MCQs

Question 1

The psychiatric interview should always be conducted

Answer 1

at eye level

Question 2

Which disorder is most likely to cause violent behavior?

Answer 2

Bipolar disorder: manic type

Question 3

The term for a false perception of a sensory stimulus in the absence of a stimuli is

Answer 3

hallucination

Question 4

Circumstantiality is a disorder of

Answer 4

thinking

Question 5

. Brain activity, rather than structure, is measured by

Answer 5

positron emission tomography (PET

Question 6

A person who laughs one minute and cries the next without any clear stimulus ha

Answer 6

labile affect

Question 7

The most reliable predictor of violence is

Answer 7

the presence of psychotic thinking

Question 8

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?

Answer 8

auditory hallucinations

Question 9

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

Answer 9

12%

Question 10

Negative symptoms of schizophrenia include all of the following EXCEPT

Answer 10

hallucinations of voices speaking to the patient

Question 11

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.

Answer 11

Depot neuroleptics

Question 12

A young, male patient with acute psychotic relapse complains of stiffness in his neck and
drools excessively.

Answer 12

β- blockers

Question 13

Which one of the following individuals is most likely to have a first-degree relative with a
mood disorder?

Answer 13

a woman with bipolar I disorder

Question 14

Of the following treatments, which one is probably the most effective treatment for major
depressive disorder?

Answer 14

combined treatment with medication and psychotherapy

Question 15

Common side effects of selective serotonin reuptake inhibitors (SSRIs) include which one
of the following?

Answer 15

nausea, insomnia, and sexual dysfunction

Question 16

Common side effects of tricyclic antidepressants include all of the following EXCEPT

Answer 16

blurred vision

Question 17

Which one of the following is the most common cause of dementia?

Answer 17

Alzheimer disease

Question 18

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?

Answer 18

serum glucose measurement

Question 19

The feature of addiction that differentiates it from other forms of substance misuse is

Answer 19

overwhelming involvement in seeking and using a drug

Question 20

The most reliably effective treatment of opioid dependence is

Answer 20

removal from an environment that condones drug use

Question 21

Which of the following abnormalities is a manifestation of barbiturate intoxication but not
of barbiturate withdrawal?

Answer 21

nystagmus

Question 22

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

Answer 22

is dependent on alcohol

Question 23

Effects of amphetamine intoxication include all of the following EXCEPT

Answer 23

depression

Question 24

Opioid overdoses produce all of the following signs EXCEPT

Answer 24

dilated pupils

Question 25

Amphetamine psychosis (stimulant-induced psychotic disorder) is characterized by all of
the following EXCEPT

Answer 25

depression

Question 26

A patient with panic anxiety can become agoraphobic if

Answer 26

the patient becomes frightened of situations in which anxiety attacks were experienced

Question 27

In contrast to generalized anxiety, panic anxiety is best described as

Answer 27

spontaneous

Question 28

An example of a specific phobia is fear of

Answer 28

horses

Question 29

A 30-year-old man complains of panic attacks and anticipatory anxiety. Which one of the
following drugs would be effective for his treatment?

Answer 29

fluoxetine

Question 30

Which of the following statements regarding bulimia nervosa is FALSE?

Answer 30

Documentation of some form of purging behavior is necessary to establish diagnosis

Question 31

A good test for recent memory is to ask patients

Answer 31

what they had to eat for their last meal

Question 32

A 27-year-old man comes to emergency room complaining of having his thoughts controlled
by the CIA. Such thinking is

Answer 32

dereistic

Question 33

A psychiatric patient who, although coherent, never gets to the point has a disturbance in the
form of thought called

Answer 33

tangentiality

Question 34

A 26-year-old man believes that the Mafia and his brother are putting horrible thoughts into
his head. That is an example of

Answer 34

thought insertion