试题与答案

男,15岁。有持续发热史。查体左下肢肌张力下降,肌萎缩,腱反射消失,病理反射阴性,呈

题型:单项选择题

题目:

男,15岁。有持续发热史。查体左下肢肌张力下降,肌萎缩,腱反射消失,病理反射阴性,呈弛缓性瘫痪。右下肢检查未发现异常。双下肢均无感觉障碍。病变部位为()

A.脊髓左侧腰骶段前角运动细胞损伤

B.脊髓右侧腰骶段前角运动细胞损伤

C.脊髓左侧皮质脊髓束损伤

D.脊髓右侧皮质脊髓束损伤

E.脊髓左侧皮质脊髓前束损伤

答案:

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参考答案:D

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题型:多项选择题 案例分析题

病历摘要:男性,86岁,右眼逐渐视力下降三年,不见物一个月,不伴有红、痛及头痛症状,既往有高度近视病史,家族中无遗传病史,否认有外伤史。眼部检查:视力右:指数/30CM,左眼:0.3(-10.00D矫正),双眼球不充血,角膜透明,前房(-),晶体核呈棕色混浊,双眼底小瞳孔下较为模糊。

病人可能出现下列哪种情况?()提示:病人一年后,视力下降,但角膜移植片透明,眼部B超未见视网膜脱离征象。

A.视神经炎

B.视网膜变性

C.老年黄斑病变

D.黄斑裂孔

E.后发性白内障

F.人工晶体移位

G.角膜排斥反应

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题型:阅读理解

Mother-of-three Carmen Blake called her midwife(助产师)to ask for an ambulance when she went into labor unexpectedly with her fourth child.

But the 27-year-old claims she was refused an ambulance and told to walk the 100m from her house in Leicester to the city’s nearby Royal Infirmary(医院).

Her daughter Mariah was delivered on a pavement outside the hospital by a passer-by, just before ambulance crews arrived.

Ms Blake said she started going into labor at about 7:15 am on Sunday, August 2. She said, “I phoned up the Royal Infirmary, it’s just across the road.

“I went into the bath and realized she was gong to come quickly. I didn’t think I’d be able to make it out of the bath, so I phoned the maternity(妇产科的) ward back and told them to get an ambulance out.”

They said they were not sending an ambulance and told me I had had nine months to sort out a lift.

Experienced mother MS Blake today said she knew she had to get herself out of the bath and try to get to the hospital.

Eventually MS Blake and her friends enlisted the help of a physiotherapist(理疗师) who happened to be passing on her way to work. She dialed 999 and helped deliver baby Mariah while waiting for emergency services.

Ms Blake said despite the happy ending she was upset she was told to make her own way to the hospital as, being an experienced mum, she knew she did not have the time.

Today a government spokeswoman said, “We are disappointed that Ms Blake was not happy with the advice and care she received and will of course investigate any complaint. We are pleased that both Ms Blake and her daughter are well and healthy.”

小题1: Carmen Blake, the 27-year-old mother, gave girth to her new child Mariah           .

A.in the city’s Royal Infirmary

B.in the ambulance on her way to hospital

C.out of the bath at home

D.in the street on her way to hospital小题2:The underline3d phrase “went into labor” in the first paragraph probably means           .

A.felt worried

B.felt tired

C.gave birth to

D.went to sleep小题3:It can be inferred that           .

A.there were not enough ambulance in the Royal Infirmary

B.the story ended with a sad ending

C.the maternity ward said Ms Blake only needed a lift

D.the maternity ward said Ms Blake ought to call earlier小题4:Carmen Blake accused the Royal Infirmary of           .

A.failing to send an ambulance to help her

B.having killed her newly-born baby

C.not taking good care of her and her baby

D.refusing to admit her into the hospital

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