神经内科诊断试题无答案.docx

神经内科诊断试题无答案.docx

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神经内科诊断试题无答案

神经内科诊断试题无答案（Thereisnoanswertothediagnosticquestionsinneurologydepartment）

I.radioquestions

1,apatientshouldnotbreathe,presstheorbittorespond,breathesteadily,andthereflexesoftheabdominalwalldisappear.Thepupillaryreflexandtendonreflexarepresent,andtheconsciousstateis

Asober

Bsleepiness

Ccoma

ComainD

Edeepcoma

2,aboutthecorticalsyndrome,thecorrectthingis

Apatientsareconsciousbutalmostcompletelylostmotorfunction.

Bcannotchewandswallowandrequiresnasogastrictubefeeding.

Ccanestablishcontactwiththesurroundingsbyeyeopeningoreyemovements.

Dintoupperlimbflexion,lowerlimbextensionstatus

Eduetopontinebasementlesions.

3,theGuzmansyndromeiswrong

Abilateralfingeragnosia

Blimbdisorientation

Cwriteoff

Dreadout

Emiscalculated

4leftlateralviewoftheopticchiasmcancause

Abinocularhemianopia

Beyesnasalhemianopia

Clefteyeblind

Dlefteyeblindness

Elefttemporalblindness

5whentherightvisualradiationiscompletelyimpaired

Aleftviewrighthomonymoushemianopia,lightreflex,thecenterofthefieldofvision.

Bviewrighthomonymoushemianopia,rightlightreflex,thecenterofthefieldofvision.

Cviewoflefthomonymoushemianopia,hasleftthelightreflection,thereisthecenterofthefieldofvision

Dlefteyeblind

Eviewoflefthomonymoushemianopia,hasleftthelightreflection,thecenterofthefieldofvision.

6whatiswrongwithregardtotheopticpapillaatrophy?

TheprimaryatrophyofAispale,whiletheborderisclearandthesieveplateisclear.

Bsecondaryatrophycanbeseenpaleopticpapilla,buttheboundaryisnotclear,wecannotseethesieveplate.

Copticnervecompressioncancauseprimaryopticnerveatrophy

Dopticneuropathymaycausesecondaryopticatrophy

Esecondarylateralgeniculatebodyandopticradiationcancausesecondaryopticatrophy.

7sideoculomotornerveparalysisdoesnotoccur

Aptosis

Beyeballcannotbeadduction

Cdilatedpupilsandlostlightreflexes

Dtheeyeballcannotberemoved

Ediplopia

8whichofthefollowingisacomplexfeeling?

Amotionperception

Blocalizationsense

Cvibrationsense

Dpositionsense

Etouch

9whichofthefollowingisadeepreflex?

Aabdominalwallreflex

Banklereflex

C'stesticularreflex

Dpharyngealreflex

Ecornealreflex

10whichofthefollowingisacontraindicationforlumbarpuncture

Apurulentmeningitis

Bviralmeningitis

Cintraspinaltumor

Dposteriorfossatumors

Etuberculousmeningitis

11whichofthefollowingdoesnotbelongtothebrainstemfunctiontest?

Adollheadtest

B'sciliaryreflex

Ceyeheartreflex

Docularvestibularreflex

Eneckstretchreflex

12onthecerebrospinalfluid,whichofthefollowingisnotnormal

Apressure180mmH2O

Bnecktestpositive

ThenumberofCcellswas5x10^6,mainlymononuclearcells

QuantitativedeterminationofDproteinby0.45g/L

Equantitative2.5mmol/L

Atotalof13patientswithaheadacheandvomitinginFebruarytohospitalforinjectionofvomiting,fundus:

Opticdiscedema.Ifthelumbarpunctureexamination,intracranialpressuremaybe

A60mmH2O

B100,mmH2O

C120,mmH2O

D160,mmH2O

E250,mmH2O

14crossthresholdgaitisseen

Acerebellarlesions

Bperonealmuscularatrophy

Cmultiplesclerosis

Dcerebralpalsy

SubacutecombinedspinaldegenerationofE

Whichofthefollowing15doesnotbelongtotheataxiatest?

Asupinepositiontest

Bfingernosetest

Creboundtest

Dfastcomplexrotationtest

Efingerpointingtest

16unilateralhemiplegiaandunilateralsensorydisturbanceoccurred

Aipsilateralspinalcord

Bipsilateralinternalcapsule

Cipsilateralmedullaoblongata

Dcontralateralinternalcapsule

Econtralateralspinalcord

17aboutperipheralfacialparalysis,thefollowingisincorrect

Aipsilateralinabilitytocloseeyes

Bipsilateralnasolabialfold

Cstriaedisappearedonthesameside

WhenDopensthemouth,theangleofmouthiscrookedtothesameside

EipsilateralBellphenomenonwaspositive

18ofthepatientssufferedfromrightoculomotornerveparalysisandleftparalysis

Ainternalcapsule

Bmidbrain

Cpons

Dmedullaoblongata

Ehighcervicalsegment

19patientswithrighteyeabduction,grinningmouthleftslanting,righteyecannotbeclosed,thelefttongue,tonguemuscleatrophy,leftcentralhemiplegiaandlefthemianesthesia,lesionsinthe

