问题
单项选择题 共用题干题
患者男，61岁。近1年无明显诱因逐渐出现行动迟缓，穿衣、洗澡等需要帮助，无明显的肢体抖动。自觉周身僵硬，翻身困难。稍不平整的路面易于摔倒，曾骨折1次。说话声音变小，吐字欠清。
为明确诊断最有意义的处置是（）
A.血生化
B.腰椎穿刺
C.Hamilton抑郁量表评估
D.颅脑CT
E.左旋多巴制剂试验性治疗
答案
参考答案：E
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患者男，61岁。近1年无明显诱因逐渐出现行动迟缓，穿衣、洗澡等需要帮助，无明显的肢体抖动。自觉周身僵硬，翻身困难。稍不平整的路面易于摔倒，曾骨折1次。说话声音变小，吐字欠清。
为明确诊断最有意义的处置是（）
A.血生化
B.腰椎穿刺
C.Hamilton抑郁量表评估
D.颅脑CT
E.左旋多巴制剂试验性治疗
参考答案：E
阅读下面短文，掌握大意，然后从A.B.C.D四个选项中选出一个最佳选项. It was a lovely spring afternoon. My classmates and I were playing happily on the playground when I let out a cry, “Ow!Ow! Something in my shoe is biting* me.” Everyone was shocked by the cry. They took me into a classroom and were about to take off my____. “Which foot is it?”One asked “let us have a look.” Suddenly, I remembered the holes in____socks.My family was very poor during those years. I wore welfare socks, which cost only a little, but those____welfare socks didn’t last long. They soon had ____at he bottom. I refused to take off my shoe. I____stand others seeing the holes in my sock. I tried to hold back my tears Yet, each time the thing____my shoe bit me, tears raced down my face. My teacher, Miss Diane, hurried into the_____, “What’s wrong? ”She asked. “Something is biting her right foot,__ __she doesn’t let us take off her shoe,”One of my classmates answered. Miss Diane lived next door to me.She_____everything about my family .She put both hands on my shaking shoulders and ____into my painful and hopeless eyes. “Oh,yes,it must be a sock-eating ant,” She said, as if she had____seen the thing inside the shoe. “I had a bite from one of those ants. By the time I got my shoe off ,it had____almost the whole bottom off my sock.” My classmates nodded while they were listening to the teacher____,although they all looked a little puzzled*. Miss Diane took off my right shoe and sock and shook them over the dustbin*.Two red ants ____it. “Just what I thought it.The ants have eaten part of her sock.”When she stroked an alcohol* cotton ball on the bites,she added, “You are such a ____girl to take so many bites.” The alcohol felt cool on the bites and a little girl’s pride was saved by the “sock-eating ant ” story.
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