Descriptive Psychopathology
1. The borderline syndrome is characterized by: | |
A. Splitting | T |
B. Good impulse control | F |
C. Euphoric affect | F |
D. Primitive idealization | T |
E. Feelings of emptiness | T |
2. Somatic symptoms of severe anxiety include: | |
A. Impotence | T |
B. Diarrhoea | T |
C. Constipation | T |
D. Hypoventilation | F |
E. Sighing | T |
3. Symptoms of combat neurosis include: | |
A. Anger | T |
B. Grandiose ideas | F |
C. Good interpersonal relationships | F |
D. Lack of guilt | F |
E. Flashbacks | T |
4. Autochthonous delusions are: | |
A. Synonymous with primary delusions | T |
B. Rarely preceded by a delusional atmosphere | F |
C. A source of secondary delusions | T |
D. Pathognomonic of schizophrenia | F |
E. 'Brain waves' | T |
5. The foetal alcohol syndrome: | |
A. Occurs with as few as four drinks per day | T |
B. Causes hydronephrosis | T |
C. Causes severe mental retardation | F |
D. Causes cleft lip and palate | T |
E. Is associated with liver abnormalities | F |
6. Normal experiences include: | |
A. Jamais vu | T |
B. Delusional perception | F |
C. Derealization | T |
D. Visual hallucinations | F |
E. Deja-vecu | T |
7. In Briquet's syndrome: | |
A. There is usually an organic basis | F |
B. Recurrence is unusual | F |
C. Somatic complaints are usually multiple | T |
D. The prognosis is excellent | F |
E. Surgery is treatment of choice | F |
8. Dissociative states: | |
A. Occur in hysteria | T |
B. May be seen under hypnosis | T |
C. Include fugue states | T |
D. Exclude multiple personalities | F |
E. Are seen in petit-mal seizures | F |
9. Near-death experiences are: | |
A. Associated with the name Moody | T |
B. Seen in life-threatening experiences | T |
C. A basis for reincarnation | F |
D. Features of altered states of consciousness | T |
E. Occurrences in life or death | F |
10. Briquet's syndrome: | |
A. Is allied to hysteria | T |
B. Occurs in men | F |
C. Is synonymous with somatization disorder | T |
D. Has a prevalence of 1-2 % in women | T |
E. Has sexual symptoms infrequently | F |
11. Formal thought disorder includes: | |
A. Drivelling | T |
B. Condensation | T |
C. Flight of ideas | T |
D. Perseveration | T |
E. Transitory thinking | T |
12. Concrete thinking: | |
A. Is diagnostic of schizophrenia | F |
B. Is diagnostic of organic brain disease | F |
C. May occur in manic-depressive psychosis | F |
D. Is a defect of conceptual abstract thought | T |
E. Is tested by interpretation of proverbs | T |
13. Formication: | |
A. Is the medical term for fornication | F |
B. May be seen in delirium | T |
C. Is a passivity phenomenon | F |
D. Is a tactile hallucination | T |
E. May be called the 'cocaine bug' | T |
14. In organic disturbance of mental state: | |
A. Verbal IQ falls off before performance | F |
B. Concrete thinking is unusual | F |
C. Derealization occurs | F |
D. There is altered level of consciousness | T |
E. Visual hallucinations occur | T |
15. Pseudohallucinations occur in: | |
A. Borderline personality disorder | T |
B. Hypnogogic states | T |
C. Hypnopompic states | T |
D. Bereavement | T |
E. Fatigue | T |
16. Normal experiences include: | |
A. Hypnagogic hallucinations | T |
B. Hypnopompic hallucinations | T |
C. Depersonalization | T |
D. Flight of ideas | F |
E. Over-inclusive thinking | F |
17. Psychotic depression may be characterized by: | |
A. Delusions of illness | T |
B. Jamais vu | F |
C. Visual hallucinations | F |
D. Nihilistic delusions | T |
E. Circumstantiality | F |
18. Delirium tremens is characterized by: | |
A. Clouding of consciousness | T |
B. Visual hallucinations | T |
C. Lilliputian hallucinations | T |
D. Olfactory illusions | F |
E. Auditory illusions | T |
19. Jaspers described the following disorders of emotion: | |
A. Apathy | T |
B. 'Free-floating' emotions | T |
C. Loss of feelings | T |
