内科学_精神分裂症及其他精神病性障碍

试卷预览

• 31Which of the following symptoms is most specific to a diagnosis of schizophrenia?

  A.Catatonic symptoms

  B.Auditory hallucinations

  C.Depression

  D.Inappropriate affect

  E.Belief that one has the power of an alien species

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• 32You are working with a client who has a diagnosis of chronic schizophreni

  A.This client is giving away belonging and telling people goodbye.In your assessment, planning and intervention, you would most keep in mind which of the following thoughtsA.People with schizophrenia has little use for belonging

  B.Persons with a diagnosis of schizophrenia never hurt themselves, only others

  C.Ten percent of persons with schizophrenia eventually commit suicide

  D.As high as 50 percent of persons with schizophrenia commits suicide

  E.People with schizophrenia dont tell their real thought to others

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• 33You are assigned to a client with schizophreni

  A.You find that this client has lessened reactivity to the environment, rigid posture, resistance to being moved, and even bizarre posturing.Which of the following words is used to describe these behavioursA.Catatonia

  B.Posture fixation

  C.Neuroleptic malignant syndrome

  D.Post synaptic paralytic condition

  E.Disorganized

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• 34关于偏执性精神障碍，以下不对的是

  A.以系统的妄想为主要临床相

  B.病前多有特殊的个性缺陷

  C.多在一定的精神因素作用下逐渐起病

  D.妄想内容常具有一定的现实性

  E.病程迁延不愈，易导致人格衰退

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• 35对偏执性精神障碍，描述错误的是

  A.又称为偏执状态

  B.又称为偏执狂

  C.又称为偏执性精神病

  D.是一种以妄想为突出临床特征的精神病性障碍

  E.妄想内容泛化不固定、非系统

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• 36对偏执性精神障碍的特征，描述错误的是

  A.原因不明

  B.起病年龄在30岁以前

  C.女性偏多

  D.已婚者多见

  E.病前个性多固执、主观、猜疑

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• 37分裂样精神病的病程标准是

  A.不超过1周

  B.不超过2周

  C.不超过1个月

  D.超过1个月

  E.超过3个月

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• 38关于急性妄想发作，不正确的是

  A.常突然起病，以短暂的妄想为主要症状，妄想形式多样，内容支离破碎

  B.病前一般无诱因

  C.可伴有情感和行为方面的障碍

  D.多发生于中老年人

  E.病程不超过3个月

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• 39患者男性，22岁。3个月前急性起病，意识清晰，表现说话没有中心、难以理解，行为幼稚怪异，本能意向亢进，有片段的耳闻远方亲友声音的幻觉，觉有人跟踪。此患者最可能的诊断是

  A.青春型精神分裂症

  B.偏执型精神分裂症

  C.单纯型精神分裂症

  D.病毒性脑炎

  E.分裂样精神病

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• 40患者男性，30岁。近半年来觉得有人跟踪自己，有人在屋里放了窃听器而不敢大声讲话，常听见有人在议论如何对付他，因而表现闷闷不乐，闭门不出，写信到公安局请求保护。此患者最可能的诊断是

  A.青春型分裂症

  B.偏执型分裂症

  C.单纯型分裂症

  D.偏执性精神病

  E.紧张型分裂症

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