偏执狂

以下疾病哪一种预后最好（　）

A、偏执狂

B、紧张型精神分裂症

C、单纯精神分裂症

D、偏执型人格障碍

E、青春型精神分裂症

某大一学生小明，经常感觉自己的车没有上锁，然后跑到停车点查看，请问该生患有什么症状（）

A、焦虑症

B、强迫症

C、疑病症

D、偏执狂

（）的建筑不是兴奋过度的幻想的产物，它能单独存在，不依靠外力。倘不是人的蛮性或偏执狂发作而加以毁灭的话，几乎所有的（）神庙都能完整无缺。

A、希腊

B、哥德

C、埃及

D、印度

A.癔症量表

B.抑郁量表

C.偏执狂量表

D.诈病量表

A、多曾有少年品行障碍的表现

B、偏执狂患者中，该类人格障碍比例最高

C、容易出现有计划的暴力犯罪行为

D、无情无义，无羞耻感表现突出

E、严厉惩罚效果较好

此题为多项选择题。

第二次世界大战以来，国际关系格局发生了深刻的变化。阅读下列材料，回答问题。

材料一有一种观点认为，“苏联的极权主义、共产主义意识形态的扩展以及斯大林的偏执狂是冷战产生的根源，美国是为了对付苏联威胁才不得不做出必要的反应而采取遏制政策的。”

材料二

美国“罗斯福”号航母

美国“9·11”事件

北约空袭南联盟

（1）你同意材料一中的观点吗？说明你的理由。

（2）材料二反映了当今世界的什么特点？请分析出现这一特点的原因。

许多天才人物都有一些心理病态行为，如：英国最杰出的讽刺作家乔纳森•斯威夫特脾气古怪，生活狂乱，他不但以“病人”而为人知晓，他甚至为自己是一个偏执狂而感到自豪。尼采不能很好地进行家庭生活。伟大画家梵高后期精神失常，不能独立生活。《老人与海》的作者海明威一生充满了压力与紧张，内心经历着剧烈痛苦而复杂纷呈的变化。对于有心理病态行为的天才人物，哪种看法不是客观中肯的？（）

A、对于这类人，要注意区分他们的正常与不正常状态，他们的伟大成就，也可能是在心理正常的时候创造出来的

B、心理不健康，虽然可以创造，但也是有代价的

C、任何人都会出现心理问题，天才人物也不例外

D、伟大的天才都是心理变态的

许多天才人物都有一些心理病态行为，如：英国最杰出的讽刺作家乔纳森•斯威夫特脾气古怪，生活狂乱，他不但以“病人”而为人知晓，他甚至为自己是一个偏执狂而感到自豪。尼采不能很好地进行家庭生活。伟大画家梵高后期精神失常，不能独立生活。《老人与海》的作者海明威一生充满了压力与紧张，内心经历着剧烈痛苦而复杂纷呈的变化。关于天才人物与心理病态行为的关系，说法正确的有（）

A、心理不健康的人，即使能创造，也是无益于社会的

B、可以绝对地认为心理健康是成就的必要条件

C、如果那些天才人物的心理是健全的，也许他们可能做出更理性、更深远，而不是极端的、轰动一时的贡献

D、心理健康的人一般都是普通人，对世界不会有什么太大的贡献

患者，男性，19岁。病前在某地做厨师。于某年9月11日不辞而别。25天后其叔父在邻近城市偶然发现了他，上前唤他时竞将叔叔视若路人，回家后不认识所有亲人及朋友。经了解才知道患者来此地已半月余，白天在街上捡垃圾，晚上在未建好的楼房内勉强御寒。该患者首先要排除哪种疾病()A、抑郁症

B、精神分裂症

C、颞叶癫痫

D、早老性痴呆

E、睡行症

其次要排除哪种疾病()A、广泛性焦虑

B、偏执狂

C、社交恐惧症

D、药物滥用

E、急性应激障碍

如果排除了以上两种疾病，患者最可能是哪种疾病()A、双向情感障碍

B、分离性漫游

C、心因性遗忘

D、表演型人格

E、适应障碍

该患者采用何种方法治疗最合适()A、暗示治疗

B、催眠治疗

C、森田疗法

D、行为治疗

E、认知治疗

患者男，19岁。病前在某地做厨师。于某年9月11日不辞而别。25天后其叔父在邻近城市偶然发现了他，上前唤他时竞将叔叔视若路人，回家后不认识所有亲人及朋友。经了解才知道患者来此地已半月余，白天在街上捡垃圾，晚上在未建好的楼房内勉强御寒。该患者首先要排除哪种疾病A、抑郁症