D. Changes in bodily feelings | T |
E. Changes in feelings of competence | T |
20. Delusional perception: | |
A. Has two stages | T |
B. Is an autochthonous delusion | T |
C. Is often preceded by 'delusional mood' | T |
D. Occurs secondary to a hallucination | F |
E. Is a secondary delusion | F |
21. Pseuodohallucinations: | |
A. Are subject to conscious manipulation | F |
B. Are dependent on environmental stimuli | F |
C. May occur in the real world | F |
D. May possess the vivid quality of normal perceptions | F |
E. Arise in inner space | T |
22. Depressive psychosis may be characterized by: | |
A. Delusions of filth | T |
B. Delusions of poverty | T |
C. Delusions of guilt | T |
D. Primary delusions | F |
E. Auditory hallucinations | T |
23. In the postpartum period: | |
A. The treatment of psychosis is different from psychotic illness at other times | F |
B. Psychosis begins within 3 months in 80 % of cases | T |
C. The risk of recurrence in future pregnancies is 1 in 5 | T |
D. Cerebral thrombo-embolic lesions may present as psychosis | T |
E. Transient weepiness is common in the first week | T |
24. The dysmnesic syndrome occurs in: | |
A. Neurosis | F |
B. Uncomplicated psychosis | F |
C. Korsakoff's psychosis | T |
D. Mamillary body lesions | T |
E. Thalamic lesions | T |
25. Pseudodementia may be characterized by: | |
A. Onset with depressive features | T |
B. Abnormal EEG | F |
C. Presence of localizing neurological signs | F |
D. Past or family history of manic-depressive psychosis | T |
E. Chronic course | F |
26. Echolalia occurs in: | |
A. Catatonic schizophrenia | T |
B. Obsessional neurosis | F |
C. Mental handicap | T |
D. Manic-depressive psychosis | F |
E. Senile dementia | T |
27. Bromism may present with: | |
A. Hypomania | T |
B. Auditory and visual hallucinations | T |
C. Delusions | T |
D. Depression | T |
E. Bad breath | T |
28. Encopresis in childhood: | |
A. By definition occurs after age 5 | F |
B. Has equal sex distribution | F |
C. Is more prevalent than enuresis after age 16 | F |
D. Is always due to constipation | F |
E. May occur in conduct disorder | T |
29. Features of catatonic schizophrenia include: | |
A. Forced grasping | F |
B. Mitgehen | T |
C. Athetosis | F |
D. Palilalia | T |
E. Logoclonia | T |
30. Eye to eye conduct: | |
A. Is usually increased in depression | F |
B. Is never a sign of aggression | F |
C. Is an essential part of psychotherapy | F |
D. Is not influenced by cultural factors | F |
E. Is assessed in the mental state examination | T |
31. The Capgras delusion: | |
A. Is allied to hysteria | F |
B. Usually is associated with organic brain disease | F |
C. Is also called 'pure erotomania' | F |
D. Is characterized by a pregnant husband | F |
E. Is also called 'delusion of doubles' | T |
32. First rank symptoms of schizophrenia: | |
A. Are always pathognomonic of schizophrenia | F |
B. Include 2nd or 3rd party hallucinations | F |
C. Incorporate all passivity phenomena | T |
D. Exclude formal thought disorder | T |
E. Include incongruity of affect | F |
33. In the double-blind situation: | |
A. Two conflicting messages are given simultaneously | T |
B. Experimental evidence is provided for schizophrenia | F |
C. A double-bind situation also occurs | F |
D. Comments on the situation itself are permitted | F |
E. Both messages are always verbal | F |
34. Features of hypomania may include: | |
A. Hypersomnia | F |
B. Grandiose delusions | T |
C. Wise business investments | F |
D. Decreased libido | F |
E. Poverty of thought | F |
35. Folie du doute may be characterized by: | |
A. Vacillation | T |
B. Delusions | F |
C. Indecisiveness | T |
D. Hallucinations | F |
E. Persistent doubting | T |
36. Formication: | |
A. Refers to actual insects crawling on the skin | F |
B. Occurs in 'delusions of infestation' | F |
C. Is seen when cocaine is withdrawn only | F |
