Alcoholic psychoses

Alcoholic psychoses

1.    A 36 year old patient who is registered in clinic with the diagnosis: “Alcoholism, 2^nd stage”, was found to have delirium of jealousy for the first time. There is a real danger of violence directed on his wife. What is the first thing that the patient need?

A.   Ambulatory treatment

B.    Directive to ???

C.    Hospitalization in psychiatric clinic

D.   Decision about workability

E.    Providing family therapy

2.    What should be administered firstly during complex therapy of alcohol predelirium?

A.   Sulfozin

B.    Popov’s mixture

C.    Diazepam

D.   Aminasin

E.    Sodium-thiopental

3.    The patient with delirium tremens on the third day of psychosis had the decreasing of psychomotor excitement, speech became indistinct, manifestations of stunning with slow transfer to amentia develop. The patient makes pattern movements with his hands, like he is looking for something in the bed. What is the most possible diagnosis?

A.   Professional delirium

B.    Musitating delirium

C.    Korsakov’s psychosis

D.   Encephalopathy of Gaie-Vernike

E.    Alcohol pseudoparalysis

4.    An ambulance was called for the patient who abuses alcohol drinks. The doctor found Lipman’s symptom. Presence of Lipman’s symptom in given situation testifies of:

A.   Simple alcohol intoxication

B.    Pathological alcohol intoxication

C.    Alcohol pseudoparalysis

D.   Alcohol paranoid

E.    Alcohol delirium

5.    Korsakov’s polyneurotic psychosis develops along with:

A.   Alcoholism

B.    Cerebral atherosclerosis

C.    Posttraumatic disease

D.   Brain syphilis

E.    Progressive paralysis

6.    For which stage of alcoholism acute hallucinosis is typical?

A.   1^st

B.   1^st and 2^nd

C.   2^nd

D.   2^nd and 3^rd

E.    3^rd

7.    For which stage of alcoholism delirium tremens is typical?

A. 1^st

B. 1^st and 2^nd

C. 2^nd

D. 2^nd and 3^rd

E. 3^rd

8.    For which stage of alcoholism acute paranoid is typical?

A. 1^st

B. 1^st and 2^nd

C. 2^nd

D. 2^nd and 3^rd

E. 3^rd

9.    For which stage of alcoholism chronic hallucinosis is typical?

A. 1^st

B. 1^st and 2^nd

C. 2^nd

D. 2^nd and 3^rd

E. 3^rd

10.                       For which stage of alcoholism chronic paranoid is typical?

A. 1^st

B. 1^st and 2^nd

C. 2^nd

D. 2^nd and 3^rd

E. 3^rd

11.                       For which stage of alcoholism encephalopathy of Gaie-Vernike is typical?

A. 1^st

B. 1^st and 2^nd

C. 2^nd

D. 2^nd and 3^rd

E. 3^rd

12.                       For which stage of alcoholism dementia is typical?

A. 1^st

B. 1^st and 2^nd

C. 2^nd

D. 2^nd and 3^rd

E. 3^rd

13.                       During grippe epidemic the patient who is registered in clinic with the diagnosis: “Alcoholism, 2^nd stage”, delirium has developed together with hyperemia of face skin and raising of body temperature. The doctor has to  differentiate alcohol delirium and infectious delirium, in order to hospitalize the patient into right (narcologic or infectious department). Which feature is pathognomic for alcohol delirium?

A.   Disorientating in time

B.   Disorientating in space

C.   Presence of visual hallucinations

D.   Presence of psychomotor excitement

E.    Tremor of fingers and tongue