OTHERS Flashcards
Regarding neuroleptic drugs: the following are true EXCEPT (CHOOSE ONE)
A. When patients with only negative symptoms are treated with older generation neuroleptic drugs,
they often show little or no improvement.
B. Patients with positive symptoms often show an increase in activity and interest in their
surroundings when treated with neuroleptic drugs.
C. Thioridazine is less effective that other neuroleptics
D. Chlorpromazine is of relatively low potency.
E. Haloperidol is effective in comparatively low doses true
B. Patients with positive symptoms often show an increase in activity and interest in their
surroundings when treated with neuroleptic drugs
A 69-year-old man is suspected of having an acute onset of multiple small cerebral infarcts.
The finding on mental status examination that would be most supportive of this diagnosis is
(CHOOSE ONE)
A. anxiety
B. delusional thinking
C. depressed mood
D. a change in cognitive functioning
E. inappropriate affect
D. a change in cognitive functioning
A psychiatrist find himself annoyed with a quarrelsome patient for no apparent reason, and
later notes that the patient reminds him of his quarrelsome and disliked sibling. This is an
example of (CHOOSE ONE)
A. identification with the aggressor
B. counter-transference
C. projection
D. reaction formation
E. illusion
B. counter-transference
All the following statements about absence seizures are true EXCEPT: (CHOOSE ONE)
A. during a seizure the patient may stare blankly or show automatisms such as lip smacking
B. they are also known as petit mal
C. they are associated with an abrupt loss of attention to the environment
D. patient does not usually show confusion following the episode
E. the loss of consciousness is usually for between 1 and 2 minutes
E. the loss of consciousness is usually for between 1 and 2 minutes
Symptoms of hyperventilation syndrome commonly include all the following EXCEPT:
(CHOOSE ONE)
A. inappropriate laughter or crying
B. carpopedal spasm
C. fainting
D. perioral tingling
E. visual hallucinations
A. inappropriate laughter or crying
True statements about somatization disorder include all the following EXCEPT: (CHOOSE
ONE)
A. it is most commonly seen in lower socioeconomic groups
B. it occurs more often in males
C. it has been called Briquet’s syndrome
D. it generally involves multiple somatic complaints
E. a familial pattern has been observed
B. it occurs more often in males
” likely to e higher in females “
According to DSM-IV, the diagnosis of hypochondriasis requires that the disorder have a
duration of at least (CHOOSE ONE)
A. 6 months
B. 3 years
C. 1 year
D. 3 months
E. 1 month
A. 6 months
A 25-year-old man is brought reluctantly to a psychiatrist by his parents, who are concerned
about his inability to hold a job. They state that since adolescence, he has been impulsive,
constantly in conflict in all his interpersonal relationships, and always sees the world and
himself differently than do other people. He states he does not use drugs and has no
psychiatric symptoms. The mental status examination shows no cognitive deficits and no
abnormality of mood, affect, or thinking.
In DSM-IV, the diagnosis would be recorded on axis (CHOOSE ONE)
A. V
B. I
C. IV
D. III
E. II
E. II
A 50-year-old male physician with a history of Pethidine dependency is admitted as an
emergency patient for possible overdose with that drug. If this is opioid intoxication, the
patient can be expected to show all the following symptoms EXCEPT: (CHOOSE ONE)
A. hypertension
B. drowsiness or coma
C. pupillary dilatation in severe over dosage
D. slurred speech
E. cyanosis
A. hypertension
The treatment of opioid intoxication is commonly associated with which ONE of the following
antagonist drugs?
A. Fluoxetine
B. Haloperidol
C. Diazepam
D. Naloxone
E. Phenobarbital
D. Naloxone
The following are characteristic symptoms of frontal lobe syndrome EXCEPT: (CHOOSE ONE)
A. A general lack of drive
B. Lack of foresight
C. Loss of motivation
D. Indifference to the feelings of others
E. Auditory hallucinations
E. Auditory hallucinations
Medical confidentiality is justifiably broken in all the following EXCEPT: (CHOOSE ONE)
A. If the benefit to society is greater than that of the patient
B. With the consent of the patient
C. When the patient has died
D. In accordance with legislation
E. In an emergency situation to the benefit of the patient
C. When the patient has died
- Even after death confidentiality has to be maintained.
Clinical features of psychogenic amnesia include the following EXCEPT: (CHOOSE ONE)
A. retaining the capacity to learn new information
B. an abrupt onset
C. some precipitating emotional trauma
D. no obvious difficulties in communicating with others
E. non-awareness of the memory loss
E. non-awareness of the memory loss
In the assessment of a violent patient the following are true EXCEPT: (CHOOSE ONE)
A. Start with a detailed history
B. Assessment occurs simultaneously with containing actions
C. Assessment is complete once the patient is sedated
D. Assessment includes observation for signs of head injury
E. Assessment relies heavily on a collateral history
C. Assessment is complete once the patient is sedated
Which ONE of the following is true of HIV-associated dementia:
A. The condition is a subcortical dementia
B. Commonly improves with AZT
C. Commonly occurs in the early stage of HIV infection
D. Psychotic symptoms are usually absent
E. Symptoms usually resemble depression
A. The condition is a subcortical dementia
