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习题 1.A 50-year-old man is brought to the emergency room by the police because he was on the street screaming that the air was being poisoned.The man is very agitated,and requires restraint by the attendants.As you,the on-call physician,try to interview him, he tries to hit you and screams at you.Which of the following is the most appropriate first step in management? A.administer amobarbital by mouth B.give him an injection of haloperidol C.give him an injection of naloxone D.perform a physical examination E.reason with him that the air is not poisoned 2.A 35-year-old single woman complains of fatigue,insomnia,and depression. 1 If further history reveals that she had attempted suicide several times in the past, which of the following statements would be most useful? A.The patient is not a serious suicide risk B.The patient probably has antisocial personality disorder C.The patient should be evaluated for a psychotic disorder D.The risk of successful suicide is decreased E.The risk of successful suicide is increased 2 If the patient seems very sluggish in movement and speech,and takes an inordinate amount of time to answer a question,the patient is suffering from which of the following? A.hysteria B.pseudobulbar palsy C.psychomotor agitation D.psychomotor retardation E.restless leg syndrome 3.Your patient confides in you that she has been losing weight with loss of appetite, has been unable to concentrate,and has had difficulty sleeping through the night.She has also been thinking of the means of killing herself.Which of the following is the most likely diagnosis? A.borderline personality disorder B.factitious disorder C.generalized anxiety disorder D.hypochondriasis E.major depression习题 1. A 50-year-old man is brought to the emergency room by the police because he was on the street screaming that the air was being poisoned. The man is very agitated, and requires restraint by the attendants. As you, the on-call physician, try to interview him, he tries to hit you and screams at you. Which of the following is the most appropriate first step in management? A. administer amobarbital by mouth B. give him an injection of haloperidol C. give him an injection of naloxone D. perform a physical examination E. reason with him that the air is not poisoned 2. A 35-year-old single woman complains of fatigue, insomnia, and depression. ① If further history reveals that she had attempted suicide several times in the past, which of the following statements would be most useful? A. The patient is not a serious suicide risk B. The patient probably has antisocial personality disorder C. The patient should be evaluated for a psychotic disorder D. The risk of successful suicide is decreased E. The risk of successful suicide is increased ② If the patient seems very sluggish in movement and speech, and takes an inordinate amount of time to answer a question, the patient is suffering from which of the following? A. hysteria B. pseudobulbar palsy C. psychomotor agitation D. psychomotor retardation E. restless leg syndrome 3. Your patient confides in you that she has been losing weight with loss of appetite, has been unable to concentrate, and has had difficulty sleeping through the night. She has also been thinking of the means of killing herself. Which of the following is the most likely diagnosis? A. borderline personality disorder B. factitious disorder C. generalized anxiety disorder D. hypochondriasis E. major depression
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