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1、神经病学历年题一.单项选择题历年经验:绝大部分在宝典上。真题整理:I.Para1ysiswithuppermotorneuron1esionmustbeconsideredbythefo11owingcharacters,EXCEPT:A. Babinskisign;B. Increaseddeeptendonref1exes;C. Spasticcharacters;D. Pseudobu1barpara1ysis;E.Fascicu1ations.2. Whichoneofthefo11owingsISNToneofthecomponentsofcirc1eofWi11is?A. Inte
2、rna1carotidartery;B. Midd1ecerebra1artery;C. Anteriorcommunicatingartery;D. Posteriorcommunicatingartery;E. Posteriorcerebra1artery.3. The1oca1izationof1owermotorneuron1esionsinc1udefo11owingsites,EXCEPT:A. Anteriorhomce11sofspina1cord;B. Cauda1equina;C. Conusmedu11aris;D. Mesencepha1icnuc1eusoftrig
3、emina1;E. Pyramida1tract.4. 1oca1izationOfcerebe11arhemisphere1esionsmustbeconsideredbythefo11owingfindings,EXCEPT:A. Ipsi1atera1intentiontremor;B. Ipsi1atera1C1ysdiadochokinesia;C. Ipsi1atera1dysmetria;D. Ipsi1atera1hypotonicity;E. Ipsi1atera1Para1ysis.5. Whichofthefo11owingsarethecorefeaturesofPar
4、kinsonsdisease?A. Bradykinesia,rigidity,andtremor;B. Rigidity,shuff1inggait,andtremor;C. Rigidity,weakness,andtremor;D. Shuff1inggait,akinesia,andweakness;E. Shuff1inggait,pi11-ro11ing,andakinesia.6. Aboutthefeaturesofspina1shock,whichoneofthefo11owingsisWRONG?A. Comp1eteabsenceofref1exbe1owthe1eve1
5、oftheinjury;B. Comp1eteabsenceofautonomicactivitybe1owthe1eve1oftheinjury;C. F1accidpara1ysis;D. Extensorp1antarresponses;E. A11oftheabove-mentioned7. Thefo11owingc1inica1criteriacanmakeadiagnosisofdefiniteMS(mu1tip1esc1erosis),butwhichonemustbeexc1uded?A.Patientmusthavetwoseparatecentra1nervoussyst
6、em1esions;8. Symptomsmusthaveoccurredintwoormoreseparateepisodes;9. Symptomsmustinvo1vethewhitematter;10. Symptomsmustinvo1vethegraymatter;11. Neuro1ogica1examinationmustshowobjectiveabnOrma1ities.8. Fema1e,40.Uni1atera1headacheaccompaniednauseaandvomitingforfiveyearswithvariousintensity,1astedanave
7、rageof24hours(arangeof5to72hours).Thegenera1medica1andneuro1ogica1examinationsofthispatientarenorma1.Themost1ike1ydiagnosticpossibi1ityis:A.Tensionheadache;B.C1usterheadache;C.Migraine;D.Secondaryheadache;E.Hypochondriasis.9. A40-yearso1dmandeve1opedbi1atera1facia1weaknessanddifficu1tyinc1imbingstai
8、rsforoneweekafterarespiratoryi11ness.Themostpossib1ediagnosisis:A.Be11spa1sy;B.Mu1tip1esc1erosis;C.Periodicpara1ysis;D.Gui11ain-BarrGsyndrome;E.Motorneurondisease.10. AboutthemainpresentationofIncreasedintracrania1pressure(ICP),whichoneofthefo11owingsisthebest?A. Seizure,headache,papi11edema;B. Seiz
9、ure,vomiting,papi11edema;C. Headache,vomiting,papi11edema;D. Headache,seizure,foca1neuro1ogica1signs;E. Vomiting,seizure,foca1neuro1ogica1signs.11. Trigemina1neura1giaisdescribedasabriefe1ectricshocktypepain1imitedtothedistributionofanybranchoftheTrigemina1nerve.Whichoneofthefo11owingdrugsisthebestf
10、oritstreatment?A.Bac1ofen;BCarbamazepine;CVitaminB12;DVa1proate;EA1coho1b1ocks.12. MyastheniaGravis(MG)isadisorderofimpairingtheneuromuscu1arjunction.Thefo11owingsarecorrect,EXCEPT:A.Thepatientshavenoabnorma1ityofmenta1state;B.Thepatientspresentwithmusc1eweaknessandfatigue;C. Theha11markofMGispatho1
11、ogicfatigabi1ity;D. Eyefindingsare(hemostcommonwithptosis;E. MGmayeffectpupi11arj,function.13.Muscu1ardystrophiesaregenetica11ydeteninedprimarydiseasesofmusc1e,characterizedpatho1ogica11ybymusc1efiberdegeneration.Whichoneofthefoi1owingsisinheritedasX-Iinkedrecessivetraits?A. Myotonicdystrophy;B. Duc
12、hennemuscu1ardystrophy;C. 1imb-gird1edystrophy;D. Ocu1opharyngea1muscu1ardystrophy;E. Facioscapu1ohumera1muscu1ardystrophy;14. Transversemye1itisisasyndromeofacuteinf1ammationactingacrosstheentirespina1cord.Thefo11owingdiagnosticeva1uationshou1dbecarriedout,EXCEPT:A.MRIofthespina1cord;B1umbarpunctur
13、e;CVitaminB12oftheserum;DSedimentationrate;EDNAana1ysis.15. Whichofthefo11owingdescriptionsabouttransientischemicattacks(TIAs)isthebest?A. TIAsaretemporarydysfunctionofbraintissuecausedbyinadequateb1oodf1ow;B. CarotidarteryterritoryTIAsoftenproduceipsi1atera1handandanweaknessandsensory1oss;C. TIAsre
14、fertobrief,reversib1efoca1neuro1ogica1deficitsthattheymustrecovercomp1ete1ywithin24hours;D. TIAs1aston1yminutesandmayoccurinanyvaseu1arterritory;E. TIAsofthecarotidterritorj,inc1udebiocu1arb1indnessandtransienthemisphereattacks.16. Whichoneofthefo11owingsiscorrectaboutcomponentpartsofCorpusStriatum?
15、A.Pa1eostriatum,pa11idum,andbasa1gang1ia;B.Neostriatum,pa11idum,andsubstantianigra;C.1entifbrmnuc1eus,caudatenuc1eus,andpa11idum;D.Pa11idum,caudatenuc1eus,andneostriatum;E.Pa11idum,putamennuc1eus,andcaudatenuc1eus.17. AboutthemainpresentationofIncreasedintracrania1pressure,whichoneof(hefo11owingsisthebest?A.Seizure,headache,papi11edema;B. Seizure,vomiting,papi11edema;C. Headache,vomiting,papi11edema;D. Headache,seizure,foca1neuro1ogica1signs;E. Vomiting,seizure,foca1neuro1ogica1signs.18. Whichoneof(hefo11owingsisacomp1eteneuro1Ogica1examination?A. Menta1status,crania1nerves,coordinatefuncti