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الاسم: ____________________ التاريخ: ____________
1.سهلة
Which pattern of decline is typical of vascular dementia?
AVery gradual and steady from the start, without sudden changes
BStepwise, with sudden worsening after each new vascular event
CComplete recovery within a few weeks
DRapid improvement after starting antipsychotic medicine
2.سهلة
A patient stops speaking in the middle of a sentence and cannot remember what he was saying. What is this called?
AWord salad
BThought blocking
CFlight of ideas
DClang association
3.سهلة
A patient believes that the newsreader on television is sending him personal messages. What is this called?
AA somatic delusion
BAn illusion
CAn idea of reference
DThought insertion
4.متوسطة
A woman was assaulted 10 days ago. She has nightmares, avoids the area and feels detached. According to DSM-5, which diagnosis fits the timing best?
APost-traumatic stress disorder
BAcute stress disorder
CAdjustment disorder with anxiety
DGeneralised anxiety disorder
5.متوسطة
A patient who drinks heavily every day was admitted this morning. When do early signs of alcohol withdrawal, such as tremor, sweating and anxiety, usually begin?
AOnly after 7 days without alcohol
BWithin 5 minutes of the last drink
CAbout 2–3 weeks after the last drink
DAbout 6–24 hours after the last drink
6.متوسطة
An 86-year-old nursing home resident becomes acutely confused over two days. Which cause should be considered first?
AA first episode of schizophrenia caused by moving into the home
BAn infection such as a urinary tract infection, or a medicine side effect
CA sudden onset of Alzheimer's disease
DThe normal ageing process
7.صعبة
A man is found in a city far from home. He cannot remember who he is or how he got there, but his speech and thinking are otherwise normal. Tests show no head injury or intoxication. What is most likely?
ADelirium
BAlzheimer's disease
CDissociative amnesia with dissociative fugue
DA manic episode with poor judgement and impulsive travel
8.صعبة
تخبرك مريضة كانت تتناول جرعة عالية من البنزوديازيبين يوميًا لمدة سنة بأنها أوقفته فجأة قبل يومين. ما الخطر الرئيسي؟
Aنقص سكر الدم
Bنوبات الانسحاب التشنجية
Cتساقط الشعر
Dزيادة الوزن
مفتاح الإجابات
1. B · Stepwise, with sudden worsening after each new vascular event
2. B · Thought blocking
3. C · An idea of reference
4. B · Acute stress disorder
5. D · About 6–24 hours after the last drink
6. B · An infection such as a urinary tract infection, or a medicine side effect
7. C · Dissociative amnesia with dissociative fugue
8. B · نوبات الانسحاب التشنجية
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