Psych 3rd Shifting

Which of the following is a drug treatment for social phobia?
a. Antipsychotic drug
b. Analgesic
c. Mood stabilizers
d. Serotonin reuptake inhibitors

d. Serotonin reuptake inhibitors

Which is not a dissociative disorder?
a. Dissociative identity disorder
b. Recovered memory syndrome
c. Dissociative conversion disorder
d. Depersonalization/derealization disorder

b. Recovered memory syndrome

Bulimia nervosa is more prevalent than anorexia nervosa:
a. False
b. True
c. Equal prevalence
d. Cannot be compared

b. True

The drug of choice for mixed anxiety and depressive disorder is:
a. Venlafaxine
b. Haloperidol
c. Valproic acid
d. Clozapine

a. Venlafaxine

One of the following is not listed as a criterion for metabolic syndrome:
a. Type 2 diabetes
b. Impaired glucose tolerance
c. BMI less than 30
d. Impaired fasting glucose

c. BMI less than 30

This novice gets in the bus and ends up in a remote town. You see her but she has no idea who you are and doesn't answer you:
a. Dissociative amnesia
b. Conversion disorder
c. Dissociative fugue
d. Dissociative identity disorder

c. Dissociative fugue

Which of these conditions is not listed under Dissociative disorders in DSM 5?
a. Dissociative identity disorder
b. Multiple personality disorder
c. Depersonalization / Derealization disorder
d. Dissociative amnesia

b. Multiple personality disorder

A patient comes in for chronic fatigue:
a. Extract blood exams right away
b. Begin treatment at higher dose
c. Choice of drug is the physician's preference
d. Establish a collaborative physician-patient framework

d. Establish a collaborative physician-patient framework

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

b. Mood disorder

Excoriation disorder has similar rituals found in:
a. Bipolar I
b. Histrionic personality disorder
c. OCD
d. MDD

c. OCD

The third most common pattern in OCD:
a. Pathological doubt
b. Intrusive thoughts
c. Symmetry
d. Religious obsessions

c. Symmetry

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

c. Illness anxiety disorder

Ms. O seems to be unconcerned about what appears to be a major impairment and this is known as:
a. La belle indifference
b. Deja vu
c. De ja pense
d. Deja entendu

a. La belle indifference

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. Derealization
b. Depersonalization
c. Multiple personality
d. Deja vu

a. Derealization

The most common site for picking disorder is:
a. Face
b. Hands
c. Cuticles
d. Legs

a. Face

The patient presented with alleged SLE having joint pains and a malar rash which the examiner suspects to have been simulated through cosmetics. A possible factitious disorder may be ruled in by:
a. Cannabinoid in the toxicology screen
b. Brain imaging showing hypometabolism of the non-dominant hemisphere
c. A negative antinuclear antibody test
d. A serum detection of hemosiderin-laden cells

c. A negative antinuclear antibody test

The patient believed that the thought is equal to the deed, that wishing a person dead will make it happen:
a. Depersonalization
b. Derealization
c. Hallucination
d. Magical thinking

d. Magical thinking

In chronic fatigue syndrome, there are pathognomonic features and physicians can delineate the diagnostic signs and symptoms
a. False
b. True

a. False

One of the following is not a psychodynamic theme in panic disorder:
a. Perception of parents as controlling, frightening, critical and demanding
b. A chronic sense of feeling trapped
c. Typical defense mechanism of denial and projection
d. Difficulty tolerating anger

c. Typical defense mechanism of denial and projection

In OCD, compulsions are thought to be which of the following?
a. Repetitive or ritualized behavior patterns that the individual feels driven to perform in order to prevent some negative outcome happening
b. Overwhelming desires to behave in an inappropriate fashion
c. Ritualized worrying about negative outcome of events
d. Repetitive thoughts about harming or distressing others

a. Repetitive or ritualized behavior patterns that the individual feels driven to perform in order to prevent some negative outcome happening

