神經(jīng)內(nèi)科出科考試1(Neurologicalexamination1)

Name:cultivateapass:60total:100secondsremainingtime:

Neurologicalexaminationname:mold

I.radioquestions(100questions,1pointseach)

1.,apatient'spositionisimpaired.Whenthepatientis

standingwithhisfeettogether,whichofthefollowing

patientsispronetofall?

A.Bendtheneck

Bhandsoutforward.

C.Bendyourknees

D.Turnaround

E.Closeyoureyes

Thetriggerpointfor2.trigeminalneuralgiaisoftenpresent

in

A.Nose,cheek,cheek

B.Chinandchin

C.Beforetheear,nearthetemporomandibularjoint

Deyesandeyebrows.

E.Mouth,nose,nearcheek

3.belongtoXsexlinkedgeneticdiseaseis

Aataxiatelangiectasia

BDuchennemusculardystrophy

CKearns-Sayresyndrome

Dspinocerebellarataxia

E.Friedreichataxia

4.themosteffectivetreatmentfororthostatichypotensionis

A.Tights

Bmephentermine(wyamine).

C.Salttherapy

Dheadheightsupinewithsalttherapy

E.M.mplussalttherapy

Whichofthefollowingisthemostlikelyoccurrenceof5.over

fingertestandpendulumreflection?

Amyotrophiclateralsclerosis,A

Bsyringomyelia.

C.Spinalmeningesprotrusion

D.Neuroblastoma

E.Syphilisofthespinalcord

Thedifferencebetween6.TCDdeterminationanddifferenttime

determinationismoresignificant

A.10%

B.15%

C.20%

D.25%

E.30%

7.,thepatientsuddenlyaltercationaskew,therightsideof

thestriadisappeared,therighteyefissurelargerthanthe

leftside,theleftsideofthejaw,andtherightnasolabial

foldshallow,maybe

A.Rightcentralfacialpalsy

B.Leftcentralfacialpalsy

C.Peripheralfacialparalysisontherightside

Dleftperipheralfacialparalysis

E.Bilateralperipheralfacialparalysis

8.ofpatientsinthemorningaftertheriseofthelefteye

cannotbeclosed,thelefteyefissureislargerthantheright

side,leftforeheadstriadisappeared,leftnasolabialgroove

shallow,andtherightangleaskew,thelesionsinvolved

A.Leftoculomotornerve

B.Lefttrigeminalnerve

C.Leftfacialnerve

D.Lefthemisphere

E.Notallofthem

9.thecharacteristicclinicalmanifestationsofcortical

syndromeare

A.Pathologicalsignnegative

B.Thedisappearanceoflightreflexes,thepresenceofcorneal

reflexes

C-wakefulness-thesleepcycledisappears

D.Upperlimbflexionandlowerlimbextension

E.Consciousmasticationandswallowing

10.sensoryaphasiamainlydamagesthedominanthemisphere

A.Marginalgyrus

B.Inferiorparietallobule

C.Posteriorpartoffrontalgyrus

D.Posteriorpartofsuperiortemporalgyrus

E.Posteriorpartofinferiortemporalgyrus

11.,thedescriptionofthesilentmutismisincorrect

A.Thereisnolesioninthecerebralhemisphereandefferent

pathway

B.Damagetoreticularactivatingsystemsintheupper

brainstemandthalamus

C.Alsocalledopencoma

D.Increasedmuscletoneandpositivepyramidaltractsign

E.Thereiswakefulness-thesleepcycle

12.posterioranglesensorydisturbancemanifestedas

Aisconsistentwiththeskindistributionofaparticularnerve

root

B.Consistentwiththeskindistributionofaparticularnerve

C.Segmentalpain,warmanddeepsideofthebarrierfeeling

lighter

D.Bilateralsegmentalpainandwarmsensewithoutdeepsensory

disturbance

Edropsforglovesorsocks.Feellike

13.thegunshotwoundtotheupperarmcancausedamagetothe

mediannervecausedbyblastwaves

A.Handpain

B.Inabilitytostretchwrists

C.Atrophyofthefirstdorsalinterosseousmuscle

D.Numbnessofthelittlefinger

E.Radialdeviationofhand

14.ayoungmansufferedfromafractureofthehumerusina

caraccident.Thepainwasrelievedandhiselbowwasweakand

theulnarpalmarfeeloftheforearmwasabnormal,

Thenervehemightinjureinacaraccidentis

A.Supraclavicularnerve

B.Longthoracicnerve

C.Musculocutaneousnerve

Dradialnerve

Emediannerve

15.syringomyeliaoftenoccurinthe

A.Lowerneckandupperthoracicsegment

InsectionB.

