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renewal
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A presence of which symptom from the below is the most sufficient for diagnosis of "alcoholism"?
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* Alcoholic syndrome - the abstinence syndrome
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Polyneuropatia
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Loss of quantitative control
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Convulsion, provoked by alcoholizing
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Mnestico-intelectual defect
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Alcohol dependence is associated with
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Maternal separation in childhood
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Family history of depression
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Paranoid personality disorder
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* Family history of alcoholism
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Alcohol dehydrogenase deficiency
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Alcohol dependence is more common in
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African Americans than in Whites
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Jews than in non-Jews
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Married persons than in unmarried
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Middle-class persons than in persons of other socioeconomic classes
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* Doctors than in the general population
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Alcohol withdrawal is associated with all the following except
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Affect-laden dreams
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* Absence seizures
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Coarse tremors
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Auditory hallucinations
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Hypersomnolence
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Alcoholism can be complicated by next psychoses, except
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Korsakoff`s psychosis
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* progressive paralysis
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enchephalopaty of Gaie-Vernice
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white fever
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All indicated psychoses
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Alcoholism is associated with all of the following personality types except
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Low self-directedness
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High novelty seeking
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* High harm avoidance
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Low reward dependence
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Low cooperativeness
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All following characteristic for dromomania are true, except:
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accompanied by hallucinations
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* accompanied by the delirium of influence
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accompanied by psychomotor excitation
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accompanied by the eclipse of consciousness
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proceeds 3-5 days and ceases critically
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All following characteristic for the state of pathological intoxication, are true, except
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excitation, propensity to aggression
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* disartria and hypotaxia of motions
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twilight eclipse of consciousness
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sudden stopping, often passing to sleep
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complete amnesia is after completion a psychosis
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All of the following characterize alcoholism as nosology unit correctly, except
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a disease arises up because of abuse of alcohol
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flowing of progredient
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a leading symptomatology is a presence of signs psychical and to physical dependence on an alcohol
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* characteristic of permanent (daily) use of alcohol
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a result is mental and ethical degradation of person
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All of the following regarding tromomania is true, except
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* begins on a background heavy alcoholic intoxication
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ordinary the state gets worse till evening
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hallucinations prevail in a clinic
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there is sharp psychomotor excitation
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for reductions of symptoms of psychosis there is partial amnesia
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All of the following regarding relation to conditionally-reflex therapy of alcoholism is true, except
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for treatment different vomitories are used
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the patient the small doses of alcohol are offered to under control a doctor
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aim of treatment - to form feeling of disgust for an alcohol
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* usually the course of treatment consists of 2 or 3 procedures
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for support of effect it follows to conduct the repeated courses
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All next facilities and methods are used for overcoming the psychical dependence on the alcohol, except
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conditionally-reflex therapy
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Antabusum (Teturamum)
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* Pyracetamum (Nootropilum)
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Metronidazolum (Trichopolum)
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Hypnosis
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All next facilities are used for shortening the alcoholic syndrome of abstinentia, except
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hypotensors
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pyracetamum (nootropilum)
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* teturam (antabusum)
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hemodez
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diuretics (Lasixum, Mannitolum and other)
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All next facilities are used for shortening the alcoholic syndrome of abstinentia, except
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unitiol
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ascorbic acid
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* teturam
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dehydration (Lasixum, urea)
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intra ven. of solutions of glucose and sulfate of magnesium
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All next somatic and neurological diseases quite often are the result of chronic alcoholic intoxication, except
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cirrhosis of liver
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chronic pancreatitis
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* bronchial asthma
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myocardial dystrophy
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polyneiropathia
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All next symptoms are characteristic for I (initial) stage of alcoholism, except
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loss of quantitative control
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* a decline of tolerance to alcohol
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disappearance of vomitive reflex
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letheral forms of intoxication
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a presence of psychical dependence is on an alcohol
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All next symptoms are characteristic for II stage of alcoholism, except
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the expressed physical dependence is on an alcohol
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at most ("plateau") to tolerance
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signs of alcoholic degradation of person
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origin of alcoholic psychoses
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* alcoholic polyneiropathia
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All next symptoms are characteristic for III (encephalic) stage of alcoholism, except
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* mostly ("plateau") to tolerance
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expressed degradation of person
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use of substitutes of alcohol
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polyneiropathia
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intelectual disorders
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All next symptoms testify to the origin of alcoholism, except
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* subzero tolerance to the alcohol
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appearance of letheral forms of intoxication (palimpsests)
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disappearance of vomitive reflex
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loss of quantitative control of the use of alcohol
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origin of psychical dependence
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All of the following are physical features seen in alcoholism, except
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Arcus senilis
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Palmar erythema
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Peripheral neuropathy
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* Cafe au lait spots
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Spider nevi
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All of the following is physiologic effects of cocaine use, except
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Vasoconstriction
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Tachycardia
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* Pupillary constriction
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Hypertension
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Decreased appetite
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All of the following arouse a suspicion of alcohol dependence, except
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Unexplained absence at work
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Smell of alcohol on breath
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* Hypnogogic hallucination
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Morning nausea
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Morning tremors
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As a result of which pathological process is the disorder of consciousness - delirium?
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Atherosclerosis of vessels of cerebrum with psychical violations
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Infectious psychoses
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Traumatic illness of cerebrum
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* White fever
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Difficult flowing somatopathies
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At Korsakoff`s psychosis there are all next symptoms, except
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bone-holding amnesia
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disorientation is in a place and time
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* self - disorientation
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pseudoreminiscences and fabrications
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polyneiropathia
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The strong disorders of memory and intellect come mostly from:
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Alcoholism
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Traumatic illness of cerebrum
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Atherosclerosis of vessels of cerebrum with psychical violations
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Hypertensive illness with psychical violations
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* Progressive paralysis
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Complications in pregnancy of an opiate-addicted mother include all of the following except
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Low birth weight
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* Cleft palate in fetus
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Intrauterine death
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Abruptio placentae
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Neonatal opioid withdrawal
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A patient who suffers from long-term alcoholism, during all period of stay in a hospital maintained a correct place, time and own person orientation. This fact undoubtedly testifies against:
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to the Korsakoff`s psychosis
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* tromomania
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alcoholic hallucinosis
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alcoholic to the paranoiac
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alcoholic delirium of jealousies
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All the statements for the typical symptomatology of opiate abstinence are true, except
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languor, sleepiness
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expansion of pupil
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* bulimia and polydipsia
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pains and cramps are in muscles
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hyperperistalsis
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How do amphetamines cause euphoria effects?
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By decreasing synaptic dopamine concentration
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By increasing 5 HT concentration
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* By increasing dopamine concentration
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By increasing noradrenaline concentration
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By binding to the mu receptors
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In clinical presentation of which of alcoholic psychoses are there scene veritable hallucinations?
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* Tromomania
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Alcoholic hallucinosis
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Alcoholic paranoid
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Korsakoff`s psychosis
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Not characteristic for alcoholic psychoses
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In clinical presentation of which of alcoholic psychoses are there verbal commenting actual hallucinations?
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Tromomania
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* Alcoholic hallucinations
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Alcoholic paranoid
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Korsakoff`s psychosis
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Not characteristic for alcoholic psychoses
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In clinical presentation of which of alcoholic psychoses the delirium was observed?
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Tromomania
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Alcoholic hallucinosis
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* Alcoholic paranoid
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Korsakoff`s psychosis
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Not characteristic for alcoholic psychoses
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