问题 单项选择题

女,35岁。1年前曾疑被害,常听到有很多人的声音在咒骂她,有的声音叫她,吃安眠药死了吧。患者自服安定100片自杀,被家人及时发现送至医院抢救以致自杀未遂,被诊断为精神分裂症,服用抗精神病药物,住院治疗1个月,临床治愈出院。出院后恢复工作,坚持服药4个月后自行停药。7d前病情复发,症状同前,此次还感到自己的思维、言行完全受人控制,自语、发笑不由自主,伴发心慌、焦虑不安、心情压抑。4h前感到受人控制,不能自控地出门、从河滩走入河中欲自杀。被人发现及时救起送到医院治疗。导致该患者第2次自杀行为的主要精神症状是()

A.被害妄想

B.被控制感

C.命令性幻听

D.抑郁症状

E.焦虑症状.

答案

参考答案:B

解析:患者患有精神分裂症,第一次自杀时存在被害妄想、幻听。治疗之后好转。此次因为自行停药导致旧病复发,临床表现为被控制妄想,即患者有被控制感,认为自己的精神活动(思维、情感、意志、行为等)均受外力的干扰、控制、支配、操纵。这是精神分裂症的特征性症状之一。

阅读理解

Three Boys and a Dad

Brad closed the door slowly as Sue left home to visit her mother.Expecting a whole day to relax,he was thinking whether to read the newspaper or watch his favourite TV talk show on his first day off in months.“This will be like a walk in the park,”he’d told his wife.“I’ll look after the kids,and you can go visit your mom.”

Things started well,but just after eight o’clock,his three little “good kids”—Mike,Randy,and Alex—came down the stairs in their night clothes and shouted “breakfast,daddy.”When food had not appeared within thirty seconds,Randy began using his spoon on Alex’s head as if it were a drum.Alex started to shout loudly in time to the beat(节拍).Mike chanted “Where’s my toast,where’s my toast” in the background.Brad realised his newspaper would have to wait for a few seconds.

Life became worse after breakfast.Mike wore Randy’s underwear on his head.Randy locked himself in the bathroom,while Alex shouted again because he was going to wet his pants.Nobody could find clean socks,although they were before their very eyes.Someone named “Not Me” had spilled a whole glass of orange juice into the basket of clean clothes.Brad knew the talk show had already started.

By ten o’clock,things were out of control.Alex was wondering why the fish in the jar refused his bread and butter.Mike was trying to show off his talent by decorating the kitchen wall with his colour pencils.Randy,thankfully,appeared to be reading quietly in the family room,but closer examination showed that he was eating apple jam straight from the bottle with his hands.Brad realised that the talk show was over and reading would be impossible.

At exactly 11∶17,Brad called the daycare centre(日托所).“I suddenly have to go into work and my wife’s away.Can I bring the boys over in a few minutes?”The answer was obviously “yes” because Brad was smiling.(2012·陕西,B)

小题1:When his wife left home,Brad expected to________.

A.go out for a walk in the park

B.watch TV talk show with his children

C.enjoy his first day off work

D.read the newspaper to his children小题2:Which of the following did Randy do?

A.Drawing on the wall.

B.Eating apple jam.

C.Feeding the fish.

D.Reading in a room.小题3:Why did Brad ask the daycare centre for help?

A.Because he wanted to clean up his house.

B.Because he suddenly had to go to his office.

C.Because he found it hard to manage his boys.

D.Because he had to take his wife back home.小题4:This text is developed________.

A.by space

B.by comparison

C.by process

D.by time

单项选择题