psych block 4 Flashcards
A mother brings her 3-year-old son to the doctor because she is worried that he might be harming himself by constantly banging his head on the wall. He has been exhibiting this behavior for a few months. She is also worried because he has started to speak less than he use to and does not respond when his name is called. He seems aloof during playtime with other children and seems to have lost interest in most of his toys. What is the most likely diagnosis?
a. Attention Deficit Hyperactivity Disorder
b. Generalized Anxiety Disorder
c. Bipolar Disorder
d. Obsessive-Compulsive Disorder
e. Autism Spectrum Disorder
e. Autism Spectrum Disorder
2) Each time she combs her hair and brushes her teeth, a 20-year-old woman with a pervasive development disorder receives a coupon that can be exchanged for desert in the cafeteria. Her grooming behaviors subsequently improve. Which of following psychological management techniques does this example illustrated?
a. Implosion
b. Biofeedback
c. Cognitive Behavior Therapy
d. Systemic Desensitization
e. Token Economy
e. Token Economy
You are asked to examine a 1-year-old child brought to the emergency room by his sister. The sister reports that the child has been acting strangely since that morning after “getting in trouble” for crying. The child appears lethargic and confused and is noted to have a cigarette burn on his forearm. Emergency head CT reveals a subdural hematoma. Which of the following additional findings is most likely?
a. Posterior rib fracture
b. Skull fracture
c. Burns to buttocks
d. Epidural hematoma
e. Bilateral retinal hemorrhages
e. Bilateral retinal hemorrhages
4) A 9-year old girl is brought into your office by her mother who states that the daughter had been losing weight and having difficulty at school. The mother discovered some yellow colored discharge on the child’s underwear. On physical examination you notice erythema of all parts of the patient’s vulva and the vagina. There is some yellow discharge visible. Which of the following is the most likely diagnosis?
a. Mullerian duct tumor
b. Wolffian duct tumor
c. Dermatitis
d. Sexual abuse
d. Sexual abuse
5) A 25-year old female presents for counseling regarding her inability to arouse her boyfriend. Her boyfriend, a medical student has become almost completely unresponsive to her attempts at sexual activity. She says he uses the excuse “boards are soon” and goes back to studying. Which of the following is most likely (her boyfriend)?
a. Hypoactive sexual desire disorder
b. Orgasmic disorder
c. Premature ejaculation
d. Dyspareunia
a. Hypoactive sexual desire disorder
6) The patient is a 25-year old female graduate student who asked for a psychiatric consultation because of marital discord and depression. She has been married for 5 years during which time she and her husband have been in school. For the past 3 years, her academic performance has been consistently better than this. She attributes this disparity in grades to their frequent and intense arguments. During the arguments she noted that she experienced a feeling of sexual excitement when her husband screamed at her or hit her in rage. Sometimes she would taunt him until he had intercourse with her in a brutal fashion, as if she was being raped. She experienced this brutality and sense of being punished as sexual excitement. Which of the following is most likely?
