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الاسم: ____________________ التاريخ: ____________
1.سهلة
How does naltrexone help people with alcohol dependence?
AIt replaces alcohol in the brain and prevents withdrawal seizures
BIt speeds up the breakdown of alcohol in the liver so that the person never feels drunk
CIt causes vomiting and flushing if the person drinks alcohol
DIt blocks opioid receptors and reduces the craving and pleasure from drinking
2.سهلة
يتكلم مريض بسرعة ويقفز من موضوع إلى آخر، وكل فكرة مرتبطة ارتباطًا فضفاضًا بالتي قبلها. ما اسم ذلك؟
Aفقر الكلام
Bانقطاع التفكير
Cتطاير الأفكار
Dالمداومة (perseveration)
3.سهلة
A patient's depression returns every winter and improves in spring. Which treatment is specific to this pattern?
AElectroconvulsive therapy
BSeclusion in a quiet room
CLithium carbonate
DBright light therapy
4.متوسطة
Which risk applies when antipsychotics are used in older people with dementia?
AAn increased risk of stroke and death
BA lower risk of falls than with no medicine at all
CImproved memory within a few days
DA guaranteed cure of the dementia
5.متوسطة
Which postpartum presentation is a psychiatric emergency?
ATearfulness and mood swings on the third day after birth
BTiredness and worry about feeding the baby in the first week
CConfusion, hallucinations and rapidly changing mood a few days after birth
DFeeling tearful at times but enjoying the baby and sleeping well when she can
6.متوسطة
A patient asks the nurse for her home phone number so they can keep in touch after discharge. What is the best response?
A"I'll give you my number, but please only call me at weekends when I'm not working, and keep it short."
B"That would be against the rules, so please stop asking about it."
C"I can't give you my number, because our relationship is a professional one. Let's talk about support you can contact after discharge."
D"Of course, as long as you don't tell the other patients."
7.صعبة
A patient with depression answers every question with one or two words and looks at the floor. Which approach is most helpful?
AEnd the conversation quickly, because the patient clearly does not want to talk
BAsk several open questions in quick succession to keep the conversation going
CEncourage him to cheer up and think about the good things in his life
DUse simple statements, allow extra time for answers and stay with the patient even in silence
8.صعبة
أي علامة تساعد أكثر في التمييز بين متلازمة السيروتونين والمتلازمة الخبيثة للمهدئات العصبية؟
Aالتعرق يحدث في المتلازمة الخبيثة للمهدئات العصبية فقط
Bفرط المنعكسات والرمع العضلي مع بدء سريع يوحيان بمتلازمة السيروتونين
Cالحمّى تحدث في متلازمة السيروتونين فقط
Dالتشوش يحدث في المتلازمة الخبيثة للمهدئات العصبية فقط، ولا يحدث أبدًا في متلازمة السيروتونين
مفتاح الإجابات
1. D · It blocks opioid receptors and reduces the craving and pleasure from drinking
2. C · تطاير الأفكار
3. D · Bright light therapy
4. A · An increased risk of stroke and death
5. C · Confusion, hallucinations and rapidly changing mood a few days after birth
6. C · "I can't give you my number, because our relationship is a professional one. Let's talk about support you can contact after discharge."
7. D · Use simple statements, allow extra time for answers and stay with the patient even in silence
8. B · فرط المنعكسات والرمع العضلي مع بدء سريع يوحيان بمتلازمة السيروتونين
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