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医学评论
·驳章琦“为中医药平反正名”(之二):西方国家从来没有高薪聘请过一个头一次出国的中国科技人员。一个也没有。
·韩国,日本和中国的中药国际贸易不是医药事业之争
·读陈玉等人的文章,加拿大的医疗体制才是中国的模式
·保健食品冒充药品,中医能说得清吗?
·明知不可为而为之,是追求真理的人的最高境界。
·药品安全整治,是打击民间中医药的致死一击
·中国抗病毒中药进入美国
·让中药走向世界
·武汉大学医学院:首次证实中药“大黄”有抗病毒作用
·中医基础理论的哲学批判
·中  医  与  科  学
·中药龙胆泻肝丸副作用伤肾致癌
·蚁力神卷入“伟哥”风波 商家难以自圆其说
·为中医垫背说谎,吴孟超你如何教导后人?
·取消中医,以科学的名义?
·服中药中毒,受害人舆慎用
·取消与捍卫中医论战暴露中医尴尬处境
·中医和我们,既生瑜何生亮
·《章琦说的被海外高薪聘请的中医师在哪里?》
·《中医申遗和中医逊位是两回事》
·“疑难杂症”是医生水平极其低下的人类群体的内部用语
·《全世界的主流医学就是现代医学,只有中国有两个医学》
·《说的太好了反倒不真实》
·把科学和伪科学的论战推向新高潮
·中医这条大河的决堤口可能在“80后”青年人
·《中医师出国为那般?》
·全国政协委员、中医药专家做客求解中医发展
·英国《独立报》06年11月12日报道“中医存废之争”
·哲学界学者谈中医存废之争 反对中医属于无知
·河北村医对话温家宝为两会献计献策
·“络病理论及其应用研究”荣获国家科技进步二等奖
·介绍一个专门刊登反对中医文章的网站sky586.com
·方舟子废医验药观点遭多名专家批驳
·2006年文化十大新闻, 中医废存之争第二名
·两会委员谈中医中药
·新闻回放:7类鱼腥草注射液被暂停 中药标准化问题显现
·委员周超凡:中药注射剂经典名方再评价
·2006中国十大新闻事件回眸点评,中医存废之争第7名
·2006年终盘点:中国十大话题, 中医存废之争第三名
·2006年中医药十大新闻揭晓 , 中医存废之争第四名
·盤點2006年十大健康事件就醫網,中医存废之争第四名
·科技日报:2006年中国十大科普事件评选揭晓 ,中医存废第8名
·中医存废之争,博客跟着出名。2006年十大具有影响力的医药搏客
·中医存废之争进入2006十大医药产业事件,第三名
·评述2006年八大文化现象, 中医存废之争与科学精神, 第三名
·2005 两会代表提出:医疗改革中西医统筹考虑
·评论:何祚庥 你没有资格批中医
·每100条中医医疗广告中,竟只有0.87条符合广告法要求
·“中西医合作”运动的兴起
·四川副省长刘晓峰:非常反对取消中医的观点
·政协委员:中医药事业陷入困境需国家支持
·美国医药新闻:梦中驾车?安眠药惹的祸!
·中国应该停止大规模药物和中草药研究
·在日本和韩国以及全部外国中药都不是药,是保健品
·一个36岁的海归青年葬送于一个草菅人命的上海医院
·中医在加拿大被“变相取缔”
·中医药创新发展规划纲要(2006-2020年)
·中医药创新发展规划纲要(2006-2020年)
·中医药创新发展规划纲要(2006-2020年)
·中医药创新发展规划纲要(2006-2020年)
·中医药创新发展规划纲要(2006-2020年)
·中医药创新发展规划纲要(2006-2020年)
·和方舟子商榷:中医问题也有医疗体制问题。
·谁写的《中医药创新发展规划纲要(2006-2020年)》?
·美国医学新闻:血液可变型,血荒有解
·医学新闻:男比女短命5到10年
·美国英语医学笑话(普)1
·美国医学新闻:确诊肾癌 成功率100%
·明白地死vs糊涂地活 中西医优劣的绝妙比喻
·马友友说,保持文化纯粹是死路一条
·美国的枪支管理到底出了什么问题?
·英文笑话
·和谐社会就是让城里人吃药,农民吃草?
·全国500名中医药界人士发表宣言反对废弃中医
·2006,震动中国医药行业的五位名人
·英国修订医药法 中药出口欧盟面临挑战
·美国英语医学笑话(普)2
·中国医学发展方向的选择
·中西医如何结合才更好
·医疗体系需创新
·“十一五”将全面推进中医药现代化
·无良中医又添命案
·美国英语医学笑话(医)1
·揭穿李连达的谎言和谬论:一。鱼腥草注射液能和氯霉素相提并论吗?
·郑筱萸一审被判死刑
·美国英语医学笑话(医)2
·美国英语医学笑话(医)3
·我不想再做医生,哪怕去擦皮鞋
·国家药监局:不能因郑筱萸一人否定整个药监系统
·卫生事业发展“十一五”规划纲要(择要)
·自查自纠不正当交易行为
·美国英语医学笑话(普)3
·美国英语医学笑话(普)3
·为什么中国的好医生濒临绝种
·王国强在北京调研时强调应高度重视综合医院中医工作
·美国英语医学笑话(医)4
·王澄医生写给两院院士们的公开信
·中医的“名医名店”是和党和国家的根本利益背道而驰的反动方针
·建议中国政府委托先进国家来检验中药注射剂的治疗效果和毒副作用
·评凌峰医生在救治刘海若中的作用(重写)
·领导中医的人的思路越来越转向张功耀的《中医退出国家体制》的方向
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精神病学公共课考试题答案

