PSYCH FINAL EXAM SAMPLEX

This is characterized by saw-tooth waves, theta activity and slow wave alpha activity:     a. Stage I     b. Wakefulness     c. REM sleep     d. Stage II

c. REM sleep

2. This is also called a multiple personality disorder:     a. Dissociative identity disorder     b. Dissociative fugue     c. Dissociative amnesia     d. Depersonalization

a. Dissociative identity disorder

3. In assessing the sleep pattern, the Non rapid eye movement comprises:     a. 25%     b. 45%     c. 12%     d. 5%

75%

4. The patient exhibited occasional unprompted smiling, infrequent lip movements and rhythmic head tilting:     a. Posturing     b. Habit     c. Mannerism     d. Tension

c. Mannerism

5. GAD is a pervasive condition in which the sufferer experiences:     a. Desire to check that the environment is safe     b. Fear of fear     c. Continual apprehension and anxiety about future events     d. Continual flashbacks to past events

c. Continual apprehension and anxiety about future events

6. The person recognizes that OCD beliefs are definitely or probably not true or they may not be true is said to have:     a. Delusional beliefs     b. With good or fair insight     c. Absent insight     d. Poor insight

b. With good or fair insight

7. When Mrs. G was experiencing pain from her cancer, she put aside her anxiety by joining family gathering:     a. Isolation     b. Suppression     c. Repression     d. Acting out

b. Suppression

8. This is built up through an explicit instruction and inculcation and is described as all those things that a person says or does to disclose himself or herself as having the status of a boy or man, girl or woman:     a. Sexual identity     b. Sexual orientation     c. Gender role     d. Gender identity

c. Gender role

9. The patient maintained the body position in which he was placed with slight resistance to movement:     a. Catalepsy     b. Waxy flexibility     c. Rigidity     d. Catatonia

b. Waxy flexibility

10. A patient experiencing post-traumatic stress disorder is most likely to re-experience the traumatic event through:     a. Repetition compulsions     b. Dissociative-like states     c. Hallucinations     d. Recurrent dreams or nightmares

d. Recurrent dreams or nightmares

11. The following refers to impotence:     a. Delayed ejaculation     b. Male erectile disorder     c. Dyspareunia     d. Premature ejaculation

b. Male erectile disorder

12. Patient was seen with sudden loss of muscle tone causing weakness and immobilization precipitated by an emotional state and followed by sleep:     a. Catalepsy     b. Catatonia     c. Cerea flexibilitas     d. Cataplexy

d. Cataplexy

13. The patient has a delusional belief that someone is deeply in love with her:     a. Delusion of control     b. De Clerambault syndrome     c. Delusion of reference     d. Delusion of grandeur

b. De Clerambault syndrome

14. This 8-year-old boy has episodes of rising from bed during sleep and walking about and he while sleep-walking has a blank staring face and could only be awakened with great difficulty. The following is true of this condition:     a. The sleepwalker often is unsuccessful in interacting with the environment     b. It persists into adulthood     c. It happens during REM sleep-walking     d. It usually disappears spontaneously after adolescence

d. It usually disappears spontaneously after adolescence

15. Sleep is typically scored according to the following except:     a. EMG     b. ECG     c. EEG     d. EOG

b. ECG

16. A standard set of 10 inkblots serves as stimuli for association:     a. Rorschach     b. WAIS     c. TAT     d. MMPI

a. Rorschach

17. The following is an antidepressant:     a. Valproic acid     b. Carbamazepine     c. Clozapine     d. Fluvoxamine

d. Fluvoxamine

18. The individual usually clenches the teeth during sleep:     a. Ekbom syndrome     b. Sleep-related bruxism     c. Jactatio capitis nocturna     d. Rhythmie du sommeil

b. Sleep-related bruxism

19. This depressed patient believes that the world and everything related to it have ceased to exist:     a. Delusion of control     b. Delusion of reference     c. Nihilistic delusional     d. Delusion of persecution

