问题 单项选择题

患者,男,42岁,搬重物后出现腰痛伴左下肢疼痛3天,咳嗽、喷嚏时加重,卧床后缓解,体检:L3~5棘突及其左侧压痛,左侧直腿抬高试验40°(+),左小腿外侧痛觉减退,双侧膝腱及跟腱反射正常对称,弯腰活动明显受限,X线片示L4~5椎间隙略窄。

考虑的诊断是

A.急性腰扭伤

B.腰肌筋膜炎

C.腰椎间盘突出症

D.腰肌劳损

E.肥大性脊柱炎

答案

参考答案:C

解析: 患者搬重物后出现腰痛及左下肢疼痛,棘突有压痛,直腿抬高试验阳性,腱反射正常引出,X线片示椎间隙变窄,均符合腰椎间盘突出症的表现。

单项选择题 A1/A2型题
单项选择题

"In the long run," as John Maynard Keynes observed, "we are all dead. " True. But can the (1) run be elongated in a way that makes the long run (2) And if so, how, and at what cost People have dreamt of (3) since time immemorial. They have sought it since the first alchemist put an elixir of (4) on the same shopping list as a way to turn lead into gold. They have (5) about it in fiction, from Rider Haggard’s "She" to Frank Herbert’s "Dune". And now, with the growth of (6) knowledge that has marked the past few decades, a few researchers believe it might be within (7) .

To think about the question, it is important to understand why organisms-people (8) -age in the first place. People are like machines: they (9) That much is obvious. However, a machine can always be (10) A good mechanic with a stock of spare parts can keep it going (11) . Eventually, no part of the (12) may remain, but it still carries on, like Lincoln’s famous axe that had three new handles and two new blade.

The question, of course, is whether the machine is worth (13) . It is here that people and nature (14) . Or, to put it slightly (15) , two bits of nature disagree with each other. From the individual’s point of view, (16) is an imperative. You cannot reproduce unless you are alive. A fear of death is a sensible evolved response and, since (17) is a sure way of dying, it is no surprise that people want to stop it in its tracks. Moreover, even the appearance of ageing can be (18) . It (19) the range of potential sexual partners who find you attractive-since it is a sign that you are not going to be (20) all that long to help bring up baby-and thus, again, curbs your reproduction.

8()

A.excluded

B.included

C.apart

D.without