单选题 A middle- aged man with a 10- year history of alcoholism successfully completes an inpatient drug rehabilitation programme. What advice will you give him to maintain sobriety?

单选题 An anxious 20- year- old man complains of severe right lower quadrant pain. On examination there is rebound tenderness. Blood testing shows a leukocytosis. A provisional diagnosis of acute appendicitis is made. However, his pain decreases dramatically after the administration of intravenous normal saline, which he thought was to be administered for his pain but was actually given as he was mildly hypotensive. What is the condition here?

单选题 30- year- old lawyer complains of increasing anxiety over the past 2 years. She feels inadequate in social situations and worries about her career. She also complains of insomnia, problems with concentration, tenseness and irritability. There is no other medical problem, and no substance abuse, hallucinations, delusions or psychomotor retardation. She is well dressed, does not feel frustrated and has no suicidal intent. What is the probable diagnosis?

单选题 What is the most likely diagnosis?

单选题 23- year- old woman requests reduction mammoplasty because she is convinced her breasts are grossly large and misshapen. She dresses in elaborate clothing to hide her shape and although she swims well, has stopped going to the pool. Physical examination reveals breasts well within the normal range of size and shape. What is the most likely diagnosis?

单选题 70- year- old accountant has difficulty in concentrating on tasks and remembering recent events. He has found it difficult in practice to hold down his job over at least the past 18 months. Clinical examination and laboratory tests are normal. Mental status examination shows emotional lability, difficulty in naming common objects and a recall of only one out of three objects after five minutes. What could be the cause of his symptoms?

单选题 25- year- old woman with no prior history of psychiatric problems presents with a 3- week episode of insomnia, increased psychomotor activity and impulsivity. There is no history of substance abuse, general medical problems, emotional stresses or depressive episodes. Laboratory tests for liver and thyroid functions are normal. Mental status examination reveals a well- oriented female with pressured speech and mood lability, but no psychotic symptoms. A diagnosis of mania is made. What is the approximate possibility that she may experience a similar episode later on in life?

单选题 A 20- year- old female with cocaine- dependence intoxication comes to the Emergency Department with extreme agitation, persecutory ideation, hypertension and tachycardia. She is admitted to a medical psychiatric unit for observation and treatment. What would be a characteristic finding in this case?