一男性，24岁，劳动中突然发生剧烈头痛，呕吐和意识不清。体检：

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问题单项选择题 A3型题

一男性，24岁，劳动中突然发生剧烈头痛，呕吐和意识不清。体检：浅昏迷，血压120／80mmHg，体温37℃，颈抵抗、颏胸距4横指，凯尔尼格（Kernig）征阳性。右上眼睑轻度下垂，右眼球处于外侧位，右侧瞳孔4mm，对光反应迟钝，左侧艟孔2mm，对光反应灵敏。左肢体活动差，左侧巴宾斯基征阳性。诊断为蛛网膜下腔出血。

凯尔尼格征阳性，该反射属于（）

A.浅反射异常

B.深反射异常

C.病理反射

D.脑膜刺激征

E.以上都不是

答案

参考答案：D

阅读理解

The clock struck eleven at night. The whole house was quiet. Everyone was in bed except me. Under the strong light, I looked sadly before me at a huge pile of that troublesome stuff they call “books”.

I was going to have my examination the next day. “When can I go to bed?” I asked myself. I didn’t answer. In fact I dared not.

The clock struck twelve.” Oh, !” I cried. “Ten more books to read before I can go to bed!” We pupils are the most wretched creatures in the world. Dad does not agree with me on this. He did not have to work so hard when he was a boy.

The clock struck one. I was quite desperate(绝望的) now. I forgot all I had learned. I was too tired to go on. I did the only thing I could. I prayed, “Oh, God, please help me pass the exam tomorrow. I do promise to work hard afterwards, Amen.” My eyes were so heavy that I could hardly open them. A few minutes later, with my head on the desk, I fell asleep.