Block 2 Review

Question 1

Psychiatric diagnoses and exogenous pharmacology have been long associated with specific changes in sleep pattern. Based on current laboratory data decrease in rapid eye movement sleep would most likely be due to

A) abusing alcohol
B)

Answer 1

Abusing alcohol

Question 2

A 35 year old woman have been having trouble sleeping. Her physician prescribes a course of benzodiazepines to deal with this problem. He hands her a prescription he should also

Answer 2

Insomnia

Question 3

At about the same time that children are toilet trained their sleep patterns are characterized by:

Answer 3

B. 2 to 3 sleep periods throughout the day

Question 4

K complexes are characteristic of a stage of sleep also distinguished by:

Answer 4

Sleep spindles

Question 5

In a typical 30 year old adult, the first 3 hours of sleep each night are accompanied by a measurable increase in
Output of human growth hormone

Answer 5

Output of human growth hormone

Question 6

A measurable increase in delta stage sleep is often observed following

Answer 6

Physical exercise

Question 7

45 year old male presents to his physician complaining of fatigue he reports hard time going to sleep at night waking up multiple times and headache upon waking up in the morning. His wife started sleeping on couch because his loud snoring

Answer 7

Sleep apnea

Question 8

10 year old boy referred to you for complaint of nighttime waking and fearful and disoriented after waking, he occasionally sleep walks and awakened in the morning. After EEG and head CT contrast are negative.

Answer 8

Sleep terror disorder

Question 9

Man suffers what he calls sleep attacks, nearly every day over 4 month short episodes and abrupt sleep. He has narcolepsy which is example of

Answer 9

Dyssomnia

Interrupted REM

Question 10

Mark is 49 year old male who presents to his physician for routine cholesterol check BMI is 35. Diagnosed with high cholesterol. His wife sherry says he wakes up at night with choking sounds, not breaking. He gets a polysomnography done. In a follow-up visit Mark learns from his physician that he has a positive diagnosis of obstructive sleep apnea OSA. Episodes of sleep apnea are defined as lasting:

Answer 10

More than 10 seconds

Question 11

Hypnagogic hallucination in narcolepsy are seen during transition from (sleep to wakefulness)

Answer 11

both

Question 12

Medical record of 65 year old male details long history of medical conditions, diabetes, gastric ulcer, recurrent headache, peripheral neuropathy. In addition to these the record indicates that patient has history of substance abuse and no specifics are provided. Upon interviewing the patient, the physician is most likely to discover that the substance abused is most likely from:

Answer 12

Alcohol

Question 13

21 year old male brought to the emergency room by parents concerned about him stumbling and hands waving in the air. Patients seems anxious, slight tremor, dilated pupils, elevated heart rate and clammy skin. Over time he becomes verbal and reports that he felt like he was floating out of his body and words spoken seemed like insects are crawling on him:

Answer 13

Cocaine

Question 14

Police bring 22 year old male to emergency room and from the onset he is belligerent, aggressive, and violent requiring several officers to examine him. He was questioned and was paranoid. Physical exam show muscle ridgity and pupils move. He was previously treated for narcotics overdose. What neurochemical mechanisms most likely account for his behaviors?

Answer 14

Antagonism of glutamate receptors

Question 15

Parents who are concerned because their 17 year old son is “just not himself” bring him to the emergency room. Preliminary elimination shows boy to be drowsy with slurred speech, pupillary constriction, and lethargy and generally positive. Based on this initial presentation the boy is most likely intoxicated with?

Answer 15

Opiates

Question 16

30 year old man comes to emergency room complaining of stomach cramps, diarrhea, sweating, fever, runny nose, goosey bumps on skin. His pupils are dilated and he yawns frequently. Of the following what is most likely the cause of this picture?

Answer 16

Heroin withdrawal

Question 17

Term psychological dependence used

Answer 17

All of the above

Question 18

60 year old man brought to hospital after a fall outside of neighborhood bar and radiological studies show patient has fractured hip and surgery performed. 2 days later patient begins to show an intense hand tremor and tachycardia. He tells the doctor he been shaky since admission and shakiness gets worse. He also reports he has started seeing spiders crawling. What is the likely cause of this patients symptoms?

Answer 18

Alcohol withdrawal

Question 19

25 year old man who has been drinking 8 cups of coffee a day for past week comes in for physical examination. At this time the man will have?