   精神病学公共课考试题答案
   试题曾刊登在《陈竺部长不要瞎指挥》一文后。
   1.A 27-year-old medical student is finding it increasingly difficult to sit through lectures. Over the past six months, she has had repeated episodes of heart pounding, difficulty breathing, light headedness and tremor. During these episodes, she feels “like I am going to die-it feels awful.” Your most likely diagnosis is
   (A) somatization disorder
   (B) hypochondriasis

   (C) panic disorder
   (D) dissociation disorder
   (E) phobia
   
   正确答案是(C)
   解释 Panic disorder is manifested by periodic, intense, spontaneous episodes of acute anxiety. An episode usually builds up in intensity for 5 to 15minutes, lasts typically 20 to 30 minutes and rarely persists for more than an hour. During the attack, the victim often fears dying, going crazy, or losing control. Agoraphobia is frequently associated with panic attacks.
   
   
   2. A 24-year-old married man comes for marital counseling. At his request, the counselor gives fairly specific advice. The patient does not attempt to carry out certain suggestions and even seems to be acting directly counter to other directions of the counselor. The patient may be showing which of the following personality disorders?
   (A) antisocial
   (B) histrionic
   (C) compulsive
   (D) passive-aggressive
   (E) schizoid
   
   正确答案是(D)
   解释Persons with passive-aggressive personality disorder are characteristically demanding and manipulatively dependent and yet act in such a way as to ensure that the help and support they are given is rendered ineffective. They want, they need, and they should be given care and attention but they cannot allow themselves to receive constructively and trustingly. The young man described in this question manifests some of these symptoms and personality characteristics.
   
   
   3. A 49-year-old housewife is admitted to the hospital because she is having a “nervous breakdown.” She is restless, weepy, and states repeatedly that she is destined for the fires of hell. All her life she has been a hard-working woman, caring for her family, with no physical or emotional illnesses. In recent months she has been increasingly anxious and irritable. She was hospitalized when she refused to go upstairs in her home, claiming that men were waiting up there to kill her. The most likely diagnosis is
   (A) early Alzheimer’s disease
   (B) depression with melancholia
   (C) adjustment disorder with depressed mood
   (D) schizophrenia, paranoid type
   (E) somatization disorder
   
   正确答案是(B)
   解释This is the typical history of a patient with major depression with melancholia-involutional melancholia-a life-long, conscientious, hard-working woman in the involutional period of life, presenting with depression and bizarre self-accusatory delusions.
   
   Alzheimer’s disease would usually manifest with greater confusion and memory loss. A thorough medical evaluation is always indicated when dementia is suspected.
   
   A patient with an adjustment disorder with depressed mood would not manifest these bizarre delusions.
   
   Paranoid schizophrenia would not manifest with this exaggerated affect but would present with inappropriate paranoid projection, often with overt auditory hallucinations.
   
   A patient with a somatization disorder will express emotions through physical symptoms but not to this delusional degree; nor is such a patient profoundly depressed.

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