患者男性，19岁，大一学生。10天前急起精神异常，表现兴奋话多，诉脑子反应灵活，夸大自己的能力．说只要复习半个月就能通过GRE考试，将来要成为亿万富豪；疑心重，怀疑别人害他，背后讲他的坏话，不敢到外面吃饭，坚信有人会下毒。脾气大，有打骂家人的情况。夜晚睡眠差，几乎通宵不眠。家属反映患者发病前有低热、头痛、咳嗽等表现，但未到医院就诊。
目前需要考虑的可能诊断有哪些（）
A.病毒性脑炎
B.偏执性精神障碍
C.躁狂发作
D.适应障碍
E.恐惧症
F.Wilson病
G.分裂样精神病
H.创伤后应激障碍
参考答案：A, C, F, G
| 完形填空。 | ||||
| Dear Sir or Madam, Last Thursday, I traveled on the 8:00 a.m. train from Glasgow to London King's Gross and I was quite 1 with the service of your company. The train didn't come on time and it was forty minutes 2 when it left Glasgow. A man at the station said sorry to us, but he didn't give us any 3 for the delay (延误). We then also had delays on the way and had to wait 4 thirty minutes. As a result, I 5 my plane from London to Frankfurt and had to wait for several hours. What's more, the service on the train was also very 6 . The trip took more than five hours. 7 , we could buy nothing but some soft drinks on the train. Worst of all, 8 was wrong with the air conditioning (空调) and it got hotter and hotter in the train. 9 we reached King's Cross, the temperature was over 40℃ all the time. Because of your poor service, I feel you should 10 me compensation (赔偿金). I am looking forward to hearing from you. Yours, David Roberson | ||||
|