案例：患者男性，35岁，肢体无力1年余，查体见中枢神经系统检査（一），四肢近端肌力4级，远端肌力5级，腓肠肌无肥大，但触之稍坚韧，四肢腱反射降低。该患者最难鉴别的是

试卷相关题目

• 1案例：患者男性，35岁，肢体无力1年余，查体见中枢神经系统检査（一），四肢近端肌力4级，远端肌力5级，腓肠肌无肥大，但触之稍坚韧，四肢腱反射降低。还需做哪项检查可以诊断该疾病

  A.CK检测

  B.肌肉常规病理

  C.dystrophin免疫组化

  D.肌电图

  E.运动乳酸试验

  开始考试点击查看答案
• 2案例：患者男性，35岁，肢体无力1年余，查体见中枢神经系统检査（一），四肢近端肌力4级，远端肌力5级，腓肠肌无肥大，但触之稍坚韧，四肢腱反射降低。此患者最可能的临床诊断是

  A.面肩肱型肌营养不良症

  B.强直性肌营养不良症

  C.肢带型肌营养不良症

  D.假肥大型肌营养不良症

  E.强直性脊柱炎

  开始考试点击查看答案
• 3案例：A 67-year-old woman has noticed blurry vision and weakness over the past 4 months.Her symptoms are always worse toward the end of the day.She undergoes a neuromuscular evaluation including electromyography,and the diagnosis of myasthenia gravis is made.The most common manifestation of muscle weakness with myasthenia gravis is

  A.Diaphragmatic weakness

  B.Wristdrop

  C.Footdrop

  D.Ocular muscle weakness

  E.Dysphagia

  开始考试点击查看答案
• 4案例：A 67-year-old woman has noticed blurry vision and weakness over the past 4 months.Her symptoms are always worse toward the end of the day.She undergoes a neuromuscular evaluation including electromyography,and the diagnosis of myasthenia gravis is made.The most obvious site of disease in myasthenia gravis is the

  A.Anterior horn cell

  B.Neuromuscular junction

  C.Sensory ganglion

  D.Parasympathetic ganglia

  E.Sympathetic chain

  开始考试点击查看答案
• 5强直性肌营养不良症具有的临床表现为

  A.四肢近端肌萎缩无力

  B.四肢远端肌萎缩无力

  C.四肢近端、远端肌均萎缩无力

  D.四肢末梢型感觉障碍

  E.以上均无

  开始考试点击查看答案