精神病学_心境障碍

试卷预览

• 41抑郁发作有以下哪些特点

  A.急性或亚急性发病

  B.好发季节为秋冬季

  C.发病年龄较双相情感障碍晚

  D.多数患者会复发

  E.自然病程平均6～8个月

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• 42有关环性心境障碍，下列哪些阐述是正确的

  A.主要特征是持续性心境不稳定

  B.心境波动幅度相对较小，极少严重到轻躁狂或轻度抑郁的程度

  C.心境波动通常与生活事件有密切关系

  D.心境波动与患者的人格特征有密切关系

  E.一般开始于成年早期，呈慢性病程

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• 43有关恶劣心境，下列哪些阐述是正确的

  A.恶劣心境原称抑郁性神经症

  B.轻度抑郁状态，患者有求治要求，生活不受严重影响

  C.常持续2年以上，期间无长时间的完全缓解

  D.病程中可出现躁狂发作或明显的精神运动性抑制

  E.恶劣心境与生活事件和性格都有较大关系

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• 44与原发性心境障碍相比，继发性心境障碍有以下哪些特征

  A.有器质性疾病或服用药物史

  B.可有意识障碍、遗忘综合征及智能障碍

  C.病情常与原发疾病消长相平行

  D.症状常不典型，常伴有焦虑、激越、情绪不稳

  E.多数患者表现典型的躁狂与抑郁发作

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• 45The methods of genetic epidemiological investigations of mood disorders include

  A.Family studies

  B.Twin studies

  C.Adoption studies

  D.Genome scan

  E.Candidate gene approach

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• 46The psychosocial factors involved in the emergence of mood disorders include

  A.Impairment in social and familial relationships

  B.Stressful life events

  C.Low economic status

  D.Gender and temperament

  E.Dysfunctional cognition

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• 47The typical clinical features of depressive episode include

  A.Depressed mood

  B.Loss of interest or pleasure

  C.Feelings of worthlessness or inappropriate guilt

  D.Recurrent thoughts of death and suicidal ideation

  E.Inhibition of thought

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• 48The typical clinical features of manic episode include

  A.Elevated or irritable mood

  B.Flight of ideas

  C.Increased self-esteem or grandiosity

  D.Increased activities

  E.Decreased need for sleep

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• 49The typical clinical features of dysthymia should exclude

  A.Mild depressive mood

  B.Excessive guilt

  C.Suicidal behavior

  D.Psychomotor retardation

  E.Insomnia

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• 50The medication of acute mania may include

  A.Typical antipsychotics

  B.Atypical antipsychotics

  C.Lithium

  D.Valproate

  E.Carbamazepine

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