C.Lowerthoracicsegment

D.Lowerchestandupperlumbarsegment

E.Upperlumbarsegment

The16.wedgeappearsabovethespinalcord

AC8.

BT2.

CT4.

DT6.

ET8.

17.althoughthebrainweighsonly2%ofthebodyweight,the

amountofbloodsuppliedtothebrainaccountsforthewhole

body

A.10%

B.15%

C.20%

D.25%

Theoxygenneededfor18.brainperminuteis

A.400~500ml

B.500~600ml

C.700~800ml

D.800~900ml

19.,whichoneofthefollowingstatementsistrueofcerebral

hemorrhage?

A.Basalgangliaregionaccountsforabout70%ofcerebral

hemorrhage,cerebrallobe,brainstemandcerebellumeach

accountedfor10%

B.Basalgangliaregionaccountsforabout60%ofcerebral

hemorrhage,cerebrallobe,brainstemandcerebellumaccounted

for40%

C.Basalgangliahemorrhageaccountedfor60%,accountingfor

20%ofthebrainstemandcerebellarlobes,eachaccountedfor

10%

D.Basalgangliahemorrhageaccountedfor60%,accountedfor

20%ofthebrainstemandcerebellarlobes,eachaccountedfor

10%

20.whichofthefollowingstructuresisthemostcommoninthe

basalgangliahemorrhage?

Ashell

Bcaudatenucleus

C.Lenticularnucleus

D.Therewasnosignificantdifferenceintheratesofbleeding

betweenthethreestructures

21.whichhemorrhageruptureofthelateralnucleusofthe

thalamusistheruptureofthefollowingvessel?

A.Thalamus,geniculatebody,artery

B.Thalamicperforatingarteries

C.Allofthemare

D.Noneofthemare

22.typicalmanifestationofabnormalDSAinthebrainbaseis

wrong

Athestenosisorocclusionoftheinternalcarotidartery

siphonsection,themiddlecerebralarteryandtheanterior

cerebralarteryismostlyunilateral

B.Asmokelikevascularnetworkthattravelsdeepfromthebase

ofthebrain

C.Avascularanastomosisnetwork

Dpartialcompensatorythickeningofthevessels

23.,thetreatmentofepilepsy,simplepartialseizures,

complexpartialseizures,rigidity,clonicseizuresand

absenceseizuresareeffectivedrugs

A.Phenytoinsodium

B.CMasiBing

C.Sodiumvalproate

D.Phenobarbital

E

24.male,20yearsold,2monthswithparoxysmalleftthumb

twitch,afterthedevelopmentofthehandandforearm,butthere

isatimetoshouldertic,thedisturbanceofconsciousnesswith

convulsions,incontinence,stop2'3minutes,thisiswhatkind

ofepilepsypatients

A-tonicclonicseizures

B.Psychomotorattacks

C.Localizedmotorseizures

D.Localizedseizurestatus

E.Localizedmotorseizures,secondaryseizures

25.male,8yearsold,currentlyhaslefthandandleftforearm

convulsions,andfinallyexpandstotheentireleftupperlimb

for1minutes.After2consecutiveattacks,theleftupperlimb

musclestrengthwas3degrees,andthetwobicepsandthree

bicepsreflexdecreased.Musclestrengthandsignsreturnedto

normal1dayslater.Thetypeofseizureinthiscaseis

A.Benigncentraltemporalspinewaveepilepsyinchildren

B.Benignoccipitaldischargeepilepsyinchildren

Cclonicseizures

D.Partialmotorseizures

E.Complexpartialseizures

26.DMDpatientshavepseudohypertrophyusually

A.Itwon'thappen

B.Limitedtotheshouldergirdlemuscle

C.Restrictedtopelvicgirdlemuscle

Dlimitedtocalfmuscles

E.Confinedtothethighmuscles

27.periodicparalysisismyotonia

A.Highpotassiumperiodicparalysis

B.Hypokalemicperiodicparalysis

C-normalhypokalemicperiodicparalysis

D.Arrhythmicperiodicparalysis

Ehyperthyroidismperiodicparalysis

28.

