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问题 单项选择题

患者女，62岁。脑出血1个月，左侧偏瘫，为进一步治疗入住康复科，患者既往高血压病史8年，冠心病1年。查体神清，言语不清，特征为说话缓慢费力，鼻音过重，舌交替运动差，左侧肢体有能动功能障碍，肌张力增高，有单侧空间忽略，Barthel指数评分为35分。

请问这位患者的构音障碍属于（）

A．弛缓性构音障碍

B．运动失调型构音障碍

C．运动过少型构音障碍

D．运动过多型构音障碍

E．痉挛型构音障碍

答案

参考答案：E

解析：

上元神经损伤导致的构音障碍一般都是痉挛型构音障碍，此患者说话时缓慢费力，鼻音过重，舌交替运动差。故选择E。

完形填空
完形填空。

     A young man works hard    1    his lessons. He is very busy   2    . He doesn't have time   3    . After
   4    , he falls ill. Every night, when he goes to bed, he    5    his eyes and tries to sleep. But he can't.
He thinks, "I must go to   6   the doctor." He tells the doctor, "I can't go to sleep at night." "Try counting(数)    7   . When you   8     1,000, you'll be asleep," says the doctor. The next day the man goes    9    
the doctor's office. "Well," says the doctor, "    10   are you today?" "Well," the man says, "I tried counting
one, two, three …up to 1,000.    11    when I reached 569, I began to feel sleepy (犯困的). I had to    12  
 and     13   some tea. Then I went    14    counting up to 1,000 again. But I    15   couldn't fall asleep."

( )1. A. in      
( )2. A. study   
( )3. A. rest    
( )4. A. sometimes
( )5. A. closes  
( )6. A. A look  
( )7. A. colors  
( )8. A. get     
( )9. A. to back 
( )10. A. where   
( )11. A. So      
( )12. A. get off 
( )13. A. eat     
( )14. A. to      
( )15. A. still   

B. on       
B. studying 
B. to rest  
B. sometime 
B. opens      
B. call               
B. numbers 
B. go        
B. back      
B. when      
B. But      
B. get to    
B. drink   
B. in       
B. already

C. at         
C. to study     
C. resting   
C. some time  
C. washes      
C. see               
C. ages       
C. arrive     
C. back to    
C. which      
C. Then         
C. get up     
C. take       
C. on         
C. again  

D. for             
D. studies         
D. of resting        
D. some times      
D. cleans            
D. listen         
D. time              
D. reach              
D. home to         
D. how            
D. For                  
D. get out         
D. drinks       
D. for               
D. hardly 
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单项选择题 A2型题

患儿男，5岁，发热12天，伴刺激性干咳，门诊使用阿莫西林、头孢噻吩治疗6天，无好转。查体：精神尚可，呼吸稍促，右下肺可闻及少许湿啰音，X线两肺下部呈云雾状浸润影。最可能的诊断是（）

A.金黄色葡萄球菌肺炎

B.腺病毒肺炎

C.肺结核

D.支原体肺炎

E.大叶性肺炎
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