Psych SE Samplex

This includes the patient's ethnic, national and religious tradition, where he lives and seeks assistance.
a. Personal history
b. Medical history
c. Family history
d. Social history

C. Family history

Also commonly known as "speaking in tongues”
a. Derailment
b. Glossophagia
c. Glossolalia
d. Clang association

C. Glossolalia

This functioning allows for identifying problems, generating solutions, evaluating effectiveness in work:
a. Sensory/motor functioning
b. Executive functioning
c. Visuoperceptual functioning
d. Memory functioning

B. Executive functioning

The patient expressed to his doctor that she dreaded pain:
a. Xenophobia
b. Agoraphobia
c. Algophobia
d. Ailurophobia

C. Algophobia

"In what city are we in?"
a. Orientation
b. Concentration
c. Alertness
d. Memory

A. Orientation

An example of an objective personality test.
a. 16PF
b. Rorschach
c. TAT
d. Millon

A. 16PF

The following is available in most hospitals but is rarely used to study the brain:
a. SPECT
b. MRI
c. fMRI
d. MRS

D. MRS

The patient admits illness and recognizes symptoms are due to irrational feelings but does NOT apply that knowledge:
a. Complete denial
b. Intellectual insight
c. Slight awareness
d. True emotional insight

B. Intellectual insight

The patient moves in a slow, relaxed manner:
a. Affect
b. Appearance
c. Psychomotor activity
d. Mood

C. Psychomotor activity

This covers the mother-infant relationship, feeding problems, duration of pregnancy:
a. Early childhood
b. Middle childhood
c. Adolescence
d. Late childhood

A. Early childhood

The patient's motor activity is slowed:
a. Hypokinesia
b. Bradykinesia
c. Normal
d. Hyperkinesia

B. Bradykinesia

The patient attended couples therapy, family therapy, and took medications outpatient:
a. HPI
b. Past medical history
c. Past psychiatric history
d. Chief complaint

C. Past psychiatric history

This neuroimaging is the principal tool in sources of neurotoxicity associated with alcoholism:
a. MRI
b. MRS
c. PET
d. SPECT

A. MRI

Asking a patient to repeat 6 digits forward and backward tests:
a. Concentration
b. Recent memory
c. Immediate memory
d. Remote memory

C. Immediate memory

The interviewer jotted down a comprehensive picture of events leading to current situation:
a. HPI
b. Military history
c. Anamnesis
d. Social history

A. HPI

The doctor asks the patient to say the alphabet backward:
a. Fund of knowledge
b. Concentration
c. Immediate memory
d. Long-term memory

B. Concentration

The patient believes his thoughts are being livestreamed:
a. Delusion of reference
b. Thought broadcasting
c. Auditory hallucination
d. Visual hallucination

B. Thought broadcasting

The examiner wants to find out if the patient is lying:
a. TAT
b. Achenbach
c. MMPI
d. Beck Depression Scale

C. MMPI

Tests appreciation of metaphor, hypothesis, deeper meaning:
a. Concrete thinking
b. Intellectual insight
c. Abstract thinking
d. Preoperational thinking

C. Abstract thinking

Responses scored by content category (human, animal, food, etc.):
a. TAT
b. Rorschach
c. MMPI
d. WAIS

B. Rorschach

Separation anxiety and school phobia are associated in adulthood with:
a. ADHD
b. Depression
c. Antisocial personality disorder
d. Schizophrenia

B. Depression

20 stimulus cards with scenes of varying ambiguity:
a. TAT
b. Sentence completion test
c. MMPI
d. IQ tests

A. TAT

Elderly female with depression → difficulty concentrating → test showed meningioma:
a. EEG
b. MRI
c. Skull X-ray
d. EMG

B. MRI

Lithium toxicity may manifest when serum levels are:
a. 1.2 mEq/L
b. >1.4 mEq/L
c. 0.5 mEq/L
d. <1 mEq/L

B. More than 1.4 mEq/L

Part of history elicited from patient and others due to varying descriptions of households:
a. Personal history
b. HPI
c. Social history
d. Family history