A70yearoldmancomplainedoftirednessandslowprogressive

weightlossoverthepast2months.Theexaminationrevealed

thathematocritwas0.35,ESR:129mm/h,WBCcountwas12.8x

109/L,andserumCPKandT4levelswerenormal.Whichofthe

followingismostlikelytobediagnosed?

APM.

B.Myopathy

C.Rheumatoidmyalgia

D.Rheumatoidarthritis

E.Hyperthyroidmyopathy

29.38yearoldmensufferfromhandweaknessanddysphagiafor

5months,andsometimestheybecomeconfused.1monthsbefore

thetreatment,theydevelopprogressivecoughandweakness.The

extentofitdidnotfluctuatesignificantlyduringtheday.

Therewerenoabnormalitiesinsexualfunction,urine,hearing,

vision,andbalance.Physicalexaminationrevealedamarked

atrophyofbothhandsandanincreaseoftendonreflexinboth

limbs.ThebilateralPAPsignwaspositiveandtherectal

sphinctertensionwasnormal.InALSpatients,themainreason

affectinglifeexpectancyisthat

A.Atrophyofinterosseousmuscles

B.Atrophyofgastrocnemiusmuscle

Clumbricalmusclefibrillation.

D.Atrophyofthechestmuscles

Etonguemusclefibrillation.

30.,female,26yearsold,intheeveningpronetodiplopia,

limbweaknessandsoreness,itisdifficulttosupportthework

throughouttheday,restandearlymorninghasimproved.

Examination:slightptosisoftheeyelid,lefteyeabduction,

lowerrighteyeparallax,andnormallefteyemovements.Limbs

musclestrength4degrees,muscletensionnormal,thereisno

otherabnormalsignsofnervedamage.Normalelectromyography,

butafterrepeatedelectricalstimulationattheulnarnerve,

theamplitudeoftheactionpotentialofthedominantmuscle

wasdecreasedby30%.Possiblediagnosis

APM.

BBeckermusculardystrophy

C.Periodicparalysis

D.Motorneurondisease

Emyastheniagravis

31.,a52yearoldwomanpresentedwithprogressivedementia,

tremor,gaitataxiaandmyoclonicconvulsionsforhalfayear,

andherspeechbecameslowandvague,withoutafamilyhistory

ofneurodegenerativediseases.HeadMRIrevealedaslight

increaseinbilateralbasalgangliasignals,andEEGrecorded

abnormalbackgroundactivitywithasharpwaveof1beatsper

second,whichdiffusedbilaterallytothehead.Angiography

showednoabnormalbloodvessels.Onepatientdiedofsevere

aspirationpneumonia,theautopsyfoundthatthelossofalarge

numberofgranulecellsofthecerebellumandother

pathologicalchangesincerebellarcortexinthebrainismost

obvious,therearesmallvacuoles,likeasponge,notsenile

plaques.Whichwaycanthepatientgetthedisease?

A.Sexualactivity

B.Bloodtransfusion

Ceatrawfish.

D.Upperrespiratorytractinfection

E.Usinggrowthhormone

32.whichofthefollowingpathologicalchangesdoesnotexist

inthetissuesofAlzheimer'sdisease?

A.Senileplaques

B.Cholinergicneuronloss

C.Neurofibrillarytangles

D.Louis，sbody

E.Amyloidosisofthebloodvessel

33.ACC/AHA/ESCrecommendationsforcardioversionofatrial

fibrillationarenotincluded

A.Fluoride,Carney

Bdigoxin

Cpropafenone

D.Amiodarone

Edofetilide.