c. Nihilistic delusional

20. Unconscious filling of gaps in memory by imagining experiences or events that have no basis in fact, commonly seen in amnestic syndromes:     a. Delusion     b. Confabulation     c. Hallucination     d. Conversion

b. Confabulation

21. The patient described a crawling sensation of ants under his skin:     a. Nihilistic delusional     b. Delusion of control     c. Haptic hallucination     d. Lilliputian hallucination

c. Haptic hallucination

22. The child is convinced that he is male or female by:     a. 13-18 years old     b. 5-6 years old     c. 10-12 years old     d. 2-3 years old

d. 2-3 years old

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

b. Executive functioning

24. The result of the patient’s MRI showed evidence of medial temporal lobe atrophy which is seen in:     a. Dementia     b. Schizophrenia     c. PTSD     d. Depression

a. Dementia

25. Justifies one’s feelings, ideas or actions in a more acceptable light, hiding from one’s self and others, the actual negatively charged reasons for one’s actions:     a. Suppression     b. Introjection     c. Distortion     d. Rationalization

d. Rationalization

26. The wish to eat, sleep and reach that relaxation at the end of sucking:     a. Latency     b. Oral     c. Anal     d. Phallic

b. Oral

27. GAD stands for:     a. Generally anxious disorder     b. Global anxiety disorder     c. Generalized anxiety disorder     d. Genetic anxiety disorder

c. Generalized anxiety disorder

28. This defense mechanism is an expression of aggressive feelings in destructive actions:     a. Controlling     b. Acting out     c. Externalization     d. Undoing

b. Acting out

29. Indecisiveness, procrastination, and stereotyped behavior are most likely to be associated with patients who have:     a. Obsessive-compulsive disorder     b. Conversion disorder     c. Histrionic personality disorder     d. Somatization disorder

a. Obsessive-compulsive disorder

30. Mrs. C’s answers were oblique, digressive and irrelevant in which the central idea is not communicated:     a. Word approximation     b. Circumstantial     c. Verbigeration     d. Tangentiality

d. Tangentiality

31. A policeman who has demonstrated courage on more than one occasion while on duty is terrified of getting Covid-19 jab because he is afraid of needles:     a. PTSD     b. Simple phobia     c. Xenophobia     d. OCD

b. Simple phobia

32. The patient admits illness and recognizes that symptoms in social adjustment are due to irrational feelings or disturbances without applying that knowledge to future experiences:     a. True emotional insight     b. Complete denial of illness     c. Intellectual insight     d. Slight awareness of being sick and needing help but denying it at the same time

c. Intellectual insight

33. Patient recalls having gone on a date in the mall last week:     a. Immediate recall     b. Recent past memory     c. Remote memory     d. Recent memory

d. Recent memory

34. A 32-year-old housewife has been unable to leave her house unaccompanied for the past 6 months. She is overwhelmed by anxiety and fear that something terrible will happen to her and nobody will be there to help. The following may be given:     a. Selective serotonin re-uptake inhibitor     b. Lithium carbonate     c. Valproic acid     d. D2 receptor antagonist

a. Selective serotonin re-uptake inhibitor

35. Which of the following psychiatric illnesses is most common in patients who successfully commit suicide?     a. Schizophrenia     b. Major depressive disorder     c. Borderline personality disorder     d. Generalized anxiety disorder

b. Major depressive disorder

36. “Do you see strange things or hear strange voices?” is eliciting the following symptom:     a. Illusion     b. Disorientation     c. Hallucination     d. Delusion

c. Hallucination

37. His replies to questions are restricted in amount, concrete and unelaborated:     a. Poverty of speech     b. Blocking     c. Increased latency of response     d. Poverty of content of speech

a. Poverty of speech

38. Sleep-related groaning is called:     a. Cataplexy     b. Catathrenia     c. Catalepsy     d. Catatonia

b. Catathrenia

39. His replies to questions are restricted in amount, concrete and unelaborated:     a. Poverty of speech     b. Blocking     c. Increased latency of response     d. Poverty of content of speech

