Psychiatry Exam Answer Key 2020

toian 200912010 \4 7. The weight loss criteria in major depression a. Any loss \::t2 -jj1, ***.,-)1 /_b.{/"jnz+nffi .- c. l0o/o in month d.5%in 2 weeks e. l0Vo in 2 weeks. 8. A patient who started antipsychotic recently presents with constant upward gaze and he is unable to move his eves a. Torticollis b. Trismus '-affii"ffi*7---- 9. an elderly who is majorly depressed and shows intentions of a. SSRI t6.ECT*+*r'/../ ,/ ' / - --u' 10. a girl who is having hallucinations ordering her to a. refer to outpatient b. admit to medicine floor c. admit to psychiatry f1oor. *+* , killing him self. kill herself y' I l. A person who found himself away from home and doesnt remember anything: a. Dissociative Fugue *+** , ; \., ,i:r.i,.,1,.1\,:; ). iriilti,[',1 \ r12. a Female with GAD had flushing, chestpain and tachycardia in a public place then becomes unconcious, when she gets to ER , whats next step?? a a. ECG +*+/,_./b.SSRI *-/ ; r c. Alprazolam d. Reassurence 13. in the patient above, ECG was normal , w'bhats the diagnosis: a. Panic attack*** /---'' b. CAD 14. A female found unconcious with hypoglycemia, you found insulin syringe under her pillow in the hospitsal , whats the diagnosis: a. Facticious Disorder. **+'* 5-' 15. Approved drug for ADHD: a. Meihylphenidate **** I,/ 16. social phobia should be differentiated from which personality disorder: a. Avoident personality disorder*++* l,-'- fltt\u'' -' \l ''' \.) biatt 200912010 17. According to DSM IV u'hich of the follorving if present alone in enough to make a diagnosis of schizophrenia: - c()rnmcutarl halluc inntion - two or more conversation hallucination - Bizzare delusions ? I 8. A schizophrenic pt stop suddenly at the middle of a conversation and didn't complete the idea he rvas talking about. this is called >> thorght blocking, -19. Which of the foJ.Jaqing is rrue about specific phobias: More common ip.femalbs than males /,,---- - 20. All of the follorving - ECT* - cognttlve therap-v are used in treatmenr of social ph"bi?4;;; \- - fluoxetine - flooding - modeling ,/1 21. which of the follorving i{rru6 about obsessive compulsi'e disorder - one third of the cases are associated rvith a mental disorder other than ocpD**. - obsession ahvays follou,ed by act - obsession are alrvavs pleasant 22. which of the follorving is a positive symptom of schizophrenia - auditory hal I ucination* *t.- blunted affect - alogia - anhodinia 23'Apt rvith auditory hallucination + s.x of major depressive episode * for several months+ hallucinations doesn't disappear rvhen mood elevated. what is ihe diagnosis? Schizoaffective _>>---<:; -- 24. What is the appropriate medicarion? - respiridone + lithium - olanzipan * diazepam ( 25. A male on haloperidol. developed high fever. confusion, hypertension, tachycardia" elevated CPK, rvhat is the most likely diagnosis? Negoleptig^malignant syndrome;: --' 26. The pt in the above question recover completely. Tu,o r,,'eeks later he had auditory hallucinations, rvhat would u do? - give halopet]@ion r- laintr 200912010 - staft pt on clozaPine - reassuranc to heart his Neighbour with a knife, he says that ppl i urould spy on him and record nis pnone calls and have cameras recording his moves, rather thig patient ii iunctioning well at work, what is the most appropriate medication? l 27. A ptwas brought to ER after trying ???2??? / t''[) \/ \ l ,, / , t 28. Regarding the previous case, which is true? - persecutory delusions are rare - he has bizzare delusions - ?2? Can't remember ) J r 7 answer -/ 29. Which of the following is a characteristic side effect of SSRI d ' -anorgasmia L - hypertension ) b \- L c - tachycardia - muscle spasm e 30. All of the following are used for treatment of depression in children - SSRI - family therapy .*".pi,.' ': - behavioral therapy - clozaRine?fi 31. Scenario of Pt with depression, delusion and pseudohallucinations, what rvould be the best medication? 32. A women that afraid of abandoned, has unstable relationships, feels empty, ... What - personality disorder she has? Borderline;--l i 33. A lady having depression and anxiety, she was on a medication that helped her out, and allowed her to have good sleep... She run out of pills and wants to write her a prescription, she describes having tremors sinci cessation of medication that wasn't present before... What is this medication? rt,i -',/ - Diazepam? 34. What's the most side effect that u fear from sudden cessation of this drug? - serzure - autonomic hypoactivity \ 35. A pt on lithium developed fatigue, weakness, ... What should u do? - order lithium blood levels .l ( .1 loiaa 200919,0t0 - asses thyroid function - reassure the pt 36. All of the fbllorving are done by a person u,ith conduct disorder excepl - stealing - set up fire - school phobiait37. Which of the follorvin_e is present in child rvith autism: - irritability - aggression ( - epilepsy 38. Which is wrong regarding DSM- lV criteria of somatization a. ; two Gl symptoms b. one c. One sexual neurologicat d. At least e. Onset ' f\ four pain symptoms after age 30 ** 39. All of the following are true about conversion disorder excepl; - pt is suggestible*+? - symptoms are not fbigned - must be preceded by major stress 40. Case (bulimia). rvhich is - hyperkalemia - normal thyroid likell.ro be found; function ( - salivary gland atrophy - hypomagnesemia - low serum amylase 4 a, l. Sth about eating disorder - pharmacotherapy is more effbctive in anorcxia nervosa than bulimia nervosa - Prescribe SSRI and follow up after 1 mounth. - admission is indicated = -12. Which of the follorving is a benzodiazepine Alprazolam- : 43- which of rhe follorving is a kno*n side effect of tricycrics: Constipation =-- 44. Li excreted mainly by -kidney;- : lolatt 2009l2Ar0 45. Risk factor for aldreimer -age : : 46. major feature in ADHD : Impulsivity/ inattention 1 .-' 47. Which is true about autism More cornmon if 6oys I : All regarding a facticious disorder true rexcept; no secondary 48. \ gain -;=:=--=:=:=-" '/ ..+j 4b . -r*-:**=--'* -i *::V ^\ir,-r*;us..