Which statement about anorexia nervosa is TRUE?
a. Patients usually recognize that they are underweight
b. It is more common in males than females
c. There is an intense fear of gaining weight
d. Binge eating is always present

c. There is an intense fear of gaining weight

Which defense mechanism is most commonly associated with obsessive-compulsive disorder?
a. Projection
b. Isolation of affect
c. Regression
d. Sublimation

b. Isolation of affect

A patient repeatedly checks if the door is locked even after verifying it several times. This behavior is an example of:
a. Obsession
b. Compulsion
c. Delusion
d. Hallucination

b. Compulsion

Which neurotransmitter is most implicated in the pathophysiology of depression?
a. Dopamine
b. Serotonin
c. Acetylcholine
d. Histamine

b. Serotonin

The first-line pharmacologic treatment for panic disorder is:
a. Lithium
b. SSRIs
c. Antipsychotics
d. Beta blockers

b. SSRIs

A patient avoids riding elevators due to fear of being unable to escape. This is most consistent with:
a. Specific phobia
b. Agoraphobia
c. Social anxiety disorder
d. Panic disorder

b. Agoraphobia

Which condition is characterized by recurrent episodes of binge eating followed by compensatory behaviors?
a. Anorexia nervosa
b. Bulimia nervosa
c. Avoidant restrictive food intake disorder
d. Pica

b. Bulimia nervosa

A patient presents with multiple physical complaints that cannot be fully explained medically and persists in seeking evaluation. The most likely diagnosis is:
a. Illness anxiety disorder
b. Somatic symptom disorder
c. Factitious disorder
d. Conversion disorder

b. Somatic symptom disorder

Which personality disorder is characterized by instability in relationships, self-image, and affect?
a. Narcissistic personality disorder
b. Borderline personality disorder
c. Paranoid personality disorder
d. Avoidant personality disorder

b. Borderline personality disorder

The primary treatment modality for borderline personality disorder is:
a. Antipsychotic medication
b. Electroconvulsive therapy
c. Dialectical behavior therapy
d. Benzodiazepines

c. Dialectical behavior therapy

A patient hears voices commenting on his behavior when no one is present. This is an example of:
a. Delusion
b. Illusion
c. Hallucination
d. Derealization

c. Hallucination

Which of the following is considered a negative symptom of schizophrenia?
a. Hallucinations
b. Delusions
c. Flat affect
d. Disorganized speech

c. Flat affect

The minimum duration of symptoms required for a diagnosis of schizophrenia is:
a. 1 week
b. 1 month
c. 3 months
d. 6 months

d. 6 months

A manic episode is defined by elevated or irritable mood lasting at least:
a. 2 days
b. 4 days
c. 1 week
d. 2 weeks

c. 1 week

Which medication is considered a mood stabilizer?
a. Fluoxetine
b. Lithium
c. Diazepam
d. Haloperidol

b. Lithium

Postpartum depression typically occurs within:
a. 1 week after delivery
b. 2 weeks after delivery
c. 4 weeks after delivery
d. 6 months after delivery

c. 4 weeks after delivery

A patient has persistent depressive symptoms for more than two years. The diagnosis is most consistent with:
a. Major depressive disorder
b. Cyclothymic disorder
c. Persistent depressive disorder
d. Adjustment disorder

c. Persistent depressive disorder

Which anxiety disorder involves excessive worry occurring more days than not for at least six months?
a. Panic disorder
b. Generalized anxiety disorder
c. Social anxiety disorder
d. Specific phobia

b. Generalized anxiety disorder

A sudden surge of intense fear accompanied by palpitations and shortness of breath is characteristic of:
a. Panic attack
b. Phobic reaction
c. Dissociative episode
d. Conversion disorder

a. Panic attack

Exposure therapy is most commonly used in treating:
a. Bipolar disorder
b. Schizophrenia
c. Phobias
d. Delusional disorder

c. Phobias

The patient experiences unreality and detachment, like an outsider with respect to his thoughts and feelings:
a. Derealization
b. Somatization
c. Dissociative amnesia
d. Depersonalization