a. Poverty of speech

40. The patient believes that his feelings or actions are managed by some outside force:     a. Delusion of mind reading     b. Delusion of control     c. Delusion of reference     d. Hallucination

b. Delusion of control

41. Mr. E hated his boss but because his superego tells him that such hatred is unacceptable, he started to believe that his boss hates him:     a. Introjection     b. Projection     c. Passive-aggressive behavior     d. Reaction formation

b. Projection

42. The most common obsession in adults is:     a. Contamination     b. Sexual preoccupation     c. Hoarding     d. Checking

a. Contamination

43. This 19-year-old female sought consultation due to dream anxiety attacks which arouses her from sleep and this kept recurring after a traumatic harassment from a classmate. This characteristic nightmare usually occurs during:     a. Stage II     b. Stage I     c. REM     d. Stage III

c. REM

44. Because of the COVID pandemic, the patient developed fear of dirt and germs which is called:     a. Cynophobia     b. Ailurophobia     c. Mysophobia     d. Xenophobia

c. Mysophobia

45. To record the biophysiological changes that occur during sleep we request for:     a. Electromyography     b. Polysomnography     c. Electrooculogram     d. Sleep Electroencephalography

b. Polysomnography

46. Fear of cats is known as:     a. Hydrophobia     b. Ailurophobia     c. Acrophobia     d. Mysophobia

b. Ailurophobia

47. Which of the following is not a common motor symptom in conversion disorder?     a. Urinary retention     b. Impaired balance     c. Paralysis     d. Tics

d. Tics

48. “Tell me about your marriage… What role does religion play in your life?”     a. Family history     b. Adolescence     c. Adulthood     d. Personal history

d. Personal history

49. A 22-year-old male can’t remember three years of sexual abuse:     a. Conversion disorder     b. Dissociative amnesia     c. Somatic symptom disorder     d. Amnestic disorder

b. Dissociative amnesia

50. In the emergency room, the physician emphatically decided to admit a stab wound patient:     a. Informative model     b. Interpretive model     c. Paternalistic model     d. Deliberative model

c. Paternalistic model

One of the following is best given to a patient with generalized anxiety disorder on an as needed basis:     a. Escitalopram     b. Clonazepam     c. Lithium     d. Fluoxetine

b. Clonazepam

52. The subjective experience of emotion and has an outward manifestation:     a. Mood     b. Illusion     c. Orientation     d. Affect

d. Affect

53. PTSD symptoms include:     a. Flight of ideas     b. Hallucinations     c. Reliving a traumatic event     d. Worry over many different life events

c. Reliving a traumatic event

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

a. 16PF

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

a. HPI

56. Commonly known as the pleasure principle:     a. Conscience     b. Ego     c. Id     d. Superego

c. Id

57. The Obstetrician might insist on spinal anesthesia for delivery when the patient wants to experience a natural childbirth:     a. Informative model     b. Paternalistic model     c. Interpretive model     d. Deliberative model

b. Paternalistic model

58. This refers to understanding what the patient is thinking and feeling and the interviewer is able to put himself in the patient’s place and at the same time maintaining objectivity:     a. Countertransference     b. Transference     c. Rapport     d. Empathy

d. Empathy

59. A sense of shared decision making is established as the doctor presents and discusses alternatives, with the patient’s participation, to find the one that is best for the particular person:     a. Informative model     b. Deliberative model     c. Interpretive model     d. Paternalistic model

b. Deliberative model

60. The patient constantly begrudges others their successes or possessions, feeling she deserves better:     a. Schizotypal     b. Borderline     c. Histrionic     d. Narcissistic

d. Narcissistic

61. This comprises of 11 subtests made up of 6 verbal and 5 performance subtests:     a. Wechsler intelligence scale     b. Brief psychiatric rating scale     c. Millon Adolescent personality inventory     d. Hamilton rating scale

a. Wechsler intelligence scale

62. The patient is preoccupied about his financial losses and contemplates on ending his life:     a. Mood     b. Sensorium     c. Content of thinking     d. Form of thinking

