PSYCH FE (AI)

1. A medical student who had a humiliating ward experience later dreams of entering a classroom with no uniform while everyone is watching. The remembered scene of the dream is called:     a. Manifest dream     b. Latent dream     c. Condensation     d. Displacement

a. Manifest dream

2. A patient’s unconscious wish appears in a dream as a safer, less threatening object. This mechanism is best called:     a. Free association     b. Displacement     c. Reality testing     d. Projection

b. Displacement

3. Which part of the mind serves as the bridge where unconscious material must be linked with words before becoming conscious?     a. Conscious     b. Unconscious     c. Preconscious     d. Superego

c. Preconscious

4. A patient’s slips of the tongue repeatedly reveal hidden resentment toward her mother. This is best explained as:     a. Secondary process thinking     b. Reality principle     c. Moral conscience     d. Freudian slip

d. Freudian slip

5. A hungry infant cries immediately and cannot wait for feeding. This behavior is most consistent with:     a. Id     b. Ego     c. Superego     d. Ego ideal

a. Id

6. Which structure of the psyche develops to delay gratification and mediate between instinctual drive and external reality?     a. Id     b. Ego     c. Superego     d. Moral conscience

b. Ego

7. A child feels guilty after lying even though nobody discovered the lie. The psychic structure most responsible is:     a. Id     b. Ego     c. Superego     d. Unconscious wish

c. Superego

8. Which of the following is NOT considered a primary autonomous ego function?     a. Perception     b. Language     c. Motility     d. Defense against drives

d. Defense against drives

9. The ability to distinguish internal fantasy from external reality is called:     a. Reality testing     b. Object relation     c. Synthetic function     d. Sense of reality

a. Reality testing

10. A patient feels detached from his body boundaries after severe stress. This reflects impairment in:     a. Adaptation to reality     b. Sense of reality     c. Superego function     d. Moral conscience

b. Sense of reality

11. The ego’s capacity to integrate different aspects of self and others into one consistent representation is:     a. Reality testing     b. Primary process thinking     c. Synthetic function     d. Projection

c. Synthetic function

12. The ego ideal mainly contains:     a. Forbidden social behaviors     b. Primary instinctual drives     c. Pure unconscious wishes     d. Parental standards for good behavior

d. Parental standards for good behavior

13. Freud’s death drive is most closely inferred from:     a. Repetition compulsion     b. Free association     c. Dream condensation     d. Moral conscience

a. Repetition compulsion

14. The drive associated with libido, survival, cooperation, and procreation is:     a. Thanatos     b. Eros     c. Superego anxiety     d. Regression

b. Eros

15. A patient says whatever comes to mind during therapy but suddenly avoids thoughts about his father. This resistance occurs during:     a. Hypnosis     b. Dream analysis     c. Free association     d. Reality testing

c. Free association

16. A patient begins treating the psychiatrist like a critical father despite no evidence that the psychiatrist behaves that way. This is:     a. Countertransference     b. Empathy     c. Intellectual insight     d. Transference

d. Transference

17. The therapist becomes unusually irritated toward a patient and later realizes this reaction may reveal how others experience the patient. This is:     a. Countertransference     b. Transference neurosis     c. Free association     d. Latent dream

a. Countertransference

18. A patient in analysis becomes more focused on anger toward the analyst than on the original complaint. This recreation of the patient’s original conflict is:     a. Transference psychosis     b. Transference neurosis     c. Self-object transference     d. Acting out

b. Transference neurosis

19. A patient in therapy loses reality testing and begins to believe the analyst is literally part of himself. This is most consistent with:     a. Libidinal transference     b. Transference of defense     c. Transference psychosis     d. Mature mirror transference

c. Transference psychosis

20. In Kohut’s mirror transference, the therapist mainly represents:     a. The moral conscience     b. A forbidden object     c. The anal sadistic impulse     d. The grandiose self

d. The grandiose self

21. The stage where the mouth is the main focus of libidinal gratification is:     a. Oral stage     b. Anal stage     c. Phallic stage     d. Latency stage

a. Oral stage

22. Excessive dependence, demandingness, and unrealistic optimism are most associated with fixation in the:     a. Anal stage     b. Oral stage     c. Genital stage     d. Latency stage

b. Oral stage

23. Toilet training conflict, autonomy, shame, and self-control are central in the:     a. Oral stage     b. Phallic stage     c. Anal stage     d. Genital stage

c. Anal stage

24. A person who is self-indulgent, messy, and disorganized is classically described as having:     a. Oral fixation     b. Phallic fixation     c. Genital fixation     d. Anal expulsive traits

