※ 引述《cisimtag (CIS)》之銘言： : 神經系統第一次考試答案公告如下： : 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，有疑問先推文再由學藝統一申覆 : 題 號： : 題 目： : 公布答案： : 建議答案： : 原因及參考資料： : (若有出處請註明並附上資料) 科目:神解 題號:20 題目:略 公佈答案:D 建議答案:送分 原因及參考資料: 根據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核的纖維會投射至內側蹄係，故本題 無適當單一答案，建議送分 科目:神解 題號:28 題目:略 公佈答案:B 建議答案:送分 原因及參考資料: 題目敘述應改為應為"下列何者錯誤"方能產生正確答案B，故本題無適當單一答案，建議 送分 科目:神解 題號:30 題目:略 公佈答案:B 建議答案:D 原因及參考資料: 根據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選項錯誤 科目:生理 題號:33 題目:略 公佈答案:A 建議答案:AB 原因及參考資料: 根據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興奮最終造成梭外肌肉收縮，而梭內纖維收縮後即伴隨著梭外肌 肉收縮，長度未有明確定論，故建議選項中有"梭外肌肉收縮"的AB選項皆為正確答案 科目:生理 題號:45 題目:略 公佈答案:D 建議答案:送分 原因及參考資料: 根據 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. 由此可知臨床上無法有Alzheimer's disaese確診 唯有透過autopsy才能做出Alzheimer's disaese的確診 而"Probable" Alzheimer's disaese 的判斷標準主要由病史、psychologic testing及 影像診斷構成，故本題無單一適當答案，建議送分 學藝大人交給你了 --

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