1.简单
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.简单
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.简单
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.中等
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.中等
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.中等
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.困难
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.困难
一名服用氯氮平的患者体温 38.5 °C,咽痛。优先事项是什么?
- A紧急上报,以便在下一次给药前检查包括中性粒细胞在内的全血细胞计数
- B等到下一次常规血液检查
- C给予对乙酰氨基酚,并照常继续使用氯氮平
- D告诉患者这可能只是普通感冒,鼓励多喝水,并照常继续使用氯氮平
答案
- 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 · 紧急上报,以便在下一次给药前检查包括中性粒细胞在内的全血细胞计数
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