MCQs Flashcards
The psychiatric interview should always be conducted
at eye level
Which disorder is most likely to cause violent behavior?
Bipolar disorder: manic type
The term for a false perception of a sensory stimulus in the absence of a stimuli is
hallucination
Circumstantiality is a disorder of
thinking
. Brain activity, rather than structure, is measured by
positron emission tomography (PET
A person who laughs one minute and cries the next without any clear stimulus ha
labile affect
The most reliable predictor of violence is
the presence of psychotic thinking
Which of the following symptoms of schizophrenia is most likely to be acutely responsive to treatment with medications, milieu therapy, and other inpatient treatment methods?
auditory hallucinations
A patient who has been diagnosed as schizophrenic asks his psychiatrist about the chances
of a younger sister developing the same illness. Leaving aside the question of whether this
information should or should not be shared with the patient, the psychiatrist knows that the
biologic sister’s chances of developing schizophrenia are about
12%
Negative symptoms of schizophrenia include all of the following EXCEPT
hallucinations of voices speaking to the patient
A 35-year-old patient has been hospitalized 10 times in the past year for relapse of
symptoms. With each hospitalization, the patient quickly recompensates with monitored
medications and the ward milieu.
Depot neuroleptics
A young, male patient with acute psychotic relapse complains of stiffness in his neck and
drools excessively.
β- blockers
Which one of the following individuals is most likely to have a first-degree relative with a
mood disorder?
a woman with bipolar I disorder
Of the following treatments, which one is probably the most effective treatment for major
depressive disorder?
combined treatment with medication and psychotherapy
Common side effects of selective serotonin reuptake inhibitors (SSRIs) include which one
of the following?
nausea, insomnia, and sexual dysfunction
Common side effects of tricyclic antidepressants include all of the following EXCEPT
blurred vision
Which one of the following is the most common cause of dementia?
Alzheimer disease
A 23-year-old woman without a history of alcohol abuse reports that she has been troubled
by morning episodes of tremulousness, anxiety, tachycardia, and sweating. Which one of the
following test results is most likely to be abnormal?
serum glucose measurement
The feature of addiction that differentiates it from other forms of substance misuse is
overwhelming involvement in seeking and using a drug
The most reliably effective treatment of opioid dependence is
removal from an environment that condones drug use
Which of the following abnormalities is a manifestation of barbiturate intoxication but not
of barbiturate withdrawal?
nystagmus
A patient’s blood alcohol level is 10 mg/100 ml, but there is no clinical evidence of
intoxication. It is reasonable assumption that the patient
is dependent on alcohol
Effects of amphetamine intoxication include all of the following EXCEPT
depression
Opioid overdoses produce all of the following signs EXCEPT
dilated pupils
Amphetamine psychosis (stimulant-induced psychotic disorder) is characterized by all of
the following EXCEPT
depression
A patient with panic anxiety can become agoraphobic if
the patient becomes frightened of situations in which anxiety attacks were experienced
In contrast to generalized anxiety, panic anxiety is best described as
spontaneous
An example of a specific phobia is fear of
horses
A 30-year-old man complains of panic attacks and anticipatory anxiety. Which one of the
following drugs would be effective for his treatment?
fluoxetine
Which of the following statements regarding bulimia nervosa is FALSE?
Documentation of some form of purging behavior is necessary to establish diagnosis
A good test for recent memory is to ask patients
what they had to eat for their last meal
A 27-year-old man comes to emergency room complaining of having his thoughts controlled
by the CIA. Such thinking is
dereistic
A psychiatric patient who, although coherent, never gets to the point has a disturbance in the
form of thought called
tangentiality
A 26-year-old man believes that the Mafia and his brother are putting horrible thoughts into
his head. That is an example of
thought insertion