D. Is a second rank symptom of schizophrenia | F |
E. Is a disorder of thought content | F |
37. Simple schizophrenia may be characterized by: | |
A. Hallucinations | F |
B. Late onset | F |
C. Gradual deterioration | T |
D. Social isolation | T |
E. Delusions | F |
38. Hallucinations may occur in: | |
A. Acute confusional states | T |
B. Hysteria | F |
C. Drug withdrawal | T |
D. Petit-mal epilepsy | F |
E. Anxiety states | F |
39. Stupor may occur in: | |
A. Mania | T |
B. Depression | T |
C. Hysteria | F |
D. Petit-mal epilepsy | T |
E. Gjessing's periodic catatonia | T |
40. The dysmnesic syndrome features: | |
A. Paranoid delusions | F |
B. Delusional perception | F |
C. Ataxia | T |
D. Peripheral neuropathy | T |
E. Long-term memory impairment | F |
41. Hollingshead and Redlich: | |
A. Published 'Social Class and Mental Health' | T |
B. Based their studies in New York | F |
C. Showed that upper class patients tended to use hospitals | F |
D. Showed that lower class patients tended to use outpatient clinics | F |
E. Are psychoanalysts | F |
42. Mirror gazing occurs in: | |
A. Anorexia nervosa | T |
B. Manic-depressive psychosis | F |
C. Hebephrenia | T |
D. Obsessional neuroses | F |
E. Senile dementia | T |
43. Pathological excitement occurs in: | |
A. Retarded depression | F |
B. Manic depressive psychosis | T |
C. Catatonic schizophrenia | T |
D. Delirium | T |
E. Normal subjects | F |
44. Obsessional thoughts: | |
A. Always give rise to compulsions | F |
B. Are ego-alien | T |
C. Rarely are of a sexual nature | F |
D. Are best treated by thought stopping | F |
E. Usually respond to imipramine | F |
45. Electrical stimulation of the following causes anxiety: | |
A. Vagus | F |
B. Hypothalamus | F |
C. Dorsal raphe nucleus | F |
D. Locus coeruleus | T |
E. Median raphe nucleus | F |
46. Obsessive rituals: | |
A. Respond well to behaviour therapy | F |
B. Are usually anti-social | F |
C. Are not resisted | F |
D. Are sensibly regarded | F |
E. Reduce anxiety | T |
47. In psychogenic polydipsia: | |
A. Polydipsia begins before polyuria | T |
B. Vasopressin may relieve thirst | F |
C. Urine flow decreases after hypertonic saline infusion | T |
D. Urine concentration is greater after vasopressin than after fluid deprivation | F |
E. Plasma osmolality is lower than normal | T |
48. Phobias have the following features: | |
A. Viewed as negative compulsions | T |
B. Can be reasoned away | F |
C. Fear proportional to the threat | F |
D. Described by Marks in 1929 | F |
E. Involuntary | T |
49. The Ganser syndrome occurs in: | |
A. Schizophrenia | F |
B. Manic-depressive psychosis | F |
C. Prisoners awaiting trial | T |
D. Personality disorders | F |
E. Hysteria | F |
50. Passivity experiences include: | |
A. Made experiences | T |
B. Occur in manic-depressive psychosis | F |
C. Include echo de la pensee | F |
D. Are recognized in obsessional neurosis | F |
E. Exclude thought broadcasting | F |
51. Characteristic features of anorexia nervosa include: | |
A. Normal BMR | F |
B. Hypothermia | T |
C. Lanugo hair | T |
D. Hypertension | F |
E. Phobia of normal body weight | T |
52. Agoraphobia is: | |
A. Better treated by flooding than systematic desensitization | T |
B. Mainly seen in middle age | T |
C. A fear specific to open spaces | F |
D. Commoner in women | T |
E. Commonly associated with depersonalization | T |
53. The experience of depersonalization is: | |
A. Usually pleasant | F |
B. Delusional | F |
C. Recognized as 'odd' | T |
D. Treatable with phenobarbitone | F |
E. Recognized as 'false' | T |
54. Animal phobias are: | |
A. Commoner in men | F |
B. Usually occur in middle age | F |
C. Generally non-specific | F |
D. Treatable with behaviour therapy | T |
E. A poor diagnostic group | F |
55. Anaclitic depression is characterized by: | |
A. Infants deprived of mother in early life | T |
