Alcoholism
1. A 35 year old patient T., who was never addicted to alcohol beverages, during his business trip took 200g of vodka, after what short psychosis developed. During this psychosis patient became pale, didn’t orientate in place, time, screamed that there were many enemies around, attacked his hotel neighbor. When the emergency came the patient slept soundly. After the sleep patient had full amnesia, manifestations of asthenization. What did the patient go through?
A. Paranoid variant of simple alcoholic intoxication
B. Abortive form of alcoholic delirium
C. Epilepsy-form variant of alcoholic delirium
D. Acute alcoholic paranoid
E. Paranoid variant of pathological alcoholic intoxication
2. Pseudodipsomania occurs in case of:
A. 1st stage of alcoholism
B. 1st and 2nd stages of alcoholism
C. 2nd stage of alcoholism
D. 2nd and 3rd stages of alcoholism
E. 3rd stage of alcoholism
3. Abstinent syndrome is pathognomical for alcoholism of:
A. 1st stage
B. 1st and 2nd stages
C. 2nd stage
D. 2nd and 3rd stages
E. 3rd stage
4. Which symptom (syndrome) is pathognomical for the 1st stage of alcoholism?
A. Psychological dependence
B. Physical dependence
C. Abstinent
D. Change of tolerance
E. Loss of situational control
5. Patient is alcohol addicted during 4 years with regularity – 2-3 times a week. He connects this mainly with achieving psychosomatic comfort, euphoria, emotional tension relief, conflict situations. Intoxication is usually not considerable. Duration of intoxication is relatively short. Tolerance to alcohol is 200-300.0 ml of vodka. Abstinent syndrome is absent. There are multiple conflicts with wife as a result of alcohol abuse.
This hospitalization in narcologic clinic is first and is connected to
A. Alcoholism, 1st clinical stage
B. Alcoholism, 2nd clinical stage
C. Alcoholism, 2nd-3rd stage
D. Alcoholism, 3rd clinical stage
E. Episodic alcohol abuse
6. Patient was brought from the reception center where he stayed for 2 days. He was picked up drunk on the rail-way station, without documents and was placed at the reception center to identify his personality. He was transferred to narcologic department due to the fact that the patient had severe dizziness, general weakness, increased heart beating, sleep disorders, increasing of general tremor.
As the patient told: he is alcohol addicted for 15 years, and connects it to often job trips, absence of family. For the last 7-8 months he has hangovers. Inclination for alcohol possesses a vital character. Tolerance – 500 ml of vodka. Need of alcohol is closely connected to it’s euphoria action, there are often aggression manifestation in the state of intoxication. There are attacks of hard-drinking for 5-7 days, light intervals lately shortened to 2-3 days. His attitude to hospitalizing is totally indifferent. He has no motivation to sober way of life.
A. Alcoholism, 1st clinical stage
B. Alcoholism, 2nd clinical stage
C. Alcoholism, 2nd-3rd clinical stage
D. Alcoholism, 3rd clinical stage
E. Episodic alcohol abuse
7. Teturam’s action in treatment of chronic alcoholism consists in:
A. Disorder of alcohol metabolism and transformation of acetaldehyde
B. Considerable increasing of activity of alcohol-dehydrogenize
C. Disorder of acetaldehyde metabolism
D. Blocking of alcohol-hehydoxydase activity
E. Disorder of alcohol metabolism
8. Determine vomiting drugs used for condition-reflector therapy of chronic alcoholism:
A. Ametin
B. Apomorphine
C. Decoction of ???
E. Copper vitriol
D. Cerrucal
9. Prognostic feature of hard progressing of delirium tremens is presence in clinical manifestations of:
A. Seizure attacks
B. Damping down
C. High body temperature
D. Low blood pressure
E. Thirst
10. What id physiological action of cocaine?
A. Local anesthetic effect
B. Sympathomimetic action
C. Stimulation of CNS
D. Parasympathomimetic action
E. Vasodilatation, hypotension
11. The most often hallucinations in clinical manifestation of alcohol delirium are:
A. Acoustic
B. Smell
C. Taste
D. Visual
E. Psycho-sensorial
12. Which are the correct testaments related to cocaine?
A. It is usually taken perorally
B. Refuse from cocaine should be performed slowly step-by-step in hospital conditions
C. After the increased mood patients often feel depression, anxiety
D. Intoxication causes seizure syndrome
E. After taking the drug sleepiness develops
Memory disorders
1.The patient had a head trauma after which he lost memory for the events that happened before the trauma and during posttraumatic period. This disorder is classified as:
A. Retrograde amnesia
B. Anterograde amnesia
C. Vernike-Korsakov’s syndrome
D. Transitory anamnestic syndrome
E. Antero-retrograde amnesia
2. Classify the condition which is manifested mainly in worsening of selective reproduction, of what is necessary in a certain moment: certain events, dates, numbers, names, details of the past:
A. Criptomnesia
B. Ekmnesia
C. Hypomneisa
D. Pseudoreminiscence
E. Anekphoria
3. Determine a momentary increasing of memory on the background if sick conditions, which is manifested in easiness of reproduction of previous impressions with increasing of visual-image memory:
A. Paramnesia
B. Anekphoria
C. Ekmnesia
D. Hypermnesia
E. Hyperthymia
4. Choose from the below the determination of “fixed amnesia”:
A. Loss of memory on the events that took place during bright affect reaction
B. Loss of memory on the events that happened before the development of acute psychotic syndrome
C. Loss of capability to memorize the current events
D. Slowly growing and progressing emptying of memory
E. Loss of memory on the events that happened after unconsciousness
5. Choose from the below the determination that corresponds to “retarded amnesia”:
A. Loss of specialized kinds of memory (on colors, smells, faces)
B. Unequal damage of various functions of memory
C. Loss of memory on the events that happened before unconsciousness
D. Amnesia retarded in time
E. Loss of memory on psycho-traumatizing events
6. Which of the amnesias develops according to Ribot’s law?
A. Fixed amnesia
B. Criptomnesia
C. Dysmnesia
D. Anekphoria
E. Progressing amnesia
7. Hypermnesias may occur along with:
A. Schizophrenia
B. Agitated depression
C. Apathy syndrome
D. Delirious syndrome
E. Maniac syndrome
8. Classify unreal memories on the events which didn’t happen in certain period of time, recollected by the patient but they did take place of could have happened in the past? These events often feel the blanks in patient’s memory.
A. Hypomnesia
B. Confabulation
C. Criptomnesia
D. Pseudoreminiscence
E. Ekmnesia
9. What is the leading symptom in Korsakov’s syndrome?
A. Selective amnesia
B. Fixed amnesia
C. Psychosensorial disorders
D. Palimpsests
E. Illusions of comprehension
10. Choose form the below determination corresponding to “affectogenic amnesia”:
A. Loss of capability to memorize current events
B. Loss of memories on the events that took place during the bright emotional reaction – affect
C. Loss of memory on the events that happened before acute psychotic condition
D. Step-by-step growing and progressing emptying of memory
E. Loss of memories on the events that immediately follow ending of unconscious period
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