d. Depersonalization

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

d. Dissociative identity disorder

In hyperventilation syndrome, one of the following does not apply:
a. The attack can be aborted by having patients breathe into a paper bag
b. There is excessive loss of CO2
c. The patient complains of feelings of anxiety
d. Cerebral vasoconstriction is due to high cerebral tissue PCO2

d. Cerebral vasoconstriction is due to high cerebral tissue PCO2

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

b. Obsessive-compulsive disorder

Which is FALSE regarding treatment for anorexia nervosa:
a. There is clear evidence for pharmacologic treatment
b. Medical assessment and management are priorities
c. Family therapy has shown effectiveness, specifically for adolescents
d. The primary goal is weight restoration

a. There is clear evidence for pharmacologic treatment

A patient with social anxiety disorder may have a comorbidity like one of the following:
a. Schizophrenia
b. Anorexia nervosa
c. PTSD
d. Bulimia nervosa

c. PTSD

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

b. Tics

Mrs. P has difficulty discarding items and continues to excessively acquire items that are not needed for which there is no available space. This patient would likely be diagnosed with:
a. Hoarding disorder with poor insight
b. Hoarding disorder with absent insight/delusional beliefs
c. Hoarding disorder with excessive acquisition
d. Hoarding disorder with good or fair insight

c. Hoarding disorder with excessive acquisition

The following is not description of sensory deficits in conversion disorder:
a. Tunnel vision
b. Midline anesthesia
c. Anesthesia of extremities
d. Syncope

d. Syncope

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

c. Xenophobia

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

a. Dissociative amnesia

This is characterized by giving approximate answers and clouding of consciousness, hallucination, dissociation, somatoform or conversion symptoms:
a. Depersonalization
b. Dissociative identity disorder
c. Recovered memory syndrome

c. Recovered memory syndrome

The obsessive-compulsive patient who tries to resist carrying out the compulsion generally experiences:
a. Reaction formation
b. Dissociation
c. Anxiety
d. Ambivalence

c. Anxiety

The patient was subjected to hypnosis for the dissociative identity disorder:
a. It can alleviate psychotic symptoms
b. The patient is under full control of herself during the session
c. Hypnosis may be administered to the general population even if the therapist is untrained
d. Hypnosis can be useful for accessing specific alter personality states and their affects and memories

d. Hypnosis can be useful for accessing specific alter personality states and their affects and memories

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

d. Major depressive disorder

When a patient with conversion disorder exhibits tangible advantages and benefits as a result of being sick, she is said to be having:
a. Secondary gain
b. La belle indifference
c. Primary gain
d. Identification

a. Secondary gain

A drug which is not helpful in the treatment of obesity:
a. Ionamin
b. Orlistat
c. Amphetamine
d. Olanzapine

d. Olanzapine

The patient presented with myxedema madness which might manifest as:
a. Pressured speech
b. Syndrome of auditory hallucinations and paranoia
c. Heat intolerance
d. Thyrotoxicosis

b. Syndrome of auditory hallucinations and paranoia

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

a. Mysophobia

A 44-year-old policeman who has demonstrated courage on more than one occasion while on duty is terrified of needles:
a. Simple phobia
b. PTSD
c. Xenophobia
d. OCD

a. Simple phobia

Which symptom of bulimia nervosa must be invariably present to establish diagnosis?
a. Periods of excessive exercising
b. Periods of binge eating
c. Periods of fasting
d. Episodic purging behaviors

b. Periods of binge eating

Max was caught over speeding and has been given a court date. He does not want to go to court so he makes himself sick in order to get out of it. Which of the following best describes Max's behavior?
a. Malingering
b. White lie
c. Typical alibi
d. Ganser's syndrome

a. Malingering

Catastrophic thinking is common to several anxiety disorders. The term describes:
a. Categorizing all experiences as either extremely positive or negative
b. Worrying that the worst will always happen
c. Taking things personally
d. Focusing on negative events and ignoring positive ones

