name： student number：

分数：
1、The patient, female, 25 years old, master student, sought treatment for mood
irritability and sleep disturbance for more than a month.1 month ago no significant
incentives in patients with mood sometimes irritable, sometimes depressed,
decreased appetite, often trouble falling asleep, or wake up early, memory decline
gradually, ability to learn, consciously weakness, fatigue, loss of appetite, feel fell ill.
Before long, psychiatric examination: clear consciousness, denied illusion, thinking
slow, sleep disorder, hypochondriasis idea.
A. Depressive disorder
B. manic
C. A mixed
D. Cyclic mood
disorder
E. dysthymia

2、Disorientation often appears in

A. depression
B. neurosis
C. Alzheimer's disease
D. Schizophrenia
E. common drunkenness

3、"Two tigers, two tigers, running fast, running fast" ... Seeing this passage of life,
there is a sound in our ears, what kind of illusion it is
A. functional hallucination
B. reflex hallucination
C. hypnagogic hallucination
D. psychogenic hallucination
E. visceral hallucination

4、What kind of illusion is most common in

delirium?
A. Visual hallucination
B. listening hallucination
 C. Touch illusion
D. Olfactory hallucination
E. Flavor illusion

5、Illusion means
A. Abnormal feelings
B. Violent consciousness of things
C. Comprehensive errors of feelings
D. Violent feelings of the individual characters of things
E. Overall error of thought

6、What is the important sign of disturbance of

consciousness?
A. Slow response
B. Apathy
C. Orientation disorder
D. Memory impairment
E. Attention deficit disorder

7、The patient, female, 56 years old, had poor sleep last year, had difficulty falling
asleep, was asleep easily, and improved after treatment with estazolam. In the past
3 months, the difference in sleep has increased, the mood is low, the body is sick,
the work and entertainment are not interested, the concentration is not
concentrated, and I feel useless. The patient's preferred medicine is:
A. Lithium
carbonate
B. Citalopram
C. Chlorpromazine
D. Olanzapine
E. Alprazolam

8、The paitient has be suspicious for a month,during which she was afraid
someone was going to hurt her and the phone and computer were monitoring
her.She refused to communicate with other because she feeled everything
happened was ralated to her.Now she is diagonsed to schizophrenia,which
medicine is most proper?
A. Quetiapine
B. Estazolam
C. Sodium valproate
D. Lithium carbonate
E. Olanzapine

9、
Male, 20 years old, afraid of dirty worries, bad mood for half a year, once
encountering dirty things, repeatedly think in the brain, repeatedly wash hands and
bathe, accompanied by anxiety, sleep deterioration, sometimes have a sense of
flesh jump and fever, know that they should not, but can not control. The most
probable diagnosis for this patient is:
A. Obsessive-compulsive disorder
B. hypochondriasis disorder
C. generalized anxiety disorder
D. fear anxiety disorder
E. separation and transformation disorder

10、The patient, female, 54 years old, had anxiety and irritability without obvious
incentives nearly half a year ago. Every day, she would think a lot of things. I am
afraid that if I don’t do well, I feel that I am not satisfied with the things around me.
Everything will be bad. The most likely diagnosis for this patient is
A. Acute anxiety attack
B. Generalized anxiety disorder
C. phobia
D. Panic disorder
E. Obstacle disorder

11、Patient, male, 58 years old. A history of hypertension for 10 years. Insomnia in

the past 3 years, memory loss, work efficiency decreased. In the past year, the
above symptoms have worsened, speech is unclear, hands are shaking, mood is
low, self-blame is sin, sometimes people don't know people around, and they run
naked. Physical examination: The fundus arteries are as thin as copper wire, and the
knees are hyperreflexive, and pathological reflexes are not elicited. The head CT
showed several small infarcts. The most likely diagnosis is
A. Alzheimer's disease
B. Depression
C. Mental disorder caused by cerebrovascular disease
D. Personality disorder
E. Schizophrenia

12、A 40-year-old woman felt anxious and worried after a terrible facial Laser spot
removal 2 years ago, the symptom have last for a long time, now she begins to feel
tension and fear about other trivial matters in life, with restlessness, chest
discomfort and palpitation, insomnia, she feels upset and comes to see a doctor.
The main symptoms of this patient are
A. Fear symptoms
B. panic attack
C. Obsessive-Compulsive
D. anxiety symptom
E. Compulsive thinking

