MCQS Flashcards
1
Q
Forced grasping is associated with
A
Frontal lobe testing
2
Q
T or F 5HIAA is decreased in CSF in self harm
A
TRUE
3
Q
T OR F - a reduction in the number of serotonin receptors is associated with an increase risk of suicide
A
False
4
Q
T OR F suicide is introduced later rather than earlier in alcohol dependency
A
True
5
Q
T OR F platelet alpha 2 adrenergic receptor binding is decrease in depression
A
TRUE
6
Q
T OR F residual symptoms are common between episodes of bipolar affective disorder
A
FALSE
7
Q
T OR F - selective serotonin reuptake are less sedating than TCA
A
TRUE
8
Q
T OR F people with huntingotons have increase risk of schizophrenic symptoms
A
TRUE
9
Q
T OR F couvard peaks in 6th month of pregnancy
A
FALSE
10
Q
Munchausen syndrome is more common in males than females
A
True
11
Q
T OR F 5HT abnormalities persisten even after weight restriction
A
ture
12
Q
T OR F gastric emptying tends to be a increased in Anorexia nervosa
A
FALSE
13
Q
T OR F excessive sensitiveness to setbacks and rebuffs - is or is not a part of Schizois personality
A
FALSE
14
Q
T OR F obstetric complications are a RF for postpartum depression
A
fALSE
15
Q
T OR F affective psychoses occurs in 70% of cases of postpartum psychosis
A
TRUE
16
Q
sleep apnea occurs or doesn’t occur in hypersomnia
A
DOES NOT OCCUR
17
Q
nightmares typically occur in first third of sleep ? T OR F
A
false - they normally occur in 2nd half of sleep
18
Q
T OR F lithium carbonate is lithium in form of a liquid
A
FALSE
19
Q
T OR F a blood lithium level should be taken 12 hours after last dose
A
TRUE
20
Q
seizures in DT are usually what type
A
tonic clonic
21
Q
T or F sustou is the believe that one is possessed by a spirt
A
FALSE - sustou is the belief that the soul has left the body
22
Q
T or F good prognosis post stroke is associated with post traumatic amnesia of less than two weeks
A
FALSE
23
Q
T or F depression peaks 3-6 months post stoke
A
TURE
24
Q
vascular dementia is associated with insidious onset and slow duration
A
FALSE
25
most men who abuse boys define themselves as ..
heterosexuals
26
IQ of 75
normal
27
hunter or hurlers syndrome - which one is X linked
HURLER SYNDORME
28
wilsons disease is on which chromosome
13
29
triple repeat in fragil X
CGG
30
triple repeat in myotonic dystrophy
CTG
31
parkenisons disease is a mutation on which chromosome
4
32
Presenlin 1 is found on which chromosome
14
33
what drug causes urinary retention side effects
M1 antagonist - ATROPINE - blocks Ach
34
what drug causes antipsychotic effects
D2 antagonist - amisulpride , clomiprimine
35
what drug cases hyperprolactinemia
D2 antagonist - amisulpride , clomiprimine
36
weight gain
H1 antagonist
37
T of F the mentals state exam is conducted seperaely from psychiatric history
FALSE
38
T of F if a patient smell of alcohol from his breath. information would be recorded in the mental state examination
TRUE
39
T of F n autonomic obedience - interviweers hand is repeatedly grades and shaken despite request not to do so
FALSE - autonomic obedience -> patient does anything that is not asked to do and does it excessively ex: raise do not raise one hand above head - the patient raises both hands
Forced grasping - shake hand despite asked to do so
40
T of F alexitymia ass. w/ anorexia nervosa
FALSE
41
Irritability ass. w/ mania T of F
TRUE
42
clanging ass. w/ last sylabble
Mania
43
clanging ass.. w/ initial sylable
schizophrenia
44
coprolalia
obscene verbilization - as. w/ Toureette
45
i do not know what i am going to do about tony, thats the neighbours dog barking again outside . did you realize that there are three weeks left until june. there is a sale in city centre i cannot miss
Flight of ideas
| you can see one train of thought is NOT completed before they start the next
46
my private thoughts are diffusing out of my mind and are accessible to others
thought broadcasting
47
the next ay when id be going out you know, i took control, like uh, i put bleach in my hair in calafornia
loose of associations
| ideas shift from one idea to another in which ideas are unrelated or minimally related to the first
48
i heard the bell ring, well hell, then i fell
clanging - its of the last syllable therefore mania
49
extracampine hallucination
hallucination of an external object beyon the normal range of perception of sensory organ ex: hearing a voice in china when one is in ireland
50
functional hallucination
NORMAL stimulus in One modality and another in same modality
51
reflec hallucination
NORMAL stimulus in One modality and another in different modality
52
elementary hallucination
simple SENSOR Y hallucination - leaves rustling
53
lilliputain hallucination
seeing little people or animals
54
i hear footsteps even though my husband tells ,e there is nobody else in the house
elementary hallucination
55
false perception in the presence of an external stimuli
illusion
56
sleep disturbance in somatic depressions refers to what
late insomnia rather than initial insomnia
57
is BPA b/w episodes incomplete or complete
COMPlete resolution of symptom
58
what percentage of ppl with depression will have a repeat episode
70-80%
59
what is the monoamine hypothesis for mania
Increase level of monoamines in CSF
60
how long should antidepressants be used
for the first episode of depression - 6-9 months
Recurrent episodes - 2 years
Educate on withdrawal effects if they come off their drug
61