D. Family history

Loose associations point to:
a. Depression
b. Schizophrenia
c. ADHD
d. Anxiety

B. Schizophrenia

Interviewer instructs patient to construct a story:
a. MCMI
b. Rorschach
c. Sentence completion
d. TAT

D. TAT

Competitive for exclusive possession of mother; rivalry with father occurs age:
a. 6–10
b. 10–13
c. 3–5
d. 1–3

C. 3–5 years old

Replies are restricted, concrete, unelaborated:
a. Poverty of speech
b. Increased latency
c. Blocking
d. Poverty of content

A. Poverty of speech

Carbamazepine (mood stabilizer) may cause:
a. Lithium toxicity
b. SIADH
c. Hepatic necrosis
d. MAOI hypertensive crisis

B. SIADH

Consistent and affectionate maternal behavior leads to:
a. Initiative
b. Trust
c. Autonomy
d. Identity

B. Trust

Preoccupied about financial losses & suicidal thoughts → part of:
a. Mood
b. Sensorium
c. Content of thinking
d. Form of thinking

C. Content of thinking

EEG is used to:
a. Check perfusion
b. Identify SOL
c. Diagnose stroke
d. Localize seizure foci

D. Localize seizure foci

Fixed repetitive pattern of action and speech:
a. Mannerism
b. Catatonia
c. Stereotypy
d. Automatism

C. Stereotypy

Headbanging, body rocking, separation anxiety occur in:
a. Early childhood
b. Late childhood
c. Middle childhood
d. Adolescence

A. Early childhood

Harmonious responsiveness between doctor and patient:
a. Empathy
b. Rapport
c. Transference
d. Countertransference

B. Rapport

Renal function tests include:
a. CBC
b. BUN & Cr
c. HBV
d. AST/ALT

B. BUN & Cr

Most important task in psychiatric interview:
a. Reassure
b. Diagnose
c. Give advice
d. Establish rapport

D. Establish rapport

In Sentence Completion Tests:
a. Stimuli obvious
b. Interpretation unsupported by research
c. Not widely accepted
d. Objective test

B. Interpretation unsupported by research

Patient dresses unusually, strange appearance:
a. Religious delusion
b. Somatic hallucination
c. Stereotyped behavior
d. Bizarre behavior

D. Bizarre behavior

Suicidal ideation last year is part of:
a. PMH
b. FH
c. Developmental history
d. Past psychiatric history

D. Past psychiatric history

Uttered first word, identified sex, disciplined by parents (stage):
a. Late childhood
b. Middle childhood
c. Prenatal/perinatal
d. Infancy/early childhood

D. Infancy and early childhood

History of injecting drugs in new cases of Hep C:
a.

50%
d. 20%

Rare, potentially fatal consequence of antipsychotics:
a. Muscle injury
b. Neuroleptic malignant syndrome
c. Adrenal disease
d. Valproate toxicity

B. Neuroleptic malignant syndrome

High dopamine release in schizophrenia positive symptoms shown in:
a. CT
b. Skull X-ray
c. MRI
d. PET

D. PET

Comprised of 11 subtests (6 verbal, 5 performance):
a. Wechsler Intelligence Scale
b. Millon
c. BPRS
d. Hamilton

A. Wechsler intelligence scale

Used in panic patients with cardiac symptoms:
a. Evoked potential
b. Holter monitoring
c. Mitral valve prolapse
d. Polysomnography

B. Holter monitoring

Stranger anxiety emerges at:
a. 4 months
b. 8 months
c. 2 months
d. 6 months

B. 8 months

SIGECAPS is for:
a. Alcohol dependence
b. Mania
c. Depression
d. Dementia

C. Depression

Checking, cleaning, rituals, organizing:
a. Mood symptoms
b. Anxiety symptoms
c. Manic symptoms
d. Psychotic symptoms

