Psychiatry - Psychopathology Flashcards
PSY - 3.2
Disorientation appears in:
A) Korsakoff syndrome
B) Acute schizophrenic episode
C) Hypomania
D) Depression
E) Agoraphobia
ANSWER
A) Korsakoff syndrome
EXPLANATION
Disorientation, short-term memory loss and confabulation are typical for Korsakoffâs syndrome
PSY - 3.3
Perception without objective stimulus:
A) Hallucination
B) Illusion
C) Delusion
D) Derealisation
E) Depersonalisation
ANSWER
A) Hallucination
EXPLANATION
Hallucinations are perceptions without objective stimuli
PSY - 3.4
Short-term memory loss is a typical symptom in:
A) Mania
B) Depression
C) Schizophrenia
D) Korsakoff syndrome
E) Panic disorder
ANSWER
D) Korsakoff syndrome
EXPLANATION
Short-term memory loss, disorientation and confabulation are typical in Korsakoff syndrome
PSY - 3.5
A patient starts to cry without any reason. The phenomenon can be:
A) Blunted affect
B) Anhedonia
C) Anxiety
D) Emotional incontinence
E) Alexithymia
ANSWER
D) Emotional incontinence
EXPLANATION
Emotional incontinence is typical in old patients with dementia
PSY - 3.6
Hallucination is a symptom of:
A) Thinking
B) Sensorium
C) Attention
D) Perception
E) Mood
ANSWER
D) Perception
EXPLANATION
Hallucination and illusion are symptoms of perception
PSY - 3.8
The patient said during the interview that he had seen two birds in the window. This meant to him that 2 weeks later he will suffer a serious injury. This symptom is a/an:
A) Illusion
B) Hallucination
C) Delusion
D) Neologism
ANSWER
C) Delusion
EXPLANATION
This is a delusion of reference.
PSY - 3.9
The most important characteristic of psychosis is:
A) Thought disorder
B) Schizophrenia
C) Bipolar affective disorder
D) Disturbed reality-testing
E) Hostility
ANSWER
D) Disturbed reality-testing
EXPLANATION
The essence of psychosis is the disturbed reality-testing due to symptoms
PSY - 3.10
An old, confused patient is admitted to the hospital. When the doctor asks ’How old are you‘, he answers: ’70 years‘. The doctor asks ’Where are we now?’, the patient answers: ’70 years’. How is this phenomenon called?
A) Coprolalia
B) Rumination
C) Compulsion
D) Perseveration
E) Echolalia
ANSWER
D) Perseveration
EXPLANATION
Perseveration is a sign of organic brain disease
PSY - 3.11
An 8-year-old child with high fever sees the curtain moving. He tells his mother that an animal is coming in through the window. The symptom is:
A) Delusion
B) Fantasy
C) Hallucination
D) Illusion
E) Phobia
ANSWER
D) Illusion
EXPLANATION
In children with high fever illusions can occur
PSY - 3.12
Which is not true about alexithymia?
A) The term was coined by Sifneos
B) It was originally introduced to describe psychosomatic disorders
C) It is characterized by the verbal expression of emotions
D) It is associated with somatoform disorders and substance abuse disorders
ANSWER
C) It is characterized by the verbal expression of emotions
EXPLANATION
Alexithymia is characterized by difficulties in expressing and verbalizing emotions.
PSY - 3.14
All of the following are examples of symptoms of the form of thinking, except:
A) Delusion
B) Flight of ideas
C) Logorrhea
ANSWER
A) Delusion
EXPLANATION
Delusion is a symptom of the content of thinking
PSY - 3.15
A female patient has a delusion that his boss loves her, the symptom is:
A) Erotic delusion
B) Erotomania
C) Transitivism
D) None of the above
ANSWER
B) Erotomania
EXPLANATION
Erotomania is also called as De Clérambault symptom
PSY - 3.16
In psychotic depression the patient delusionally believes that he is not alive. The name of the symptom is:
A) Nihilistic delusion
B) Anxiety
C) Horror vacui
D) None of the above
ANSWER
A) Nihilistic delusion
EXPLANATION
Nihilistic delusions arealso called Cotard symptom.
