h****8
发帖数: 278 | 1 请麦地dxjm帮助解惑
27.) Five months after beginning fluoxetine to treat obsessive-compulsive
disorder, a
19-year-old man states that he discontinued his medication 2 months ago
because
he had begun to worry about taking his medication every day. His initial
response
to the medication was good. His symptoms have now returned, and his morning
ritual of cleaning and grooming consumes so much time that his job is in
jeopardy.
In addition to education about the nature of his disorder and its treatment,
which
of the following is the most appropriate next step in management?
A) Tell the patient to schedule a return visit as needed
B) Offer to change the medication
C) Request that the patient's parents superviseadministration of medication
D) Monitor the patient's compliance by weekly blood tests
E) Begin a trial of cognitive-behavior therapy
答案是C。这个答案感觉跟美国国情不符啊。 | h****8
发帖数: 278 | 2 14. An otherwise healthy 19-year-old woman comes to
the physician
because of a 3-year history of intermittent facial
blemishes. She drinks
wine occasionally on weekends. She takes no
medications. Examination
shows multiple 1- to 2-mm red and white papules and
larger red nodules
on the forehead and cheeks. Which of the following is
the most
appropriate initial pharmacotherapy?
A
) Oral isotretinoin
B
) Systemic corticosteroids
C
) Topical benzoyl peroxide
D
) Topical corticosteroids
E
) Topical metronidazole |
|
