Psychiatry Final Exam Answer Key 2021

Psychiatry 1- Which ofthe following drugs doesn't cause hallucinations? a- Cocain b- Benzhexal c- Amphetamine d- Diazepam e- LCD 2- Which of the following is not a characteristic of alcohol dependency: a- Blackouts b- Morning tremor c- Obsessive for chinking d- Relief drinking e- Drinks in daily basis and during day time 3- Which of the following is not found in major depressive disorder: a- Feeling of worthlessness b- Guilt feeling c- Attention seeking behavior d- Suicidal ideation 4- Which of the following is an example of atypical antipsychotic: a- Clozapine 5- Which of the following is not a characteristic o~ADHD: a- Impulsivity b- Increased concentration c- Inability to pay attention d- Inability to complete a task 6- Which of the following is not a paraphilia: a- Pedophilia b- Vaginismus c- Sadism d- Voyeurism 7- Which of the following is a characteristic of schizophrenia: a- Mood symptoms b- Thought echo c- Second person hallucinations 8- Conversion is classified under: a- Factitious disorders b- Anxiety disorders c- Somatoform disorders d- Malingering pg.361 9- Which of the following is not a feature of anorexia nervosa: a- Loss of appetitie b- Decrease weight more than 15% of ideal c- Binge eating bouts d- Excessive concern about body image 10- Which of the following causes irreversible dementia: a- Alzheimer's disease b- Wilson's disease 11- Which is not found in mild depression? a- Guilt feeling 12- All the following are true regarding enuresis, except: a- Abnormal if occurs & continues after age of 3 b- Higher risk in boys than girls c- Bells & pads are used for treatment d- Charts are helpful for behavioral therapy 13-All the followings are true for depression, except: a- Recurrent b- Never occurs before 12 years c- Associated with high rate of suicide d- Very common e- Cognitive behavioral therapy is helpful 14-All of the following may occur after ECT except: a- Amenorrhea b- Weight gain c- Headache d- Insomnia e- Amnesia 15-Which of the following regarding mental retardation is true? a- Is not diagnostic before the age of 18 b- IQ: 19-110 c- Hallucination is comrmn d- Mild to moderate MR are treated by psychoeducational therapy 16-All the following are mood stabilizers except: a- Lamotrigin b- Fluoxetine c- Carbamazapine valproate d- Lithium pg.362 17- All abcd18- All abcd19- All abcd- the followings are symptoms for mania, except: Increase risk taking Irritability Hypochondriasis Hypermnesia of the followings are types of somatoform disorders, except: Body dysmorphic disorder Hypochondriasis Social phobia Somatization of the followings are true for cocain, except: Nasal inhalation Crake (smoked) Causes rapid tolerance e- Causes paranoid delusions 20- All of the followings are true regarding conversion except: a- Patient is often described as immature b- Leads finally to dementia c- Patient lacks concern about his illness d- Patient seeks attention e- Gain is important 21- The following are risk factor for suicide, except: a- Old age b- Young female c- Unemployment d- Devorce e- Drug abuse 22- One of the following statements is true regarding chronic opiod dependence, except: a- constipation b- Sexual dysfunction c- Malaise d- Mydriasis e- Tremor 23- Regarding tetrahydrocannibol (THC), all are true except: abcd- Active component of cannabis Cann't be detected in the blood Causes heightened awareness of sensation Impaired judgment e- pg.363 24- Which of the following is true about ADHD? a- More common in boys b- 20% point prevelance in children c- Girls are more commonly brout to medical attention d- Impaired attention is a cardinal sign e- CNS stimulant are the treatment of choice 25- All of the followings are not distinguishing in the primary diagnosis of schizophrenia, except? a- Visual hallucination b- Thought echo c- Dejavu d- Clouding of consciousness e- Twilight 26- All ofthe followings are more COl11l11on in women except: a- Phobia b- Alcohol c- Anorexia d- Deliberate selfharm e27- ECT all are hue except (used in all of them except): a- Phobia b- Severe depression c- Mania d- Antisocial personality 28- Which is false about antisocial personality? a- Occur more in inner cities than rural b- Age 20-25 year c- Remission may occur after midage d- Associated with substance abuse and alcohol 29-1n premenstrual syndrome, all are true except: a- Para suicide b- Academic performance increase c- Psychiatric admission d- Deliberate self-harm 30- Phobia, which is false? a- More common in men b- Avoid anti behavior c- Involantry d- Certain situation e- Out of proportion pg.364 31- Delirium tremens (DTs): a- 5% mortality rate b- Must be admitted to psychiatric clinic c- The nurse must take good care d- Pyrexia e- Lightened