Commonpathologicalchangesinrenalpathologyin34.ANCA

positivesmallvessels

A.Capillaryproliferativeglomerulonephritis

B.Minimalchangenephrosis

C.Mesangialcapillaryglomerulonephritis

D.Focalsegmentalglomerulosclerosis

Efocalsegmental,necrotic,glomerulonephritisorcrescentic

glomerulonephritis

A35.48yearoldmalepatient,withrecurrentcough,

expectoration2yearsasthechiefcomplaintofadmission,

sincetheonsetoffever,noshortnessofbreath.Havefood

Liquor-SoakedCrabshistory,physicalexamination,physical

conditionisstillgood,normalheartandlungauscultation,

plainabdominalsoftrib,liverandspleenuntouched.Themost

likelydiagnosisofthepatientis

Alobarpneumonia

B.Pulmonarytuberculosis

C.Tuberculouspleurisy

D.Paragonimiasis

E.Lungcancer

36.testsfortheidentificationofCOPDandbronchialasthma

are

A.Allergentest

B.Bronchialprovocationtest

C.Hypoxiachallengetest

D.Exercisetest

E.

Bronchodilatortest

37.femalepatients,25yearsofage,diagnosedwithleukemia,

arethefirstchoiceforassistingintheassessmentofacute

leukemiacelltypes,suchasdifferentiatedsmallgranulocytes

andprimitivelymphocytes

APOXstaining

BPASstaining

CNAPstaining

DAS-DNCEstaining

E.Ironstaining

38.femalepatients,50yearsold,suddenbreathing

difficulties,twolungsfullofwheezing,heartrate,heart

soundsunclear,whetherthereisnonoise,bloodpressure

150/90mmHg,pasthistoryisunknown.Firstofall,shouldbe

selected

A.Ephedrine

B.Isoproterenol

C.Epinephrine

D.Aminophylline

Elobeline.

In39.patientswithmyocarditis,recurrentalStokessyndrome

andelectrocardiographicpatternofthirddegreeatrial

conductionblockarethemostappropriatetreatmentmethods

A.Oralpropranolol

B.Oralnitrates

C.Installanartificialpacemaker

D.Intravenousdriphydrocortisone

E.Intravenousatropine

40.areexogenouspyrogenagents

A.Neutrophils

B.Eosinophils

C.Monocytes

D.Interleukin1

Eantigenantibodycomplex

41.apicalbeattoleftdownwardshiftisseen

A.Leftventricularenlargement

B.Enlargementoftherightventricle

C.Leftatriumenlargement

D.Enlargementoftherightatrium

E.Leftlateraldecubitusinnormalsubjects

42.malepatients,aged64,withnearly1yearsoffrequent

urinationanddysuria,noobviouspain,thepatientmaybe

Apyelonephritis

B.Prostatichyperplasia

C.Cystitis

D.Renaltuberculosis

E.Kidneystones

43.ofthemalepatientswereemaciated,andtheleft

supraclavicularfossalymphnodeswerefoundinthephysical

examination,thatis,theVirchowlymphnode,whichmaybedue

to

A.Metastasisofnasopharyngealcarcinoma

B.Metastasisofgastriccancer

C.Metastasisoflungcancer

D.Metastasisofthyroidcancer

E.Metastasisofpleuralmesothelioma

44.malepatients,51yearsold,check:liverribs7cm,hard,

suchastouchtheforehead,irregularedge,surfaceisnot

smooth,unevennodularshape,thepatientismostlikelytobe

A.Hepatitis

B.Livercancer

Cfattyliver

D.Hepaticcongestion

E.Cirrhosis

45.women,39yearsold,recurrentupperabdominalpainfor2

years,acidreflux,lackofappetite,gastroscopyforpatients

withduodenalulcer,abdominalpainisthecharacteristicsof

the

A.Norules

B.Sustainability

C.Paroxysmal,lastingseveralminuteseachtime

D.Meal-painrelief

E-pain-eating-relieving

46.whichofthefollowingisnottrueaboutthesiteof

aspirationpulmonaryabscess?

Atheleftmainbronchusislongandnarrowandthedrainage

ispoor,sotheleftlungismorecommonthantherightlung

B.Usuallysingleshot

C.Theposteriorbasalsegmentisfrequentlyseeninsitting

position

D.Thebacksectionortheupperposteriorsegmentofthehead

isgoodatthesupineposition

E.Therightupperright,theupperrightanteriorsegmentare

mostcommon

47.,theorderoftreatmentforidiopathicthrombocytopenic

purpurais

A.Adrenocorticalhormone,splenectomy,immunosuppressive

drugs

B.Immunosuppressivedrugs,splenectomy,andadrenalcortical

hormones

C.Corticosteroids,immunosuppressivedrugs,splenectomy

Dsplenectomy,adrenalcorticalhormone,immunosuppressive

drugs

E.Immunosuppressivedrugs,adrenalhormones,splenectomy

48.pairskillslowreproductionCgrouptuberculosis,which

medicamentsisthestrongest?

