神经病学英文版试卷及答案A-Neurology examination paper A-lwx

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Time: 120 mins

Section

Score

Scorer

线

I

II

III

IV

V

VI

Total

Scores

Verifier

I. single choice questions . （50 scores）

Direction: There is only one correct answer from the answer list. Choose the correct

answer and blacken the corresponding letter on your answer sheet with your pen or

pencil.

1. Transient ischemic attack (TIA) in general does not exceed ( B )

A. 30 minutes B. 60 minutes C. 2 hours D. 3 hours

2. A patient is cerebral infarction with the language barrier, characterized by could not

understand what is said to him. His spontaneous speech is fluent. What is kind of aphasia in

this patient? ( B )

A. Broca’s aphasia B. Wernicke’s aphasia C. conduction aphasia D. global aphasia

3. In general, epilepsy patients could consider to reduce or stop the antiepileptic drugs

(AEDs) in any of the following situations: ( C )

A. Seizure stops after 6 months B. takes drugs after 2 years C. seizure stops

after 4 years D. all above is not

4. The cause of subarachnoid hemorrhage can be ( B )

A. Amyloidosis B. aneurysm C. arterial thrombosis D. viral encephalitis

5. The main cause of cerebral hemorrhage is ( A )

A. High blood pressure B. pneumonia C. diabetes D. coronary heart

disease

6. Female, 65 years old, suddenly coma for 3 hours. The head CT shows the low density

shadow in the right frontal cortex. The most likely diagnosis is ( C )

A. syncope al hemorrhage al embolism D. hypertensive

encephalopathy

7. The most accurate diagnosis of intracerebral hemorrhage is based on ( C )

A. over 60 years of age B. hemiplegia C. sudden hemiplegia, and head CT see high

density near the basal ganglia eal irritation

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8. If the lesion can cause the right face palsy, and left limbs weakness, then it locate in the

( B )

A. right mesencephalon B. right pons C. left mesencephalon D. left pons

9. Which of the following test is not associated with myasthenia gravis? ( D )

A. Jolly test B. Tensilon test C. Neostigmine test D. Romberg test

10. Male, 25 years old, right ptosis, weakness of four limbs, AChR(+), diagnosis with

myasthenia gravis. Which of the following treatment is not correct? ( A )

A. Aspirin B. corticosteroids C. acetylcholinesterase inhibitors D. thymectomy

11. Patients with global aphasia, his blood vessel which is most likely to block? ( C )

A. anterior cerebral artery B. anterior spinal artery C. middle cerebral artery

D. posterior cerebral artery

12. Which of the following is not part of the brain stem? ( A )

A. Cerebellum B. medulla oblongata C. pons D. mesencephalon

13. Male, 50 years old, right ptosis, dilated pupil, The most likely diagnosis is ( B )

A. Myasthenia gravis B. oculomotor nerve impaired C. abducent nerve impaired

D. facial nerve impaired

14. Which of the following symptoms could not present in the cerebellar lesions. ( C )

A. Intention tremor B. cerebellar ataxia C. weakness of limbs D.

nystagmus

15. Which of the following is not the disturbance of the level of consciousness? ( B )

A. Somnolence B. confusion C. stupor D. coma

16. Male, 65 years old, a history of hypertension for 3 years, now has a sudden of speech

disorder, a skewed corner of the mouth, and left limbs movement disorder for 3 days.

Which of the following tests do you think is most appropriate? ( D )

A. Lumbar puncture CSF examination B. Cerebral angiography C. EEG examination D.

head CT scan

Case: male, 10 years old, Sudden loss of consciousness, twitching of extremities,

foaming in the mouth, stopping convulsions after 3 minutes.

17. The most likely diagnosis is ( C )

A. Stroke B. migraine C. epilepsy D. TIA

18. Which of the following is the most helpful for diagnosis? ( C )

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A. Head CT B. head MRI C. Electroencephalogram D. Lumbar puncture

CSF examination

Case: female, 45 years old, sudden weakness of right upper and lower limbs, no

consciousness disturbance. The attack occurred 5 times in total, and the attack

duration was about 20 minutes.

19. The most likely diagnosis is ( D )

A. Epilepsy B. cerebral embolism C. vertebrobasilar system TIA D. internal

carotid artery system TIA

20. The lesions are most likely at ( B )

A. basilar artery blood supply area B. left middle cerebral artery blood supply area

C. right middle cerebral artery blood supply area D. left anterior cerebral artery blood

supply are

21. To confirm the etiology, which test is preferred? ( D )

A. Head CT B. blood lipids examination C. blood glucose examination D.

cardiac B ultrasound

Case: female, 25 years old, bilateral peripheral facial paralysis, difficulty swallowing,

flaccid paralysis of the extremities.

22. The most likely diagnosis is ( A )

A. GBS B. myasthenia gravis C. facial neuritis D. Acute myelitis

23. What is the feature about this disease? ( A )

A. Increased CSF albumin with absence of cellular reaction B. AChR-Ab (+)

C. Electromyography suggests facial nerve conduction disorders D. MRI suggests

spinal cord thickening

Case: male, 20 years old, right ptosis, respiratory failure, Jolly test is positive.

24. The most likely diagnosis is ( B )

A. GBS B. myasthenia gravis C. oculomotor nerve impaired D. stoke in

midbrain

25. Which drugs is appropriate? ( C )

A. Vitamins B B. aspirin C. pyridostigmine D. potassium chloride

II. Explanation of Nouns (19 scores)：

26. What is the definition of status epilepticus? (5 scores)

Answers: Status epilepticus is a clinical or electrical seizure lasting at least 30 minutes, or a

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