Psychiatry - Module15C 2026 Ratio

A. Dopamine

Pharmacologic inhibition of this hormone may result in hyperprolactinemia:

A. Dopamine

B. Melatonin

C. Prolactin

D. Insulin

C. Estrogen

This hormone has mood-enhancing properties and can increase sensitivity to serotonin possibly by inhibiting monoamine oxidase:

A. Prolactin

B. Testosterone

C. Estrogen

D. FT3

B. Hypothyroidism

Symptoms of depression such as sluggishness, appetite changes, fatigue and decreased libido may be due to:

A. Hyperprolactinemia

B. Hypothyroidism

C. Hypoglycemia

D. Hyperthyroidism

C. Melatonin

Derived from serotonin molecule, this pineal hormone is most associated with sleep cycles:

A. Dopamine

B. Insulin

C. Melatonin

D. Prolactin

A. Cortisol

This hormone is lowest during the onset of sleep and highest in the morning:

A. Cortisol

B. Growth Hormone

C. Thyroid stimulating hormone

D. Melatonin

B. Growth Hormone

Levels of this hormone surge during deep sleep:

A. Melatonin

B. Growth Hormone

C. Cortisol

D. Thyroid stimulating hormone

B. Melatonin

This hormone is secreted at night and terminates on retinal stimulation by sunlight:

A. Growth Hormone

B. Melatonin

C. Thyroid stimulating hormone

D. Cortisol

A. NREM Stage 3 and 4

A person is noted to be crying and shouting in his sleep as if having a nightmare, but when he is finally awakened, he is disoriented and cannot recall his dream. It is likely that this person was in this stage of sleep when he was dreaming:

A. NREM Stage 3 and 4

B. REM

C. NREM Stage 1

D. NREM Stage 2

A. REM

A person is dreaming but is aware that he is asleep, and tries to awaken. He tries to move his arms and legs, but he cannot. Most likely, he/she is in this stage of sleep:

A. REM

B. NREM Stage 2

C. NREM Stage 3 and 4

D. NREM Stage 1

D. NREM Stage 3 and 4

In this stage of sleep, dreaming is lucid and purposeful, but is usually unrecalled:

A. NREM Stage 2

B. REM

C. NREM Stage 1

D. NREM Stage 3 and 4

D. Object Relations

How mother lovingly nurtures or abuses a child will affect this ego function later on in life.

A. Reality Testing

B. Defense Mechanisms

C. Secondary Autonomous Ego Function

D. Object Relations

C. Control of Instinctual Drives

An 8- year- old boy is angry and frustrated for not being allowed to play on his computer and starts shouting and kicking his father is indicative of a problem in this ego function.

A. Relation to reality

B. Primary Autonomous Ego Function

C. Control of Instinctual Drives

D. Judgment

D. Judgment

A latency child who knows what is right and wrong, when tempted to steal money from his mother’s wallet, did not do so knowing that there are consequences to such wrongdoing. What ego function is responsible for this capacity?

A. Regulation of Instinctive Drives

B. Synthetic Function of the ego

C. Relation to reality

D. Judgment

D. Relation to Reality

A mad man who hears voices and falsely believes he is being hunted down by the NBI. What ego function is poorly developed in this kind of person?

A. Object Relations

B. Judgment

C. Control of instinctual drives

D. Relation to Reality

C. Conscious

It is the part of the mind in which perceptions coming from the outside world or from within the body or mind are brought into awareness

A. Unconscious

B. Preconscious

C. Conscious

D. Postconscious

B. Preconscious

Composed of mental events and contents that can be brought into awareness by the act of focusing attention

A. Unconscious

B. Preconscious

C. Conscious

D. Postconscious

A. Unconscious

This part of the mind has no concept of time and represents wishes

A. Unconscious

B. Preconscious

C. Conscious

D. Postconscious

B. Ego

Logical thinking, verbal expression, executive organ of the psyche

A. Id

B. Ego

C. Ego Ideal

D. Superego

A. Id

Present at birth where the unorganized instinctual drives ruled by pleasure principle

A. Id

B. Ego

C. Ego Ideal

D. Superego

D. Superego

Provides ongoing scrutiny of one’s behavior, thoughts & feelings based on standards

A. Id

B. Ego

C. Ego Ideal

D. Superego

D. Anticipation

When a medical student has an evaluation exam in 2 weeks, she will not go out with her friends or her family but instead will start reviewing all her notes and memorize formulas in biochemistry. What defense mechanism is she applying in this situation?