B、精神分裂症

C、颞叶癫痫

D、早老性痴呆

E、睡行症

其次要排除哪种疾病A、广泛性焦虑

B、偏执狂

C、社交恐惧症

D、药物滥用

E、急性应激障碍

如果排除了以上两种疾病，患者最可能是哪种疾病A、双向情感障碍

B、分离性漫游

C、心因性遗忘

D、表演型人格

E、适应障碍

该患者采用何种方法治疗最合适A、暗示治疗

B、催眠治疗

C、森田疗法

D、行为治疗

E、认知治疗

思想观念的价值，在竞争中才会彰显，在实践中才能显现。“我不同意你的看法，但我誓死捍卫你说话的权利”，这是一种胸怀，更是一种自信。那种扣帽子、抓辫子的辩论方式，“不同即敌对”的思维模式，本质上都是狭隘虚弱的表现，无助于和谐社会的构建。全社会都应该以包容的心态对待“异质思维”，尤其是执掌权柄者。以下除了哪项外均能支持上述论证？

第二次世界大战以来，美苏关系的变化对世界产生了巨大的影响。阅读下列材料，回答问题：（20分）
材料一　美苏冷战虽已离我们远去，但我们无法否认它在国际关系史中的重要地位。 美苏冷战是在对抗与缓和的交替中进行的，在欧洲是真正意义上的冷战，而在亚洲则充满了火药味。              ———《冷战风云》世界知识出版社
（1)美苏两国“在欧洲是真正意义上的冷战，而在亚洲则充满了火药味”的具体表现有哪些？（5分)
材料二　有一种观点认为，“苏联的极权主义、共产主义意识形态的扩展以及斯大林的偏执狂是冷战产生的根源，美国是为了对付苏联威胁才不得不做出必要的反应而采取遏制政策的。”
（2)你同意材料二中的观点吗？说明你的理由。（5分)材料三　1947年，苏联在参加马歇尔计划的讨论时，指责该计划使“欧洲各国必将落入被监督国家的地位”，因而拒绝接受。1991年，苏联领导人却公开呼吁美国等西方国家对苏联实施“新的马歇尔计划”，甚至连国内的经济改革和发展计划也邀请美国等国家帮助制定。  
（3)结合所学知识回答，苏联发生这一变化的主要原因有哪些？（5分)
（4)综合上述材料，二战后美苏两国关系的变化对世界格局产生了怎样的影响？（5分)

男性，35岁，自由职业者。因"急起乱语，疑人害1周"就诊。家人诉：患者1周前突然出现乱讲话，讲话内容令人费解。常自言自语，有时对空大骂。对家人称害怕，感觉有人欲加害于他，要家人报警。门诊医生在接待患者时，首先要考虑以下哪些处理A、血常规检查，测体温

B、脑电图检查

C、细致的体格检查和神经系统检查

D、收住入院

E、予以肌内注射镇静药物

F、转诊其他科室，先排除其他可能的疾病

G、详细地询问病史和精神状况检查

该患者各项检查均正常，最可能的诊断是A、精神分裂症未定型

B、精神分裂症偏执型

C、偏执性精神障碍

D、分裂样精神病

E、旅途性精神病

F、偏执狂

G、精神分裂症青春型

住院4周后，家属认为患者症状完全缓解，不需服药。作为医生，您应该如何向家属说明继续服药的时间A、半年至1年

B、1～2年

C、2～3年

D、3个月至半年

E、6～9个月

F、终身服药

症状完全缓解，家属询问此病的长期预后，您如何回答合理A、预后好，不会有后遗症

B、如坚持系统治疗，预后会比较好

C、预后不好，会反复发作

D、不好预测，预后可能好，可能不好

E、预后差，会逐渐退缩

F、症状可以控制，但可能复发

The prospect of talking to increasingly fragile parents about their future can be "one of the most difficult challenges adult children will ever face," says Clarissa Green, a Vancouver therapist. "People often tell me they don't want to raise sensitive issues with their parents about bringing in caregivers or moving," she says. "They'll say, 'I don't want to see dad cry.'" But Green usually responds, "What's wrong with that?" Adult children, she says, need to try to join their parents in grieving their decline, acknowledge their living arrangements may no longer work and, if necessary, help them say goodbye to their beloved home. "It's sad. And it's supposed to be. It's about death itself."

There are almost four million men and women over age 65 in Canada. Nearly two thirds of them manage to patch together enough support—from family, friends, private and government services—to live independently until virtually the day they die, according to Statistics Canada.

Of the Canadian seniors who live to 85 and over, almost one in three end up being moved—sometimes kicking—to group living for the last years of their lives. Even in the best-case scenarios(可能出现的情况), such dislocations can bring sorrow. "Often the family feels guilty, and the senior feels abandoned," says Charmaine Spencer, a professor in the gerontology department of Simon Fraser University. Harassed with their own careers and children, adult children may push their parents too fast to make a major transition.