c. Content of thinking

63. On physical examination the patient has female genitalia, short with a shield-shaped chest and a webbed neck with sex:     a. Congenital adrenal hyperplasia     b. Klinefelter’s syndrome     c. Turner’s syndrome     d. Androgen insensitivity syndrome

c. Turner’s syndrome

64. The patient says he has frightening visual images at sleep onset called:     a. Lilliputian hallucination     b. Catathrenia     c. Hypnopompic hallucination     d. Hypnagogic hallucination

d. Hypnagogic hallucination

65. The patient dresses in unusual manner and does strange things to her appearance:     a. Somatic hallucination     b. Religious delusion     c. Bizarre behavior     d. Stereotyped behavior

c. Bizarre behavior

66. The patient is having at least two distinct identities who are capable of controlling her behavior:     a. Dissociative amnesia     b. Dissociative identity disorder     c. Depersonalization     d. Derealization

b. Dissociative identity disorder

67. Which of the following is generally considered to be the standard for evaluating measures of sleep?     a. Polysomnography     b. EEG     c. Thyroid function test     d. Hgb and Hct assessment

a. Polysomnography

68. The patient had an increase in the amount of spontaneous speech which is rapid, loud and accelerated:     a. Preoccupation of speech     b. Poverty of content of speech     c. Uncontrolled speech     d. Pressured speech

d. Pressured speech

69. One of the following is not a circadian-rhythm sleep-wake disorder:     a. Shift work type     b. Delayed sleep phase type     c. Sleepwalking type     d. Advanced sleep phase type

c. Sleepwalking type

70. Pre-menstrual dysphoric disorder is under:     a. Mood disorder     b. Factitious disorder     c. Psychotic disorder     d. Anxiety disorder

a. Mood disorder

71. The Barangay staff arrested a man complained by neighbors as “peeping tom” as he hides behind the community bathroom where the women take a bath:     a. Scopophilia     b. Fetishism     c. Computer scatologia     d. Frotteurism

a. Scopophilia

72. Persons with this disorder concentrate their sexual activity on one part of the body to the exclusion of all others:     a. Necrophilia     b. Frotteurism     c. Fetishism     d. Partialism

d. Partialism

73. The patient says. “I don’t want to talk about it.”     a. Suppression     b. Blocking     c. Repression     d. Controlling

a. Suppression

74. Schizophreniform disorder is a:     a. Anxiety disorder     b. Psychotic disorder     c. Dissociative disorder     d. Mood disorder

b. Psychotic disorder

75. The patient believes that his thoughts are on live streaming and others can hear them:     a. Visual hallucination     b. Delusion of reference     c. Auditory hallucination     d. Thought broadcasting

d. Thought broadcasting

76. The patient has always been afraid of dogs and this condition is called:     a. Zoophobia     b. Mysophobia     c. Cynophobia     d. Ailurophobia

c. Cynophobia

77. The capacity to distinguish internal fantasy from external reality is termed as:     a. Adaptation to reality     b. Sense of reality     c. Psychotic reality     d. Reality testing

d. Reality testing

78. Asking a patient to repeat 6 digits forward then backward is a test for:     a. Immediate memory     b. Remote memory     c. Recent memory     d. Concentration

d. Concentration

79. A man is seen rubbing his penis against the buttocks of a fully clothes woman to achieve orgasm:     a. Partialism     b. Exhibitionism     c. Fetishism     d. Frotteurism

d. Frotteurism

80. The patient who was a victim of torture exhibited negative emotional state of fear, guilt and sadness, was diagnosed with PTSD and she persistently experiences the world as unreal, dreamlike, distant and distorted which you label as:     a. Depersonalization     b. Deja vu     c. Derealization     d. Multiple personality

c. Derealization

81. Adjustment disorder is classified under:     a. Stressor-related disorders     b. Psychotic disorders     c. Dissociative disorders     d. Depressive disorders

