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