d. Anal expulsive traits

25. A clerk is extremely orderly, stubborn, frugal, and rigid about rules. This is most consistent with:     a. Anal retentive traits     b. Oral receptive traits     c. Genital maturity     d. Urethral fixation

a. Anal retentive traits

26. Castration anxiety and penis envy are most associated with which psychosexual stage?     a. Oral     b. Phallic     c. Latency     d. Genital

b. Phallic

27. The successful outcome of the Oedipus complex involves:     a. Projection     b. Regression     c. Identification     d. Acting out

c. Identification

28. During latency, libidinal and aggressive energies are mainly redirected toward:     a. Immediate oral gratification     b. Genital sexuality     c. Delusional fantasy     d. Learning and play

d. Learning and play

29. Psychological detachment from parents and mature object relations are key goals of the:     a. Genital stage     b. Anal stage     c. Oral stage     d. Latency stage

a. Genital stage

30. A person unconsciously attributes his own hostility to another and believes, “He is angry at me.” This defense is:     a. Denial     b. Projection     c. Introjection     d. Suppression

b. Projection

31. A patient refuses to accept an obvious terminal diagnosis despite repeated explanations and evidence. This defense is:     a. Distortion     b. Sublimation     c. Denial     d. Acting out

c. Denial

32. A patient believes he is destined to rule the world despite no evidence, reshaping reality to fit inner needs. This is:     a. Repression     b. Isolation     c. Suppression     d. Distortion

d. Distortion

33. Acting on an impulse to avoid directly feeling the emotion is:     a. Acting out     b. Intellectualization     c. Humor     d. Anticipation

a. Acting out

34. A student angry at her professor goes home and throws her books across the room instead of discussing the issue. This is best classified as:     a. Suppression     b. Acting out     c. Altruism     d. Asceticism

b. Acting out

35. An employee angry at his supervisor repeatedly submits reports late but says, “I forgot.” This is:     a. Projection     b. Denial     c. Passive-aggressive behavior     d. Sublimation

c. Passive-aggressive behavior

36. A patient suddenly stops speaking in the middle of describing an upsetting event and appears unable to continue the thought. This is:     a. Tangentiality     b. Circumstantiality     c. Confabulation     d. Blocking

d. Blocking

37. A patient internalizes the traits of an admired mentor to feel close to him after separation. This is:     a. Introjection     b. Projection     c. Regression     d. Somatization

a. Introjection

38. A hospitalized adult becomes childlike, demanding, and dependent after surgery. This is:     a. Repression     b. Regression     c. Suppression     d. Reaction formation

b. Regression

39. A patient copes with loneliness by repeatedly presenting bodily complaints and mild illness concerns. This immature defense is:     a. Sublimation     b. Rationalization     c. Hypochondriasis     d. Humor

c. Hypochondriasis

40. A person retreats into elaborate fantasies to solve conflicts and obtain gratification. This is:     a. Displacement     b. Intellectualization     c. Altruism     d. Schizoid fantasy

d. Schizoid fantasy

41. Psychic distress converted into bodily symptoms is:     a. Somatization     b. Projection     c. Denial     d. Displacement

a. Somatization

42. A resident tightly manages every detail of group work because uncertainty makes him anxious. This defense is:     a. Externalization     b. Controlling     c. Altruism     d. Repression

b. Controlling

43. A clerk scolded by his boss later shouts at a harmless cashier. This is:     a. Reaction formation     b. Denial     c. Displacement     d. Suppression

c. Displacement

44. A woman in a traumatic accident later reports feeling outside her body. This defense is:     a. Isolation     b. Intellectualization     c. Rationalization     d. Dissociation

d. Dissociation

45. A patient says every problem is caused by other people and never by himself. This broad defense is:     a. Externalization     b. Humor     c. Asceticism     d. Anticipation

a. Externalization

46. A student avoids applying for a scholarship because unconscious fear of failure limits her ego function. This is:     a. Projection     b. Inhibition     c. Denial     d. Acting out

b. Inhibition

47. A patient explains his painful breakup using only abstract theories about attachment without feeling sadness. This is:     a. Somatization     b. Reaction formation     c. Intellectualization     d. Passive aggression

c. Intellectualization

48. A patient describes his mother’s death in detail with no emotion attached to the content. This is:     a. Regression     b. Projection     c. Denial     d. Isolation

d. Isolation

49. A man who cheated on an exam says, “The questions were unfair anyway.” This is:     a. Rationalization     b. Suppression     c. Sublimation     d. Asceticism

a. Rationalization

50. A person with strong hateful feelings toward someone becomes excessively sweet and helpful to that person. This is:     a. Displacement     b. Reaction formation     c. Denial     d. Acting out