a. Stressor-related disorders

82. Fear if strangers is known as:     a. Homophobia     b. Mysophobia     c. Xenophobia     d. Zoophobia

c. Xenophobia

83. Psychomotor retardation may be seen in patients with:     a. Anxiety     b. Delirium     c. PTSD     d. Depression

d. Depression

84. The patient experiences sounds and voices that he alone could hear:     a. Disorientation     b. Hallucination     c. Delusion     d. Illusion

b. Hallucination

85. The patient’s mother described her daughter as constantly needing others to assume responsibility for most major areas of her life:     a. Dependent     b. Obsessive-Compulsive     c. Avoidant     d. Paranoid

a. Dependent

86. This is characterized by repetitive collapse of the upper airway during sleep and the individual has increased respiratory effort or airway occlusion usually occurring in males, middle age and obese with micrognathia:     a. Central Sleep apnea     b. Congenital alveolar hypoventilation     c. Cheyne-Stokes Breathing     d. Obstructive sleep apnea hypopnea

d. Obstructive sleep apnea hypopnea

87. During the oedipal stage, aggressive thoughts about the same sex parents are pushed down into the unconscious:     a. Blocking     b. Suppression     c. Isolation     d. Repression

d. Repression

88. This patient experienced a disproportionate and persistent thoughts about her symptoms and almost devoting excessive time to these health concerns:     a. Conversion disorders     b. Depersonalization disorder     c. Factitious disorders     d. Somatic symptom disorder

d. Somatic symptom disorder

89. Primary process thinking is a characteristic of the:     a. Preconscious     b. Unconscious     c. Subconscious     d. Conscious

b. Unconscious

90. This 39-year-old patient maintain that she has Covid 19 disease despite negative RTPCR test and appropriate reassurances from physicians to the point that she would search the internet about the feared disease, inferring the worst from information or information she finds there.     a. Factitious disorder     b. Conversion disorder     c. Somatic symptom disorder     d. Illness anxiety disorder

d. Illness anxiety disorder

91. A middle-aged man is chronically preoccupied with his health. For many years he feared that his irregular bowel function meant he had cancer. Now he is very worried about having a serious heart disease, despite his physician’s assurance that the occasional “extra beats” he detects when he checks his pulse are completely benign. Which is the most likely diagnosis?     a. Depersonalization disorder     b. Somatic symptom disorder     c. Illness anxiety disorder     d. Conversion disorder

c. Illness anxiety disorder

92. When we say that a patient has a delusion of reference, this is a:     a. Dissociative symptom     b. Anxiety symptom     c. Psychotic symptom     d. Depressive symptom

c. Psychotic symptom

93. Grossly reshaping the experience of external reality to suit inner needs including unrealistic megalomanic beliefs, superiority or entitlement:     a. Distortion     b. Acting out     c. Projection     d. Denial

a. Distortion

94. The physician acts as a friend to the patient, not just by presenting information but in actively advocating a particular course of action:     a. Deliberative model     b. Paternalistic model     c. Informative model     d. Interpretive model

a. Deliberative model

95. XY karyotype, appears to be a normal female at birth, raised as a girl but later found to have cryptorchid testes with minimal or absent internal sexual organs and the developing individual may have a range of anatomical structures and gender identities:     a. 5-alpha-reductase deficiency     b. Androgen insensitivity syndrome     c. Congenital adrenal hyperplasia     d. Turner’s syndrome

b. Androgen insensitivity syndrome

96. Dysthymia is classified as:     a. Psychotic disorder     b. Obsessive-compulsive and related disorder     c. Mood disorder     d. Anxiety disorder

c. Mood disorder

97. A 14 yr old boy says he is “pansexual” and this usually refers to:     a. Sexual orientation     b. Sexual identity     c. Gender identity     d. Gender role

a. Sexual orientation

98. Impaired thoughts, affective response, ability to recognize reality or communicate and relate to others:     a. Anxiety disorder     b. Personality disorder     c. Neurosis     d. Psychosis

d. Psychosis

99. Autonomous functions of the ego include the following except:     a. Intuition     b. Develops independently of intrapsychic conflict     c. Perception     d. Involved in the psychic conflict

d. Involved in the psychic conflict