1.쉬움
Which signs suggest acute cocaine intoxication?
- ASlurred speech, an unsteady gait and a strong smell of alcohol on the breath
- BRed eyes, increased appetite, dry mouth and slowed reactions
- CPinpoint pupils, slow breathing and drowsiness
- DDilated pupils, a fast heart rate and high blood pressure
2.쉬움
A patient believes that the newsreader on television is sending him personal messages. What is this called?
- AThought insertion
- BAn illusion
- CAn idea of reference
- DA somatic delusion
3.쉬움
Which early feature is most typical of frontotemporal dementia?
- ASevere memory loss as the very first symptom, with no change in behaviour
- BVisual hallucinations of people and animals
- CStepwise decline after a series of small strokes
- DChanges in personality and behaviour, such as loss of inhibition
4.보통
Which feature helps distinguish normal grief from major depression?
- AIn grief, the person cannot feel any positive emotions or enjoy any memories of the person who died
- BIn grief, the person feels worthless and hopeless all the time
- CGrief always lasts less than 2 weeks
- DIn grief, painful feelings come in waves and self-esteem is usually kept
5.보통
What is the CIWA-Ar scale used for?
- AScreening for dementia in older adults
- BMeasuring the risk of falls in hospital
- CMeasuring the depth of sedation in patients on a ventilator in intensive care
- DRating the severity of alcohol withdrawal to guide treatment
6.보통
According to DSM-5, how long must signs of the disturbance last before schizophrenia can be diagnosed?
- AAt least 2 weeks of continuous symptoms
- BAt least 2 years, including 6 months of active symptoms
- CAt least 6 months, including at least 1 month of active symptoms
- DAt least 1 month, with no further time required
7.어려움
오피오이드 의존 치료를 받는 환자가 첫 부프레노르핀 용량을 투여받으려 합니다. 그는 2시간 전에 마지막으로 헤로인을 사용했습니다. 위험은 무엇인가요?
- A위험이 없으며 즉시 투여해야 한다
- B부프레노르핀이 헤로인에 더해져 호흡 억제를 동반한 위험한 오피오이드 과다복용을 일으킨다
- C부프레노르핀은 전혀 효과가 없다
- D완전 작용제가 아직 작용 중일 때 투여하면 부프레노르핀이 촉발성 금단을 일으킬 수 있다
8.어려움
환자가 10일 전 항우울제를 시작했습니다. 이제 에너지가 늘었다고 하지만 여전히 절망적이라고 합니다. 왜 면밀한 감시가 필요한가요?
- A세로토닌 증후군의 징후이다
- B기분이 좋아지기 전에 에너지가 먼저 돌아오면 자살 사고를 실행할 위험이 커질 수 있다
- C용량이 너무 낮다는 뜻이므로 항우울제를 중단하고 즉시 다른 약으로 바꿔야 한다
- D항우울제가 완전히 효과를 냈다는 뜻이다
정답표
- 1. D · Dilated pupils, a fast heart rate and high blood pressure
- 2. C · An idea of reference
- 3. D · Changes in personality and behaviour, such as loss of inhibition
- 4. D · In grief, painful feelings come in waves and self-esteem is usually kept
- 5. D · Rating the severity of alcohol withdrawal to guide treatment
- 6. C · At least 6 months, including at least 1 month of active symptoms
- 7. D · 완전 작용제가 아직 작용 중일 때 투여하면 부프레노르핀이 촉발성 금단을 일으킬 수 있다
- 8. B · 기분이 좋아지기 전에 에너지가 먼저 돌아오면 자살 사고를 실행할 위험이 커질 수 있다
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