B. Initial vigorous protest | T |
C. Severe despair | T |
D. A phase of detachment | T |
E. A predisposition to manic-depressive psychosis | F |
56. Social phobia: | |
A. Is usually specific to a few individuals | F |
B. Has an equal sex distribution | F |
C. Is as common as agoraphobia | F |
D. Usually develops before puberty | F |
E. Responds poorly to behaviour therapy | F |
57. The following statements are true: | |
A. Autoscopy is synonymous with phantom mirror-image | T |
B. Reflex hallucinations occur outside sensory field limits | F |
C. Functional hallucinations are experienced with their stimulus | T |
D. In extra-campine hallucinations, a stimulus in one sensory field produces a hallucination in another | F |
E. Functional hallucinations are rare in chronic schizophrenia | F |
58. Features of shell-shock include: | |
A. Depersonalization | T |
B. Guilty ideation of delusional intensity | F |
C. Derealization | T |
D. Reliving the battle | T |
E. Calmness | F |
59. The following statements are true: | |
A. Koro is an acute anxiety state | T |
B. Latah is an hysterical reaction to stress | T |
C. Windigo is a depressive psychosis | T |
D. Susto is an hysterical dissociation or depressive state | F |
E. Amok is an acute anxiety state | F |
60. Auditory pseudohallucinations occur in: | |
A. Schizophrenia | F |
B. Hysteria | T |
C. Manic-depressive states | F |
D. Drug-induced states | T |
E. Phobic anxiety state | F |
61. The following statements are true in schizophrenia: | |
A. Schism describes hostility between parents | T |
B. Skew describes a dominant mother and a submissive father | T |
C. Invalidation describes denial of feelings of family members | T |
D. Praecox feeling refers to empathic rapport with the patient | T |
E. Pseudomutuality is a method by which a family system maintains equilibrium | T |
62. Evidence for formal thought disorder includes: | |
A. Inflexibility of personal constructs | F |
B. Knight's move thinking | T |
C. Loosening of personal constructs | T |
D. Nominal aphasia | F |
E. A normal repetory grid | F |
63. The revolving-door syndrome: | |
A. May be due to cerebellar-vestibular dysfunction | F |
B. Is part of the revolving-room syndrome | F |
C. Refers to the cyclical re-admission of institutionalized patients | T |
D. Generates impressive 'statistics' for 'patient care' | T |
E. Rotates patients between system components with adequate care | F |
64. Schizophrenic thought disorder includes: | |
A. 'Woolly' thinking | T |
B. Blurring of conceptual boundaries | T |
C. Paranoid delusions | F |
D. Omission | T |
E. Substitutions | T |
65. Delusions: | |
A. Are held with a certainty that may be shakeable | F |
B. Are reality for the patient | T |
C. Are frequently held by other people | F |
D. Are rarely of personal significance | T |
E. Are usually of a bizarre nature | F |
66. The following statements are true: | |
A. Mannerisms are non-goal directed repetitive movements | F |
B. Stereotypes are goal directed repetitive movements | F |
C. Opposition is an extreme form of negativism | F |
D. Athetosis consists of random, jerky movements | F |
E. Chorea consists of slow, writhing movements | F |
67. In Huntington's chorea: | |
A. Athetoid movements are usual presenting signs | F |
B. Gross personality change is very unusual | F |
C. Children have a less rapid deterioration | F |
D. The onset of symptoms is usually in childhood | F |
E. 75 % of affected person's children develop the disease | F |
68. Illusions include: | |
A. Macropsia | T |
B. Derealization | T |
C. Misinterpretations | F |
D. Depersonalization | T |
E. Micropsia | T |
69. Features of the Gilles de la Tourette syndrome include: | |
A. Echolalia | T |
B. Coprolalia | T |
C. Coprophagia | F |
D. Flatus | F |
E. Echopraxia | T |
70. Eidetic images: | |