b. Worrying that the worst will always happen

One of the following hormonal changes is not the same for anorexia nervosa and weight loss:
a. Impaired regulation of growth hormone
b. TSH is normal
c. CRH is increased
d. Plasma cortisol levels are mildly increased

b. TSH is normal

A 15 year-old girl presents to the ER with severe weight loss. On physical examination, she is cachectic, with a weight of 68 pounds, has a heart rate of 36/min, BP is 72/50 mm Hg. Her height is 5 feet 3 inches. What should be the first intervention?
a. Draw blood for a serum electrolyte determination and then start refeeding
b. Arrange to have the patient admitted to the psychiatric service
c. Immediately administer a high-protein and high-carbohydrate diet via nasogastric tube

a. Draw blood for a serum electrolyte determination and then start refeeding

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

b. Mood disorder

In patients with trichobezoar the following is noted:
a. Blood count may reveal a mild leukocytosis
b. Normal blood count
c. Normal GIT as the hair is readily digested
d. Moderate to high leukocytosis

a. Blood count may reveal a mild leukocytosis

This patient experienced 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

One of the following is not recommended for healthy weight:
a. Weight loss should be at least 3 pounds per week
b. Physical activity is an integral part for weight loss
c. Low calorie diets
d. Behavior therapy is an adjunct

a. Weight loss should be at least 3 pounds per week

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

d. Continual apprehension and anxiety about future events

Ms. R was raised by an abusive father and gets anxious every time she sees the abusive father and eventually came to distrust men. This explains generalization purported in the following theory of anxiety:
a. Existential theory
b. Psychoanalytic theory
c. Biological theory
d. Behavioral theory

d. Behavioral theory

This 20 year-old patient disclosed going back to the gate ten times, fifteen times just to check if she had closed it behind. She may be benefited by any of the following:
a. Pharmacotherapy
b. Psychotherapy
c. Behavior therapy
d. All of the three mentioned

d. All of the three mentioned

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

c. Stressor-related disorders

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

c. Cynophobia

Two years after she was saved from her burning house, a 33-year-old woman continued to be distressed by recurrent dreams and intrusive thoughts about the event:
a. PTSD
b. Adjustment disorder
c. Agoraphobia
d. Specific phobia

a. PTSD

A sensory deficit in conversion disorder involves:
a. Opisthotonous
b. Atasia-abasia
c. Aphonia
d. Tunnel vision

b. Atasia-abasia

In trichotillomania, the most frequent onset is before age 17 and this is associated findings of:
a. A relationship with 2A receptor gene polymorphism
b. PTSD
c. Dermatitis artefacta
d. Substance-induced anxiety disorder

a. A relationship with 2A receptor gene polymorphism

This 22-year-old female arrives in the ER complaining that out of the blue she had been seized by an overwhelming fear, associated with shortness of breath and a pounding heart. These lasted for about 20 minutes and she feared that she was dying or going crazy, had 4 episodes this month and had been worrying that they will continue to recur. Which is the most likely diagnosis?
a. Generalized anxiety disorder
b. Acute psychotic episode
c. Panic disorder
d. Hypochondriasis

c. Panic disorder

A 25 year-old female has been preoccupied with an imagined defect in her nose and undergoes several surgeries until the surgeon told her to seek psychiatric consult. She is best treated with:
a. Refer to a more competent plastic surgeon
b. Inform her parents not to follow the referring surgeon
c. Monoamine oxidase inhibitor
d. Carbamazepine

c. Monoamine oxidase inhibitor

He conducted the first systematic study of the relation of stress to disease demonstrating that stimulation of the sympathetic nervous system readied the organism to "flight-or-fight" response:
a. William Beaumont
b. Hans Selye
c. Walter Cannon
d. Harold Wolff

c. Walter Cannon

Which of the following disorders is characterized by recurrent pulling out of one's hair resulting in noticeable hair loss?
a. Excoriation disorder
b. Trichotillomania
c. Body dysmorphic disorder
d. Factitious disorder

