问题 单项选择题

男性,63岁,晨起床时,发现言语不清,右侧肢体不能活动。既往无类似病史。发病后5小时,体检发现神志清楚,血压120/80mmHg,失语,右侧中枢性面瘫、舌瘫,右侧上、下肢肌力2级,右半身痛觉减退,颅脑CT未见异常。

病变的性质是

A.脑出血

B.脑栓塞

C.脑肿瘤

D.脑血栓形成

E.蛛网膜下腔出血

答案

参考答案:D

解析:患者晨起床时发现右侧肢体不能活动,神志清楚,颅脑CT未见异常,故可排除脑出血,患者无心房颤动等栓子来源,所以病变性质考虑是脑血栓形成。

选择题
单项选择题

Some spiders hunt on the ground, others build webs to trap their food, but the grass water spider catches its prey by running along the surface of the water.

This special water spider lives on the grassy banks of streams where mosquitoes, damsel flies and other insects come to feed and breed.

Although it is one of the largest spiders in New Zealand, it has an unusual ability. It doesn’t disturb the water as it waits for its meal, and there is barely a ripple when it skims across the surface at lightning speed to catch its prey.

Grass water spiders deal swiftly with larger insects like damsel flies by pulling their heads under the water and holding them there until they drown.

After a meal, the grass water spider spends up to half an hour grooming itself. It wipes its eight eyes, brushes its antennae, and takes special care to clean the hairs on its body.

It is the hairs that trap tiny bubbles of air so that the spider can run down a blade of grass and stay underwater for up to an hour when it is frightened. The hairs also keep the spider dry, even underwater.

It is only when the female spider is caring for the young that she does not hunt on the water. After mating, she produces a large egg sac, which she carries around for five weeks. Once the eggs start to hatch, she attaches the sac to some blades of grass or a thistle. She then tears the sac open and releases the tiny spiders into the nursery web.

The passage tells us that the spider()

A. feeds grass and thistles to its young

B. lives on blades of grass under the water

C. lives in the grass on the banks of streams

D. eats a meal once every five weeks