Psychiatry Final Exam Answer Key 2020

Psychiatry Final 2013 : 5 (--k V'r / 1- One of the following is not a side effect of antipsychotics : - Diarrhea * - Akathisia 2- Caseof a guy who obviously took some substance] his respiration is depressed and has perioral cyanosis]his color is blue] on physical examination there is no marks on his arms. What is the substance he took? - Amphetamine - Cocaine - Benzodiazepine* - Heroin 3- One of the following is more likely to causeabnormal movements of the hand and face: - Olanzapine - Clozapine - Haloperidol* - All the other choices where atypical antipsychotics 4- 1ry delusions - can happen in normal people - disorder of perception - delusional perception* 5- A person who seesgreen ghosts after listening to classicmusic -reflex hallucination ** - visual hallucination 6- Cocaineabstinence what is wrong - hypovigilince - increase sleep - increase appetite ..cardiovascular collapse** 7- 25 years old guy was out to party till 4:00 am when his friends took him to the ER.he vomitted before reaching the ERonce] he's euphoric and agitated. His respiration is slow and noisy. What is the safest drug to give? - Diazepam - Imipramine - Haloperidol* 8- A girl who is obssesed of her hands being contaminated best treatment and she washes her hands alot, the for her is - exposLJre and response prevention** - systemic desensitization - psychotherapy - aversion therapy??? 9- Tactile hallucination: cocaine 10- Not essentially pathological: - delusional perception ** - deja vu - jamais vu - hypnopomic hallucination 11- Q: Case of a woman 65 years old. her older sister has dementia. She develops personality changes and forgetfulness. on examination she has rest tremor, bradykinesia and rigidity. CT with and without contrast showed frontal atrophy. The most likely diagnosis is : - Lewy body dementia * - Alzheimer's 12- What neurotransimitter - dopamine and serotonin are involved in pathology and treatment of schizophrenia * 13- Lithium toxicity all true except Nystagmus f Level 0.8 meq/L* Tremor Nausea? 14- In schizophrenia which area get atrophied limbic and temporal area * frontal and temproal ?? 15- A patient who immitates everything the dcotor do ? Echopraxia* Echolalia 16- A person who sees himself infront of him and hear him talking to him? - Autoscopic hallucination* - extracampine hallucination 17- Which of these are associated with disorientation to place - severe anxiety - wernicke echephalopathy** - korsakoff syndrome 18- Which of the following is an absolute contraindication to ECT: - Recent MI* - Pregnancy - Old 19- Which of the following - Methyldopa drugs causes depression: * - Procyclidine - Flupenthixol 20- Patient with depression and was prescribed amitriptaline weeks developed pyrexia and hypotension, but didn't work. then after 2 there was arrythmias and QT interval was prolonged which drug is most likely to be found in her serum SSRI TCA** Valproate LI 21-Which of the following is associated with good prognosis in schizophrenia? Positive Family history negative symptoms Prominent affective symptoms* insidious onset 22- according to DSM-IV what differntiate between mania and hypomania - degree of euphoria** - number of symptoms 23-Case of 65 yo male with somatization, agitation and severe nihilistic delusions: - Melancholic depression * 24- About personality disorders which is wrong? - Schizoid is distressed by being aloof* 25- A case of mutism and immobility though the patient appears awake and alert -stupor** -twilight state 26- What differentiates Conversion disorders and Hypochondriasis: - Presenceof physical signs * - Identical premorbid personality - Hypochodriasis more chronic 27- About Mental retardation are all true except: - slow learning - slow movement - Adaptation to society* 28- All true regarding insight except: - Patient agreeswith everything the doctor says* - Patient knows he has disease - Patient acceptsthat he hasto take treatments for his condition - Patient knows his illness might be due to psychiatric disorder 29- Reversiblecauseof dementia: - Hypothyroidism * - Pick's disease - Lel,AlyBody dementia - Alzheimer 30- A married woman that she will be given lithium. which test is nt important: - pregnancy test - LFT ** - ECG - TFT - urea and creatinine 31- Patient that drinks alcohol after work, few times every week, he got fired from a job due to alcohol use and his relationships are distorted questions mentioned that he does not have withdrawal symptoms.Best that describes his use of alcohol is : - Alcohol intoxication - Alcohol dependence? - Alcohol abuse * 32- A patient when asked a question he gives extra details then eventually reaches the correct answer, best that describes this phenomena is : - Circumstantiality* - Derailment 33- About amnestic disorders which is true: - Memory impairment and disorientation* - Memory impairment and visual hallucination - Memory impairment and confabulations?? 34- A person who was intoxicated with alcohol and had many symptoms of intoxication, treatment with benzodiazpene he had confusion, - wernike-korsakoff nystagmus and anterograde after amnesia: syndrome** - korsakoff psychosis - wernicke encephalopathy 35- An old lady with diagnosed alzehimer , she lately changed alot and she stopped recognized her family, she had visual hallucination she had UTI and her WBC was 25k what is the most likely diagnosis: -delerium ** -sepsis -meningitis 36- 17 year old m in the last 2 months he lost interests in his studies, he started to fight with his parents and he had frequent headaches what is the most likely diagnosis: - depression ?? - oppositional defiant disorder?? 37- All ofthe following indicates organic cause of dementia except: - Family history of psychiatric diseases* - Onset 2 days - >65 years old 38- A person with 2 month hx of delusional thinking, his wife confirmed the symptoms and he says that his coworkers took some raises what is the most likely diagnosis: - schiziphreniform** 39- What is true about preservation: - repetitive thoughts in inappropriate - indicate organic disease ??? - characteristic of ocd situations ?? 40- Patient, fatigue & tired /I, any of the following diagnosis can be excluded: a-Hyperthyroidism ?? b-pancreatic cancer, c-dementia , d-somatization 41- About obsession what is true: a-the patient resent it & don't like it ** 42- What is a must to diagnostype 1 bipolar disorder: a-at least one episode of mania ** 43- A patient came to you after taking a substance, he felt very hungry eats every 10minutes, his eyes are injected, HR120, BP180/100: -marijuana* - opiate - heroin - cocaine - amphetamine 44- Anxiety causesall of the following except: - Hypoventilation * - Diarrhea - Constipation - Sighing 45- Which substance withdrawal dsnt cause seziures - alcohol -Carbamazepine -Haloperidol -BArbiturates -BDZ 46- 65 years old male, severly depressed and he refusesto eat and drink the most appropriate management is : - ECT? - Intensive antidepressant therapy - Restrain and give him IV fluids 47- A person who feels himself haschanged and he is unreal from 2 months and he cant specify wht is the change - depersonilztion * - autocanthus hallucination 48- A caseof a person with delusion and hallucination which diseasewe can rule out: delusional disorders