问题 单项选择题 案例分析题

患者、男性,58岁,因"渐发性双上肢震颤、活动不利3年"入院。患者3年前开始出现左上肢震颤,呈搓丸样,静止性为主,紧张、情绪激动时较明显,活动不灵活,表现为行动迟缓;2年前上述症状发展至右上肢,曾到当地医院就诊,考虑震颤查因:给予左旋多巴治疗,症状有所好转,近半年来患者症状有所加重表现为震颤时间较前多,活动欠灵活。患者既往体健,否认卒中、中毒、接触化学毒物等病史。查体:面部表情呆滞,四肢肌张力齿轮样增高,双上肢向前平伸时可见4~5次/分震颤,双手指鼻试验正常,四肢肌力Ⅴ级,病理征未引出。头颅MRI无异常发现。

该患者可供选择药物有()。

A.复方左旋多巴

B.多巴胺受体激动剂

C.抗胆碱能药

D.金刚烷胺

E.以上都可以

答案

参考答案:E

选择题
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Discover Nature Schools programs

Becoming Bears (Kindergarten-2 grade)

By becoming baby bears, children learn from their “parent” to survive the seasons. Kids will find safety in the spring and learn kinds of food bears eat during the summer, and then create a cave for winter hibernation(冬眠). After learning the skills needed to survive, students will go out of the cave as an independent black bear able to care for themselves. (1.5-2 hours)

Whose Clues? (3-5 grade)

Kids will discover how plants and animals use their special structures to survive. Through outdoor study of plants and animals, kids will recognize their special structures and learn how they enable species to eat, avoid their enemies and survive. Using what they have learned, kids will choose one species and tell how they survive in their living places. (3-4 hours)

Winged Wonders (3-5 grade)

Birds add color and sound to our world and play an important ecological (生态的) role. Students will learn the basics of birds, understand the role birds play in food chains and go bird watching using field guides and telescopes. Students will do hands-on activities. Students will use tools to build bird feeders, allowing them to attract birds at home.(3-4 hours)

Exploring Your Watershed (6-8 grade)

We all depend on clean water. Examining how our actions shape the waterways around us. Go on a hike to see first-hand some of the challenging water quality problems in a city. Students will test the water quality to determine the health of an ecosystem.

● Each program is taught for a class with at least 10 students.

● All programs include plenty of time outdoors. So please prepare proper clothing, sunscreen and

insect killers for children.

● To take part in a program , please email dcprograms@mdc.mo.gov.

小题1:What can kids do at Becoming Bears?

A.Watch bears’ performances.

B.Take care of bears

C.Dress up as baby bears to learn about bears.

D.Learn how to survive a bear attack.小题2:Kids who are interested in plants will choose______________.

A.Winged Wonders

B.Exploring your Watershed

C.Becoming Bears

D.Whose Clues?小题3:According to the passage, all the four programs _____________.

A.have the same teaching hours

B.have outdoor activities

C.are offered during summer holidays

D.are designed for primary school students