神经病学历年题一．单项选择题历年经验：绝大部分在宝典上。真题整理：1.Paralysiswithuppermotorneuronlesionmustbeconsideredbythefollowingcharacters,EXCEPT:A.Babinskisign;B.Increaseddeeptendonreflexes;C.Spasticcharacters;D.Pseudobulbarparalysis;E.Fasciculations.2.WhichoneofthefollowingsISN'ToneofthecomponentsofcircleofWillis?A.Internalcarotidartery;B.Middlecerebralartery;C.Anteriorcommunicatingartery;D.Posteriorcommunicatingartery;E.Posteriorcerebralartery.3.Thelocalizationoflowermotorneuronlesionsincludefollowingsites,EXCEPT:A.Anteriorhorncellsofspinalcord;B.Caudalequina;C.Conusmedullaris;D.Mesencephalicnucleusoftrigeminal;E.Pyramidaltract.4.Localizationofcerebellarhemispherelesionsmustbeconsideredbythefollowingfindings,EXCEPT:A.Ipsilateralintentiontremor;B.Ipsilateraldysdiadochokinesia;C.Ipsilateraldysmetria;D.Ipsilateralhypotonicity;E.IpsilateralParalysis.5.WhichofthefollowingsarethecorefeaturesofParkinson'sdisease?A.Bradykinesia,rigidity,andtremor;B.Rigidity,shufflinggait,andtremor;C.Rigidity,weakness,andtremor;D.Shufflinggait,akinesia,andweakness;E.Shufflinggait,pill-rolling,andakinesia.6.Aboutthefeaturesof"spinalshock",whichoneofthefollowingsisWRONG?A.Completeabsenceofreflexbelowtheleveloftheinjury;B.Completeabsenceofautonomicactivitybelowtheleveloftheinjury;C.Flaccidparalysis;D.Extensorplantarresponses;E.Alloftheabove-mentioned7.ThefollowingclinicalcriteriacanmakeadiagnosisofdefiniteMS(multiplesclerosis),butwhichonemustbeexcluded?A.Patientmusthavetwoseparatecentralnervoussystemlesions;B.Symptomsmusthaveoccurredintwoormoreseparateepisodes;C.Symptomsmustinvolvethewhitematter;D.Symptomsmustinvolvethegraymatter;E.Neurologicalexaminationmustshowobjectiveabnormalities.8.Female,40.Unilateralheadacheaccompaniednauseaandvomitingforfiveyearswithvariousintensity,lastedanaverageof24hours(arangeof5to72hours).Thegeneralmedicalandneurologicalexaminationsofthispatientarenormal.Themostlikelydiagnosticpossibilityis:A.Tensionheadache;B.Clusterheadache;C.Migraine;D.Secondaryheadache;E.Hypochondriasis.9.A40-yearsoldmandevelopedbilateralfacialweaknessanddifficultyinclimbingstairsforoneweekafterarespiratoryillness.Themostpossiblediagnosisis:A.Bell'spalsy;B.Multiplesclerosis;C.Periodicparalysis;D.Guillain-Barrésyndrome;E.Motorneurondisease.10.AboutthemainpresentationofIncreasedintracranialpressure(ICP),whichoneofthefollowingsisthebest?A.Seizure,headache,papilledema;B.Seizure,vomiting,papilledema;C.Headache,vomiting,papilledema;D.Headache,seizure,focalneurologicalsigns;E.Vomiting,seizure,focalneurologicalsigns.11.TrigeminalneuralgiaisdescribedasabriefelectricshocktypepainlimitedtothedistributionofanybranchoftheTrigeminalnerve.Whichoneofthefollowingdrugsisthebestforitstreatment?A.Baclofen;BCarbamazepine;CVitaminB12;DValproate;EAlcoholblocks.12.MyastheniaGravis(MG)isadisorderofimpairingtheneuromuscularjunction.Thefollowingsarecorrect,EXCEPT:A.Thepatientshavenoabnormalityofmentalstate;B.Thepatientspresentwithmuscleweaknessandfatigue;C.ThehallmarkofMGispathologicfatigability;D.Eyefindingsarethemostcommonwithptosis;E.MGmayeffectpupillaryfunction.13.Musculardystrophiesaregeneticallydeterminedprimarydiseasesofmuscle,characterizedpathologicallybymusclefiberdegeneration.WhichoneofthefollowingsisinheritedasX-linkedrecessivetraits?A.Myotonicdystrophy;B.Duchennemusculardystrophy;C.Limb-girdledystrophy;D...
