内科学_睡眠障碍

试卷预览

• 1存在不可克制的睡意，在静坐、看电视、阅读时经常不自主入睡,可称为

  A.无意识入睡

  B.睡眠发作

  C.睡眠幻觉

  D.睡眠麻痹

  E.睡眠过度

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• 2以下关于阻塞性睡眠呼吸暂停综合征的描述，错误的是

  A.主要由于咽部软组织肥大、咽部肌张力下降、气道缩短等因素导致

  B.发生于睡眠时或特定的睡眠体位下

  C.气道下段可逆性阻塞或不畅引起呼吸暂停或低通气

  D.部分患者可能与中枢对低氧的敏感性下降或肺容量下降有关

  E.临床常见疾病，年龄越大，发病率越高

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• 3失眠是指

  A.入睡困难

  B.睡眠维持困难

  C.早醒

  D.睡眠期间打呼噜

  E.白天存在睡眠剥夺表现

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• 4不宁腿综合征诊断依据包括

  A.强烈的活动双下肢的愿望

  B.显著的下肢不适感

  C.安静休息时出现

  D.夜间睡眠时加重

  E.活动后部分或完全缓解

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• 5案例：A 65-year-old man has had many years of deteriorating kidney function due to diabetes.At age 59,dialysis was begun because of electrolyte abnormalities.The most common neurologic complication of chronic renal failure is

  A.Peripheral neuropathy

  B.Delirium

  C.Seizures

  D.Dementia

  E.Labile affect

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• 6案例：A 65-year-old man has had many years of deteriorating kidney function due to diabetes.At age 59,dialysis was begun because of electrolyte abnormalities.As the patient becomes uremic,he tends to develop the restless legs syndrome. This may be controlled with

  A.Haloperidol

  B.Clonazepam

  C.Caffeine

  D.Nifedipine

  E.Rifampin

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• 7案例：A 65-year-old man has had many years of deteriorating kidney function due to diabetes.At age 59,dialysis was begun because of electrolyte abnormalities.The most reliable treatment for the peripheral neuropathy of chronic renal failure is

  A.Thiamine supplements

  B.Clonazepam

  C.Phenytoin

  D.Minoxidil

  E.Renaltransplant

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