Answer 19

Tachycardia

Question 20

28 year old patient is experiencing intense hunger as well as tiredness and headache. The patient is most likely to be withdrawing from which of following substances

Answer 20

Amphetamines

Question 21

Childs crying can be a manifestation of innate biological response or of conditioned behavior. Operant conditioning account for which of following in an 18-month old child crying?

Answer 21

Increases in intensity when adult does not respond

Question 22

Two brothers have been fighting. Exasperated mother says to one of sons “go to your room until apologize to your brother for hitting him”. The mother’s words are a type of?

Answer 22

Negative reinforcement

Question 23

After repeated exposure to nurse in a white coat after injection, the child has a learned cry response to anyone in a white coat. The child’s behavior can be best explained as an example of?

Answer 23

Classical conditioning

Question 24

Man who has smoked 2 packs of cigarettes a day for 20 years tries to give it up, but he is not successful. When questioned, the physician noted that he has most trouble refraining from smoking when he has his usual

Answer 24

Stimulus control

Question 25

“No I don’t remember and I don’t want to remember”, cries a man asked to recall a painful episode from his childhood. The defense mechanism most closely suggested by this man’s words and behavior is?

Answer 25

Repression

Question 26

Woman finds herself in a town a great distance from her home with no recollection as to how she got there. The defense mechanism that accounts for this is?

Answer 26

Disassociation

Question 27

When asked about his impeding heart operation, the patient recounts the procedure in detail. He seem well versed and upon questioning admits he has been “reading everything that I can get my hands on”. He discusses the details for hours and shows no emotion leading up to the impeding events. The defense mechanism shown in this patient is?

Answer 27

Intellectualization

Question 28

Woman with no previous history of promiscuity suddenly begins to take on sexual partners of both sexes one after another. The record shows that this behavior started after the death of a child who she was close to. There is no indication…What defense mechanism is this?

Answer 28

Acting out

Question 29

32 year old Irish male complains of slight pain on his left side. Upon examination, he has 2 broken ribs. When informed of this, he insists that it cannot be that bad. What type of defense mechanism is this?

Answer 29

Denial

Question 30

A father who has lost his daughter as result of a traffic accident involving a drunk driver organized a local chapter of a national campaign to stop the sale of liquor to minors. He says, “If I can have my daughter at least I can save others daughters from this horrible fate”. What type of defense mechanism is this?

Answer 30

Sublimation

Question 31

64 year old male factory worker is hospitalized after barely surviving a myocardial infraction. His life was saved by an emergency balloon angioplasty. The following day his primary care doctor visiting the patient’s room noticed he was on the floor doing push-ups. This is a form of what defense mechanism?

Answer 31

Undoing

Question 32

Bob is an avid sports fan who runs 5 miles a day for fitness and relaxation and frequently plays touch football with others in his neighborhood. After an argument with his wife, Bob has a fight with another player and had to be restrained by his teammates. The defense mechanism responsible for Bob’s behavior is?

Answer 32

Displacement

Question 33

Freud’s theory of the ID (entirely unconscious; collection of unconscious instinctual sexual and aggressive drives) is?

Answer 33

Present since birth

Question 34

Mental retardation is less than?

Answer 34

Below 70

Question 35

A Doctor was attending to a patient regularly and taking care of the patient and the patient started liking the doctor and idolizing him. What type of mechanism is this?

Answer 35

Positive Transference

Question 36

5 year old child has an IQ of 60. The mental ability of the child is

Answer 36

Mental age is 3 years old

Question 37

Girl at work who says she hates and is intimidating, disrespectful, and she is best friend they get on well and now she can’t remember what she thought of her in the first place. What type of defense mechanism is this?

Answer 37

Splitting

Question 38

A 10 year old boy spends a lot of time playing with a girl in his class. When his friend teases him he denies having feelings for her and declares “girls are yucky”. What type of defense mechanism is this?

Answer 38

Reaction formation

Question 39

Woman who became very sexual and is having multiple sexual partners with both sexes one right after another. Her new pattern happens after the death of child whom she was close to. What type of defense mechanism is this?

Answer 39

Acting Out

Question 40

46 year old man factory worker hospitalized after serious myocardial infraction. His life was saved by an angioplasty. The following day, his doctor visits the patient’s room and he had never did much exercise before and now he is doing push-ups. What type of defense mechanism is this?

Answer 40

Undoing

Question 41

In psychoanalysis what is the ID?

Answer 41

Instinctual needs