Time: 90 mins
Direction: There is only one correct answer from the answer list. Choo the correct answer and blacken the corresponding letter on your answer sheet with your pen or pencil.
1. Which of the following is not the brain stem? ( B )
A. Medulla oblongata
B. cerebellum
C. pons
D. mencephalon
2. The patient’s left hand can active movement against gravity but not resistance, which grade of muscle strength? ( C )
A. Grade 1
B. grade 2
C. grade 3
D. grade 4
3. Ataxia is commonly caud by the lesions of ( A )
减脂早餐吃什么A. Cerebellum
B. thalamus
C. diencephalon
D. frontal cortex
石牛山4. Wernicke aphasia, where is the lesions? ( B )
A. Posterior part of inferior frontal gyrus of dominant hemisphere
B. posterior part of superior temporal gyrus of dominant hemisphere
C. Posterior part of superior frontal gyrus of dominant hemisphere
D. posterior part of inferior temporal gyrus of dominant hemisphere
5. Which of the following is not a part of the basal ganglia system? ( D )
A. Red nucleus
B. subthalamic nucleus
C. substantia nigra
D. cerebellum
6. Which of the following is not due to the midbrain lesions? ( B )
A. Weber syndrome
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B. locked-in syndrome
C. Benedikt syndrome
D. parinaud syndrome
7. Male, 73 years old, right ptosis, weakness of left limbs for 2 days, where is most likely the lesion? ( A )
A. Right midbrain
B. left midbrain
C. right pons
D. left pons
8. Male, 73 years old, right ptosis, weakness of left limbs for 2 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.
S t u d e n t N o .: N a m e ： A d m i s s i o n Y e a r (C l a s s )： M a j o r ：
head CT scan
9. In a reflex arc, which component reprents a muscle or gland? （D）
A.association neuron
C.nsory neuron
D.effector
10. The part of neuron that conducts impuls toward its cell body is called a(an) ( B )
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A.axon
B.dendrite
C.effector
11. The cytoplasmic extensions that provide the main receptive surfaces for neuron are( D )
C.axons
D.dendrites
12. Mass of myelinated nerve fibers appear( A )
A.white
C.brown
13. A neuron that travels through the oculomotor nerve to an extrinsic muscle of eye is of what type? ( B )
A.afferent
B.efferent
C.association
D.effector
14. The basal nuclei( D )
A.are located in the cerebrum
C.include the caudate and lentiform
D.all of the above
15. If anterior root of a spinal nerve were cut, what would be the result in the tissue or region that nerve supplies? ( A )
D.loss of neither nsation nor movement, but only of autonomic control of blood vesls and sweat glands
16. The posterior temporal gyrus was [C]
A. the olfactory center
B.the visual center
C.the auditory center
D.the cortex motor center
E.the cortex nsory nter
17. Male, 61 years old, suddenly coma for 1 hours. The head CT shows the 3cm x 3cm x 6cm high density shadow in the right hemisphere. The most likely diagnosis is [B].
A.syncope
E. hypertensive encephalopathy
18. Neurons that conduct impuls to the spinal cord or brain are called( A )
A.nsory neurons
B.efferent neurons
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C.association neurons
< neurons
19. A diad or injured neuron cannot regenerate if( C )
A.it is located in the PNS
B.its axon has no myelin sheath
C.its axon has no neurilemma
D.its axon has been cut
20. The prence of myelin on a process gives what characteristics? ( B )
B.incread rate of transmission
D. none of the above
21. Which of the following would not be true of a reflex arc? ( D )
A.always includes a nsory neuron and a motor neuron
B.always has its center in the brain or the spinal cord
C.always terminates in muscle or gland
D.always includes an interneuron
22. The characteristics of the muscle tension changes in the upper motor neuron were usually [A].
A.flexor muscle tension of upper extremity is high; extensor muscle tension of lower extremity is high.
C. flexor muscle tension of upper and lower extremity is high.
D. extensor muscle tension of upper and lower extremity is high.
E. the tension of the flexor muscle and the extensor muscle of the upper and lower limbs is high.
23. The most reliable diagnostic basis for subarachnoid hemorrhage is [C]
A.headache，vomiting
C.lumbar puncture found bloody cerebrospinal fluid
D.unilateral oculomotor nerve paralysis
E.hemiplegia
24. Patient with hemiplegia, hemianesthesia and hemianopia, his blood vesl which is most likely to block [B]
A.anterior cerebral artery
B.middle cerebral artery
C.posterior cerebral artery
D.internal auditory artery
奸臣迅雷下载E.anterior spinal artery
25. Which of the following correct [A]
A.when the right trigeminal nerve is damaged, the mandible is skewed to the right when opening the mouth籁的读音
B.when the right facial nerve is damaged, the angle of the mouth is skewed to the right when the teeth are expod.