room 32- Which of the following is a feature of obsessive personality disorder? a- Carelessness b- Decisiveness c- Punctuality d- Attention seeking e- Functionality 33- Which of the following is a diagnostic difference between schizophrenia & schizophreniform disorder? a- > 6 months 34- Which is a primary symptom of bulimia? a- Anorexia b- Lack of concern about body image c- Binge eating d- Fasting 35- Pharmacological treatment is particularly useful in which of the following? a- Conduct disorder b- School phobia c- Separation anxiety d- ADHD e- Mental retardation 36- A person who cries one minute and laughs the next one has: a- Labile affect b- Blunted affect c- Euphoria d- Dysphoruia e- Dysthymia 37- Which of the following characterizes the fear of phobia? a- Non-specific b- Rational c- Explainable d- Accentuated by avoidance of response pg.365 38- The most common cause of dementia in the age group> 65 is: a- Picks disease b- Huntigton c- Vascular d- Alzheimer e- CJD 39- Generalized anxiety disorder is best treated ~ which of the following medications? a- Diazepam for months b- Lorazepam for months c- Buspirone d- Lithium Carbonate 40- Mania, all except: a- Persecutory delusions b- Grandiose delusions c- Nihilistic delusions 41- Circumstantiality is a disorder of: a- Emotion b- Memory c- Thinking d- Personality e- Adjustment 42- One of the following is true about mental retardation: a- IQ: 90-110 b- Dx: >18 year c- Can be treated by medication d- Mild to moderate (MR) improves with psychotherapy e- Common feature is hallucination 43- One of the following is not a mood stabilizer: a- Fluoxetine ~ antidepressant (SSRI) 44- Depression, true except: a- Recurrent b- High suicide risk c- Common disorder d- e- Never occur below 13 year 45- Suicide risk increased, except: a- Young females pg.366 46- Nocturnal enuresis, hue except: a- After age 3 year is abnormal b- Run in families c- More common in boys d- Chart is used for treatment e- Bell & pad is a mechanism of treatment 47- Cocaine, true except: a- Common method of intake is nasal inhalation b- Crack is the smoked form c- Causes paranoid delusions d- Causes fomization e- Rapid development of tolerance 48- All are somatofonn disorders, except: a- Socialphobia 49- Mania, hue except: a- Increased risk of suicide b- Hypermnesia c- Hypochondriasis d- Irritability e- Pressure thinking 50- All are side effects ofECT, except: a- Amenorrhea b- Waight gain c- Headache d- Memory loss of recent events e- Insomnia of 1 or 2 weeks 51- Conversion disorders, true except: a- Often develop to dementia b- Often attention seeker c- Lack knowledge that he has illness d- Primary gin is present e- He's sometimes considered immature 52- All are hue about alcohol dependence except: a. Stereotyped drinking b. Compulsive drinking c. Memory blackout d. Retum to drinking after abstinence 53- Bizarre delusions are characteristic of: a- Schizophrenia pg.367 54- All are a. b. c. d. conversion disorder except: Aphonia Blindness that is responsive to psychotherapy Paraplegia Catatonic stupor 55- All are false about ADHD except: a. Impulsivity and hypoactivity b. Decreased attention span and distractibility c. Treatment started before the age of 4 d. Treated with benzodiazepines 56- Negative symptom of schizophrenia: a. Flight of ideas b. Passivity phenomena c. Persecutory delusions d. Blunt mood 57- One of the following is considered hallucination: a- A stranger is talking to you, but you are not seeing him telling you orders 58- Not a diagnostic feature of anorexia nervosa: a. Body weight less than the ideal body weight by 25% b. Anorexia c. Overvalued ideas of being fat 59- One of the following is true about the treatment of depression: a. SSRIs are superior over ECT ill the treatment of severe depression b. Lithium is better than TCAs in the treatment of bipolar depression c. ECT is dangerous for elderly 60- Antisocial personality one is true: a. It is associated with conduct disorders in children b. They respect the law c. They care for the people they harm 61- Not a feature of bipolar: a. thought echo b. over talkative c. hypersexuality 62- all indicate depression except: a- Fatigue b- Decreased concentration c- Though echo pg.368 63- One direct the diagnosis toward schizophrenia: a- Visual hallucination b- Though echo c- Confusion 64- All are risk factor for suicide except: a- Male b- Personality DIO c- War situations d- An elderly living alone 65- All are associated with narcotic abuse except: a- Mydriasis b- Respiratory depression c- Constipation d- Tremor 66- Which's the best treatment for resistant schizophrenia? . 