b. Trichotillomania

A patient persistently eats nonnutritive substances such as chalk or clay. This condition is known as:
a. Rumination disorder
b. Avoidant restrictive food intake disorder
c. Pica
d. Bulimia nervosa

c. Pica

Which eating disorder is associated with enamel erosion due to recurrent vomiting?
a. Anorexia nervosa
b. Bulimia nervosa
c. Binge-eating disorder
d. Pica

b. Bulimia nervosa

A patient intentionally produces symptoms in order to assume the sick role without obvious external rewards. This is called:
a. Malingering
b. Conversion disorder
c. Factitious disorder
d. Somatic symptom disorder

c. Factitious disorder

Which disorder involves falsification of physical or psychological symptoms in another person?
a. Factitious disorder imposed on another
b. Dissociative identity disorder
c. Illness anxiety disorder
d. Somatic symptom disorder

a. Factitious disorder imposed on another

A patient suddenly develops blindness after witnessing a traumatic event, but neurologic examination is normal. The most likely diagnosis is:
a. Somatic symptom disorder
b. Conversion disorder
c. Dissociative fugue
d. Factitious disorder

b. Conversion disorder

Which defense mechanism involves attributing one's unacceptable thoughts to others?
a. Projection
b. Sublimation
c. Reaction formation
d. Suppression

a. Projection

Which personality disorder is characterized by an excessive need to be taken care of?
a. Narcissistic personality disorder
b. Dependent personality disorder
c. Antisocial personality disorder
d. Schizoid personality disorder

b. Dependent personality disorder

A pervasive distrust and suspiciousness of others is characteristic of:
a. Avoidant personality disorder
b. Paranoid personality disorder
c. Histrionic personality disorder
d. Borderline personality disorder

b. Paranoid personality disorder

Which personality disorder is associated with attention-seeking and dramatic behavior?
a. Histrionic personality disorder
b. Obsessive-compulsive personality disorder
c. Schizotypal personality disorder
d. Dependent personality disorder

a. Histrionic personality disorder

A patient repeatedly violates the rights of others without remorse. This is most consistent with:
a. Borderline personality disorder
b. Antisocial personality disorder
c. Narcissistic personality disorder
d. Avoidant personality disorder

b. Antisocial personality disorder

Grandiosity and a constant need for admiration are hallmarks of:
a. Dependent personality disorder
b. Narcissistic personality disorder
c. Schizoid personality disorder
d. Paranoid personality disorder

b. Narcissistic personality disorder

Which personality disorder is characterized by social inhibition and feelings of inadequacy?
a. Avoidant personality disorder
b. Histrionic personality disorder
c. Antisocial personality disorder
d. Borderline personality disorder

a. Avoidant personality disorder

Detachment from social relationships and restricted emotional expression are features of:
a. Schizotypal personality disorder
b. Schizoid personality disorder
c. Paranoid personality disorder
d. Narcissistic personality disorder

b. Schizoid personality disorder

Odd beliefs and magical thinking are characteristic of:
a. Schizotypal personality disorder
b. Dependent personality disorder
c. Histrionic personality disorder
d. Obsessive-compulsive personality disorder

a. Schizotypal personality disorder

Which therapy focuses on modifying dysfunctional thoughts and behaviors?
a. Psychoanalysis
b. Cognitive behavioral therapy
c. Electroconvulsive therapy
d. Psychodynamic therapy

b. Cognitive behavioral therapy

Electroconvulsive therapy is most commonly indicated for:
a. Mild anxiety
b. Treatment-resistant major depression
c. Specific phobia
d. Adjustment disorder

b. Treatment-resistant major depression

Lithium toxicity commonly presents with:
a. Bradycardia
b. Tremors
c. Constipation
d. Hypoglycemia

b. Tremors

Which benzodiazepine effect is most concerning in overdose?
a. Hypertension
b. Respiratory depression
c. Hyperthermia
d. Tachycardia

b. Respiratory depression

The antidote for benzodiazepine overdose is:
a. Naloxone
b. Flumazenil
c. Atropine
d. Physostigmine

b. Flumazenil