A.LiFuping

Bisoniazid

Cpyrazinamide.

D-compoundsulfamethoxazole

Ekanamycin

49.women,20yearsold,becauseofcoma,convulsions,found

byfamilymemberssenttotheemergencyroom,examination:

doublepupilis2mm,clammyskin,sweating,breathing

difficulties,themostlikelydiagnosisis

A.Diabeticketoacidosis

B.Cerebrovascularaccident

Chypoglycemiccoma

Dacutepoisoningbydiazepam

E.

Acuteorganophosphoruspesticidepoisoning

50.whichofthefollowingstatementsisnottrueabout

epilepsy?

A.Epilepsyisachronicrecurrenttransienttransientbrain

dysfunctionsyndrome

B.Bothgeneticandenvironmentalfactorscanaffectepileptic

seizures

Ceachepilepticpatienthasonlyoneseizuretype

Dwomensufferfrommenstrualandearlypregnancyattacks

Ecanbedividedintoidiopathic,symptomatic,cryptogenic

epilepsyandstatusrelatedepilepsybyetiology

51.whichofthefollowingprinciplesisincorrectinDrug

Administrationforepilepsy?

A.Effectiveantiepilepticdrugswereselectedaccordingtothe

typeofepilepticseizure

Bshouldstartwithasmalldoseandgraduallyincreasethe

dosage

Cdrugsshouldbediscontinuedimmediatelyinsteadofother

antiepilepticdrugs

Difthedrughasallergies,rashesorfever,itshouldbe

discontinuedimmediately

E.Iftheefficacyofthedrugisnotsatisfactory,second

antiepilepticdrugscanbeadded

52.suspectedSAH,isthepreferredmethodofexamination

A.SkullCT

B.DSA

C.TCD

D.SkullMRI

E.Cerebrospinalfluidexamination

53.whatistherelationshipbetweenthepathogenesisof

headacheanduncertainty?

Aintracraniallesions

B.Functionaldisorders

C.Psychiatricdisorders

D.Systemicdisease

E.Location

54.,aboutidiopathictremor,thewrongthingtosayis

A.Withbenigntremorandmyotoniaasthemainmanifestation

B.Insidiousonset,slowprogressionofdisease,andlong-term

remission

Ctremorismainlymanifestedbyposturaltremorandmotor

tremor

Dofteninvolvesonehandorbothhandsorhead,andthelower

limbisnotaffected

E.Insomepatients,asmallamountofalcoholcanrelieve

symptomsbriefly

55.patients,male,42yearsold,married.Because

,'intermittentheadachemorethan3years,aggravating20Yu

Tian"admission.Physicalexamination:atemperatureof36.5

DEGC,nootherpositivesigns,laboratoryexamination,

admissionbloodleukocyte:15.7*109/L,0.85neutrophils,

lymphocytesof0.07,erythrocytehemoglobin121g/L3.39*

1012/L.Forthelumbarpunctureexamination,theresultsshowed:

brainpressure150mmH20,cerebrospinalfluidappearanceis

colorless,transparent,precipitation;biochemical

examination:whitebloodcells180*106/L,0.30neutrophils,

lymphocytes0.70,chloride117mmol/L,protein0.69g/L.

CerebrospinalfluidcultureshowedCryptococcusneoformans.

Thepatientshouldbediagnosedas

A.Tuberculousmeningitis

B.ChronicCryptococcusneoformansmeningitis

C.Viralmeningitis

D.Viralencephalitis

ParaneoplasticsyndromeE.

56.ofthefollowingdrugsarenotslowactingantirheumatic

drugs

A.Goldpreparation

Bsulfasalazine

Chydroxychloroquine

D

Emeloxicam.

