试题与答案

患者男,84岁,因“一过性意识丧失1次”来诊。患者昨晚看电视时突然意识不清,家人呼之

题型:单项选择题 案例分析题

题目:

患者男,84岁,因“一过性意识丧失1次”来诊。患者昨晚看电视时突然意识不清,家人呼之不应,双目上翻,约数秒钟后自行缓解。查体:T36.7℃,P60次/min,R18次/min,BP140/70mmHg;意识清楚,精神可,颈静脉无怒张;双肺呼吸音清,HR60次/min,律齐,各瓣膜听诊区未闻及病理性杂音;腹软;双下肢无水肿。

此患者应进一步做的检查是()(提示动态心电图:正常。颅脑CT:多发性腔隙性脑梗死。直立倾斜试验(-),颈动脉窦按摩试验(-)。患者于入院后第4天与他人交谈时,再次意识丧失,持续约数秒,立即做心电图,结果提示窦性心动过缓,最慢心率46次/min。)

A.动态血压

B.跟踪72h动态心电图

C.动态脑电图

D.颅脑MRI

E.肺ECT

F.冠状动脉造影

答案:

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