'a- Clozipine ;:9:7- Which's not associated with poor prognosis in schizophrenia? a- Predominant +ve symptoms b- Affective symptoms c- Familyhx 68- All are delusions associated with depression except: a- Poverty b- Nihilistic .,. c- Guilt d- Worthlessness e- Insertion of thought 69- All are true about obsessive compulsive disorder except: a- Compulsion causes pleasure b- Insertion of thought 70- Which's wrong about panic attacks? a- Long term treatment with benzodiazepines 71- Which's wrong about post traumatic stress disorders? a- Mostly resolves within 2 weeks b- More in children c- Develops in most people experiencing the disaster 72- Which's true about noctumal enuresis? a- More in males b- 50% associated with UTI pg.369 73- Which's wrong about antisocial personality? a- Craving for constant attention b- No respect to rules c- No respect to other's d- Look's for pleasure regardless of cost 74- Which's wrong about anorexia nervosa? a- Afraid to do excessive b- Hide food 75- A patient with somatization disorder, which is wrong? a- Complains of pain b- Menstrual problems. c- May lead to drug addiction. e-refuses surgery 76- Which ofthe following is not a sexual dysfunction? a- Vaginismus. b- Pedophilia. c- Dysparoni a. d- Impotence. e-Dysorgsntia. 77- 63 year old female became careless to her family and herself, the most likely diagnosis is: a- Demetia. b- Depression. c- Delerium. 78- What is wrong about agoraphobia? a- Patient is afraid there is no exit. b- He doesn't travel. c- Worsened by MOA. d- Commonly associated with depression, 79- Which is not a feature of mania? a- Hypermnesia. b- Elation c- Flight of ideas. d- Hypochondriasis. e- Expansive ideas. pg.370 80- Which is not a feature of major depression? a- Initial insomnia. b- Loss oflibido. c- Anorexia. d- Abhedonia. 81- Which personality disorder causes no trust in others? a- Paranoid. b- Borderline. c- Antisocial. d- Schizoid. 82- All are at high risk for suicide except: a- Female. b- Drug abuse. c- Antisocial personality. d- Single or divorced. 83- Which one of the following is the most common cause of suicide? a) Drug addiction. (depression and alcoholism weren't mentioned) 84- Female patient admitted with pneumonia one day later she developed confusion, visual hallucinations, her condition worsened at night. The most likely diagnosis is: a) Delerium. b) Dementia. c) Acute encephamitis. 85- Which is true about conversion disorder? a) Has a chronic course. b) Usually it resolves when the conflict resolve. c) Mostly presents with ?? d) Patient has multiple symptoms 86- Which is wrong about somatization disorder? a) Patient usually complains about one symptom. b) Previously called hysteria. pg.371 87- All are side effects of antidejressant except: a) Diarrhea. b) Dry mouth. c) Cardiac arrhymia. d) Urinary retention. 88- Chlorpromazine acts against which neurotransmitter? a) 5-HT. b) Dopamine. c) Glutamine. 89- Which is best chug for resistant schizophrenia? a) Clozapinc. 90- Antisocial personality is charachterized by all of the following except: a) low toletance for fiustration. b) lack of response to punishment. c) marked capacity for guilt feeling. d) pursuit for of certain pleasure at any cost. e) disregard for other people's feeling. 91- All of the following are correct about schizoid personality except: a) ?????? 92- A feature of thinking charachterized by changing the subject to another theme and then coming back to the first subject is called: a) flight of ideas. b) loose association. c) disjoined thinking. d) derailment. e) circumstantiality. 93- Which of the following conditions carries the highest risk of suicide? a) mania. b) schizophrenia c) terminal disease. d) alcoholism. e) chronic social phobia. pg.372 94- Tardive dyskinesia occur more frequently in one of the following: a )middle aged women on phenothiazine b )middle aged men on phenothiazine c) young people on haloperidol d) old people on imipramine e) patients who use multiple psychotic drugs regardless of their age or sex 95- Hypochondriasis has all of the following features except: a) patient is difficult to reassure b) history of using many drugs c) excessive demand for tests d) the physical complaints reduce the patient's anxiety by replacement e) various complaints are usually unrelated 96- Dysthymic disorder is commonly associated with all the following except: a) chronic fatigue b) loss of self esteem c) fluctuating course d) duration less than one year e) irritability 97- The course of bipolar affective disorder is charchterized by all of the following except: a) periods of normal functioning b) recurrent episodes c) development of formal thought disorder d) tendency to excessive drinking of alcohol in manic episodes e) lithium has a preventive value in most cases 98- One of the following antidepressants is most dangerous in overdose (equivalent quantity): a) Imipramine