某男,48岁,有长期大量饮酒史。最近一段时间记忆障碍,做事丢三落四,近一天出现不认识家人,不知道自己的家在哪里,乱语。体查发现患者有明显眼球震颤,此时该患者最可能的诊断是
A.酒精性痴呆
B.Wernicke脑病
C.震颤谵妄
D.Korsakoff综合征
E.酒精性妄想症
试卷相关题目
- 1某年轻女性,平时很少喝酒,即使喝酒每次量也很少。一次,她喝了一大杯白酒后立即出现脸红、出汗、心跳加速。最可能原因是
A.酒精与饮食中的调味剂发生了某种特异反应
B.这种自主神经反应是由于强烈的民族文化反对饮酒
C.遗传性乙醛脱氢酶活性低
D.遗传性P450酶活性低
E.遗传性乙醇脱氢酶活性低
开始考试点击查看答案 - 2Which of the following statements is not true about delirium tremens
A.disorientation
B.visual hallucination
C.tremors
D.fluctuation in the level of consciousness
E.result of abrupt drink lots of alcohol
开始考试点击查看答案 - 3Which of the following drug is used to treat the alcohol withdrawal symptom commonly
A.antipsychotic drug
B.MAOIs
C.TCAs
D.benzodiazepine
E.lithium
开始考试点击查看答案 - 4Which of the following symptoms is not specific to a diagnosis of drug addiction
A.withdrawal symptoms
B.tolerance
C.acute intoxication
D.psychological dependence
E.physical dependence
开始考试点击查看答案 - 5关于阿片类药物在癌症镇痛中的作用不正确的是
A.对剧烈疼痛和晚期癌症疼痛,其他类型镇痛药无法替代
B.癌痛治疗实践中,会出现耐受性、戒断症状
C.要强调药物滥用的危害,避免使用阿片类药物
D.阿片类药物镇痛效果确实
E.在正常临床应用中,心理渴求、滥用的比例很小
开始考试点击查看答案 - 6某女,61岁。因睡眠不好服用司可巴比妥1个月,服药后睡眠情况改善。但是一旦减药或停药,患者出现多梦、噩梦频繁,严重干扰睡眠,病人不得已再次服用该药物。此时对此患者最好的处理是
A.继续服药,不用处理
B.加用其他巴比妥类药物
C.马上停止服药
D.加大药物剂量
E.缓慢减量或换用其他药物
开始考试点击查看答案 - 755-year-old man come to see the doctor with a chief complaint of insomnia two days,he has drunk alcoholic beverage about 30 years.He has tried to quit drinking several times,but he has been unable to stop.Two days ago,he tried to stop drinking once again. He states that he goes to sleep difficultly,feels nausea and anxiety. For this patient,which of the following treatment is best
A.antipsychotic
B.antidepressant drug
C.benzodiazepine
D.anticholinergic agents
E.clinical observation
开始考试点击查看答案 - 8A 21-year-old woman come to emergency room,she states that for past 2 days she experienced muscle ache,insomnia,diarrhea,sweating and depression mood.The patient have been used heroin 2 years,which of the following treatment is best
A.benzodiazepine
B.antipsychotic
C.antidepressant drug
D.methadone
E.clinical observation
开始考试点击查看答案 - 9精神活性物质能导致人类的
A.情绪的改变
B.意志力的增强
C.行为的紊乱
D.意识状态的变化
E.智力的提高
开始考试点击查看答案 - 10耐受性是指
A.使用者的使用剂量越来越大
B.使用原来剂量达不到所求效果
C.停用会出现明显的戒断症状
D.增加用量才能取得所追求的效果
E.停止使用也不会有什么不适
开始考试点击查看答案