精神科_脑器质性精神障碍

试卷预览

• 31有关系统性红斑狼疮（SLE）所致精神障碍，正确的有

  A.精神症状常出现于疾病晚期

  B.精神症状具有特异性

  C.急性脑器质性精神障碍较多见

  D.可有焦虑、抑郁、社会退缩和人格解体症状

  E.可适当使用抗精神病药和心境稳定剂

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• 32女性，30岁，近半年来出现阵发性心悸、面红、出汗、头晕、手震颤、头痛以及恶心呕吐等，曾有2次出现极度的焦虑不安，伴瀕死感和窒息感。血压140/100mmHg

  A.广泛性焦虑

  B.惊恐障碍

  C.甲状腺功能亢进

  D.嗜铬细胞瘤

  E.甲状腺功能减退

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• 33以下有关甲状腺功能亢进所致精神障碍的主要表现哪项不对

  A.精神运动性兴奋

  B.严重者可出现精神病性症状

  C.典型的愉悦心境

  D.甲状腺危象时可出现发热、谵妄

  E.好发于20至30岁的女性

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• 34关于阿尔茨海默病患者的死因，需除外的是

  A.全身感染

  B.肺炎

  C.全身衰竭

  D.记忆障碍

  E.骨折

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• 35An 80-year-old man undergoes an evaluation for dementia versus depression. His caregiver describes a history of a gradually worsening depressed mood and confusion，with poor appetite，weight loss，poor self-care，and irritability，On his cognitive examination，

  A.Poor concentration

  B.Poor effort during the interview

  C.Poor self-care

  D.Poor short-term memory

  E.Poor appetite

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• 36癫痫性精神运动性发作，如有先兆的话，一般持续多少时间

  A.数天

  B.数小时

  C.半小时

  D.大于1分钟

  E.小于1分钟

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• 37下列哪些情况可引起谵妄

  A.下列哪些情况可引起谵妄

  B.颅内损伤

  C.电解质紊乱

  D.代谢内分泌紊乱

  E.感染

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• 38血管性痴呆的特征是

  A.早期全面性智能损害

  B.常伴错觉

  C.有阶段性波动，智能呈“岛状”损害

  D.早期人格明显改变

  E.白天精神障碍加重

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• 39A 52-year-old woman has gained weight although she has no appetite and she feels tired all the time. She does not seem to care about anything anymore and appears depressed. She complains of being always cold，her hair is dry and brittle，and her face is puf

  A.An elevated ACTH

  B.A low cortisol level

  C.An elevated TSH

  D.A low calcium level

  E.An elevated FSH

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• 40Which of the following features most distinguishes delirium from dementia

  A.Altered level of consciousness

  B.Behavioral disturbances

  C.Cognitive deficits

  D.Disorientation

  E.Delusions

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