b) c) d) Amitryptaline e)... pg.373 99- All of the following drugs may produce a manic response except: a) steroids b) amphetamines c) Imipramine d) Thioridazine e) Amitryptiline 100- Panic attacks associated with agoraphobia are treated most effectively with: a) chlordiazepoxide b) diazepam c) flurazipam d) barbiturate e) Imipramine 101- The obsessive compulsive patient who tries to resist carrying out the compulsion generally experiences: a) anxiety b) depressive mood c) headaches and chest discomfort d) dissociation of action from feelings e) ambivalence in the form of opposite feelings 102- The patient that thinks that she has cancer despite nonnal medical workups and reassurance is an example of: a) somatic delusion b) cancer phobia c) conversion disorder d) rigid personality?? e) none of the above 103- All are benzodiazepines except: a) Diazepam b) Pimazide c) Chloriazepoxide d) Lorazipam e) Nitrazepam pg.374 104- In documenting the mental status examination all are reported except: a) Appearance b) Behaviour c) Speech d) Sleep pattern e) Mood and affect 105- Which of the following is a neuroleptic drud? a) Thioridazine b) Amitriptiline c) Naloxone d) Triozolam e) Imipramine 106- Which of the following is a depot neuroleptic? a) nemozid b) Fluphenazine c) Sulpride d) Trifluoperazine e) Thioridazine 107- All of the following are true regarding delerium except: a) clouding of consiousness b) abrupt onset and fluctuating course c) presence of organic cause d)incoherelltspeech e) ????? 108- All ofthe following are forms of behavioral therapy except: a) systemic desinsitization b) gradual exposure c) flooding d) counsling e) exposure with response prevention pg.375 109- All of the following are TCAs except: a) Imipramie b) Maprotilene c) Amytriptiline d) Clomipramine e) Doxipin 110- All of the following are complications of tardive dyskinesia except: a) Early complication of neuroleptic treatment b) gets worse on reducing the dose of neuroleptic c) Bucco-lingual-masticatorymovements are the commonest d) chorioathetosis movement of the lower limbs can be found e) Temporary relief can be achieved by increasing the dose ofneuroleptics 111- Which of the following is the least likely to cause hypertensive crisis when taken with MAO inhibitors? a) cheese b) liver c) fresh milk d) narcotics analgesia e) L-dopa 112- According to dopamine theory of schizophrenia, wich of the following dopaminergic pathways is thought to be abnormal? a) Tuburo-Infundibular pathway b) Meso-limbic pathway c) Nigro-strial pathway 113- A patient believes reasonable doubt that his parents are talking about him when they are not, but actually talking about furnishing the flat. This phenomena is best described as: a) delusion of reference b) visual misinterpretation c) auditory misinterpretation d) loose association e) cataplexy pg.376 114- Which of the following neurolcptics is a long acting drug? a) Thioridazine b) Fluphenazine c) chI oropromazine d) Haloperidol 115- All are false about obsessive thought except: a) characteristic ofscizophrenia b) more common in young males c) It is a form offear from death d) It is a fear of going into open space 116- All are true about phobia except: a) Irrational fear b) Leads to avoidance c) specific anxiety d) Response is out of proportion to stimulus e) Can be reasoned out 117- 28 year old male presented to ER with MAO hypertensive crisis, the management may include all the following excepl: a) Admission b) Low tyramine diet for the first week c) ?? d)?? 118- Primary gain in conversion hysteria refers to: a) reduction. of anxiety. b) gaining 0 f attention of the family c) Reduction of work responsibility 119- Depressive symptoms that predict good response to ECT include all except: a) psychiatric retardation b) hysterical symptoms c) ??? e) ??? pg.377 120- Drug dependence, abuse, clinical clonidine is indicated in: a- Management of opiate dependence bcde- Management Management Management Management of cannable abuse of barbiturates dependence of alcohol dependence of amphetamine intoxication 121- All are true about disulfiram (antiabuse) therapy, except: a) Alters he ction of aldehyde dehydrogenase b) Administration needs the cooperation of the patient c) Headache , N/V may be produced by the ingestion of even small amounts of alcohol d) Usually its good used against the patient's wish e) Disulfiram alters the conversion of acetaldehyde to acetate 122- All are signs and symptoms of alcohol withdrawal except: a) bradycardia b) fever c) increased REM sleep d) ?? e ?? 