1.Dễ
Which medicine is commonly used to treat antipsychotic-induced akathisia?
- AHaloperidol
- BPropranolol
- CLithium
- DBupropion
2.Dễ
What is "enabling" in the context of substance use?
- AHelping the person to attend a treatment programme on time
- BBehaviour by others that protects the person from the consequences of their use
- CGiving the person information about the effects of the substance
- DSetting firm limits on what behaviour the family will accept in the home from now on
3.Dễ
Which signs suggest acute cocaine intoxication?
- APinpoint pupils, slow breathing and drowsiness
- BDilated pupils, a fast heart rate and high blood pressure
- CRed eyes, increased appetite, dry mouth and slowed reactions
- DSlurred speech, an unsteady gait and a strong smell of alcohol on the breath
4.Trung bình
A child repeatedly eats paint flakes, soil and paper for more than a month. What is this called, and what is a key risk?
- AAnorexia; dangerously low body weight and bradycardia
- BBulimia; severe hypokalaemia from vomiting
- CPica; poisoning such as lead toxicity, or bowel obstruction
- DARFID; the risk of choking on food
5.Trung bình
Which treatment is recommended first-line for chronic insomnia in adults?
- ADrinking alcohol in the evening to fall asleep
- BLong-term daily benzodiazepines
- CStaying in bed for longer each morning
- DCognitive behavioural therapy for insomnia (CBT-I)
6.Trung bình
Một người bệnh dùng thuốc chống loạn thần đi lại liên tục và nói không thể ngồi yên. Đây gọi là gì?
- ARối loạn vận động muộn
- BCăng trương lực
- CAkathisia (bồn chồn bất an)
- DGiả Parkinson
7.Khó
A behaviour plan states that staff will no longer give attention to a child's tantrums but will praise calm behaviour. For the first few days, the tantrums become worse. What does this most likely show?
- AThat the plan has failed and should be stopped immediately
- BThat the child needs firm punishment for each tantrum instead
- CAn extinction burst, which is expected before the behaviour decreases
- DThat the tantrums are caused by a physical illness
8.Khó
A 30-year-old who used cocaine an hour ago has crushing chest pain and sweating. What is the priority?
- ATreat it as a possible heart attack, with an urgent ECG and medical review
- BLet him rest, because the pain will pass when the drug wears off
- CReassure him that young people do not have heart problems
- DGive him a benzodiazepine for the anxiety and send him home to rest once he feels calmer
Đáp án
- 1. B · Propranolol
- 2. B · Behaviour by others that protects the person from the consequences of their use
- 3. B · Dilated pupils, a fast heart rate and high blood pressure
- 4. C · Pica; poisoning such as lead toxicity, or bowel obstruction
- 5. D · Cognitive behavioural therapy for insomnia (CBT-I)
- 6. C · Akathisia (bồn chồn bất an)
- 7. C · An extinction burst, which is expected before the behaviour decreases
- 8. A · Treat it as a possible heart attack, with an urgent ECG and medical review
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