B. Anxiety symptoms

1. WAIS is:
   a. Cognitive test
   b. Imaging test
   c. Self-administered test
   d. Projective test

a. Cognitive test

2. To differentiate the EEG in dementia vs. Depression:
   a. Normal in depression
   b. Spikes in dementia
   c. Saw-tooth in dementia
   d. Slowed in depression

a. Normal in depression

3. MRI shows medial temporal lobe atrophy:
   a. Depression
   b. PTSD
   c. Schizophrenia
   d. Dementia

d. Dementia

4. Craniocerebral trauma, tumors, seizures are part of:
   a. Family history
   b. Fantasies
   c. Personal history
   d. Medical history

d. Medical history

5. Flu-like symptoms → rapidly progressive fatal liver failure with anxiety:
   a. Pneumonia
   b. Hepatitis B
   c. Hypertension
   d. Diabetes

b. Hepatitis B

6. Filling memory gaps with invented stories:
   a. Deja entendu
   b. Confabulation
   c. Deja vu
   d. False memory

b. Confabulation

7. Understanding reality + motivation to change:
   a. True emotional insight
   b. No insight
   c. Shallow insight
   d. Intellectual insight

a. True emotional insight

8. Inflated appraisal of talents, powers, abilities:
   a. Remorse
   b. Hostility
   c. Suspiciousness
   d. Grandiosity

d. Grandiosity

9. After rehab, outpatient self-help group:
   a. RAPSA
   b. SA
   c. AA
   d. CAGE

c. AA

10. “Who was your grade 4 teacher?” tests:
    a. Immediate recall
    b. Remote memory
    c. Recent memory
    d. Recent past memory

b. Remote memory

11. “I believe I am being plotted against.”
    a. SCT
    b. MCMI
    c. TAT
    d. MMPI

d. MMPI

12. Words/actions assume power → like preoperational child:
    a. Autistic thinking
    b. Illogical thinking
    c. Formal thought disorder
    d. Magical thinking

d. Magical thinking

13. Friends, interests, relationships are under:
    a. Adult sexuality
    b. Past psychiatric history
    c. Social activity
    d. Family history

c. Social activity

14. Unable to relate to interviewer:
    a. Somatic concern
    b. Emotional withdrawal
    c. Anxiety
    d. Guilt feelings

b. Emotional withdrawal

15. Patient history is part of:
    a. Psychiatric interview
    b. Medical history
    c. Mental status exam
    d. Physical exam

a. Psychiatric interview

16. 10 inkblots as stimuli:
    a. MMPI
    b. WAIS
    c. TAT
    d. Rorschach

d. Rorschach

17. Brief screening for alcohol problems (mid-70s):
    a. CAGE
    b. BPRS
    c. Beck Depression Scale
    d. PTSD scale

a. CAGE

18. Diminished ability to understand reality:
    a. True emotional insight
    b. Intellectual insight
    c. No insight
    d. Partial insight

c. No insight

19. Later childhood history includes:
    a. Thumb sucking
    b. Social relationship
    c. Toilet training
    d. Nightmares

b. Social relationship

20. Loss of interest, guilt, poor concentration:
    a. Attention deficit
    b. Anxiety
    c. Mood symptoms
    d. Psychotic symptoms

c. Mood symptoms

21. Executive function is in:
    a. Temporal lobe
    b. Prefrontal lobe
    c. Occipital lobe
    d. Parietal lobe

b. Prefrontal lobe

22. Exaggerated retention and recall:
    a. Eidetic image
    b. Screen memory
    c. Hypermnesia
    d. Paramnesia

c. Hypermnesia

23. Cannot fall asleep again after getting out of bed:
    a. Insomnia middle
    b. Insomnia early
    c. Normal sleep
    d. Insomnia late

a. Insomnia middle

24. NOT part of neurological exam:
    a. MSE
    b. CNS
    c. Motor system
    d. CT

d. CT

25. Psychomotor retardation:
    a. PTSD
    b. Depression
    c. Delirium
    d. Anxiety

b. Depression

26. Conners Rating Scale assesses:
    a. ADHD
    b. Psychosis in children
    c. Anxiety disorders in children
    d. Autism