57.youngpeoplebrainhemorrhagefirstconsideration

A.Atherosclerosis

B.Arteriovenousmalformationsofthebrain

C.Moyamoyadisease

D.Amyloidosisofthebloodvessel

E.Braintumorapoplexy

58.whichofthefollowingisthepreferredexaminationto

excludeurinarytractinfectionsduetoobstructivefactors?

A.IVP

B.Urinarysystem,CT

C.Urography

D.UrinarycolorDoppleru1trasonography

E.That,sallwrong

A59.32yearoldmalepatientwithfever,lowbackpain,5D,

andnourine2Dwasadmittedtohospitalwithepidemic

hemorrhagicfever.Afteradmission,thediuretic,acidand

othertreatmenthasnotimproved.Atpresent,irritability,

swellingoftheeyelids,venousengorgementofthebodysurface,

flushingoftheface,bloodpressureof170/90mmHg,heartrate

of120/min,shouldbediagnosedas

A.Diffuseparenchymalhemorrhage

B.Highbloodvolumesyndrome

C.Heartfailure

Duremiaencephalopathy

Ehypertensiveencephalopathy

60.malepatients,aged38,nearly1yearsofheadache,eye

examinationrevealedobviousvisualfielddefect,acromegaly,

whichofthefollowingexaminationofthepatientswiththemost

significant

AGH.

B.PRL

C.

促腎上腺皮質(zhì)激素

DoFSH

EoTSH

61o36歲女性患者年前發(fā)現(xiàn)高血壓，6,3年前開始反復(fù)出現(xiàn)下肢發(fā)

作性軟癱。查體：血壓175/105mmhg,余無異常。檢查：血鉀心電

圖示低鉀圖形最應(yīng)該考慮的診斷是2.5mmed/L。

一個(gè)。嗜倍細(xì)胞瘤

Bo庫(kù)欣綜合征

Co甲亢

Do原發(fā)性醛固酮增多癥

Eo高血壓病

62o女性患者，50歲，以“口干、眼干2年，雙手掌指關(guān)節(jié)、腕關(guān)

節(jié)疼痛2個(gè)月”來診，不考慮的檢查是

一個(gè)。血清類風(fēng)濕因子測(cè)定

Bo血清抗核抗體檢測(cè)

