问题 单项选择题

男性,55岁。双下肢无力半年,右侧明显,近2个月行走不稳,右手不能扣钮扣,无外伤史,无发热。体格检查,颈背部无明显压痛,两上肢前臂、手及上臂尺侧皮肤感觉减退,右侧尤其明显,四肢肌张力增高,肱二头肌反射亢进,双侧膝踝反射亢进,右髌阵挛阳性,右巴宾斯基征阳性。最可能的诊断是

A.脑中风

B.颈椎病

C.颈椎肿瘤

D.颈椎结核

E.颈神经根炎

答案

参考答案:B

解析:[解题思路] 颈椎病分为五型:神经根型、脊髓型、交感神经型、椎动脉型及混合型。在颈椎横突孔中走行的椎动脉,可因椎间隙狭窄、颈椎不稳或钩椎关节骨赘增生而压迫或刺激,血流可暂时阻断,或因痉挛而阻塞或梗死,影响脑的血供。出现以下各种症状:①眩晕;②头痛;③视觉障碍;④猝倒;⑤其他的运动感觉或精神障碍。

单项选择题
填空题

It is clear that we are rapidly becoming a global culture. New forms of information technology, intercontinental travel, and the complex nature of economics are all elements in such a change. Japan, an ancient (1) culture, now dominates the West economically while its own traditional (2) is rapidly becoming (3) in the process.
It does not take a great deal of analysis to see the vast interchanges of cultural influences in the world today. The thirst for (4) fashions, popular music, and the other elements of consumer culture (5) great inroads in non-Western lands while the West seeks out everything from the religious traditions of the Ease (6) the art and music these countries produce. In the field of (7) , to cite one conspicuous example, contemporary readers seek books (8) those of the West. Latin American authors, as well as those from Africa, Asia, and India, now find appreciative audiences.
A (9) culture does not mean a unitary or "one world" culture. It does mean that people are increasingly aware of the diversity of culture. World events enter our living rooms so that things that may once have been (10) of as distant (11) now greet us immediately and in color. We may watch those events on a television made in Japan while wearing clothes sewn in Thailand and shoes made in Hungary while snacking (12) food grown in Mexico. Such an economic interdependence reflects the reality of a global banking system, the globalization of the economy, and the increasing (13) of information and information technologies.
(14) has this shrinking of distances (and attitudes) become more clear than in the academic debates over what constitutes a liberal (15) education today. Is it possible (or desirable) to have the Western core of humanities (16) the center-piece of a curriculum The place of non-Western and non-traditional cultures as part of the general (17) of a student is hotly argued in educational circles. The very fact of that discussion (18) to the emergence of a global consciousness with a continued shrinking of parochial attitudes. The (19) that such globalization is hotly debated only emphasizes the profound nature of the (20) taking place in our culture.