问题
单项选择题 共用题干题
患者男，76岁，已婚，退休。近半年来经常讲家中东西少了，被保姆和邻居偷窃了。常常半夜起来检查窗户、门锁是否已经关好，影响家人休息。怀疑妻子行为不轨，有外遇，经常打电话给子女告状，甚至与妻子争吵。心情不好。
该患者可能的诊断是（）
A.老年抑郁症
B.精神分裂症
C.偏执性精神病
D.老年痴呆
E.强迫症
答案
参考答案：D
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患者男，76岁，已婚，退休。近半年来经常讲家中东西少了，被保姆和邻居偷窃了。常常半夜起来检查窗户、门锁是否已经关好，影响家人休息。怀疑妻子行为不轨，有外遇，经常打电话给子女告状，甚至与妻子争吵。心情不好。
该患者可能的诊断是（）
A.老年抑郁症
B.精神分裂症
C.偏执性精神病
D.老年痴呆
E.强迫症
参考答案：D
“How did you do it, Dad ? How have you 21 not to take a drink for almost 20 years? ”It took me almost 20 years to have the 22 to even ask my father this very 23 question. When Dad first 24 drinking, the whole family was on pins and needles 25 he got into a situation that, in the past, would have started him drinking again.For a few years we were 26 to bring it up for fear that the drinking would begin again. “I had this little 27 that I would recite to myself 28 four to five times a day ” was Dad’s 29 to my 18-year-old unasked question.“The 30 were an instant relief and constant reminder to me that things were never so 31 that I could not handle them,”Dad said.And then he 32 the poem with me.The poem’s simple, yet profound (深奥的) words 33 became part of my daily routine as well. About a month after this talk with my father,I 34 a gift in the mail from a friend of mine. It was a book of affirmations (断言) with one affirmation listed for each 35 of the year. I 36 opened the book to the page of my birthday to see what words of wisdom this book had in store for me. 37 of disbelief and appreciation rolled down my face.There,on my birthday ,was the 38 poem that had helped my 39 for all these years! It is called The Sereniry Prayer. God,give me the Serenity（平静）to accept the things I cannot change,the Courage to 40 the things I can,and the Wisdom to know the difference.
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