Co紅細(xì)胞沉降率測(cè)定

Do舐骼關(guān)節(jié)CT

E。唾液腺核素檢查

63o男性患者，60歲，晨起發(fā)現(xiàn)右側(cè)肢體麻木乏力，次日下午又出

現(xiàn)言語不清。頭顱顯示左側(cè)內(nèi)囊區(qū)低密度影該患者最可能的診斷為

CTo

一個(gè)。腦血栓形成

Bo腦栓塞

Co蛛網(wǎng)膜下腔出血

Do腦出血

Eo短暫性腦缺血發(fā)作

64。S2通常分裂不見于下列哪種情況

一個(gè)。室間隔缺損

Bo肺動(dòng)脈瓣狹窄

Co二尖瓣關(guān)閉不全

Do完全性右束支傳導(dǎo)阻滯

Eo完全性左束支傳導(dǎo)阻滯

65o出現(xiàn)于收縮期的額外心音是

一個(gè)。奔馬律

Bo開瓣音

C。心包叩擊音

D。大炮音

Eo喀喇音

66。男性患者，21歲，發(fā)熱，咳嗽，咳鐵銹色痰，查體：左下肺叩

診濁音，該患者診斷可能是

一個(gè)。肺結(jié)核

B。肺癌

Co大葉性肺炎

Do支氣管擴(kuò)張

Eo肺膿腫

67?；颊?，27歲，反復(fù)出現(xiàn)上腹痛，饑餓時(shí)出現(xiàn)，進(jìn)食后可緩解,

該患者的腹痛是由于

一個(gè)。胰腺炎

Bo膽囊炎

Co消化性潰瘍

Do血友病

Eo膽石癥

68o女性患者，50歲，查體見氣管右移，可能是以下疾病，除外

一個(gè)。左側(cè)胸腔積液

Bo左側(cè)氣胸

Co左縱隔腫瘤

Do左側(cè)甲狀腺腫大

E。心包積液

69o男性患者，50歲，查體腸鳴音10/分鐘，高亢，響亮，呈金屬

音，該患者可能是

一個(gè)。腹膜炎

Bo低血鉀

Co機(jī)械性腸梗阻

Do老年性便秘

Eo麻痹性腸梗阻

70o女性患者，18歲，發(fā)熱，查體：肝脾大，該患者的診斷可能是

一個(gè)。急性膽囊炎

Bo流行性感冒

Co麻疹

Do白血病

Eo傳染性單核細(xì)胞增多癥

710對(duì)感染過程的表現(xiàn)和轉(zhuǎn)歸起著重要作用的是

一個(gè)。病原體的毒力

Bo病原體的數(shù)量

Co侵入途徑

Do變異性

Eo機(jī)體的免疫應(yīng)答

72?分泌性腹瀉的特點(diǎn)是

一個(gè)。排大量膿血便

Bo排大量水樣便

Co排大量脂肪便

Do排大量黏液便

Eo排大量果醬樣便

73。支氣管-肺感染和阻塞是主要發(fā)病因素的疾病是

一個(gè)。支氣管擴(kuò)張癥

Bo支氣管肺癌

C。慢性支氣管炎

Do支氣管哮喘

Eo阻塞性肺氣腫

74。男性患者，67歲，既往慢性膽囊炎病史，并反復(fù)有急性胰腺炎

發(fā)作，近1年無腹痛，偶有腹脹，消瘦明顯?；?yàn)血、尿淀粉酶正常,

大便常規(guī)見較多脂肪球。胰腺彩超顯示胰腺縮小，

AbdominalX-rayshowedcalcificationinthepancreaticarea.

Whichofthefollowingisneededforfurtheridentificationof

pancreaticcancer?

A.Pancreaticenhancedmagneticresonanceimaging

B.Thepancreaticductsecretionwascollectedbyretrograde

endoscopiccholangiopancreatographyandexaminedby

cytologicalstaining

C.Retrogradecholangiopancreatographywithretrograde

cholangiopancreatography

D.CheckforCAI99

E.Detectionofserumlipase

75.malepatients,aged33yearsand2monthsagodiagnosedwith

secondarypulmonarytuberculosis,havebeentakingantiTB

drugs.Cough,coughingupphlegmcold1weeksago,3Dbefore

thebloodinsputum.2Hstartedwithhemoptysis,totalingabout

10ml.Sofar,whichhemostaticdrugsshouldbechosenforthe

treatmentofthispatient?

Aphenolethylamine(haemostatic)

B.Tranexamicacid(hemostaticaromaticacid)

C.YunnanBaiyao

D.37powder

E.Pituitrin

76.thereisnosignofsilentmutism

A.Unconsciousresponsetoexternalstimuli

B.Removingtherigidityofthebrain

C.Musclerelaxation

D-pyramidalsign

E.Aimlesseyeopeningoreyemovement

77.femalepatients,35yearsold.Intermittentchestpainfor

5months.Physicalexamination:rightlowerlimbmusclelevel

IV,kneeandanklejerk,Babinskisignpositive.Rightankle

vibrationsensationdisappeared,leftchestpain,athalposis.

Theremainingnervoussystemisnotabnormalandmaybe

diagnosedas

A.Intramedullarytumor

B.Extramedullarytumors

Cmyelitis

D.Spinalmetastasis

E.Spinaltuberculosis

78.women,35yearsold,theneckisnotindependentturnto

theright1yearsago,Itoocaninducespontaneousremission,

recentprogresstopersistent,themedicationisnotobvious.

Haveafamilyhistory.Thepatientismostlikelytobe

A.Hemifacialspasm

Bcongenitaltorticollis

C.Spasmodictorticollis

Dhepatolenticulardegeneration

EMeigesyndrome

79.patients,female,26yearsold,hadheadacheandvomiting,

4D,meningealirritationsign(+),andcerebrospinalfluidacid

fastsmear(+).Whichdrugshouldbeexcludedwhenyouneedto

takethemedicineassoonaspossible?

Aisoniazid

B.LiFuping

CamphotericinB

D.Streptomycin

Epyrazinamide.

80.isthegreatestvalueindiagnosingrenaltuberculosis

A.AbdominalX-ray

B.Dualrenalradionuclideimaging

CcolorDopplerultrasound

D.IVP

E.MRI

In81.patients,