PSY - 3.17
The hallucinatory voices instruct the patient to do something, the name of the symptom is:
A) Delusion of influence
B) Command hallucination
C) Somatic hallucinations
D) None of the above
ANSWER
B) Command hallucination
EXPLANATION
Command hallucinations can lead to suicide or homicide
PSY - 3.18
Delusion of infestation is also known as:
A) Capgras symptom
B) Ekbom symptom
C) Cotard symptom
D) None of the above
ANSWER
B) Ekbom symptom
EXPLANATION
Delusion of infestation or delusion of parasitosis is called Ekbom symptom
PSY - 3.19
Ganser syndrome is commonly seen in:
A) Schizophrenia
B) Mania
C) Pick disease
D) Learning disabilities
E) Prisoners awaiting trial
ANSWER
E) Prisoners awaiting trial
EXPLANATION
In Ganser syndrome approximate answers, clouding of consciousness with disorientation, severe emotional stress, pseudohallucinations and amnesia are present.
PSY - 3.20
The patient in stupor spits out the food, the name of the symptom is:
A) Passive negativism
B) Pica
C) Active negativism
D) Rumination
ANSWER
C) Active negativism
EXPLANATION
This phenomenon is a typical example of active negativism
PSY - 3.21
Somatic hallucinations are typical in:
A) Schizophrenia
B) Mania
C) Panic disorder
D) None of the above
ANSWER
A) Schizophrenia
EXPLANATION
They are specific symptoms of schizophrenia
PSY - 3.22
Abstract thinking can be examined by the:
A) Interpretation of proverbs
B) Ziehen probe
C) Bourdon probe
D) None of the above
ANSWER
A) Interpretation of proverbs
EXPLANATION
By the correct interpretation of proverbs the metaphorical level of an expression can be captured.
PSY - 3.23
The patient has a delusion that his mother is replaced by a double. The name of the symptom is:
A) Frégoli symptom
B) Cotard symptom
C) Capgras symptom
D) De Clérambault symptom
ANSWER
C) Capgras symptom
EXPLANATION
The delusion of the double is called the Capgras symptom after the French psychiatrist, Capgras.
PSY - 3.24
Characteristics of illusion:
1) Misinterpretation of outer stimuli
2) More common in organic brain disorders
3) Not a necessary sign of psychosis
4) Have normal variants as well
A) only the 1st, 2nd and 3rd answers are correct
B) only the 1st and 3rd answers are correct
C) only the 2nd and 4th answers are correct
D) only the 4th answer is correct
E) all of the answers are correct
ANSWER
E) all of the answers are correct
EXPLANATION
Illusion is a perceptiual disturbance, which has normal variants as well. Illusion means the misinterpretation of objective stimuli and its abnormal variants are more common is organic brain disorders
PSY - 3.25
Characteristics of delusions:
1) They are held with strong conviction
2) They are false beliefs
3) They feature a lack of insight
4) They are diagnostic of schizophrenia
A) only the 1st, 2nd and 3rd answers are correct
B) only the 1st and 3rd answers are correct
C) only the 2nd and 4th answers are correct
D) only the 4th answer is correct
E) all of the answers are correct
ANSWER
A) only the 1st, 2nd and 3rd answers are correct
EXPLANATION
Delusions are not diagnostic of schizophrenia and can be seen in other psychoses
PSY - 3.29
If somebody is disoriented, probably he/she will not know:
1) The date
2) Where he/she is
3) Which season it is
4) What his/her name is
A) only the 1st, 2nd and 3rd answers are correct
B) only the 1st and 3rd answers are correct
C) only the 2nd and 4th answers are correct
D) only the 4th answer is correct
E) all of the answers are correct
ANSWER
E) all of the answers are correct
EXPLANATION
Disorientation can be partial or total
PSY - 3.30
Grandiose delusions can appear in:
1) Schizophrenia
2) Mania
3) Frontal lobe syndrome
4) Amphetamin intoxication
A) only the 1st, 2nd and 3rd answers are correct
B) only the 1st and 3rd answers are correct
C) only the 2nd and 4th answers are correct
D) only the 4th answer is correct
E) all of the answers are correct
ANSWER
E) all of the answers are correct
PSY - 3.31
Clouding of consciousness is characterized by a disturbance in the following areas:
1) Attention
2) Perception
3) Orientation
4) Memory
A) only the 1st, 2nd and 3rd answers are correct
B) only the 1st and 3rd answers are correct
C) only the 2nd and 4th answers are correct
D) only the 4th answer is correct
E) all of the answers are correct
ANSWER
E) all of the answers are correct
PSY - 3.34
Which of the following is not a motor disorder seen in schizophrenia?
A) Catatonia
B) Cataplexy
C) Negativism
D) Waxy flexibility
E) Automatic obedience
ANSWER
B) Cataplexy
EXPLANATION
Cataplexy is seen in narcolepsy, a sleep disorder, in which the subject falls down because of a sudden loss of muscle tone provoked by strong emotions.
