Lange - Adult Psychopathology

Question 0

Patient presents with belief that people he knows have been replaced by imposters - diagnosis?

Answer 0

Capgras

Question 1

Prevalence of schizophrenia?

Concordance in monozygotic twins?

Answer 1

1%

50%

Question 2

Patient presents with nihilistic delusions (“there is no world”) – Diagnosis?

Answer 2

Cotard

Question 3

Shared delusions aroused in one person by the influence of another?

Answer 3

Folie à duex

Question 4

Patient presents with postpartum psychosis. The most common underlying disorder is?

Answer 4

Bipolar disorder

Question 5

Downward drift hypothesis?

Answer 5

Tendency of patients of a mental illness to move downward through the social strata

Question 6

Classic catatonic features?

Answer 6

#Negativism
#Hypomotorism
#Echolalia
#Echopraxia

Question 7

Before prescribing any antidepressants, need to rule out?

Answer 7

Bipolar disorder

Question 8

Sleep disturbance that most consistently is associated with major depression?

Answer 8

Early-morning awakenings

Question 9

Earliest biologic observation in depression?

Answer 9

Elevated Cortisol

Question 10

Disease that has the strongest genetic link of major psychiatric illnesses?

Answer 10

Bipolar disorder

Question 11

Risk of a mood disorder in the 1st° relative of a patient with bipolar disorder?

Answer 11

25%

Question 12

Patient presents with psychosis and abdominal pain – suspected diagnosis?

Answer 12

Porphyria

Question 13

Patient presents with lack of a fear response, docility, hypersexuality, and amnesia. Syndrome? The type of amnesia? Most closely associated with severe damage to which part of the brain?

Answer 13

Klüver-Bucy

Anterograde amnesia

Amygdala bilaterally

Question 14

Patient develops movement disorder due to traumatic damage to the substantia nigra – syndrome?

Answer 14

Punchdrunk syndrome

Question 15

Congenital absence of the facial nerves?

Answer 15

Möbius syndrome

Question 16

Superior temporal gyri are associated in the processing of?

Answer 16

Complex auditory information

Question 17

Hormone/metabolic ELEVATIONS in anorexia?

Answer 17

#Elevated BUN
#Elevated cortisol
#Elevated growth hormone

Question 18

Specific Treatment of choice for panic disorder?

Answer 18

Fluoxetine

Question 19

Hormone test for major depression?

Answer 19

Dexamethasone suppression test (blunted response)

Question 20

Agoraphobia versus avoidant personality?

Answer 20

Fear of panic symptoms and public versus distressing fear of social rejection

Question 21

Patient with lacunar stroke – finding on imaging?

Answer 21

Hypointensities in subcortical areas

Question 22

Alcoholic – elevated labs?

Answer 22

#GGT
#uric acid
#Serum triglycerides

Question 23

Acute dress disorder versus PTSD?

Answer 23

Under four weeks versus over four weeks

Question 24

Lifetime incidence of suicide in patients with schizophrenia?

Answer 24

10%