问题
单项选择题
女性，38岁。左上肢痛5个月。神经系统查体：左上肢肌力4级，左下肢肌力4级。左侧C6以下痛温觉消失，左侧减退；C4水平痛觉过敏，左侧巴氏征阳性。考虑诊断为（）
A.脊髓炎
B.脊髓髓内肿瘤
C.脊髓髓外硬膜下肿瘤
D.脊髓硬膜外肿瘤
E.椎管病变压迫
答案
参考答案：C
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女性，38岁。左上肢痛5个月。神经系统查体：左上肢肌力4级，左下肢肌力4级。左侧C6以下痛温觉消失，左侧减退；C4水平痛觉过敏，左侧巴氏征阳性。考虑诊断为（）
A.脊髓炎
B.脊髓髓内肿瘤
C.脊髓髓外硬膜下肿瘤
D.脊髓硬膜外肿瘤
E.椎管病变压迫
参考答案：C
阅读下面短文，掌握其大意．然后从1—15各题所给的A、B、C和D项中，选出最佳选项，并在答题卡上将该项涂黑。 Returning from a trip overseas, I sensed that something was wrong between Keith, one of my two sons, and me. So I asked him, “Keith, have I done anything that really __1__your feeling?” Immediately, he said, “Yes. Last Christmas you promised us a special 2 that I really wanted but you never gave it to me.” The 3 was that I’d completely forgotten about it. I 4 , “Is there anything else I’ve done wrong, but didn’t apologized for?” Again, his 5 was immediate, “Remember last Christmas when Mom said you had to go to the 6 because Stephen was going to be born? You left us at home and 7 in a hurry. Remember?” “Well, you left and forgot the suitcase.” I couldn’t believe he 8 all the details! “After you came back from the hospital you were 9 . When you got home, the suitcase had been opened and everythinghad been thrown all over the place, and you 10 me.” “And you didn’t do it?” I asked. “No, I didn’t . I was just searching for my gift.” My heart sank. I felt 11 . I hugged Keith and asked him to 12 me. His Honesty made me think of our other son, Kevin. Maybe I’d hurt his feelings, too. I went to ask him the same question. Kevin’s answer was as immediate as his 13 , “Last Christmas you promised us a special toy, but you forgot about it.” Though Christmas had passed, I took my two sons to the store that day and bought them what I had promised. The 14 thing wasn’t the toy. The problem was I’d made a promise too 15 and didn’t keep it as their father.
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