试题与答案

病历摘要：患者，男，70岁。2小时前打麻将时突发剧烈头痛，伴呕吐胃内容物2次，随后右

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题型：多项选择题 案例分析题

题目：

病历摘要：患者，男，70岁。2小时前打麻将时突发剧烈头痛，伴呕吐胃内容物2次，随后右侧肢体抽动，持续5分钟后缓解，由家人送来急诊，由高血压病史10年，否认心脏病，糖尿病史。入院查体：BP180/100mmHg，HR68次/分，律齐，神志清，痛苦面容，检查能配合，双瞳孔等大等圆，对光反射存在，双侧鼻唇沟对称，伸舌居中，四肢肌力Ⅴ度，病理征未引出，颈强直，双侧Kerning征（＋）。

该患者的诊断可能是：（）

A.脑出血

B.脑室出血

C.蛛网膜下腔出血

D.化脓性脑膜炎

E.病毒性脑炎

F.脑肿瘤卒中

G.脑栓塞

H.高血压性脑病

答案：

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考点：神经内科(医学高级)医学高级(神经内科)副高特训押题密卷七
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