Psychiatry - Psychopathology Flashcards

1
Q

PSY - 3.2
Disorientation appears in:

A) Korsakoff syndrome
B) Acute schizophrenic episode
C) Hypomania
D) Depression
E) Agoraphobia

A

ANSWER
A) Korsakoff syndrome
EXPLANATION
Disorientation, short-term memory loss and confabulation are typical for Korsakoff’s syndrome

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2
Q

PSY - 3.3
Perception without objective stimulus:

A) Hallucination
B) Illusion
C) Delusion
D) Derealisation
E) Depersonalisation

A

ANSWER
A) Hallucination
EXPLANATION
Hallucinations are perceptions without objective stimuli

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3
Q

PSY - 3.4
Short-term memory loss is a typical symptom in:

A) Mania
B) Depression
C) Schizophrenia
D) Korsakoff syndrome
E) Panic disorder

A

ANSWER
D) Korsakoff syndrome
EXPLANATION
Short-term memory loss, disorientation and confabulation are typical in Korsakoff syndrome

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4
Q

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

A

ANSWER
D) Emotional incontinence
EXPLANATION
Emotional incontinence is typical in old patients with dementia

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5
Q

PSY - 3.6
Hallucination is a symptom of:

A) Thinking
B) Sensorium
C) Attention
D) Perception
E) Mood

A

ANSWER
D) Perception
EXPLANATION
Hallucination and illusion are symptoms of perception

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6
Q

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

A

ANSWER
C) Delusion
EXPLANATION
This is a delusion of reference.

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7
Q

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

A

ANSWER
D) Disturbed reality-testing
EXPLANATION
The essence of psychosis is the disturbed reality-testing due to symptoms

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8
Q

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

A

ANSWER
D) Perseveration
EXPLANATION
Perseveration is a sign of organic brain disease

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9
Q

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

A

ANSWER
D) Illusion
EXPLANATION
In children with high fever illusions can occur

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10
Q

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

A

ANSWER
C) It is characterized by the verbal expression of emotions
EXPLANATION
Alexithymia is characterized by difficulties in expressing and verbalizing emotions.

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11
Q

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

A

ANSWER
A) Delusion
EXPLANATION
Delusion is a symptom of the content of thinking

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12
Q

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

A

ANSWER
B) Erotomania
EXPLANATION
Erotomania is also called as De Clérambault symptom

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13
Q

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

A

ANSWER
A) Nihilistic delusion
EXPLANATION
Nihilistic delusions arealso called Cotard symptom.

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14
Q

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

A

ANSWER
B) Command hallucination
EXPLANATION
Command hallucinations can lead to suicide or homicide

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15
Q

PSY - 3.18
Delusion of infestation is also known as:

A) Capgras symptom
B) Ekbom symptom
C) Cotard symptom
D) None of the above

A

ANSWER
B) Ekbom symptom
EXPLANATION
Delusion of infestation or delusion of parasitosis is called Ekbom symptom

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16
Q

PSY - 3.19
Ganser syndrome is commonly seen in:

A) Schizophrenia
B) Mania
C) Pick disease
D) Learning disabilities
E) Prisoners awaiting trial

A

ANSWER
E) Prisoners awaiting trial
EXPLANATION
In Ganser syndrome approximate answers, clouding of consciousness with disorientation, severe emotional stress, pseudohallucinations and amnesia are present.

17
Q

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

A

ANSWER
C) Active negativism
EXPLANATION
This phenomenon is a typical example of active negativism

18
Q

PSY - 3.21
Somatic hallucinations are typical in:
A) Schizophrenia
B) Mania
C) Panic disorder
D) None of the above

A

ANSWER
A) Schizophrenia
EXPLANATION
They are specific symptoms of schizophrenia

19
Q

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

A

ANSWER
A) Interpretation of proverbs
EXPLANATION
By the correct interpretation of proverbs the metaphorical level of an expression can be captured.

20
Q

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

A

ANSWER
C) Capgras symptom
EXPLANATION
The delusion of the double is called the Capgras symptom after the French psychiatrist, Capgras.

21
Q

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

A

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

22
Q

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

A

ANSWER
E) all of the answers are correct
EXPLANATION
Disorientation can be partial or total

23
Q

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

A

ANSWER
E) all of the answers are correct

24
Q

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

A

ANSWER
E) all of the answers are correct

25
Q

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

A

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.