13、A patient, middle-aged ,female, was admitted to the hospital because of

"repeated thinking and worry for more than one month." About a month ago,
during the postpartum care of her daughter, the picture of "burning her daughter
with boiling water" appeared in her mind. The idea came from her own brain, and
she was consciously wrong and could control it. Then the bad thoughts about her
daughter increased, accompanied by depression, poor sleep, and negative
thoughts. The primary consideration for current diagnosis is:
A. Depression disorder
B. anxiety disorder
C. obsessive-compulsive disorder
D. somatoform disorder
E. schizophrenia
14、The patient thinks that the chat between colleagues is about him. The person
who coughs on the street thinks that he is reviling him. This kind of performance
belongs to him.
A. Influence delusion
B. Relationship delusion
C. Love delusion
D. jealous delusion
E. Murdered delusion

15、
The patient, a 24-year-old woman, had been repeatedly ups and downs for more
than four years, aggravating the disorder of words and deeds for nine days. When
she got sick, she thought that the boys around her liked herself. Excuse me, this
symptom belongs to:
A. Relational delusion
B. Perception of Being Insighted
C. Envy delusion
D. Delusions of exaggeration
E. Falling in love with delusion

16、
A female patient, 89 years old, had a gradual decline in memory five years ago.
Recent memory declined significantly. She talked to herself at home and looked for
things everywhere. She suspected that her family had stolen her belongings.
A. Delusion of victimization
B. Fictitious
C. Dislocation
D. Delusion of being stolen
E. Criminal delusion

17、
The patient, female, 29 years old, was struck by the death of her relatives six years
ago. She couldn’t control the crying all day, insomnia at night, and it was difficult to
fall asleep. Poor appetite, no hope for the future, have the idea of suicide,
accompanied by headache, back pain, palpitations, chest tightness and other
physical discomfort. In the past 6 years, the patient has visited several hospitals, but
the emotional conscious self-paying after anti-depression treatment has improved
significantly, but it has not recovered to normal levels. The self-conscious drugs
have no obvious effect on sleep improvement. In the past year, the patient's
conscious sleep has deteriorated, it is difficult to fall asleep, sleep more dreams,
wake up earlier in the morning, and the patient feels more painful and painful. He
has no motivation and interest in doing things, and his stomach is poor. If the
patient's mood deteriorates significantly during hospitalization, there is a sense of
desperation, and there is a sense of desperation, increased muscle tension, and a
fixed facial expression. The most suitable treatment at this time is:
A. Paroxetine
B. Electroconvulsive therapy
C. Clomipramine
D. Lithium carbonate
E. Alprazolam

18、
Male, 31 years old, began to feel too fat one year ago and started to exercise a lot,
mainly manifested by feeling that the house was not clean and doing a lot of
housework repeatedly every day, and taking a lot of laxatives.Now his BMI is15,but
he still feels he is fat.The most likely diagnosis is:
A. Bulimia nervosa
B. Anorexia nervosa
C. Obsessive compulsive disorder
D. Anxiety disorders
E. schizophrenia

19、
atient, female, 67 years old.Repeated low mood, thinking, sleep gap of 11 years,
considered as depression.Among the measures to deal with it, the most important
is:
A. Improve sleep
B. Improve emotional state
C. strengthen the mental healing
 D. Assessing suicide risk
E. Improve nutrition

20、
The patient was a young woman, 18 years old, who was admitted to the hospital
because of “repetition of emotional high and low for more than 4 years, with 7 days
of restlessness”. The patient did not have obvious incentives 4 years ago, but he
didn't want to talk with people. He often didn't want to talk to people. He often got
up at night and cried in tears. He cried wet pillows. When he was asked by his
family, he said that there was no reason, that is, he wanted to cry, and he
complained that there was a paragraph. Time is concentrated during class, the brain
responds very quickly, feels strong, energetic, and needs less sleep at night. What
diagnosis does the patient first consider?
A. Bipolar disorder
B. Depression
C. Schizophrenia
D. OCD
E. Anxiety