A. Sublimation

B. Asceticism

C. Suppression

D. Anticipation

B. Peter, 21, worries that he may not pass his exam unless he finishes reading his textbook

Of the following vignettes, which is MOST likely to be an example of everyday worry

A. Alice, 12, is worried that the white rabbit will never bring her back to wonderland

B. Peter, 21, worries that he may not pass his exam unless he finishes reading his textbook

C. Agatha, a medical student, worries that her seatmates are plotting to murder her

D. Ted, who experiences a panic attack each time he enters an elevator, airplane, or similar enclosed space

D. Sexualization

Riding in a crowded jeep at the height of rush hour, a male passenger’s hand brushed against the girl’s breast both when he gave his payment and got the change; she began to think that the man had a crush on her. What defense mechanism is she using to understand what happened?

A. Distortion

B. Externalization

C. Displacement

D. Sexualization

D. Narcissistic

Defense mechanisms such as denial, distortion, projection, splitting are classified as:

A. Mature

B. Immature

C. Neurotic

D. Narcissistic

A. Controlling

Gina has a 6 month old baby. She is constantly afraid that her baby will get hurt. Because of this she EXCESSIVELY and constantly alters the child’s environment to minimize the risk. Despite being reassured by her husband, she still worries and regularly reorganizes things and when she does her anxiety is briefly relieved. This is an example of:

A. Controlling

B. Isolation

C. Normal behavior

D. Rationalization

B. Immature

Defense mechanisms such as acting out, blocking, introjection are classified as:

A. Neurotic

B. Immature

C. Mature

D. Narcissistic

A. Sublimation

It is best to divert one’s energies to creative writing, drawing or dance when one feels frustrated or disappointed. What type of defense mechanism would this be?

A. Sublimation

B. Acting out

C. Displacement

D. Reaction Formation

B. Neurotic

Defense mechanisms such as isolation, undoing, repression, reaction formation fall under this category:

A. Narcissistic

B. Neurotic

C. Mature

D. Immature

D. Forget about her and the break up for now so he can focus on studying; suppression

A law student has finals coming up next week, but he just broke up with his girlfriend of 7 years; what should he do to be able to study well for his finals and name the defense mechanism used.

A. Call and beg her not to leave him then bring her flowers and candies; undoing

B. Slap her and force her to get back with him or threaten her; acting out

C. Crack jokes and tease her, laugh about it like nothing happened; denial

D. Forget about her and the break up for now so he can focus on studying; suppression

C. Mature

Altruism, asceticism, sublimation and the like are what type of defense mechanism:

A. Neurotic

B. Immature

C. Mature

D. Narcissistic

D. Humor

Whenever faced with anxiety provoking situations, Joseph uses jokes, funny vignettes, and laughter to minimize any discomfort. By doing so, he confronts issues with grace and joy. The defense mechanism that BEST conforms to this is:

A. Asceticism

B. Repression

C. Undoing

D. Humor

C. Dissociation

A neurotic defense mechanism that allows for a temporary drastic modification of one’s character eg. Fugue, trance, etc.

A. Sexualization

B. Isolation

C. Dissociation

D. Suppression

C. Displacement

George is scolded by his dad and takes this scolding quietly and sullenly. Once out of sight of his father, George takes out his anger and frustration by kicking his dog. This is an example of:

A. Controlling

B. Dissociation

C. Displacement

D. Humor

C. Hypochondriasis

Eleanor is always worried about being sick. At the slightest hint of physical discomfort, she worries that she might be getting a severe illness. Because of this she frequently goes to emergency rooms or doctors’ offices to be checked. This is an example of what form of defense mechanism:

A. Somatization

B. Schizoid fantasy

C. Hypochondriasis

D. Projection

D. Acting out

Mary, a teenage girl, feels a lot of anger towards her parents. Because of this she frequently lashes out and rebels against her parents. She smokes, goes out without permission, and steals money. This immature defense mechanism is:

A. Passive aggressive

B. Humor

C. Regression

D. Acting out

C. Splitting

Jonathan has been diagnosed with borderline personality disorder. He is only able to see people as either all good or all bad. He can only see people as being either nurturing and loving or horrible monsters, This is an example of:

A. Wit

B. Identification

C. Splitting

D. Introjection

D. Distortion

Hallucinations, grandiose delusions, are triggered as a defense mechanism whenever a person encounters a severely anxiety provoking situation:

A. Denial

B. Normal behavior

C. Projective identification

D. Distortion

D. Blocking

Carol works with her ex-boyfriend every day. She feels anger, resentment, and distrust towards him. However during work hours, she sets these feelings aside temporarily to allow her to function well and minimize any discomfort.

A. Regression

B. Splitting

C. Idealization

D. Blocking

D. Rationalization

A politician accused of malversation of government funds and claims that he diverted it for emergency use during the pandemic. What defense mechanism is used to justify his actions?

A. Intellectualization

B. Denial

C. Humor

D. Rationalization

B. Asceticism

Individuals that utilize fasting and abstinence to lessen their discomfort at the uncertainty of the future use this defense mechanism:

A. Introjection

B. Asceticism

C. Splitting

D. Denial