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الاسم: ____________________ التاريخ: ____________
1.سهلة
Which pattern of decline is typical of vascular dementia?
ARapid improvement after starting antipsychotic medicine
BComplete recovery within a few weeks
CStepwise, with sudden worsening after each new vascular event
DVery gradual and steady from the start, without sudden changes
2.سهلة
Which personality disorders belong to Cluster C, the "anxious or fearful" cluster?
AHistrionic, dependent and schizoid
BParanoid, schizoid and schizotypal
CAvoidant, dependent and obsessive-compulsive
DAntisocial, borderline, histrionic and narcissistic
3.سهلة
What is anhedonia?
AA belief that one's body is diseased or rotting
BLoss of interest or pleasure in activities that were enjoyed before
CAn inability to fall asleep at night despite feeling very tired during the day
DRapid, pressured speech that is hard to interrupt
4.متوسطة
A woman has new anxiety, weight loss, a tremor, heat intolerance and a fast heart rate. Which test is most important before diagnosing an anxiety disorder?
AAn MRI of the knee
BSerum lithium level
CUrine drug screen only
DThyroid function tests
5.متوسطة
What does the Mini-Cog screening test for cognitive impairment involve?
AMeasuring the level of alcohol in the blood
BRecall of three words and a clock-drawing task
CA questionnaire about mood over the past 2 weeks
DA 30-minute brain scan
6.متوسطة
An agitated patient has not responded to verbal de-escalation. A PRN medicine is prescribed. What is the most appropriate step?
AOffer the oral medicine first, before considering an injection
BGive an intramuscular injection at once without offering any choice
CHide the medicine in his drink without telling him
DPlace him in seclusion and then decide about medicine later
7.صعبة
A patient's mood changes several times a day, usually after conflicts with others. She has chronic feelings of emptiness and a strong fear of being abandoned. Which diagnosis is most likely?
ABorderline personality disorder
BPersistent depressive disorder
CSchizoid personality disorder with low mood
DBipolar I disorder
8.صعبة
مريض على الكلوزابين حرارته 38,5 °C ويشكو من التهاب الحلق. ما الأولوية؟
Aالإبلاغ العاجل ليُفحص تعداد الدم الكامل مع العدلات قبل الجرعة التالية
Bالانتظار حتى فحص الدم الروتيني التالي
Cإعطاء الباراسيتامول ومواصلة الكلوزابين كالمعتاد
Dإخبار المريض بأنه على الأرجح زكام عادي وتشجيعه على شرب السوائل ومواصلة الكلوزابين كالمعتاد
مفتاح الإجابات
1. C · Stepwise, with sudden worsening after each new vascular event
2. C · Avoidant, dependent and obsessive-compulsive
3. B · Loss of interest or pleasure in activities that were enjoyed before
4. D · Thyroid function tests
5. B · Recall of three words and a clock-drawing task
6. A · Offer the oral medicine first, before considering an injection
7. A · Borderline personality disorder
8. A · الإبلاغ العاجل ليُفحص تعداد الدم الكامل مع العدلات قبل الجرعة التالية
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