1.简单
Which type of hallucination is most common in schizophrenia?
- ATactile
- BVisual
- CAuditory
- DOlfactory
2.简单
What type of drug is methadone, used in the treatment of opioid dependence?
- AA long-acting full opioid agonist
- BA benzodiazepine that reduces anxiety during withdrawal
- CA non-addictive stimulant that reduces opioid craving
- DAn opioid antagonist that blocks all opioid effects
3.简单
What is separation anxiety disorder in a child?
- AExcessive, developmentally inappropriate fear of being apart from attachment figures
- BA lack of interest in parents and other close carers, with no distress when they leave
- CFear of social situations in which other children may laugh at them
- DNormal crying when a baby meets a stranger for the first time
4.中等
A severely depressed older patient says, "My insides have rotted away; I am already dead." Which type of delusion is this?
- ANihilistic
- BErotomanic
- CPersecutory
- DGrandiose
5.中等
Which physical finding is common in bulimia nervosa?
- ARaised blood pressure, a fast pulse and a high temperature
- BSwelling of the salivary glands at the angle of the jaw
- CVery low body weight with lanugo hair
- DA high serum potassium level
6.中等
How does memantine work in Alzheimer's disease?
- AIt inhibits the breakdown of acetylcholine
- BIt increases serotonin by blocking its reuptake
- CIt blocks NMDA glutamate receptors
- DIt blocks dopamine D2 receptors
7.困难
A colleague suggests putting a loud but non-violent patient in seclusion "because he's annoying everyone". What is the correct response?
- AIt would be inappropriate, because seclusion is only a last resort for serious risk of harm
- BIt is acceptable as long as the patient agrees afterwards
- CIt is acceptable as long as the seclusion lasts for less than an hour
- DIt is acceptable, because it will make the ward quieter and safer for the other patients
8.困难
A patient on daily methadone maintenance has had abdominal surgery. Which statement about his pain management is correct?
- AHe should get no opioids at all, because of his history
- BHis methadone should be stopped while he is in hospital
- CHis usual methadone dose will fully control his post-operative pain, so no other analgesia should be given
- DHis usual methadone should continue, and additional analgesia is usually needed for acute pain
答案
- 1. C · Auditory
- 2. A · A long-acting full opioid agonist
- 3. A · Excessive, developmentally inappropriate fear of being apart from attachment figures
- 4. A · Nihilistic
- 5. B · Swelling of the salivary glands at the angle of the jaw
- 6. C · It blocks NMDA glutamate receptors
- 7. A · It would be inappropriate, because seclusion is only a last resort for serious risk of harm
- 8. D · His usual methadone should continue, and additional analgesia is usually needed for acute pain
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