a. Sexual masochism
b. Sexual sadism
c. Transvestic fetishism
d. Scatologia
a. Sexual masochism
7) A 29-year old woman says that she has always felt as if she was “a man in the body of a woman”. Physical and pelvic examinations are normal. She is seemingly attracted to heterosexual woman and wants to wear men’s clothes. Take male hormones, and undergo a mastectomy and surgical sex reversal so that she lives like a man. The best way to describe this patient is that she has
a. Congenital virilizing adrenal hyperplasia
b. Androgen insensitivity syndrome
c. Gender Identity disorder
d. Transvestic fetishism
e. A lesbian sexual orientation
c. Gender Identity disorder
8) The mother of an 18 month-old boy presents to your clinic worried that he has not yet began talking. SHe is also worried that he never smiles and has never shown any signs of attachment to her or the rest of the family. He prefers to spend his time alone, playing with the same toys and objects every single day, often getting fixated on a single action or motion for hours on end. When interrupted from his daily activities, he screams and cries hysterically. Upon examination that day the child does not respond to any stimuli, social cues, your voice or interactions. Head Ct appears normal, taking into account the boy’s history and your clinical observations. He most likely has the following disorder:
a. Asperger’s disorder
b. Autistic disorder
c. Selective Mutism
d. Tourette’s Syndrome
e. Oppositional Defiant Disorder
b. Autistic disorder
9) A 32-year old man enjoys taking public transit. He always tries to take the subway during rush hour because it is easier for him to getting close contact with attractive woman. He is particularly attracted to woman in their 60’s and 70’s. When he sees an attractive woman he likes to move up close to her and “accidently” rub his penis against her. Mostly woman don’t notice especially if it is for less than a few minutes. The longest he was able to get away with was for 15 minutes. This is an example of
a. Necrophilia
b. Voyeurism
c. Frotteurism
d. Fetishism
e. Exhibitionism
c. Frotteurism
10) A 46-year old Dutch banker has a part time job as a dominatrix prostitute. She describes “raunchy kinky sex with wild strangers and naughty men” to be her passion in life. She prefers clients who are “kinky” and charges $450/hr. “If only my colleagues nymphomaniac”, who enjoys dressing up as a Nazi and whipping men was recently currently facing further legal charges because she did not have a license from the proper authorities granting her a VAT number for tax purposes. Her sexual behavior can be best described as
a. Frotteurism
b. Sadism
c. Voyeunsm
d. Necrophilia
e. Masochism
b. Sadism
11) A 50-year-old construction worker states that he has been living with another man in a stable sexual, love, relationship for the past 10 years. This physician is most likely to have a history in adolescence of
a. Seduction by an older man
b. Mental illness
c. Sexual fantasies about men
d. Choosing to spend time alone
e. Wanting sex change surgery
c. Sexual fantasies about men
12) Jenny has aquaphobia (fear of water). She suffers from an irrational and persistent fear of water that affects her common routines and daily life. When faced with water, her heart races, she experiences shortness of breath, and sweating. One important issue in therapy for her phobia is to address what?
a. Ensure Jenny never comes in contact with water
b. Listen to the phobic beliefs that Jenny holds about water
c. Throw her in a pool, Jenny needs to face her fear
d. Jenny’s dreams about water need to be analyzed
b. Listen to the phobic beliefs that Jenny holds about water
13) A woman in her 30’s was brought in to a counselor’s office by a friend who had been concerned after several bruises on the woman’s body. The woman finally confessed her husband had been getting more aggressive lately and she didn’t know what to do. The woman wanted to know what non psychological reason there were to cause aggression. The counselor said all of these things can increase aggression except:
a. High doses of alcohol
b. High doses of barbiturates
c. Low doses of alcohol
d. Cocaine
e. Testosterone
c. Low doses of alcohol
14) A 42-year old man presents to the ER with extreme constipation. He has not been able to have a bowel movement in approximately 1 week. An x-ray was taken and the shadow of a 12” long eggplant appears to have been inserted into his rectum. When the patient is questioned about the eggplant he says that he finds long vegetables very attractive. Apparently he inserted the eggplant the previous week but it became stuck and he was too embarrassed to rectify the situation. This is an example of:
a. Necrophlia
b. Voyagrism
c. Frotteunsm
d. Fettishism
e. Exibitionism
d. Fettishism
15) A 28-year-old man who was recently diagnosed with HIV states that he is sure he got the infection from a sexual encounter he had while he was on vacation in Las Vegas. Which of the following is the most appropriate question to ask the patient in order to determine his sexual homosexual?
a. “Would you describe yourself as homosexual?”
b. “Are you mainly gay or mainly straight?”
c. “Are you exclusively gay or exclusively straight?”
d. “Do you prefer to have sex with men, woman, or both men and women?”
e. “Do you think you are heterosexual or homosexual?”
d. “Do you prefer to have sex with men, woman, or both men and women?”