b. Reaction formation

51. Keeping painful memories out of conscious awareness is:     a. Repression     b. Suppression     c. Humor     d. Altruism

a. Repression

52. A student consciously decides, “I will think about my family problem after the exam.” This is:     a. Repression     b. Suppression     c. Blocking     d. Denial

b. Suppression

53. A surgeon uses dark but gentle jokes during a difficult case without distressing others. This mature defense is:     a. Distortion     b. Acting out     c. Humor     d. Projection

c. Humor

54. A person channels aggressive impulses into disciplined competitive sports. This is:     a. Regression     b. Denial     c. Isolation     d. Sublimation

d. Sublimation

55. Helping others in a constructive way while gaining emotional satisfaction is:     a. Altruism     b. Projection     c. Acting out     d. Passive aggression

a. Altruism

56. A student realistically plans for stress before finals by creating a review schedule and sleep plan. This is:     a. Repression     b. Anticipation     c. Projection     d. Blocking

b. Anticipation

57. A person intentionally renounces pleasurable activities because self-denial itself gives moral satisfaction. This is:     a. Humor     b. Regression     c. Asceticism     d. Introjection

c. Asceticism

58. A woman anxious about mortality volunteers in hospice care and finds meaning in helping dying patients. This is best classified as:     a. Denial     b. Projection     c. Rationalization     d. Altruism

d. Altruism

59. Persistent and excessive worry occurring more days than not for at least 6 months suggests:     a. Generalized anxiety disorder     b. Panic disorder     c. Dissociative amnesia     d. Bipolar disorder

a. Generalized anxiety disorder

60. “Fear of fear” is classically associated with:     a. Generalized anxiety disorder     b. Panic disorder     c. Illness anxiety disorder     d. Obsessive-compulsive disorder

b. Panic disorder

61. A patient avoids malls, buses, and open areas because escape might be difficult if anxiety occurs. The most likely condition is:     a. Simple phobia     b. PTSD     c. Agoraphobia     d. Conversion disorder

c. Agoraphobia

62. Fear of contamination after the pandemic is called:     a. Cynophobia     b. Ailurophobia     c. Xenophobia     d. Mysophobia

d. Mysophobia

63. Fear of cats is known as:     a. Ailurophobia     b. Hydrophobia     c. Xenophobia     d. Mysophobia

a. Ailurophobia

64. Fear of dogs is known as:     a. Zoophobia     b. Cynophobia     c. Acrophobia     d. Mysophobia

b. Cynophobia

65. Fear of strangers or foreigners is:     a. Homophobia     b. Mysophobia     c. Xenophobia     d. Zoophobia

c. Xenophobia

66. A brave policeman becomes extremely fearful only when facing injections. The best diagnosis is:     a. PTSD     b. OCD     c. Panic disorder     d. Specific phobia

d. Specific phobia

67. A person with OCD says, “I know this fear is probably irrational, but I still feel forced to check.” This is:     a. Good or fair insight     b. Absent insight     c. Delusional belief     d. Poor insight

a. Good or fair insight

68. The most common adult obsession is:     a. Hoarding     b. Contamination     c. Sexual preoccupation     d. Symmetry

b. Contamination

69. A man checks the stove 30 times and hates doing it, but feels unbearable anxiety if he stops. This is most consistent with:     a. Obsessive-compulsive personality disorder     b. No disorder     c. Obsessive-compulsive disorder     d. Narcissistic personality disorder

c. Obsessive-compulsive disorder

70. PTSD is best distinguished from GAD by the presence of:     a. General worry     b. Panic attacks     c. Chronic indecisiveness     d. Intrusion symptoms linked to trauma

d. Intrusion symptoms linked to trauma

71. Recurrent distressing dreams after a traumatic event are most associated with:     a. PTSD     b. OCD     c. Dementia     d. Schizophrenia

a. PTSD

72. Feeling that the world is unreal, dreamlike, or distant is:     a. Depersonalization     b. Derealization     c. Déjà vu     d. Dissociative fugue

b. Derealization

73. Feeling detached from one’s own body or self is:     a. Derealization     b. Confabulation     c. Depersonalization     d. Delusion of control

c. Depersonalization

74. A 20-year-old cannot recall several years of childhood abuse without evidence of ordinary forgetfulness. This is:     a. Conversion disorder     b. Somatic symptom disorder     c. Illness anxiety disorder     d. Dissociative amnesia

d. Dissociative amnesia

75. Multiple personality disorder is now termed:     a. Dissociative identity disorder     b. Dissociative fugue     c. Depersonalization disorder     d. Derealization disorder

