病历摘要：患者女性，40岁。于5年前的冬天，先在左肩部无故起泡，破溃后发红，面积大如鸡蛋，曾在外院外科治疗，上药2个月后逐渐好转，留有大面积瘢痕。以后感觉左手发凉，逐渐伸不直，伴下肢活动不灵，以左侧为重。容易摔倒，走路如踩棉花，经常穿鞋上床。3个月前右肩膀又生一泡，破溃后发红，现已结痂，左侧面部多汗。体查：一般情况良好，左眼裂变小，左瞳孔变小，光反射正常。左面部多汗。左面部口唇以后痛觉减退。左手握力差，左手骨间肌轻度萎缩，两手皮肤粗糙。C1-L5痛觉减退，右C3-L5痛觉减退，左侧比右侧感觉障碍重。左上肢深感觉消失，右上肢深感觉减退，左侧比右侧重。双膝、踝反射活跃，左侧Hoffmann（+），双侧Babinski（+），双侧Rossolimo（+）。胸椎轻度凸向左。
脊髓空洞症常合并以下畸形（）
A.脊柱侧弯
B.脊柱后凸
C.隐性脊柱裂
D.颈枕区畸形
E.小脑扁桃体下疝
F.弓形足
参考答案：A, B, C, D, E, F
Once, the famous scientist Einstein travelled to many places in America to give lectures. He travelled in a __1__, and soon made friends with his driver. Each time Einstein gave the lecture, his driver __2__ sat in the front row and listened to him very carefully. The __3__ lecture was given so many times that the driver learned it well enough to give it himself. One day, when Einstein was __4__ about it, he asked the driver to give the lecture for him in a small town. That evening, both Einstein and the driver went into the lecture room. __5__ there had seen Einstein before. When the driver took his place, everybody applauded (鼓掌). Then he began the lecture. __6__ it was over, the people warmly applauded. The driver turned to look at Einstein. Einstein nodded with a smile on his face. When they began to leave the lecture room, a man __7__ them and asked the driver a very __8__ question. The c river listened carefully, then he __9__ and said the question was interesting but really quite easy. To show how easy it is. I'll ask my __10__ to answer it," said the driver.
小题4:A. spoken B. told C. said D shouted
|