a. ADHD

27. School adjustment, teacher relationships, extracurriculars:
    a. Middle childhood
    b. Late childhood
    c. Adolescence
    d. Early childhood

b. Late childhood

28. Drug requiring ECG due to conduction issues:
    a. Chlorpromazine
    b. TCA
    c. Carbamazepine
    d. Valproate

b. Tricyclic antidepressant

29. “That must have been difficult for you” shows:
    a. Countertransference
    b. Rapport
    c. Empathy
    d. Transference

c. Empathy

30. “Tell me in your own words what brings you here today?”
    a. Chief complaint
    b. HPI
    c. Identifying data
    d. Source & reliability

a. Chief complaint

31. “What would you do if you find a stamped envelope?” tests:
    a. Intelligence
    b. Information
    c. Judgment
    d. Insight

c. Judgment

32. Thoughts linked by sound of words:
    a. Derailment
    b. Clang association
    c. Dissonance
    d. Perseveration

b. Clang association

33. Unconscious displacement of feelings from past figures:
    a. Dissociation
    b. Transference
    c. Projection
    d. Countertransference

b. Transference

34. Odd repetitive movements, smiling, head tilting:
    a. Mannerism
    b. Habit
    c. Tension
    d. Posturing

a. Mannerism

35. Doctor asks if irritation is accurate observation:
    a. Appearance
    b. Speech
    c. Motor behavior
    d. Attitude

d. Attitude

36. Reduced intensity of emotional expression:
    a. Appearance
    b. Mood
    c. Insight
    d. Affect

d. Affect

37. MRI scans are:
    a. Better than CT for calcification
    b. Safe for pacemakers
    c. Same as CT
    d. For diagnosis & prognosis of Alzheimer’s

d. For diagnosis and prognosis of Alzheimer’s

38. Feeling environment is unreal or strange:
    a. Fugue
    b. Depersonalization
    c. Dissociation
    d. Derealization

d. Derealization

39. “Do you see strange things or hear voices?”
    a. Disorientation
    b. Hallucination
    c. Illusion
    d. Delusion

b. Hallucination

40. Laughing while discussing sad subjects:
    a. Common in mania
    b. Seen in schizophrenia
    c. Seen in anxiety
    d. Usual in depression

b. Seen in schizophrenia

41. Feelings/actions controlled by outside force:
    a. Delusion of reference
    b. Hallucination
    c. Delusion of mind reading
    d. Delusion of being controlled

d. Delusion of being controlled

42. Vocabulary of 200–300 words is normal at:
    a. 6 months
    b. 2 years
    c. 18 months
    d. Birth

b. 2 years

43. IV drug users at risk for bacterial infection need:
    a. Serum electrolytes
    b. LFTs
    c. FTA test
    d. CBC & blood cultures

d. CBC and blood cultures

44. Multiple jobs in 6 months (cannot relate at work):
    a. Psychosexual history
    b. Family history
    c. Social activity
    d. Occupational history

d. Occupational history

45. “When did you first notice something happening?”
    a. Chief complaint
    b. Identifying data
    c. HPI
    d. Personal history

c. HPI

46. Impairment in fluency, comprehension, repetition:
    a. Global aphasia
    b. Limb ataxia
    c. Conduction aphasia
    d. Wernicke’s aphasia

a. Global aphasia

47. Millon Clinical Multiaxial Inventory is:
    a. Projective test
    b. Neuro-imaging test
    c. Neuropsychological test
    d. Objective test

d. Objective test

48. “Tell me about your marriage… religion?”
    a. Family history
    b. Adulthood
    c. Personal history
    d. Adolescence

c. Personal history

49. Inflated appraisal of talents, powers (repeat):
    a. Remorse
    b. Hostility
    c. Suspiciousness
    d. Grandiosity

d. Grandiosity

50. “I feel my life is not worth living.”
    a. Medical history
    b. Identifying data
    c. Chief complaint
    d. Past psychiatric history

c. Chief complaint