2022年医师定期考核试题及答案(精神试题).pdf
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1、1 2014 年北京市医师定期考核业务水平测评(精神专业试卷)单位:_ 姓名:_ 性别:_ 身份证号:_ 分数:一、名词解释(每题2 分,共 10 分):答题说明:请用中文简要描述清楚。1、谵妄2、精神分裂症3、创伤后应激障碍4、无抽搐电痉挛治疗5、康复治疗二、单选20 题(每题2 分,共,40 分)答题说明每一道考题都有A、B、C、D 四个备选答案。在答题时,只许从中选择一个最合适的答案,并在答卷上将正确答案前的英文字母写在相应题后的括弧内,以示正确回答。1.诊断痴呆的基本条件是存在足以妨碍个人日常生活的()。A:思维和情感障碍;B:记忆和思维减退;C:思维和行为障碍;D:记忆和和行为障碍。
2、2 2.器质性遗忘综合征的核心特点为:()A:情感的严重受损;B:注意方面的严重受损;C:瞬时记忆的严重受损;D:情景记忆的严重受损3.当脑血管病所致精神障碍与阿尔茨海默病痴呆共存时,下面哪个说法是正确的:()A:不可能发生;B:只能诊断首先发生的疾病;C:可并列诊断;D:不能并列诊断。4.下面哪个说法不是癫痫性精神障碍的诊断标准:()A:有继发性癫痫的证据;B:符合器质性精神障碍的诊断标准;C:有原发性癫痫的证据;D:精神障碍及病程与癫痫相关。5.下面哪个说法不是苯二氮卓类药物依赖的诊断标准:()A:长时间使用苯二氮卓类药物;B:常见的特征性戒断症状;C:联合使用苯二氮卓类药物;D:排除躯体
3、病或其他精神障碍。6.感应性妄想性障碍的症状诊断标准:()A:思维方式相同;B:思维方式相同;C:妄想为主要症状;D:必须具备多种类型的幻觉。7.与单纯的抑郁发作相比,合并恶劣心境的患者得到充分改善的可能性:()A:很大;B:较大;C:不变;D:变小。8.恐惧性焦虑障碍的药物治疗不包含:()A:抗焦虑药物;B:抗癫痫药;C:抗抑郁药物;D:受体阻断剂。9.创伤后应激障碍的主要临床表现不包括:()A:创伤性体验反复出现;B:持续性的回避;C:警觉性增高;D:躯体形式障碍。10.分离性障碍不包括:()A:分离性遗忘;B:情感爆发;C:分离性木僵;D:出神与附体障碍。11.躯体形式障碍症状诊断标准不
4、包括:()A:对躯体症状过分担心;B:对身体健康过分关心;C:能听医生劝告;D:反复就医或要求医学检查。12.神经性厌食症的治疗原则不包括:()A:躯体辅助治疗;B:运动疗法;C:心理治疗;D:精神药物治疗。文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY
5、5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码
6、:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3
7、HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3
8、ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档
9、编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V
10、3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J43 13.人格障碍的诊断标准不包括:()A:明显不协调的
11、态度和行为;B:异常行为模式持久、固定;C:本人不苦恼;D:异常行为模式泛化。14.多动性障碍的核心症状不包括:()A:注意缺陷;B:多动;C:冲动;D:故意纵火。15.精神发育迟滞的诊断要点不包括:()A:一般智商在90 以下;B:智力明显低于同龄人的平均水平;C:起病于 18 岁以前;D:个人能力和履职有明显缺陷。16.重复经颅磁刺激治疗的副反应不包括:()A:头痛;B:认知功能影响;C:谵妄;D:牙痛。17.应用心理学理论与方法不能治疗患者的:A:心理问题;B:肺炎;C:情绪问题;D:认知与行为问题。18.行为治疗方法及技术不包括:()A:冲击疗法;B:善于利用各种“资源”;C:自我控制
12、法;D:系统脱敏疗法。19.职业技能训练的适应症的错误描述为:()A:处于恢复期的任何年龄的患者;B:具有一定的独立生活能力;C:患者有从事一定的工作的愿望;D:缺乏相应的职业技能。、20.男性患者,27 岁,近 2 周来兴奋,话多,情绪高,称自己有超人的能力,用不完的精力,但仍在上班,唯做事无头绪。最佳的药物选择是:()A:氯丙嗪;B:硝基安定;C:碳酸锂;D:心得安。三、多选10 题(每题2 分,共 20 分)答题说明下列每一道题都提供了A、B、C、D 四个备选答案,请将每一个你认为正确的正确答案前的英文字母写在相应题后的括弧内,以示正确回答1.阿尔茨海默病临床确诊的基本条件包括:()A:
13、存在痴呆的症状;B:隐匿起病,缓慢退化;C:无其他病的临床依据或特殊检查的结果;文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7
14、V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2
15、E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J
16、4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2
17、N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4
18、Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G
19、4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J44 D:具有突然性、卒中样发作。2.痴呆患者的管理与监护重点是:()A:激越和攻击性;B:跌倒;C:认知矫正;D:外走。3.谵妄的治疗目标包括:()A:提供信息和支持;B:避免并发症;
20、C:针对行为症状进行治疗;D:发现并针对病因进行治疗。4.有显著认知障碍的患者独自在家就不安全,因为他:()A:忘记午休;B:不能处理家中的突发情况;C:可能不能正确服药;D:采用危险的方式使用设备。5.精神分裂症感知觉障碍哪种说法是对的:()A:最突出的是幻觉;B:是常见症状之一;C:但不是特征性症状;D:以幻听最为常见。6.躁狂发作患者的“三高”症状:()A:大量幻觉;B:情感高涨;C:思维奔逸;D:意志行为增强。7.无抽搐电痉挛治疗主要适用于急性躁狂发作伴有:()A:冲动伤人、毁物;B:谵妄性躁狂;C:精神药物治疗无效;D:对药物治疗不能耐受的患者。8.抗抑郁药可与下面什么药联合使用,提
21、高抑郁治疗效果。()A:情感稳定剂;B:抗精神病药;C:抗焦虑药;D:抗心律失常药。9.有关神经症一下的说法哪些是正确的:()A:患者在发病前多有一定的人格基础;起病常与心理社会(环境)因素有关;B:各种症状没有可证实的器质性病变作基础,而且与患者的现实处境不相称;C:患者对自己存在的症状感到痛苦,无能为力;D:自知力完整或基本完整;病程多迁延。10.儿童孤独症的治疗原则包括:()A:教育训练;B:行为治疗;C:药物治疗;D:家庭支持和家长培训。四、填空10 题(每题1 分,共 10 分)答题说明:请在括弧内填写你认为正确的中文文字。文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3
22、ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档
23、编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V
24、3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E
25、3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4文档编码:CH4T1Q2N7V3 HL4E10T4Z2E3 ZY5T3Z9G4J4
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