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1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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2A 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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3A 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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4An 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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5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
A.癔症
B.儿童孤独症
C.分离性焦虑
D.学校恐惧症
E.急性应激障碍
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6儿童孤独症患者的社会交往障碍可以表现为
A.分不清与人的亲疏关系
B.与人相处时缺乏目光对视
C.难与同龄儿童建立正常伙伴关系
D.难与父母建立正常的依恋关系
E.受到爱抚时缺乏相应的愉快表情
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7若要确立品行障碍的诊断，需要符合以下哪些条件
A.有反社会性、攻击、对立违抗行为
B.日常生活或社会功能受到损害
C.症状持续至少6个月
D.智商低于70
E.症状持续至少1年
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8关于品行障碍的描述，不正确的是
A.以活动过度和冲动为主要临床特征
B.患病率女性高于男性
C.常常合并其他精神障碍
D.通常于5岁前就患病
E.仅少数患者预后良好
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9关于慢性运动或发声抽动障碍，下列说法正确的是
A.常同时存在运动抽动和发声抽动
B.症状表现形式一般持久不变
C.抽动症状可能间断出现
D.病程常超过一年
E.预后极差
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10以下药物中，常用于抽动障碍治疗的是
A.氟哌啶醇
B.硫必利
C.苯胺咪唑啉
D.哌甲酯
E.地西泮
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