C.when the right hypoglossal nerve is damaged, the tip of the tongue tends to the left when the tongue is extended.
D. when the right abducent nerve is damaged, the right eye inward movement is limited.
E. right pupil narrowing when right optic nerve damage.
26. For 2 days, a young man had pain in the chest and back. He had two legs weakness this mornin
g, accompanied by a bowel movement disorder. He felt all kinds of nsory disturbances below the umbilicus, and the strength of the lower limbs was 0. There was no pathological reflex. The first diagnostic examination that should be done is [D]
B.head MRI
D.thoracic vertebra MRI
E.MRI of lumbar vertebra
27. Male, 58 years old, the progressive double upper limb tremors and the activity is disadvantageous for half a year. There was no history of chronic dia. There was no abnormal discovery of MRI in the head.Physical examination: dull facial expressions, limb muscle tension, gear, when the upper limbs stretch forward may there were 4 to 5 times / minute hand tremor, finger no test is normal. The physical sign that could not be found during physical examination was [E]
A."rubbing pill" movement
B."road sign" phenomenon
C.written small sign
E."open - off" phenomenon
28. The following prevention and treatment of migraine, which is not correct [E]
A.avoid excessive fatigue and mental stress.
B.do not starves, overeat
C.do not drink and intake of high fat food
D. Avoid food that is known to cau the ont of a headache.
E.a vasodilator can be ud after the ont of a headache.
29. Spastic hemiplegic gait [D]
B.drunken gait
C.flurried gait
D.circling gait
E. scissors like gait
30. The major reason why carbidopa is of value in the treatment of Parkinson’s dia is that the compound: （C）
B.inhibits monoamine oxida A in the periphery.
C.inhibits aromatic L-amino acid decarboxyla in the periphery.
D.is converted to the fal transmitter carbidopamine in the periphery.
31. The lesion is associated with deep and shallow nsory disturbance, accompanied by spontaneous pain and hypernsitivity, the lesion in [C]
A.parietal nsory cortex.
B.internal capsule or basal ganglia
C.thalamus
D. mencephalic
E.bridge brain
32. Female, 62 years old, speech is not clear in the morning, the right limb weakness, two days after the illness gradually aggravated. Bp 105/82mmHg, consciousness, motor aphasia, right hemiplegia, can be completely excluded in the diagnosis of [C]
D. cerebral hemorrhage
E.lacunar cerebral infarction
33. The symptoms of peripheral hypoglossal paralysis do not include [B]
A. unilateral paralysis, the tip of the tongue is biad toward the paralytic side when
protruding the tongue. B. unilateral paralysis, the tip of the tongue is biad toward the contralateral of paralytic side when protruding the tongue. C.bilateral paralysis, tongue can not be protruded or can be restricted. D.associated with muscle atrophy and fasciculation. E. Electrophysiological examination showed degeneration reaction
34 .Periodic paralysis [A]
A.weakness of the extremities, hypokalemia
B.weakness of the extremities, paration of cerebrospinal fluid protein cells
C.weakness of the extremities, nsory disturbance like wearing gloves and socks.
D.weakness of the extremities, relieved after rest and aggravated after activity.
E.weakness of the extremities, atrophy of the scapula and pelvic muscles.
35. The new striatum [B]
A.static tremor
B.chorea
D.left extremities ataxia
E.Romberg’s sign is positive
36. If the lesion can cau the loss of algesia and temperature nsation on the one side of the face and the other side of the body, it locate in the [D]
A.midbrain dorsal cover
B.dorsum of the bridge brain
C.basal part of the bridge brain
D.dorsolateral medulla oblongata
E.basilar part of medulla oblongata
37. Most of the clinical diagnosis of epilepsy should be bad on [D]
A.witness its attack
B.electroencephalogram changes
C.family history
D.the exact history of the dia
E.head CT scan
38. The most accurate diagnosis of intracerebral hemorrhage is bad on [D]
A.over 60 years of age
B.hemiplegia
C.bloody cerebrospinal fluid
D.sudden hemiplegia, and head CT e high density near the basal ganglia
39. On the treatment of cerebral hemorrhage, which of the following is correct [D]
A.systolic pressure is maintained at 120 ~ 130mmHg
B.daily venous rehydration more than 2500ml
C.high do of aryl acid
D.keep quiet, active anti brain edema
E.24 hours after the ont of dia, the patients who were unable to eat were given nasal feeding
释怀了40. When the patients with subarachnoid hemorrhage occur blepharoptosis, the location of the aneurysm may be in [C]
A.middle cerebral artery
B.anterior communicating artery
C. posterior communicating artery
D.basilar artery
E.ophthalmic artery