123- Characteristic symptoms of hypomania include all except a) pressure of speech b) disinhibition c) circumstantiality d) euphoria e) irritability 124- An employee is known to be perfectionist, was promoted to a post with great responses but he consequently developed depression, his basic personality is most notably a) paranoid b) narcissistic c) schizoid d) obsessive e) hysterical pg.378 125- All of the following are treatable causes of dementia except: a) senile dementia of Alzheimer's disease b) dementia associated with alcoholism 126- All predict good prognosis inn schizophrenia except: a) b) c) d) e) Acute onset Precipitating factors Presence of affective and convulsion symptoms Negative family history of schizophrenia Apathy 127- All arc true regarding malignant neuroleptic syndrome except: a) muscle rigidity b) hyperthermia c) unstable blod pressure d) typically responds to anti-halluclgens e) Maybe fatal ifnot treated 128- Benzodiazepens have the following effects except: a) antiphychiatrtc b) muscle relaxation c) anticonvulsant d) anxiolytic e) hypnotic 129- All are short term effects ofMarguana use except: a) Disinhibition b) intact perception c) mouth dryness d) markedly increased appetite 130- The mechanism ofbenzodiazepines actin: a) enhacing GABA b) affects dopamine c) affects serotonin pg.379 131- One is not a side effect of phenothiazines: a) urinary frequency b) amenohhrea c) cholestatic jaundice d) tardive dyskinesia 132- One is not a symptom of schizophrenia: -Cognitive impairment 133- One is wrong about delirium: -usually irreversible 134- Definition of primary enuresis: -a child has no active control on micturation 135- 10 yrs alcoholic brought to ER by family, has restlessness, ataxia, nystagmus, Dx is: -korsakoff psychosis -wernick's encephalitis 136- Mitral valve prolapsed is associated with which psychiatric disorder: -panic attacks 137- Clonidine is used for detoxification of - opiates 138- Paranoid schizophrenia resembles effect produced by: - Both amphetamines, LSD 139- Alcohol withdrawal symtoms all except: Bradycardia 140- A connnon psychiatric disorder in children is: ADHD 141- Projection is a defense mechanism seen in which personality? Paranoid 142- School phobia: separation anxiety pg.380 143- Commonest cause of mental retardation: chromosomal abnormality 144- Panic attacks are prevented by: TCA,BDZ 145- Shneiders criteria for schizophrenia except: poverty of thoughts 146- All can cause depression except: LiC03 147- MOAI takers should avoid food with: tyramine 148- All are indications fur ECT except: Agarophobia 149- All are correct about drug dependence except more in schizoid personality 150- All are correct about cocaine toxicity except: causes hypothermia 151- Briquet's syndrome: multiple somatic complaints without physical baisis 152- What is wrong about alcohol: 50-80% is the (oxic level in blood 153- The most helpful symptom to differentiate schizophrenia from delusion is: fluctuation of level of consciousness 154- One is wrong about delirium: more common in young people 155- One is incorrect about school phobia: more common in girls than boys pg.381 156- One is correct about anxiety disorder: has genetic predisposition 157- One is not a fature of schizophrenia: cloudiness of the level of consciousness 158- One is wrong about down syndrome: has lower incidence of leukemia 159- All goes with dx of depression except: flight of ideas 160- All arc incJuded in cognition test except: a) concentration b) orientation c) reasoning d) motivation 161- In the treatment of Parkinson all are bcbeficia! except: a) anticholinergic b) dopaminergic c) choline esterase inhibitors 162- In depression the patient will have a preferable response to ECT ifhe has: a) anorexia b) weight loss c) diumal variation d) ?? e)?? 163- All are indications of real intention of selt garm except: a) writing a will b) suicidal thougit c) anger when rescued d) recent marriage e) low self esteem pg.382 164- Which will mostly support the dx of schizophrenia? a) depressed mood b) grandiose delusion c) feeling of being controlled by external powers d) auditory hallucinations praising self 165- All are true obsessions except: a) usually pleasing b) can be resisted c) may come in the form of impulse 166- A bad prognostic factor in schizophrenia: predominance of -ve symptoms 167- Not a characteristic of panic disorder: usually arisen from a trigger 168- Not type of delusion found in severe depression: delusion of imposition 169- Not a characteristic of mania: hypochondriasis 170- Almost diagnostic of schizophrenia: paranoid delusions 171- False about serotonin neurotransmitter: its deficiency in substantia nigra causes Parkinson 172- All are risk factors for suicide except: being a female 173- Depression in elderly, all true except: old people are more experienced so less susceptible to committing suicide 174- One responds best to anticholinergics: dystonia pg.383