问题 单项选择题

20岁的男性患者,因兴奋话多与少语少动交替发作10月余入院。患者在10个月前无明显诱因第1次出现兴奋话多,讲话滔滔不绝,不让他做的事情偏要做,别人阻止他时,他却说在做好事,自己在纸上写了数字就变成了支票,可以拿去给别人治病,在当地医院住院治疗后好转,尚能坚持工作,在出院后的2个月,因与女友吵架后出现不愿说话,不愿上班,家人反映变懒了,在当地医院给予丙米嗪治疗半月后恢复正常。住院前半月,患者变得话多,易激惹,容易发脾气,讲自己能当公司总裁,工作能力强,将来可以组建一个跨国公司。

此患者最可能的诊断是

A.复发性躁狂症

B.双相障碍躁狂发作

C.精神分裂症

D.双相障碍快速循环型

E.反应性精神病

答案

参考答案:B

解析: 患者已经出现了2次较典型的躁狂发作和1次抑郁发作,此次为躁狂发作,已经达到了双相情感障碍的诊断标准,但尚未达到双相障碍快速循环型的标准,因为要求在1年内至少有4次以上的躁狂与抑郁的发作。也没有诊断精神分裂症和反应性精神病的依据,所以诊断为双相障碍躁狂发作。

阅读理解

信息匹配

A

Sales Manager Requirements:

Minimum of 2-year sales experience;

University /  College degree;

Good command of English;

Excellent communication skills;

Responsible, patient, energetic ,  enthusiastic;

Customer service,  teaching experience is preferred;

Basic office computer skills (Excel, Word, E-mail).

B

Project Management Assistant Requirements:

Good English and computer skills;

Related working experience is a must;

Patient, careful, supportive ;

Strong team spirit.

C

English Teacher Requirements:

University degree or above in English major;

Eager to learn and open-minded with creativity ;

With deep understanding and respect for different cultures.

D

Marketing Assistant Requirements:

College degree or above with good English (speaking and writing) skills;

With basic ideas of sales and marketing;

Working experience is not necessary;

Good communication and presentation skills.

E

Accountant Requirements:

College degree or above in finance area;

Good English and computer skills;

Good sense of finance management;

At least two years of experience as an accountant in an international organization is a must;

Self-management, hard-working, independent and able to deal with pressure.

F

Nurse Requirements:

College degree or above in medicine area;

Good communication and nursing skills;

Good sense of responsibility;

At least two years of experience as a nurse in a big hospital;

Patient, careful, polite, hard-working.

请阅读以下职位申请者的信息,然后匹配申请者和所提供的工作岗位。

【题文1】Harry Evans graduated from the University of Oxford. At the university, he majored in English Literature, and got a Bachelor’s degree .  

【题文2】Jack Blunkett has been an accountant in an international company for four years after graduating from the Finance University, and he is good at English and computer.

【题文3】Peter Hessler is a manager of an international company, and his duty is to sell the products of the company.

【题文4】Thomas Wright got a master’s degree. His spoken English is excellent, but he has no working experience. He is good at writing and communication.

【题文5】Alice Elizebeth has worked in a Building Material Company for ten years, and she is expert in management. She can communicate in English very well.

单项选择题 A1/A2型题