神经内科诊断试题无答案.docx

1、神经内科诊断试题无答案神经内科诊断试题无答案（There is no answer to the diagnostic questions in neurology department）I. radio questions1, a patient should not breathe, press the orbit to respond, breathe steadily, and the reflexes of the abdominal wall disappear. The pupillary reflex and tendon reflex are present, and the

2、 conscious state isA soberB sleepinessC comaComa in DE deep coma2, about the cortical syndrome, the correct thing isA patients are conscious but almost completely lost motor function.B cannot chew and swallow and requires nasogastric tube feeding.C can establish contact with the surroundings by eye

3、opening or eye movements.D into upper limb flexion, lower limb extension statusE due to pontine basement lesions.3, the Guzman syndrome is wrongA bilateral finger agnosiaB limb disorientationC write offD read outE miscalculated4 left lateral view of the optic chiasm can causeA binocular hemianopiaB

4、eyes nasal hemianopiaC left eye blindD left eye blindnessE left temporal blindness5 when the right visual radiation is completely impairedA left view right homonymous hemianopia, light reflex, the center of the field of vision.B view right homonymous hemianopia, right light reflex, the center of the

5、 field of vision.C view of left homonymous hemianopia, has left the light reflection, there is the center of the field of visionD left eye blindE view of left homonymous hemianopia, has left the light reflection, the center of the field of vision.6 what is wrong with regard to the optic papilla atro

6、phy?The primary atrophy of A is pale, while the border is clear and the sieve plate is clear.B secondary atrophy can be seen pale optic papilla, but the boundary is not clear, we can not see the sieve plate.C optic nerve compression can cause primary optic nerve atrophyD optic neuropathy may cause s

7、econdary optic atrophyE secondary lateral geniculate body and optic radiation can cause secondary optic atrophy.7 side oculomotor nerve paralysis does not occurA ptosisB eyeball cannot be adductionC dilated pupils and lost light reflexesD the eyeball cannot be removedE diplopia8 which of the followi

8、ng is a complex feeling?A motion perceptionB localization senseC vibration senseD position senseE touch9 which of the following is a deep reflex?A abdominal wall reflexB ankle reflexCs testicular reflexD pharyngeal reflexE corneal reflex10 which of the following is a contraindication for lumbar punc

9、tureA purulent meningitisB viral meningitisC intraspinal tumorD posterior fossa tumorsE tuberculous meningitis11 which of the following does not belong to the brainstem function test?A doll head testBs ciliary reflexC eye heart reflexD ocular vestibular reflexE neck stretch reflex12 on the cerebrosp

10、inal fluid, which of the following is not normalA pressure 180mmH2OB neck test positiveThe number of C cells was 5 x 106, mainly mononuclear cellsQuantitative determination of D protein by 0.45g/LE quantitative 2.5mmol/LA total of 13 patients with a headache and vomiting in February to hospital for

11、injection of vomiting, fundus:Optic disc edema. If the lumbar puncture examination, intracranial pressure may beA 60mmH2OB 100, mmH2OC 120, mmH2OD 160, mmH2OE 250, mmH2O14 cross threshold gait is seenA cerebellar lesionsB peroneal muscular atrophyC multiple sclerosisD cerebral palsySubacute combined

12、 spinal degeneration of EWhich of the following 15 does not belong to the ataxia test?A supine position testB finger nose testC rebound testD fast complex rotation testE finger pointing test16 unilateral hemiplegia and unilateral sensory disturbance occurredA ipsilateral spinal cordB ipsilateral int

13、ernal capsuleC ipsilateral medulla oblongataD contralateral internal capsuleE contralateral spinal cord17 about peripheral facial paralysis, the following is incorrectA ipsilateral inability to close eyesB ipsilateral nasolabial foldC striae disappeared on the same sideWhen D opens the mouth, the an

14、gle of mouth is crooked to the same sideE ipsilateral Bell phenomenon was positive18 of the patients suffered from right oculomotor nerve paralysis and left paralysisA internal capsuleB midbrainC ponsD medulla oblongataE high cervical segment19 patients with right eye abduction, grinning mouth left

15、slanting, right eye can not be closed, the left tongue, tongue muscle atrophy, left central hemiplegia and left hemianesthesia, lesions in theA left midbrainB right midbrainC left ponsD right ponsE right internal capsuleThe 20 kind of tension in the plumbingA pyramidal tract lesionBs palsyC peripher

16、al neuropathyD acute myelitisE cerebellar lesions21, closed eyes difficult to erect positive, but open eyes can stand, lesions inA cerebellumB vestibular nerveC posterior spinal tractD basal gangliaE cerebral cortex22, the corneal direct reflex disappeared and the ipsilateral indirect reflex was pre

