会诊-联络精神科常见的临床问题包括

试卷相关题目

• 1A 37-year-old alcoholic is brought to the emergency room after he was found unconscious in the street. He is hospitalized for dehydration and pneumoni

  A.While being treated, he becomes acutely confused and agitated. He cannot move his eyes upward or to the right, and he is ataxic. Which of the following is the most likely diagnosisA.Alcohol intoxication

  B.Korsakoff syndrome

  C.Which of the following is the most likely diagnosisA.Alcohol intoxicationB.Korsakoff syndromeC.Alcohol delirium

  D.He cannot move his eyes upward or to the right, and he is ataxic. Which of the following is the most likely diagnosisA.Alcohol intoxicationB.Korsakoff syndromeC.Alcohol deliriumD.Wernicke encephalopathy

  E.Alcohol seizures

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• 2A 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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• 3The 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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• 4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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• 5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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• 6与躯体疾病共患的精神障碍导致医疗费用增加的主要原因有

  A.临床信息复杂化，提高了诊断难度，导致多余检查

  B.治疗复杂化

  C.容易出现医患间交流、沟通困难

  D.医务人员忽视精神疾病的诊断和治疗

  E.患者及家属不愿意到精神科就诊

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• 7综合医院不同的会诊联络服务工作类型通常分为

  A.以患者为中心的会诊

  B.以精神科医生为中心的会诊

  C.以整个医疗小组为中心的会诊

  D.以行政管理为中心的会诊

  E.以邀诊医生为中心的会诊

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• 8关于以患者为中心的会诊联络服务类型，下面哪些说法正确

  A.是最常见的一种会诊类型

  B.患者本人作为处理责任的承担者

  C.会诊暂不需要对患者的问题做出明确分析或诊断

  D.会诊者和邀诊者是一个治疗整体，在治疗计划中担任相同的角色

  E.治疗计划的实施，必须征得邀诊者或患者家属的同意和在患者能接受的情况下进行

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• 9在综合医院会诊联络服务中临床各科需与精神科共同处理的情况是

  A.精神分裂症

  B.药物导致的精神症状

  C.术前焦虑和术后抑郁

  D.躯体与精神疾病的共病状态

  E.躯体疾病患者的心理行为反应

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• 10精神科医生在CLP实践中的主要职能包括

  A.对综合科医生进行精神病学、医学心理学和心身医学知识的培训

  B.对躯体疾病患者精神症状的会诊，提出诊断、评估和治疗意见

  C.参与对患者精神状态，心理社会因素与躯体疾病关系的评估

  D.对患者的心理卫生问题进行心理干预

  E.对患者所患躯体疾病的心理保健问题提出建议

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