈、伸膝及足背伸、跖屈肌力Ⅳ级。双膝、踝反射(+),双直腿抬高试验(-)。X线片示腰椎生理曲度变直,L2/L3椎间隙狭窄,腰大肌影隆起。

为进一步确诊,下列哪项检查不必要

A.腰椎MRI

B.腰椎CT

C.结核菌素试验

D.腰椎双斜位片

E.ESR

答案:

参考答案:D

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________ ________ ________ people in the bookshop?

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________ ________ ________ ________ restaurants on the top floor.

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There ________ ________ ________ over here.

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