精神病学_精神活性物质所致精神障碍

试卷预览

• 1A 43-year-old man is admitted to the neurology service after he went blind suddenly on the morning of admission. The patient does not seem overly concerned with his sudden lack of vision. The only time he gets upset during the interview is when he is discussing his mother＇s recent death in the countryside he was supposed to bring his mother to the city, but did not because he had been using drugs and did not save the necessary money. Physical examination is completely negative. Which of the foll

  A.Conversion disorder

  B.Hypochondriasis

  C.Factitious disorder

  D.Malingering

  E.Delusional disorder

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• 2通过CLP可以达到的目标，不包括哪一项

  A.提高疗效，节约开支

  B.降低躯体疾病患者精神障碍的终身患病率

  C.预防、杜绝事故的纠纷隐患

  D.及时转诊和处理

  E.传播新医学模式，提高精神科医师对于躯体性问题的处理水平

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• 3关于我国综合医院精神卫生问题的调查结果发现，以下哪项不对

  A.综合医院中约1/3的患者伴有精神障碍

  B.门诊未确诊的患者中20%～30%有精神卫生问题

  C.40%～60%的患者需进行精神科处理

  D.约25%的慢性躯体疾病患者伴有精神障碍

  E.神经科门诊患者中神经症性障碍的比例约为12%

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• 4CLP的主要任务不包括

  A.相关医护人员的精神科知识和技能的再培训

  B.患者相关知识的教育

  C.躯体疾病患者的精神症状或精神障碍的识别及治疗

  D.减少医疗费用、节约社会医疗资源

  E.开展对躯体疾病所致精神障碍的研究

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• 5CLP的服务模式不包括

  A.以非精神科医生为主的服务模式

  B.综合医院精神科为主的服务模式

  C.专科精神病院为主的服务模式

  D.社区康复机构为主的服务模式

  E.会诊-联络中心的服务模式

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• 6当患者的躯体状态、心理行为有问题（如患者企图自伤）时，精神科医生需要成为处理责任承担者，一般应采用哪种CLP工作类型

  A.以患者为中心的会诊

  B.以邀诊医生为中心的会诊

  C.以整个医疗小组为中心的会诊

  D.以医疗机构为中心的会诊

  E.以医疗主管部门为指导的会诊

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• 7我国综合医院CLP服务中由轻到重的主要精神卫生问题，哪项不对

  A.适应不良

  B.人际关系危机

  C.神经症症状

  D.抑郁、焦虑

  E.精神分裂症

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• 8关于我国综合医院CLP服务的治疗原则，以下哪项不对

  A.精神药物的起始与治疗剂量宜小，缓慢增量

  B.转诊有强烈自杀企图的患者

  C.提供有限的短期整合心理治疗

  D.首先处理精神症状

  E.密切观察药物反应及副作用

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• 9The most common psychiatric disorder associated with stroke is

  A.Mania

  B.Psychosis

  C.Bipolar disorder

  D.Depression

  E.Generalized anxiety disorder

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• 10A middle-aged man is chronically preoccupied with his health. For many years he feared that his irregular bowel functions meant he had cancer. Now he is very worried about having a serious heart disease, despite his physician＇s assurance that the occasional“ extra beats” he detects when he checks his pulse are completely benign. Which of the following is the most likely diagnosis

  A.Somatization disorder

  B.Hypochondriasis

  C.Delusional disorder

  D.Pain disorder

  E.Conversion disorder

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