A. Have been described by Taylor | T |
B. Are visual hallucinations | F |
C. Have never been perceived in relation to a real object | F |
D. May be thought of as 'photographic memory' | T |
E. Are a form of exterocepted visual pseudohallucinations | T |
71. With regard to psychiatric illness in general practice: | |
A. Hysteria is very common | F |
B. Anxiety is relatively uncommon | F |
C. Psychotic illness is not usually referred | F |
D. 50 % of neurotic illness is usually referred | F |
E. Personality disorder is more common than depression | F |
72. Pseudohallucinations occur in: | |
A. Dreams during sleep | F |
B. Lone prisoners | T |
C. Dreams whilst awake | T |
D. Long distance lorry drivers | T |
E. Sensory deprivation | T |
73. Treatment of postpartum 'blues' includes: | |
A. Antidepressant medication | F |
B. Reassurance only | F |
C. Hypnotic medication | F |
D. Performing a dexamethasone suppression test | F |
E. Involvement of the husband in helping his wife | T |
74. Verbigeration occurs in: | |
A. Extreme anxiety | T |
B. Ganser syndrome | F |
C. Senile dementia | T |
D. Malingering | F |
E. Catatonic schizophrenia | T |
75. The following associations are correct: | |
A. Cameron and concrete thinking | F |
B. Schneider and condensation | F |
C. Bleuler and drivelling | F |
D. Goldstein and over-inclusive thinking | F |
E. Bleuler and loosening of associations | T |
76. The following statements are true: | |
A. Delusions are ego involved | T |
B. Redundancy refers to the predictability of a word appearing | T |
C. Delusions are idiosyncratic | T |
D. Schizophrenic thought has a high level of redundancy | F |
E. Paranoia is another name for paraphrenia | F |
77. The characteristic hallucinations in alcoholic hallucinosis are: | |
A. Visual | T |
B. Tactile | F |
C. Olfactory | F |
D. Auditory | T |
E. Gustatory | F |
78. Common associations with anorexia nervosa include: | |
A. Delayed gastric emptying | T |
B. Lassitude | F |
C. Primary amenorrhoea | F |
D. Early morning waking | T |
E. Bulimia | T |
79. Phantom limb experiences: | |
A. Only occur following limb amputation | F |
B. Include tactile hallucinations | T |
C. The phantom limb always corresponds in size to the previous limb | F |
D. Occurs in 70-100 % of all amputations after the age of 6 years | T |
E. 'Telescoping' occurs in one third of cases | T |
80. The following are true of culture-bound disorders: | |
A. Latah features penile-retraction into the abdomen | F |
B. Piklokto is a dissociative state in Eskimo women | T |
C. Windigo involves mutation into a cannibalistic monster | T |
D. Koro features automatic obedience, echolalia, and echopraxia | F |
E. Susto involves loss of the soul | T |
The following questions don't have answers, but any psychiatric text should provide them. | |
81. Features of normal pressure hydrocephalus include: | |
A. Headache | N |
B. Memory impairment | Y |
C. Papilloedema | N |
D. Physical and mental retardation | Y |
E. A frequently abnormal EEG | |
82. Features of Pick's disease may include: | |
A. Fatuous mood | Y |
B. Apathy | Y |
C. General euphoria | N |
D. A frequently abnormal EEG | N |
E. Preservation of intellect | N |
83. Features of Alzheimer' s disease might include: | |
A. Anxious mood | Y |
B. Depression | Y |
C. Specific abnormalities on EEG | Y |
D. A deficiency of GABA | Y |
E. A deficiency of serotonin | Y |
84. Neologisms occur in: | |
A. Manic-depressive psychosis | Y |
B. Obsessional neurosis | N |
C. Organic brain disease | |
D. Gilles de la Tourette syndrome | |
E. Schizophrenia | Y |
85. Complications of chronic alcoholism may include: | |
A. Paraesthesia and pain in the extremities | Y |
B. An abnormal pyruvate tolerance test | |
C. Weakness of the limbs | |
D. Osteoporosis | N |
E. A decrease in erythrocyte transketolase activity |
Last Updated on Sunday, 30 June 2013 21:39