问题 单项选择题 A型题

脊髓侧索横断,可导致断面以下

A.同侧腱反射丧失

B.同侧随意运动及深、浅感觉丧失

C.同侧腱反射消失,触觉和压觉丧失

D.同侧随意运动丧失及对侧痛、温觉障碍

E.同侧痛、温觉全部丧失

答案

参考答案:D

解析:脊髓侧索横断,损伤了同侧的皮质脊髓束和脊髓丘脑束。皮质脊髓束支配同侧的前角运动细胞,损伤后导致同侧随意运动丧失。由于前角运动细胞健存,所以同侧的腱反射不会丧失。脊髓丘脑束司痛温觉,脊神经节细胞的周围突随脊神经分布于躯干四肢的皮肤,中枢突经脊神经后根外侧部进入脊髓,在背外侧束中上升1~2节后终止于脊髓后角,在后角边缘核和胶状质换神经元后,发出二级纤维经白质前连合交叉至对侧,形成脊髓丘脑束。所以一侧脊髓丘脑束损伤,对侧(1~2节段以下)痛、温觉障碍。深感觉由脊髓后索的薄束、楔束传导,未受损伤,所以本题的答案是D项。

问答题

1. 制作依据:

CONTRACT

NO.: 1103025

DATE:MAR.15,2010

THE BUYERS(买方): DC & JW HOLDING CO., LTD.

ADDRESS(地址) : 3855 SOUTHWOOD ST., BURNABY B. C. CANADA ZIP:V5J2E3

THE SELLERS(卖方): CONGLIN TRADING CO., LTD.

ADDRESS(地址) : NO.589, TONGXIN ROAD SHANGHAI,CHINA

This Contract is made by and between the Buyers and the Sellers, whereby the Buyers agree to buy and the Sellers agree to sell the under mentioned commodity according to the terms and conditions stipulated below:

1. COMMODITY(商品):

2. COUNTRY AND MANUFACTURERS: CHINA

3. PACKING:

SOLAR WALL CLOCK:5PCS/CARTON

SOLAR WATCH: 50PCS/CARTON

4. SHIPPING MARK:

DC & JW /1103025/TORONTO/CN:1-UP.

5. TIME OF SHIPMENT(装运期):BEFORE APR.15,2010

6. PORT OF SHIPMENT(装运港):SHANGHAI PORT , CHINA

7. PORT OF DESTINATION(目的港):TORONTO PORT , CANADA

8. INSURANCE(保险):TO BE COVERED BY SELLERS FOR 110% INVOICE VALUE AGAINST ALL RISKS.

9. PAYMENT(支付方式):T/T

10. DOCUMENTS(单据):

+COMMERCIAL INVOICE IN 3 COPIES

+PACKING LIST IN 2 COPIES

THE BUYERS : THE SELLERS :

DC & JW HOLDING CO., LTD. CONGLIN TRADING CO., LTD.

John Smith LISA LI

补充资料:

(1)发票号:IV 17115

(2)发票日期:2010.4.12

(3)经办人:祝申浩

(4)贸易方式:一般贸易 ORDINARY TRADE

(5)在发票中加上标注:

“我们保证这张发票的所载的内容是真实和正确的。”

2. 请根据制作依据提供的素材缮制出口发票(要求:所有项目都用大写英文字母填写)

单项选择题