what is the precentage of ppl responsive to the antidepressant
55-70%
62
saftest TCA in overdose
Lofepraamine
63
most potent 5HT blocker of TCA
chlomipramine
64
withdrawal symptoms of SSRI
more common in the short acting SSRI
paroxetine > fluvoxamine >sertraline
least common in Citalopram
65
treatment of hypeertensive crisis due to MAOi
Alpha blokage with
chlorpromazine
phentolamine
66
what SSRI has the strongest protein binding site
Fluoxetine
67
T OR F the half life for both fluvoxamine and sertraline are shorter in males than females
True
68
MOA Bupropion
NA and dopaminergic reuptake inhibitor
69
MOA trazadone
serotionin antagonist and reuptake inhibitor
70
what Antidepressant cases a rash
Mianserin
71
catatonic schizophrenia is more common where
Developed countries
72
what is least likely to be a Ddx for schizophrenia
Environment overstimulization
73
A of Bleuler
Ambivulance
Autism - preocupation with internal stimuli
inappopiate affect
loosening of association
74
young age onset of schizophrenia - better or worse outcome
Better
75
% if siblings affected with schizophrenia
10%
76
how to treat rhambdomyolysis in NMS with AP
alkalization of the urine to preent renal failure - use IV sodium bicarb
77
What group of AP is Clozapine in
Dibenzodiazepine
78
T or F clozapine increase HPL
FALSE
79
T or F noraclozapine has a longer half life as clozapine
TRUE
80
lease likely side effect of clozapine
worsening side effect of OCD
81
biochemical distrubance in suicide
decrease 5HIAA
Decrease serum cholesterol
Increase 5 HT2 receptor
82
self cutting is more common in
Males
83
least likely cause of benzo withdrawal
audiotry hallucination
84
depencency is increased and decreased in what benzo
It is decreased in the long acting - DIAZEPAM
Increased in short acting
- LORAZEPAM , ALPRAZOLA
85
T or F there is an association of SSRI discontinuation and anxiety
TURE
86
what SES ass. w/ PSTD
SES groups IV V
87
involuntary or voluntary in somatosation disorder
invovluntary symptoms
88
techniques of psychoanalytical psychotherapy
```
free association
examination of papa praxes (slips of tongue)
Exam dream
Analyse resistence
Exploring transference
Exploring countertransference
```
89
memories and attention become unnaturally disconnected
dissociation
90
goal of therapy to be more awake of their responses , in here and now and taking into account their mind body and soul
Gestalt pyschotherapy
91
prosopagnosia (inability to recognize familiar faces or people ) what area of brain damaged
occiptiotemporal
92
apraxia - what are of brain damages
precentral gyrus
93
rivastigmine affects
butytylvholinesterase
94
parital lobe invovlment results in brain injury
worse prognosis
95
T or F in normal brain as we age lipofuscin decrease
FALSE IT INCREASe
96
what happens to th gastric PH as we age
INCREASE
97
what happens with caruloplasmin in wilson
DECREASE
98
men or women is more common to have wilsons
WOMEN - in the 1st decade (w/ liver disease ) of life or 3rd decade (neuropsychiatric disease)
99
what does wilson disease present as
1st decade - with liver disease
3rd neuropsychiatric illness during the third decade
100
t or F - atypical antipsychotics have been associated with increase mortality in agitated patients with dementia
TRUE
101
t or F tricyclic antidepressants are usually not efficacious in neuropsychiatric presentations
False - they are efficacious depending on patients tolerance
102
t or F is onset rapid in non epileptic seziures
FALSE
103
patients are more likely to close their eyes in non epileptic or epileptic seizures
non epileptic
104
mutation of parkinson
mutation on chromosome 4 for Park 1 (alpha synculein gene) ass. w/ autosomal dominant for Parkinsons disease with early onset
105
amnestic syndrome
characterized by a abscess of a deficit of a defect in immediate recall
106
what happens to the number of GABAa receipts in heavy drinkers
they decrease
107
what percentage of wernicke encephalopathy progress to korsakoff
70%
108
what is the active ingredient in kant
cathinone
109
what is not a physically dependent drug
cocaine
```
physically dependent drug:
- gama hydroxybutyrate
Diazepam
Amphentamines
heroin
```
110
withdrawal from methadone is faster than that from heroin T OR FALSE
FALSE
111
what NT is ass. w/ impulsive type and aggressions
decrease serotonin in CSF
112
the ability to plan ahead may be minimal - t or F for dependent personality disorder
FALSe
113
32 year old has a 10 year history believing he is being followed by a member in the group. he keeps his currents closed and goes to clinic in disguise what does he have
persistent delusional disorder
114
6 month history of derogatory and distressing auditory hallucination (he needs to die he is evil. he believes the waves from the microwaves have been put into his head
paranoid scizophrenia
115
5 year history of decline in social and occupational function. all negative symptoms
simple schizophrenia
116
residual scizophrenia
positive --> negative symptoms
117
wearing crazy things and speech is irrelevant with flatten affect. emotional response is inappropriate - unusual behaviour
herbephrenic schizophrenia
118
10 year old boy , mom gave birth to baby, the 10 year old boy fakes stomach ache - relieved if he gets to spend day at home
school phobia
119
timing for acute stress reaction
w/i first few minutes, gone in 3 days
120
T or F earlymennarche is a risk factor anorexia nervosa
YES true
