问题 单项选择题

急性炎症性脱髓鞘性多发性神经病的主要临床表现是()

A.肢体对称性麻木

B.肢体对称性无力

C.发作性肢体无力

D.发作性肢体麻木

E.双侧眼外肌瘫痪

答案

参考答案:B

解析:急性炎症性脱髓鞘性多发性神经病最主要的临床表现是肢体对称性弛缓性瘫痪,通常自双下肢开始,近端常较远端明显,多于数日至2周达到高峰。感觉主诉通常不如运动症状明显,但较常见,震动觉和关节运动觉不受累。少数病例可出现Kernig征、La-segue征等脊膜刺激征。少数患者出现脑神经麻痹,可为首发症状,常见双侧面神经瘫,其次为球麻痹。自主神经功能紊乱症状较明显。

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    Mr Smith lived in a village. He had   1   farms and about twenty people worked for him. He often told them
  2   hard and be honest.
    One day he went to a farm and worked with the workers there. Soon after that it was time   3   lunch. He put
  4    of nice bread on the table and went out. A few minutes later he came back again, but   5   find them. 
    "Who ate the bread on the table?" he shouted.
    Some of the workers answered, "We   6  ." 
    The others said, "We saw nothing." 
    "Well," said Mr Smith, "There are   7   in the rooms, you know. So I put some poison in the bread.   8   they
eat, they must die. Then I can kill them." 
    As soon as he finished, four workers began to cry, "Oh, dear!" 
    "  9  ?" asked Mr Smith. "We ate the bread when you were out. We are going to die." One of them cried. 
    "Don't worry," Mr Smith said   10  . "I only play a trick on you. Use your head."
( ) 1. A. a few      
( ) 2. A. work        
( ) 3. A. have        
( ) 4. A. some piece  
( ) 5. A. can't      
( ) 6. A. did         
( ) 7. A. many mouse      
( ) 8. A. If          
( ) 9. A. How are you 
( ) 10. A. with a smile
B. few                  
B. working              
B. at                   
B. some pieces          
B. mustn't            
B. didn't              
B. a lot of mices       
B. Before               
B. What are you doing    
B. with smiles        
C. little            
C. works               
C. with                
C. some pieces of       
C. wouldn't         
C. do                 
C. lot of mice         
C. That                
C. Did you have lunch   
C. smiling           
D. a little                 
D. to work                  
D. for                      
D. some piece of              
D. couldn't             
D. does                    
D. a lot of mice            
D. And                      
D. What is wrong with you   
D. with smile             
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