MCQS Flashcards

1
Q

Forced grasping is associated with

A

Frontal lobe testing

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2
Q

T or F 5HIAA is decreased in CSF in self harm

A

TRUE

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3
Q

T OR F - a reduction in the number of serotonin receptors is associated with an increase risk of suicide

A

False

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4
Q

T OR F suicide is introduced later rather than earlier in alcohol dependency

A

True

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5
Q

T OR F platelet alpha 2 adrenergic receptor binding is decrease in depression

A

TRUE

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6
Q

T OR F residual symptoms are common between episodes of bipolar affective disorder

A

FALSE

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7
Q

T OR F - selective serotonin reuptake are less sedating than TCA

A

TRUE

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8
Q

T OR F people with huntingotons have increase risk of schizophrenic symptoms

A

TRUE

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9
Q

T OR F couvard peaks in 6th month of pregnancy

A

FALSE

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10
Q

Munchausen syndrome is more common in males than females

A

True

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11
Q

T OR F 5HT abnormalities persisten even after weight restriction

A

ture

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12
Q

T OR F gastric emptying tends to be a increased in Anorexia nervosa

A

FALSE

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13
Q

T OR F excessive sensitiveness to setbacks and rebuffs - is or is not a part of Schizois personality

A

FALSE

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14
Q

T OR F obstetric complications are a RF for postpartum depression

A

fALSE

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15
Q

T OR F affective psychoses occurs in 70% of cases of postpartum psychosis

A

TRUE

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16
Q

sleep apnea occurs or doesn’t occur in hypersomnia

A

DOES NOT OCCUR

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17
Q

nightmares typically occur in first third of sleep ? T OR F

A

false - they normally occur in 2nd half of sleep

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18
Q

T OR F lithium carbonate is lithium in form of a liquid

A

FALSE

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19
Q

T OR F a blood lithium level should be taken 12 hours after last dose

A

TRUE

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20
Q

seizures in DT are usually what type

A

tonic clonic

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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

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22
Q

T or F good prognosis post stroke is associated with post traumatic amnesia of less than two weeks

A

FALSE

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23
Q

T or F depression peaks 3-6 months post stoke

A

TURE

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24
Q

vascular dementia is associated with insidious onset and slow duration

A

FALSE

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25
Q

most men who abuse boys define themselves as ..

A

heterosexuals

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26
Q

IQ of 75

A

normal

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27
Q

hunter or hurlers syndrome - which one is X linked

A

HURLER SYNDORME

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28
Q

wilsons disease is on which chromosome

A

13

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29
Q

triple repeat in fragil X

A

CGG

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30
Q

triple repeat in myotonic dystrophy

A

CTG

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31
Q

parkenisons disease is a mutation on which chromosome

A

4

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32
Q

Presenlin 1 is found on which chromosome

A

14

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33
Q

what drug causes urinary retention side effects

A

M1 antagonist - ATROPINE - blocks Ach

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34
Q

what drug causes antipsychotic effects

A

D2 antagonist - amisulpride , clomiprimine

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35
Q

what drug cases hyperprolactinemia

A

D2 antagonist - amisulpride , clomiprimine

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36
Q

weight gain

A

H1 antagonist

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37
Q

T of F the mentals state exam is conducted seperaely from psychiatric history

A

FALSE

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38
Q

T of F if a patient smell of alcohol from his breath. information would be recorded in the mental state examination

A

TRUE

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39
Q

T of F n autonomic obedience - interviweers hand is repeatedly grades and shaken despite request not to do so

A

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

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40
Q

T of F alexitymia ass. w/ anorexia nervosa

A

FALSE

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41
Q

Irritability ass. w/ mania T of F

A

TRUE

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42
Q

clanging ass. w/ last sylabble

A

Mania

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43
Q

clanging ass.. w/ initial sylable

A

schizophrenia

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44
Q

coprolalia

A

obscene verbilization - as. w/ Toureette

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45
Q

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

A

Flight of ideas

you can see one train of thought is NOT completed before they start the next

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46
Q

my private thoughts are diffusing out of my mind and are accessible to others

A

thought broadcasting

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47
Q

the next ay when id be going out you know, i took control, like uh, i put bleach in my hair in calafornia

A

loose of associations

ideas shift from one idea to another in which ideas are unrelated or minimally related to the first

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48
Q

i heard the bell ring, well hell, then i fell

A

clanging - its of the last syllable therefore mania

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49
Q

extracampine hallucination

A

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
Q

functional hallucination

A

NORMAL stimulus in One modality and another in same modality

51
Q

reflec hallucination

A

NORMAL stimulus in One modality and another in different modality

52
Q

elementary hallucination

A

simple SENSOR Y hallucination - leaves rustling

53
Q

lilliputain hallucination

A

seeing little people or animals

54
Q

i hear footsteps even though my husband tells ,e there is nobody else in the house

A

elementary hallucination

55
Q

false perception in the presence of an external stimuli

A

illusion

56
Q

sleep disturbance in somatic depressions refers to what

A

late insomnia rather than initial insomnia

57
Q

is BPA b/w episodes incomplete or complete

A

COMPlete resolution of symptom

58
Q

what percentage of ppl with depression will have a repeat episode

A

70-80%

59
Q

what is the monoamine hypothesis for mania

A

Increase level of monoamines in CSF

60
Q

how long should antidepressants be used

A

for the first episode of depression - 6-9 months

Recurrent episodes - 2 years

Educate on withdrawal effects if they come off their drug

61
Q

what is the precentage of ppl responsive to the antidepressant

A

55-70%

62
Q

saftest TCA in overdose

A

Lofepraamine

63
Q

most potent 5HT blocker of TCA

A

chlomipramine

64
Q

withdrawal symptoms of SSRI

A

more common in the short acting SSRI
paroxetine > fluvoxamine >sertraline

least common in Citalopram

65
Q

treatment of hypeertensive crisis due to MAOi

A

Alpha blokage with
chlorpromazine
phentolamine

66
Q

what SSRI has the strongest protein binding site

A

Fluoxetine

67
Q

T OR F the half life for both fluvoxamine and sertraline are shorter in males than females

