问题 单项选择题

急性炎症性脱髓鞘性多发性神经病不常见的表现为()。

A.视神经视盘水肿

B.双侧面神经麻痹

C.双侧舌口因神经麻痹

D.脑脊液蛋白-细胞分离现象

E.运动神经传导速度异常

答案

参考答案:B

解析:急性炎症性脱髓鞘性多发性神经病又称为格林-巴列综合征,多数患者病前1~4周可追溯有胃肠道或呼吸道感染症状以及疫苗接种史。急性或亚急性起病。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、Lasegue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。

单项选择题

In most aspects of medieval life, the closed corporation prevailed. But compared to modern life, the medieval urban family was a very open unit: for it included, as part of the normal household, not only relatives by blood but a group of industrial workers as well as domestics whose relation was that of secondary members of family. This held for all classes, for young men from the upper classes got their knowledge of the world by serving as waiting men in a noble family: what they observed and overheard at mealtime was part of their education. Apprentices lived as members of the master craftsman’s family. If marriage was perhaps deferred longer for men than today, the advantages of home life were not entirely lacking, even for the bachelor.
The workshop was a family; likewise the merchant’s counting house. The members ate together at the same table, worked in the same rooms, slept in the same or common hall, converted at night into dormitories, joined in the family prayers, participated in the common amusements.
The intimate unity of domesticity and labour dictated the major arrangement within the medieval dwelling-house itself. Houses were usually built in continuous rows around the perimeter of their gardens. Freestanding houses, unduly exposed to the elements, wasteful of the land on each side, harder to heat, were relatively scarce: even farmhouses would be part of a solid block that included the stables, barns and granaries. The materials for the houses came out of the local soil, and they varied with the region. Houses in the continuous row forming the closed perimeter of a block, with guarded access on the ground floor, served as a domestic wall: a genuine protection against felonious entry in troubled times.
The earliest houses would have small window openings, with shutters to keep out the weather; then later, permanent windows of oiled cloth, paper and eventually glass. In the fifteenth century, glass, hitherto so costly it was used only for public buildings, became more frequent, at first only in the upper part of the window. A typical sixteenth-century window would have been divided into three panels: the uppermost panel, fixed, would be of diamond-parted glass; the next two panels would have shutters that opened inwards; thus the amount of exposure to sunlight and air could be controlled, yet on inclement days, both sets of shutters could be closed, without altogether shutting out our light. On any consideration of hygiene and ventilation this type of window was superior to the all-glass window that succeeded it, since glass excludes the bactericidal ultra-violet rays.

In the writer’s opinion, all-glass windows were not an improvement because they were less ______.

A. healthy
B. attractive
C. economical
D. hard-wearing

单项选择题