临床医学专业内科学儿童少年期精神障碍习题

试卷预览

• 21患者男性，10岁，小学2年级，留级2次，发音不清且难以用语言表达完整的意思，仅会个位数加减法，在指导帮助下可以自理简单生活。患者可能属于（    ）

  A.轻度精神发育迟滞

  B.中度精神发育迟滞

  C.重度精神发育迟滞

  D.极重度精神发育迟滞

  E.儿童孤独症

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• 22患者男性，9岁，小学3年级。1年半前无原因出现无法克制的喉部屏气声，持续3个月后自行缓解。缓解1个月后开始出现不自主扭颈、耸肩、点头和双眼上翻，喉部屏气声，有时发出叫喊声。病情时好时坏，但几乎每天都有上述症状，在课堂上也无法克制，紧张或别人关注时发生频率明显增加。最可能的诊断是（    ）

  A.分离性障碍

  B.短暂性抽动障碍

  C.慢性运动或发声抽动障碍

  D.品行障碍

  E.Tourette综合征

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• 23患者男性，9岁，小学3年级，诊断为慢性运动制动障碍，最合适的治疗药物是（    ）

  A.哌甲酯

  B.氟哌啶醇

  C.多塞平

  D.地西泮

  E.丙戊酸钠

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• 24患者女性，6岁，小学1年级，3个月以来怕母亲离开自己，上课时不安心，中午也要跑到母亲单位去找，近1周拒绝上学，对母亲寸步不离，母亲多次保证会按时回家，患者仍担心害怕母亲会离开自己。此患者最可能的诊断是（    ）

  A.分离性障碍

  B.儿童孤独症

  C.分离性焦虑

  D.学校恐惧症

  E.选择性缄默

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• 25An 8-year-old boy is brought by his parents to the psychiatrist with a 9 months history of making careless mistakes and not listening in class or at home. His mother stated that he showed high distractibility during doing his homework. He is easily forget（    ）

  A.Haloperidol

  B.Lithium

  C.Alprazolam

  D.Methylphenidate

  E.Paroxetine

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• 26A 5 years old boy shows no interest in other children and ignores adults other than his parents, even he is hard to make eye contact with people around him. He spends hours lining up his toy cars or spinning their wheels but does not use them for“make-bel（    ）

  A.Autism

  B.Obsessive-compulsive disorder

  C.Aspergers syndrome

  D.Childhood disintegrative disorder

  E.Retts disorder

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• 27Which of the following predictors is helpful in distinguishing childhood-onset schizophrenia from autistic disorder（    ）

  A.Age of onset of symptoms

  B.Intelligence

  C.Presence of formal thought disorder

  D.Family history of schizophrenia

  E.All of the above

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• 28Which of the followings are true regarding ADHD in children（    ）

  A.ADHD is more prevalent among boys

  B.The symptoms should persist for at least 3 months for a diagnosis of ADHD

  C.Depression is the most common comorbid condition associated with ADHD

  D.Conduct disorder is the most common comorbid condition associated with ADHD

  E.Low-dose atypical antipsychotic medications are the treatment of choice for ADHD

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• 29Which of the followings are true regarding specific phobia in children（    ）

  A.Often involve fears of snake, spiders and other small creatures

  B.Should be actively treated with the medicine from the outset

  C.Are best treated with psychodynamic therapy

  D.In most cases, symptoms will decline with age and cannot spread to the adults

  E.Usually occur before the age of 7 years

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• 30儿童孤独症患者可以有以下哪些临床表现（    ）

  A.言语发育和人际交往障碍

  B.兴趣范围狭窄和行为方式刻板

  C.不同程度的智力低下

  D.感知觉障碍

  E.抽动症状或癫痫发作

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