Val MacDonald, executive director of the B.C. Seniors Services Society, cautions adult children against imposing their views on aging parents. "Many baby boomers can be quite patronizing(高人一等的)," she says. Like many who work with seniors, MacDonald suggests adult children devote many conversations over a long period of time to collaborating on their parents' future, raising feelings, questions and options—gently, but frankly. However, many middle-aged adults, according to the specialists, just muddle(应付) through with their aging parents.

When the parents of Nancy Woods of Mulmur Hills, Ont., were in their mid-80s, they made the decision to downsize from their large family home to an apartment in Toronto. As Woods's parents, George and Bernice, became more frail, she believed they knew she had their best interests at heart. They agreed to her suggestion to have Meals on Wheels start delivering lunches and dinners. However, years later, after a crisis, Woods discovered her parents had taken to throwing out the prepared meals. Her dad had appreciated them, but Bernice had come to believe they were poisoned. "My father was so loyal," says Woods, "he had hid that my mother was overwhelmed by paranoia(偏执狂)." To her horror, Woods discovered her dad and mom were "living on crackers and oatmeal porridge" and were weakening from the impoverished diet. Her dad was also falling apart with the stress of providing for Bernice—a common problem when one spouse tries to do everything for an ailing partner. "The spouse who's being cared for might be doing well at home," says Spencer, "but often the other spouse is burned out and ends up being hospitalized."

Fortunately, outside help is often available to people struggling through the often-distressing process of helping their parents explore an important shift. Sons and daughters can bring in brochures or books on seniors' issues, as well as introduce government health-care workers or staff at various agencies, to help raise issues and open up discussions, says Val MacDonald, whose nonprofit organization responds to thousands of calls a year from British Columbians desperate for information about how to weave through the dizzying array of seniors services and housing options. The long list of things to do, says MacDonald, includes assessing their ability to live independently; determining your comfort level with such things a

A．Y

B．N

C．NG

The prospect of talking to increasingly fragile parents about their future can be "one of the most difficult challenges adult children will ever face," says Clarissa Green, a Vancouver therapist. "People often tell me they don't want to raise sensitive issues with their parents about bringing in caregivers or moving," she says. "They'll say, 'I don't want to see Dad cry.'" But Green usually responds, "What's wrong with that?" Adult children, she says, need to try to join their parents in grieving their decline, acknowledge their living arrangements may on longer work and, if necessary, help them say goodbye to their beloved home. "It's sad. And it's supposed to be. It's about death itself."

There are almost four million men and women over age 65 in Canada. Nearly two thirds of them manage to patch together enough support—from family, friends, private anti government ser vices-to live independently until virtually the day they die, according to Statistics Canada.

Of the Canadian seniors who live to 85 and over, almost one iii three end up being moved— sometimes kicking—to group living for the last years of their lives. Even in the best-case scenarios (可能出现的情况), such dislocations can bring sorrow. "Often the family feels guilty, and the senior feels abandoned," says Charmaine Spencer, a professor in the gerontology department of Simon Fraser University. Harassed with their own careers and children, adult children may push their parents too fast to make a major transition.

Val MacDonald, executive director of the B.C. Seniors Services Society, cautions adult children against imposing their views on aging parents. "Many baby boomers can be quite patronizing (高人一等的)," she says. Like many who work with seniors, MacDonald suggests adult children devote many conversations over a long period of time to collaborating on their parents' future, raising feelings, questions and options—gently, but frankly. However, many middle-aged adults, according to the specialists, just muddle (应付) through with their aging parents.

When the parents of Nancy Woods of Mulmur Hills, Ont., were in their nfid-80s, they made the decision to downsize from their large family home to an apartment in Toronto. As Woods's parents, George and Bernice, became more frail, she believed they knew she had their best interests at heart. They agreed to her suggestion to have Meals on Wheels start delivering lunches and dinners. However, years later, after a crisis, Woods discovered her parents had taken to throwing out the prepared meals. Her dad had appreciated them, but Bernice had come to believe they were poisoned. "My father was so loyal," says Woods, "he had hid that my mother was overwhelmed by paranoia (偏执狂)." To her horror, Woods discovered her dad and mom were "living on crackers and oatmeal porridge" and were weakening from the impoverished diet. Her dad was also falling apart with the stress of providing for Bernice—a common problem when one spouse tries to do everything for an ailing partner. "The spouse who's being cared for might be doing well at home," says Spencer, "but often the other spouse is burned out and ends up being hospitalized."

Fortunately, outside help is often available to people struggling through the often-distressing process of helping their parents explore an important shift. Sons and daughters can bring in brochures or books on seniors' issues, as well as introduce government health-care workers or staff at various agencies, to help raise issues and open up discussions, says Val MacDonald, whose nonprofit organization responds to thousands of calls a year from British Columbians desperate for information about how to weave through the dizzying array of seniors services and housing options. The long list of things to do, says MacDonald, includes assessing their ability to live independently; determining your c

A．encourage their parents to live independently

B．spend more time with their parents at weekends

C．try to share their fragile parents' grieving feeling