a. Dissociative identity disorder

76. The presence of two or more distinct identity states that recurrently take control of behavior is:     a. Dissociative amnesia     b. Dissociative identity disorder     c. Depersonalization     d. Conversion disorder

b. Dissociative identity disorder

77. A patient is excessively worried about having cancer despite minimal symptoms and repeated reassurance. The likely diagnosis is:     a. Conversion disorder     b. Somatic symptom disorder     c. Illness anxiety disorder     d. Factitious disorder

c. Illness anxiety disorder

78. A patient has multiple distressing physical symptoms and spends excessive time and energy worrying about them. This is:     a. Illness anxiety disorder     b. Conversion disorder     c. Malingering     d. Somatic symptom disorder

d. Somatic symptom disorder

79. A patient presents with paralysis inconsistent with neurologic pathways after acute stress. The most likely diagnosis is:     a. Conversion disorder     b. Illness anxiety disorder     c. Factitious disorder     d. Hypochondriasis

a. Conversion disorder

80. Which disorder requires that the symptom pattern be inconsistent with recognized neurologic disease?     a. Somatic symptom disorder     b. Conversion disorder     c. Illness anxiety disorder     d. Major depressive disorder

b. Conversion disorder

81. A patient intentionally produces symptoms without obvious external reward because she wants to assume the sick role. This is:     a. Malingering     b. Conversion disorder     c. Factitious disorder     d. Somatic symptom disorder

c. Factitious disorder

82. Conscious production of symptoms for external reward such as avoiding court is:     a. Factitious disorder     b. Conversion disorder     c. Illness anxiety disorder     d. Malingering

d. Malingering

83. A patient believes his thoughts are being sent live to other people. This is:     a. Thought broadcasting     b. Auditory hallucination     c. Delusion of reference     d. Depersonalization

a. Thought broadcasting

84. The belief that one’s actions are controlled by an outside force is:     a. Thought insertion     b. Delusion of control     c. Derealization     d. Illusion

b. Delusion of control

85. A woman believes a famous physician is secretly in love with her. This is:     a. Delusion of persecution     b. Delusion of reference     c. De Clerambault syndrome     d. Nihilistic delusion

c. De Clerambault syndrome

86. A severely depressed patient says his organs have disappeared and the world no longer exists. This is:     a. Delusion of control     b. Somatic hallucination     c. Lilliputian hallucination     d. Nihilistic delusion

d. Nihilistic delusion

87. A patient feels insects crawling under his skin despite no external stimulus. This is:     a. Haptic hallucination     b. Illusion     c. Delusion of infestation     d. Thought broadcasting

a. Haptic hallucination

88. Seeing tiny people dancing on the floor is called:     a. Haptic hallucination     b. Lilliputian hallucination     c. Hypnopompic hallucination     d. Depersonalization

b. Lilliputian hallucination

89. Hearing voices when no one is present is:     a. Illusion     b. Delusion     c. Hallucination     d. Confabulation

c. Hallucination

90. Misinterpretation of a real external stimulus is:     a. Delusion     b. Hallucination     c. Confabulation     d. Illusion

d. Illusion

91. Unconscious filling in of memory gaps with invented material is:     a. Confabulation     b. Tangentiality     c. Blocking     d. Circumstantiality

a. Confabulation

92. Answers that are irrelevant and never communicate the central idea are:     a. Circumstantiality     b. Tangentiality     c. Poverty of speech     d. Echolalia

b. Tangentiality

93. Speech that eventually reaches the point after excessive unnecessary detail is:     a. Tangentiality     b. Blocking     c. Circumstantiality     d. Verbigeration

c. Circumstantiality

94. A sudden interruption in thought or speech is called:     a. Poverty of content     b. Increased latency     c. Pressured speech     d. Blocking

d. Blocking

95. Markedly increased amount of spontaneous, rapid, loud speech is:     a. Pressured speech     b. Poverty of speech     c. Increased latency     d. Mutism

a. Pressured speech

96. Reduced amount of spontaneous speech is:     a. Poverty of content     b. Poverty of speech     c. Tangentiality     d. Verbigeration

b. Poverty of speech

97. Adequate quantity of speech with little meaningful information is:     a. Blocking     b. Poverty of speech     c. Poverty of content of speech     d. Circumstantiality

c. Poverty of content of speech

98. The internal emotional state reported by the patient is:     a. Affect     b. Orientation     c. Sensorium     d. Mood

d. Mood

99. The observable expression of emotion is:     a. Mood     b. Sensorium     c. Affect     d. Thought content

c. Affect

100. Suicidal ideas, delusions, and preoccupations are assessed under:     a. Form of thought     b. Content of thought     c. Sensorium     d. Memory

b. Content of thought