Aleftmidbrain

Brightmidbrain

Cleftpons

Drightpons

Erightinternalcapsule

The20kindoftensionintheplumbing

Apyramidaltractlesion

B'spalsy

Cperipheralneuropathy

Dacutemyelitis

Ecerebellarlesions

21,closedeyesdifficulttoerectpositive,butopeneyescanstand,lesionsin

Acerebellum

Bvestibularnerve

Cposteriorspinaltract

Dbasalganglia

Ecerebralcortex

22,thecornealdirectreflexdisappearedandtheipsilateralindirectreflexwaspresent

Aipsilateraltrigeminalnerve

Bipsilateralnerve

Cipsilateraloculomotornerve

Dophthalmicbranchofthecontralateraltrigeminalnerve

Eversuslateralnerve

23determinethelocationoftheneuropathydependsmainlyon

Adetailedhistoryinquiry

Bphysicalexaminationofthenervoussystem

CCSFresults

Dbloodbiochemicalexamination

Eroutinebloodtest

24abouttheRinnetest,thecorrectthingis

ThenormalboneconductiontimeofAislongerthanthatofairconduction

Bconductiondeafnessismoreconductivethanboneconduction

Csensorineuralhearingloss,boneconductionislongerthanairconduction

Dinducedsensorineuralhearingloss,boneconductionandconductiontimewereshortened.

InEsensorineuralhearingloss,boneconductionislongerthanairconduction,whichispositiveforRinnetest.

25themostlikelyoccurrenceofdissociativesensorydisorderis

Aperipheralneuropathy

Bspinalganglialesion

Canteriorhornlesion

Dcentrallesionofspinalcord

Etransversedamageofspinalcord

The26phasenociceptiveobstacledistribution,nodeepfeelingsandsensationsindisorder,lesion

Aheel

Bposteriorhorn

Cspinalnerveroots

Dlateralfasciculusofspinalcord

Eanteriorspinaltractofthalamus

27,themostobviousfacialsensationisatthetipofthenoseandaroundthemouth,andtheperipheralisslightlyworse

Asecondbranchesoftrigeminalnerve

BThirdbranchesoftrigeminalnerve

FacialnerveofC

Dthalamus

Epons

28,motoraphasia,lesionsinthedominanthemisphere

Aposteriorfrontalgyrus

Bposteriortemporalgyrus

Cprecentralgyrus

Dfrontalgyrus

Emarginalgyrus

Thelesionsofthe29internuclearophthalmoplegiaare

Aoculomotornerve

Boccipitalcortex

MediallongitudinalfasciculusofC

Dmediallemniscus

Eopticnerve

30therighteyedirectlyreflectsthelight,andindirectlyreflectsthedisappearanceoflight

Aleftopticnerve

Brightoculomotornerve

Crightophthalmicbranchoftrigeminalnerve

Dleftlateralnerve

Eleftoculomotornerve

Ofthe31Brown-Sequardsyndromes,thefollowingisnottrue

Aparalyzedthecontralateralmotorneuronbelowtheleveloftheplane

Bdeepsensationdisappearedbelowtheipsilateraldamagedplane

Cfeelsabnormalatthesameside

Donthesideofthedamagedplanefollowingnociceptivedisorder

Eisseeninspinalcordhemisectioninjury

32causedbyalesionintheupperlimbparalysis

Aanteriorlimbofinternalcapsule

Bonesideofthefrontalgyrus,nearthelowerend

Csuperiorcerebellarartery

Donesidecervicalenlargementpart,spinalcordanteriorhorncell

Eposteriorlimbofinternalcapsule

33whichofthefollowingisnotcorrect

Aleftnervedamage,rightsideofthequarrel

Blefthypoglossalnervedamage,leadingleft

Cleftvagusnervelesion,leftuvula

Dlefttrigeminalnervehurtstheleftsideofthemandible

Eleftaccessorynervelesion,rightneckrotation.

34,theglossopharyngealnerveinjurywillnotcause

Ahoarsevoice

Bdysphagia

Ctonguedeviation

Duvulaoblique

Epharyngealreflexdisappeared

35,anteriorhornparalysisisnotthecorrectmanifestation

Asegmentalparalysis

Bmuscularatrophy

Chasfibrillation

Ddystonia

Eisoftenaccompaniedbysensoryimpairment

36themostreliablesignsoftruebulbarparalysisandpseudobulbarpalsyare

Adrinkingwaterwithoutchoking?

CantheBtonguestretchout?

Cisasilent

Dmandibularreflexisnegative

Edoespharyngealreflexexist?

37thefollowingstructuredoesnotparticipateinthepupillaryreflexpathway

Aopticnerve

Boculomotornerve

Clateralgeniculatebody

Dciliaryganglion

Eanteriortectumofmidbrain

38whichofthefollowingisnottrueabouttheHornersyndrome?

Ainvagination

Blightdisappeared

Ceyefissionissmall

Dhavelesssweatingonthesameside

Emydriasis

39ofthepupillarylesionsin

Aopticnerve

Boculomotornerve

Clateralgeniculatebody

Dciliaryganglion

Eanteriortectumofmidbrain

40trochlearnervepalsyappears

Aislimitedtothemovementoftheeyeballdownward

BeyeballoutwardmotionLimited

Ceyeballmovementislimitedoutwards

Deyeballmovementislimitedtotheinterior

Eeyesarelimitedbydownwardmovement

41ofthesecondneuronsinthecoarsetactilepathway

Aperipheralnerveending

Btractofthalamus

Clateralnucleusofthalamus

Ddorsalhornofspinalcord

Eposteriorrootganglion

The42positionsensebundlecross

Aanteriorspinalcommissure

Bthalamus

Cmedullaoblongata

Dcerebellum

Einternalcapsule

43patientswithintramedullaryspinalcordtumors,thenociceptiveobstaclestoprogress

Afromthesick,renegadesectionfrombottomtotopdevelopment

Bfromthesick,renegadesectionfromtoptobottomdevelopment

Cdevelopsupanddownatthesametimefromp