※ 引述《cisimtag (CIS)》之铭言： : 神经系统第一次考试答案公告如下： : 1 BBAAC DDBCD : 11 DAABA ABCAD : 21 CDADC CBBDB : 31 AAABC DBBAB : 41 CDABD ABCAC : 51 CABDB AABBB : 61 DDBAD BDCAC : 71 AD : 申覆的格式如下，有疑问先推文再由学艺统一申覆 : 题 号： : 题 目： : 公布答案： : 建议答案： : 原因及参考资料： : (若有出处请注明并附上资料) 科目:神解 题号:20 题目:略 公布答案:D 建议答案:送分 原因及参考资料: 根据Barr's the human nervous system 9e 2005 pp328-329 The cell of nucleus Z give rise to internal arcuate fibers that cross the midline and join the medial lemniscus.可知Z核的纤维会投射至内侧蹄系，故本题 无适当单一答案，建议送分 科目:神解 题号:28 题目:略 公布答案:B 建议答案:送分 原因及参考资料: 题目叙述应改为应为"下列何者错误"方能产生正确答案B，故本题无适当单一答案，建议 送分 科目:神解 题号:30 题目:略 公布答案:B 建议答案:D 原因及参考资料: 根据Fundamental neuroscience for basic and clinical applications 3e 2006 pp.384 The fibers that lead from the tendon organs to the spinal cord are typeIb fibers.故D选项错误 科目:生理 题号:33 题目:略 公布答案:A 建议答案:AB 原因及参考资料: 根据Fundamental neuroscience for basic and clinical applications 3e 2006 pp.383 Like alphp neurons,gama motor neurons receive suprapinal input from the cerebral cortex and brainstem. In the gama loop,this suprapinal input active the gama motor neurons so that the intrafusal muscle fibers contract. Because the contraction of an intrafusal muscle fibers has the effect of stretching the equatorial region between its two polar regions, it results in increased Ia fiber activity.In the sinal cord,this increase in Ia fiber discharge activates alpha motor neurons,which then activate extrafusal muscle fibers,resulting muscle contraction. 故gama motor neurons兴奋最终造成梭外肌肉收缩，而梭内纤维收缩後即伴随着梭外肌 肉收缩，长度未有明确定论，故建议选项中有"梭外肌肉收缩"的AB选项皆为正确答案 科目:生理 题号:45 题目:略 公布答案:D 建议答案:送分 原因及参考资料: 根据 Merrit's neurology 12e 2010 pp.713 Criteria for the clinical diagnosis of Alzheimer's disaese were eastablish by a joint of National Institute of Neurological and Communicative Disorder and Stroke and the Alzheimer's disaese and Related Disorders Association in 1984 and are referred to as the NINCDS-ADRDA criteia.These include a history of progressive deterioration in cognitive ability in absence of other known neurological or medical problems.Postmortem examination,psychologic testing, and brain imaging help establish three level diagnostic certainty. The designation of "definite" Alzheimer's disaese is reserved for autopsy-confirmed disaese."Probable" Alzheimer's disaese is the highest level of clinical diagnosis. 由此可知临床上无法有Alzheimer's disaese确诊 唯有透过autopsy才能做出Alzheimer's disaese的确诊 而"Probable" Alzheimer's disaese 的判断标准主要由病史、psychologic testing及 影像诊断构成，故本题无单一适当答案，建议送分 学艺大人交给你了 --

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