• [单选题]关于错觉和幻觉的叙述哪项不正确
  • 正确答案 :B
  • 正常人也可出现幻觉和错觉

  • 解析:正常人可出现错觉,但经过验证后可以认识到自己的错误并加以纠正,而幻觉多为精神障碍患者出现。

  • [单选题]A 55-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 un-able to stop.Twodays ago,he tried to stop drinking once again.He states that he goes to sleep difficult-1y, feels nausea and anxiety.For this patient,which of the following treatment is best
  • 正确答案 :C
  • benzodiazepine

  • 解析:The most likely diagnosis of this patient is alcohol dependence, and this patient has obviously alcohol withdrawal symptom, the most common treatment for alcohol withdrawal symptom is benzodiaz-epine.

  • [单选题]男性患者,49岁,高血压病史10年。近3年来失眠,记忆力减退,工作效率下降,近一年来上述症状加重,言语不清,双手震颤,情绪低落,自责自罪,有时不认识周围人,裸体外跑。查:眼底动脉细呈铜丝状,双膝腱反射亢进,病理反射未引出,头部CT扫描可见数个小的梗死灶,其诊断最可能是
  • 正确答案 :C
  • 脑血管病所致精神障碍

  • 解析:患者起病46岁,病情进展快,波动大,有高血压病史,存在神经系统体征及头部CT扫描确认的梗死灶。伴有抑郁情绪及自责观念,故诊断为脑血管病所致精神障碍。

  • [单选题]关于分裂样人格障碍,以下错误的是
  • 正确答案 :A
  • 国外报道患病率在50%~10%

  • 解析:分裂样人格障碍患病率介于0.7%~5.1%之间,男性多见。

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