17、sentA ipsilateral trigeminal nerveB ipsilateral nerveC ipsilateral oculomotor nerveD ophthalmic branch of the contralateral trigeminal nerveE versus lateral nerve23 determine the location of the neuropathy depends mainly onA detailed history inquiryB physical examination of the nervous systemC CSF r

18、esultsD blood biochemical examinationE routine blood test24 about the Rinne test, the correct thing isThe normal bone conduction time of A is longer than that of air conductionB conduction deafness is more conductive than bone conductionC sensorineural hearing loss, bone conduction is longer than ai

19、r conductionD induced sensorineural hearing loss, bone conduction and conduction time were shortened.In E sensorineural hearing loss, bone conduction is longer than air conduction, which is positive for Rinne test.25 the most likely occurrence of dissociative sensory disorder isA peripheral neuropat

20、hyB spinal ganglia lesionC anterior horn lesionD central lesion of spinal cordE transverse damage of spinal cordThe 26 phase nociceptive obstacle distribution, no deep feelings and sensations in disorder, lesionA heelB posterior hornC spinal nerve rootsD lateral fasciculus of spinal cordE anterior s

21、pinal tract of thalamus27, the most obvious facial sensation is at the tip of the nose and around the mouth, and the peripheral is slightly worseA second branches of trigeminal nerveB Third branches of trigeminal nerveFacial nerve of CD thalamusE pons28, motor aphasia, lesions in the dominant hemisp

22、hereA posterior frontal gyrusB posterior temporal gyrusC precentral gyrusD frontal gyrusE marginal gyrusThe lesions of the 29 internuclear ophthalmoplegia areA oculomotor nerveB occipital cortexMedial longitudinal fasciculus of CD medial lemniscusE optic nerve30 the right eye directly reflects the l

23、ight, and indirectly reflects the disappearance of lightA left optic nerveB right oculomotor nerveC right ophthalmic branch of trigeminal nerveD left lateral nerveE left oculomotor nerveOf the 31 Brown-Sequard syndromes, the following is not trueA paralyzed the contralateral motor neuron below the l

24、evel of the planeB deep sensation disappeared below the ipsilateral damaged planeC feels abnormal at the same sideD on the side of the damaged plane following nociceptive disorderE is seen in spinal cord hemisection injury32 caused by a lesion in the upper limb paralysisA anterior limb of internal c

25、apsuleB one side of the frontal gyrus, near the lower endC superior cerebellar arteryD one side cervical enlargement part, spinal cord anterior horn cellE posterior limb of internal capsule33 which of the following is not correctA left nerve damage, right side of the quarrelB left hypoglossal nerve

26、damage, leading leftC left vagus nerve lesion, left uvulaD left trigeminal nerve hurts the left side of the mandibleE left accessory nerve lesion, right neck rotation.34, the glossopharyngeal nerve injury will not causeA hoarse voiceB dysphagiaC tongue deviationD uvula obliqueE pharyngeal reflex dis

27、appeared35, anterior horn paralysis is not the correct manifestationA segmental paralysisB muscular atrophyC has fibrillationD dystoniaE is often accompanied by sensory impairment36 the most reliable signs of true bulbar paralysis and pseudobulbar palsy areA drinking water without choking?Can the B

28、tongue stretch out?C is a silentD mandibular reflex is negativeE does pharyngeal reflex exist?37 the following structure does not participate in the pupillary reflex pathwayA optic nerveB oculomotor nerveC lateral geniculate bodyD ciliary ganglionE anterior tectum of midbrain38 which of the followin

29、g is not true about the Horner syndrome?A invaginationB light disappearedC eye fission is smallD have less sweating on the same sideE mydriasis39 of the pupillary lesions inA optic nerveB oculomotor nerveC lateral geniculate bodyD ciliary ganglionE anterior tectum of midbrain40 trochlear nerve palsy

30、 appearsA is limited to the movement of the eyeball downwardB eyeball outward motion LimitedC eyeball movement is limited outwardsD eyeball movement is limited to the interiorE eyes are limited by downward movement41 of the second neurons in the coarse tactile pathwayA peripheral nerve endingB tract

31、 of thalamusC lateral nucleus of thalamusD dorsal horn of spinal cordE posterior root ganglionThe 42 position sense bundle crossA anterior spinal commissureB thalamusC medulla oblongataD cerebellumE internal capsule43 patients with intramedullary spinal cord tumors, the nociceptive obstacles to progressA from the sick, renegade section from bottom to top developmentB from the sick, renegade section from top to bottom developmentC develops up and down at the same time from p