女性，5岁，幼儿园大班，2岁时父母离异，与母亲一起生活。3个月前母亲再婚，被寄养在外祖母家，每天晚上入睡困难，害怕一个人睡觉。脾气暴躁，易激惹。每次母亲来看自己都不让母亲离开，不能安心上课，黏人，经常一个人跑到母亲单位。近一周拒绝上学，坚决不住在外祖母家，要求母亲每天寸步不离的陪伴，不许母亲去上班，看不见母亲就哭闹不止，十分担心母亲离开自己。此患儿最可能的诊断是

试卷相关题目

• 1男性，9岁，小学3年级，诊断为慢性运动抽动障碍，下列叙述正确的是

  A.该病通常起病于青春期

  B.症状变化大，部位多涉及头、颈、上肢

  C.发声抽动多于运动抽动

  D.抽动和发声常常一同存在

  E.症状可持续数年甚至终生

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• 2男性，9岁，小学3年级。1年半前无原因出现无法克制的喉部屏气声，持续3个月后自行缓解。缓解1个月后，开始出现不自主扭颈、耸肩、点头和双眼上翻，喉部屏气声，有时发出叫喊声。病情时好时坏，但几乎每天都有上述症状，在课堂上也无法克制，紧张或别人关注时发生频率明显增加。最可能的诊断是

  A.癔症

  B.短暂性抽动障碍

  C.慢性运动或发声抽动障碍

  D.品行障碍

  E.Tourette综合征

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• 3女，4岁，1岁以前生长发育正常。后逐渐出现头部生长减慢，手部运动不灵活，刻板的手指活动，无法和周围的人交流，不能行走，智力倒退，生活完全需要他人协助，时有抽搖。患者可能属于

  A.儿童孤独症

  B.Rett综合征

  C.重度精神发育迟滞

  D.极重度精神发育迟滞

  E.癲痫

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• 4Which of the following distinguishes transient tic disorder from chronic motor or vocal tic disorder and Tourette＇s disorder

  A.age of onset

  B.the presence of motor tics only

  C.the presence of vocal tics only

  D.the presence of both motor and vocal tics

  E.temporal progression of the tic symptoms

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• 5Which of the following statements about Selective Mutism is right

  A.Male predominance

  B.Rarely manifests outside of the home

  C.Behavioral treatment is effective

  D.Few cases are very shy and timid

  E.All of the above

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• 6An 8-year-old boy is brought by his parents to the psychiatrist with a 9 months history of making careless mistakes and not listening in class or at home. His mother stated that he had an unduly high distractibility during doing his homework. He is easily forgetful and often loses his books and red scarf. He is noted to be fidgety, talking excessively and interrupting others. Which of the following medications is the most likely to help with this boy’s symptoms

  A.Haleperidol

  B.Lithium

  C.Alprazolam

  D.Methylphenidate

  E.Paroxetine

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• 7A 3 years old boy is brought to his pediatrician because his parents think he does not seem to be“ developing normally” The boy＇s mother states that her son seemed normal for at least the first two years of his life. He was walking and beginning to speak in sentences. He was able to play with his brothers. The mother has been noticing that over the past three months her son has markedly lost these previously acquired abilities. He will no longer play with anyone else and has stopped speaking ent

  A.Rett＇s disorder

  B.Asperger＇s disorder

  C.Autism

  D.Childhood disintegrative disorder

  E.Pervasive developmental disorder

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• 8A 5 years old boy shows no interest in other children and ignores adults other than his parents, even he is hard to make eye contact with people around him. He spends hours lining up his toy cars or spinning their wheels but does not use them for “make-believe” play. He likes watch the same movie over and over again. He rarely uses speech to communicate, and his parents state that he has never done so. He is “in his own world” most of time. Physical examination indicates that his head is of norm

  A.Autism

  B.Obsessive-compulsive disorder

  C.Asperger＇s syndrome

  D.Childhood disintegrative disorder

  E.Rett＇s disorder

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• 9确立精神发育迟滞的诊断需要以下要点

  A.18岁前出现智力低下

  B.18岁前出现社会适应困难

  C.韦氏智力测验智商低于70

  D.刻板行为

  E.生活自理困难

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• 10儿童孤独症患者可以有以下临床表现

  A.言语发育和人际交往障碍

  B.兴趣范围狭窄和行为方式刻板

  C.不同程度的智力低下

  D.感知觉障碍

  E.抽动症状或癫痫发作

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