5 Year Psychiatry Exam Answer Key 2021

s" year psychiatry exam 2009/2010 1. Hypochondriasis, all are true except: a) affect males and females equally b) more than one symptom in more than one organs that can't be explained by physical disease c) preoccupation with having a serious disease c 2. Convesrion disorder: all are true except: a) intentionally produced 3. Munchausen disorder is a: a) factitious disorder b) malingering answer a 4. Anxiety, one true a- sudden drop in performance if more stimulation is added to previous high level stress b- relation bwn performance and stress is negative c- taking anti anxiolytic in low stress pt will improve: 5. Phobia: a) avoidance b) 6. Delirium, all are true except: a) nocturnal improvement 7. Dementia, all true except: a) altered consciousness 8. Most common cause of dementia: a) Alzheimer's 9. OCD: a) Affect males and females equally 10. Adjustment: a) Marked response to stress b) normal response to strss c) produce marked impairment 11. Impulse control disorder: a) Trichotilomania lpg. 12. PTSD, all except: a) Low level of arousal 13. Flooding works best to treat: a) Agoraphibia b) Social phobia c) Specific phobia Answer a according to dr Radwan bani Mustafa 14. Panic disorder, all except: a) re-experiencing b) fear of loosing control c) paresthesia d) flushes a 15. about conduct disorder a. tantrum b. steeling c. sexual bad behavior 16. about social anxiety (or conduct)disorder CORRECT: a) shoplifting b) low self esteem c) no friends d) M=F a 17. which drug is used for major depression: a) fluoxeitiene 18. w~ich drug is used to treat acute drug induced dystonia: a) procyclidine 19. which drug is used in treatment of alcohol withdrawal: a) diazepam 20. which drug is ineffective in treating the negative symptoms of schizophrenia: a) haloperidol 21. all about sexual impairment true is: a) premature ejaculation is a side effect of SSRls b) cimitidine doesn't cause erectile dysfunction c) sexual function is best at mid 30's d) erection is mediated by parasympathetic answer d 2pg. 22. Which drug causes death in high doses: a) Lithium 23. Which is true about sleep: a) Sleep walking in REM b) Erection occurs in non-REM sleep c) Non-REM has a restoration function d) dreaming in non-REM 24. All of the following occur during REM sleep except: a-Nightmares b-Penile erection c-lew muscle tone d-Iet lag e-Enuresis D 25. REM latency: a) From falling asleep to 1st REM 26. Which is used in ttt of anxiety?? a) Alprazolam 27. All cause erectile dysfunction except: a) antipyschotics b) antidepressants c) Mumps d) Doxycycline e) Peyronie's disease b?? 28. Premature ejaculation: a) Is a side effect of fluoxitiene b) Can be treated by squeezing technique c) Behavioral therapy is not effective b 29. Anorexia nervosa: a) lower incidence in high socioeconomic classes b) M:F 10:1 c) constipation is common d) BMI < 17.5 a 30. All are physical features of anorexic patients except: a) Peripheral edema 3pg. b) Hyperthermia b 31. DSM-IV criteria for dx of mental retardation a) IQ<70 b) IQ< 50 a 32. In patients who commit suicide, all except: a) have high levels of serotonin in the brain 33. ADHD, all except: a) Genetic factor b) All resolve at age 25 b 34. Autism: a) delayed language development b) delayed socii development c) IQ<70 d) mostly will develop seizure before adulthood a?? 35. folie a deux: a) its shared psychotic disorder (for person in relationship with other both have the same delusional disorders) 36. all are schizophrenia subtypes except: a) schezoaffective 37. not thought form disorders: a) thought broadcasting b) neologism = New word formation c) perservation = Persistent repetition of words or ideas. b or a 38. about enuresis wrong: a) more in girls 39. not a risk for suicide a- female gender b- unemployment c- widow d- unmarried a 40. not criteria for schizophrenia 4pg. a) delusions b) hallucinations c) illusions -- the answer 41. about dynamic psychotherapy a) takes years ?? 42. about psycho education wrong a) For the child and his family. b) Explaining the diagnosis, the available help and prognosis c) Role of Media d) debriefing stressful events d 43. not a personality disorder a- narcessistic b- paranoid c- asthetic c 44. not indication for ECT a- mixed depression b-severe depression not responsive to medical ttt c- puerperal psychosis d-catatonia a 45. not primary used in psychiatry a-mental state exam b- developmental hx c- EEG c 46. wrong about 6 year old boy psychotherapy a- use playing b- must see child alone in all cases b 47. abcde- school refusal causes except parent discord restrict displinary school rules pupil has learning probelm or learning difficulty separation anxiety insecure attachement c Spg. 48. wrong about depression biological signs a) agitations 49. wrong about depression criteria a- wt loss more than 20% b- psychomotor agitation or retardation 50. not method of psychotherapy a- parasychologic therapy b- counseling c- hypnosis d- parent teaching 51. wrong about post partum psychosis a- 1:5000 b- affective occurs in 80 % c- schizophrenic in 25% 52. NT in schizophrenia a- dopamine 53. wrong about dementia a- 20% over 65 yrs b-5% over the 65 c-20% over 80 d-all causes beyond 65yrs of age are irreversible 54. not a bad prognostic in depression -not sure a- first episode of major depression b- association with a disease or an illness (bi hada el ma3na) c- associted with F.Hx of bipolar 55. not good prognosis in schizophrenia: a- associated with cognitive dysfunction b- acute onset c- female d- normal brain CT e- first degree with affective a 56. there was a question about the elderly one is true: a- in elederly anxiety disorders are more common than depression b- parasuicide is more common than suicide 57. permorbid personality, we ask about all of the following except: a) family hx 6pg. b) eduacational c) professional hx job d) mood e) moral values e 58. dynamic psychotherapy a- for oeD b- now and here 59. not part of mental status exam a- mood b- IQ testing b 60. one is wrong about amine theory a- tricyclic antidepressants increase amines in synapses b- MAOI increases amines in synapses c- ropreone ( not sure (is a dopamine blocker and causes depression d- amphetamine causes increased serotonin and leads to euphoria e- suicide has high serotonin in brain Good Luck... ~I Y t: ,4.,l1.!l.1..::.>~b,.)lIIl_,5' .::....J~b,.l'\•..u. r'~ _r...u:ll) 7pg.