A

True

68
Q

MOA Bupropion

A

NA and dopaminergic reuptake inhibitor

69
Q

MOA trazadone

A

serotionin antagonist and reuptake inhibitor

70
Q

what Antidepressant cases a rash

A

Mianserin

71
Q

catatonic schizophrenia is more common where

A

Developed countries

72
Q

what is least likely to be a Ddx for schizophrenia

A

Environment overstimulization

73
Q

A of Bleuler

A

Ambivulance
Autism - preocupation with internal stimuli
inappopiate affect
loosening of association

74
Q

young age onset of schizophrenia - better or worse outcome

A

Better

75
Q

% if siblings affected with schizophrenia

A

10%

76
Q

how to treat rhambdomyolysis in NMS with AP

A

alkalization of the urine to preent renal failure - use IV sodium bicarb

77
Q

What group of AP is Clozapine in

A

Dibenzodiazepine

78
Q

T or F clozapine increase HPL

A

FALSE

79
Q

T or F noraclozapine has a longer half life as clozapine

A

TRUE

80
Q

lease likely side effect of clozapine

A

worsening side effect of OCD

81
Q

biochemical distrubance in suicide

A

decrease 5HIAA
Decrease serum cholesterol

Increase 5 HT2 receptor

82
Q

self cutting is more common in

A

Males

83
Q

least likely cause of benzo withdrawal

A

audiotry hallucination

84
Q

depencency is increased and decreased in what benzo

A

It is decreased in the long acting - DIAZEPAM

Increased in short acting
- LORAZEPAM , ALPRAZOLA

85
Q

T or F there is an association of SSRI discontinuation and anxiety

A

TURE

86
Q

what SES ass. w/ PSTD

A

SES groups IV V

87
Q

involuntary or voluntary in somatosation disorder

A

invovluntary symptoms

88
Q

techniques of psychoanalytical psychotherapy

A
free association 
examination of papa praxes (slips of tongue) 
Exam dream 
Analyse resistence 
Exploring transference 
Exploring countertransference
89
Q

memories and attention become unnaturally disconnected

A

dissociation

90
Q

goal of therapy to be more awake of their responses , in here and now and taking into account their mind body and soul

A

Gestalt pyschotherapy

91
Q

prosopagnosia (inability to recognize familiar faces or people ) what area of brain damaged

A

occiptiotemporal

92
Q

apraxia - what are of brain damages

A

precentral gyrus

93
Q

rivastigmine affects

A

butytylvholinesterase

94
Q

parital lobe invovlment results in brain injury

A

worse prognosis

95
Q

T or F in normal brain as we age lipofuscin decrease

A

FALSE IT INCREASe

96
Q

what happens to th gastric PH as we age

A

INCREASE

97
Q

what happens with caruloplasmin in wilson

A

DECREASE

98
Q

men or women is more common to have wilsons

A

WOMEN - in the 1st decade (w/ liver disease ) of life or 3rd decade (neuropsychiatric disease)

99
Q

what does wilson disease present as

A

1st decade - with liver disease

3rd neuropsychiatric illness during the third decade

100
Q

t or F - atypical antipsychotics have been associated with increase mortality in agitated patients with dementia

A

TRUE

101
Q

t or F tricyclic antidepressants are usually not efficacious in neuropsychiatric presentations

A

False - they are efficacious depending on patients tolerance

102
Q

t or F is onset rapid in non epileptic seziures

A

FALSE

103
Q

patients are more likely to close their eyes in non epileptic or epileptic seizures

A

non epileptic

104
Q

mutation of parkinson

A

mutation on chromosome 4 for Park 1 (alpha synculein gene) ass. w/ autosomal dominant for Parkinsons disease with early onset

105
Q

amnestic syndrome

A

characterized by a abscess of a deficit of a defect in immediate recall

106
Q

what happens to the number of GABAa receipts in heavy drinkers

A

they decrease

107
Q

what percentage of wernicke encephalopathy progress to korsakoff

A

70%

108
Q

what is the active ingredient in kant

A

cathinone

109
Q

what is not a physically dependent drug

A

cocaine

physically dependent drug: 
- gama hydroxybutyrate 
Diazepam 
Amphentamines 
heroin
110
Q

withdrawal from methadone is faster than that from heroin T OR FALSE

A

FALSE

111
Q

what NT is ass. w/ impulsive type and aggressions

A

decrease serotonin in CSF

112
Q

the ability to plan ahead may be minimal - t or F for dependent personality disorder

A

FALSe

113
Q

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

A

persistent delusional disorder

114
Q

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

A

paranoid scizophrenia

115
Q

5 year history of decline in social and occupational function. all negative symptoms

A

simple schizophrenia

116
Q

residual scizophrenia

A

positive –> negative symptoms

117
Q

wearing crazy things and speech is irrelevant with flatten affect. emotional response is inappropriate - unusual behaviour

A

herbephrenic schizophrenia

118
Q

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

A

school phobia

119
Q

timing for acute stress reaction

A

w/i first few minutes, gone in 3 days

120
Q

T or F earlymennarche is a risk factor anorexia nervosa

A

YES true