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Psychiatry exam Pretest By mahmoud AMin

True and false,,so every question may have multiple answers


.1the mechanism of action of conventional neuroleptics(major tranquilizers :)
a.blockage of reuptake of serotonin
b.blockage type 2 dopamine receptors
c.potentiating dopamine release
d.work as dopamine agonist

.2anxiety disordes
a.best treated by antidepressents
b.can be treated by cognitive behavioral therapy
c.include psycho somatic disorders
d. can be substance induced

.3indications of antidepressents include


a.panic disorder
b.delirium
c.shizoprenia
d.bipolar disorder (manic type)

.4agoraphobia
a.fear of bridges
b.fear of being alone in public
c.fear of speaking in public
d.often associated with panic disorder

.5benzodiazepines cant be used in the long term management of anxiety


because
a.they are epileptogenic
b.they could be addictive
c.they have renal side effects
d.they have muscle relexant properties

.6the differential diagnosis of panic attacks include


a.hyperthyroidism
b.pheochromocytoma
c.hypothyroidism
d.temporal lobe epilepsy

.7anhedonia(law msh 3aref anhe donia,,heya eldonia ely 3aysheen fiha)


a.is the inability to maintain attention
b.is the inability to experience pleasure
c.is a disorder of memory
d.is an essential sympyom of depression

.8the term bipolar disorder denotes


a.the presence of atleast a manic episode in the patient’s history
b.the recurrence of several depressive episodes
c.one of the organic brain syndromes
d.a biological mood disorders with strong genetic base

.9the following substances can be addictive


a.antidepressents
b.nicotine
c.lithium
d.SSRI’s

.11patients with panic disorder


a.have the onset of their disease at around the age of 50
b.experince their attack with no apparents reason
c.could be suffering from other anxiety disorders
d.are best treated with mood stabilizers

.11serotinin reuptake inhibitors cause:


a.GIT upset
b.sexual dysfunction
c.serum prolactin elevation
d.extrapyrimdal side effects

.12a 71 year old male patient was brought to the ER disturbed


speech,irritability, and disorientations .his family an onset since hours, and
that during that time he became aggressive,his tempreture found to be 38
degrees,but other vital signs were normal, what are the lines of management
a.hospitalization
b.discharge after using an antipyretic as there is no medical emergency
c.give IM major tranqulizers to reduce aggresion
d.give an IV benzodiazepines to reduce aggression

.13the following are considered drug related emergencies


a.lithium intoxication
b.acute dystonia
c.hyperprolactinemia
d.tardive dyskinesia

.14generlized anxiety disorder


a.is more common in females
b.could be associated with a high sympathetic tone
c,is characterized by constant worries and negative thoughts
d.is characterized by obsessive compulsive behaviour

.15tolerance
a.means the appearance of withdrawal symptoms on stopping the substance
of abuse
b.is the constant use of a substance despite the harm it causes
c.is the constant need to increase a druge to receive the same effect
d.is the presence of a narrow therapeutic index for a drug
.16lithium
a.is an anxiolytic
b.is a mood stabilizer
c.can cause liver toxicity
d.can cause thyroid dysfunction in long use

.17stressors that can cause post traumatic stress disorders


a.loss of a parent
b.earth quakes
c.war
d.severe financial stress

.18delirium:
a.is mainly disorder of memory
b.mainly disorder of level of consiousness
c.disorder of mood
d.treated mainly by removal of the cause

.19the following features are characteristic of major depressive episodes


a.early morning awakening
b.excessive guilt
c.hypersexuality
d.hyperactivity

.21the following are common causes of delirium


a.Fever
b.hepatic enchephalopathy
c.nicotine intoxication
d.Major surgeries

.21Negative symptoms of shizophrenia include:


a.delusions
b.blunted affect
c.lack of volition
d.auditory hallucinations

.22obsessive compulsive disorder is characterized by


a.recurrent intrusive absurd thoughts
b.delusions of sin and excessive guilt
c.anxiety
d.reccurent rituals or behaviors to neutralize the negative thoughts

.23auditory hallucinations
a.can occur in all psychiatric disorders
b.are disorders of attention
c.can contain controlling demands to the patient
d.can occur in severe cases of fever in normal individuals
.24the following psychiatric patients could become violent
a.delirious patients
b.manic patients
c.obsessive patients
d.schizophrenic patients

.1the mechanism of action of conventional neuroleptics(major tranquilizers:)

a.blockage of reuptake of serotonin f

b.blockage type 2 dopamine receptors t

c.potentiating dopamine release f d.work as dopamine agonist f

.2anxiety disordes

a.best treated by mood stabilizers f

b.can be treated by cognitive behavioral therapy t

c.include psycho somatic disorders f d. can be substance induced t

.3indications of antidepressents include

a.panic disorder t

b.eating disorders t

c.shizoprenia t d.bipolar disorder (manic type) f

.4agoraphobia

a.fear of bridges t

b.fear of being alone in public t

c.fear of speaking in public f d.often associated with panic disorder t

.5benzodiazepines cant be used in the long term management of anxiety


because

a.they are epileptogenic f

b.they could be addictive t

c.they have renal side effects f d.they have muscle relexant properties t
.6the differential diagnosis of panic attacks include

a.hyperthyroidism t

b.pheochromocytoma t

c.hypothyroidism f d.temporal lobe epilepsy f

.7anhedonia

a.is the inability to maintain attention f

b.is the inability to experience pleasure t

c.is a disorder of thought content f d.is an essential sympyom of depression t

.8the term bipolar disorder denotes

a.the presence of atleast a manic episode in the patient’s history t

b.the recurrence of several depressive episodes f

c.one of the organic brain syndromes f d.a biological mood disorders with
strong genetic base t

.9the following substances can be addictive

a.antidepressents f

b.nicotine t

c.lithium f d.cannabinoids t

.11patients with panic disorder

a.have the onset of their disease at around the age of 50 f

b.experince their attack with no apparents reason t

c.could be suffering from other anxiety disorders t d.are best treated with
mood stabilizers f

.11serotinin reuptake inhibitors cause:

a.GIT upset t

b.sexual dysfunction t
c.serum prolactin elevation f d.extrapyrimdal side effects f

.12a 71 year old male patient was brought to the ER disturbed


speech,irritability, and disorientations .his family an onset since hours, and
that during that time he became aggressive,his tempreture found to be 38
degrees,but other vital signs were normal, what are the lines of management

a.hospitalization t

b.discharge after using an antipyretic as there is no medical emergency f

c.give IM major tranqulizers to reduce aggression t d.give an IV


benzodiazepines to reduce aggression f

.13the following are considered drug related emergencies

a.lithium intoxication t

b.acute dystonia t

c.hyperprolactinemia f d.tardive dyskinesia f

.14generlized anxiety disorder

a.is more common in males f

b.could be associated with a high sympathetic tone t

c,is characterized by constant worries and negative thoughts t d.is


characterized by obsessive compulsive behavior f

.15tolerance

a.means the appearance of withdrawal symptoms on stopping the substance


of abuse f

b.is the constant use of a substance despite the harm it causes f

c.is the constant need to increase a druge to receive the same effect t d.is the
presence of a narrow therapeutic index for a drug f

.16lithium

a.is an anxiolytic f

b.is a mood stabilizer t

c.can cause liver toxicity f d.can cause thyroid dysfunction in long use t
.17stressors that can cause post traumatic stress disorders

a.loss of a parent f

b.earth quakes t

c.war t d.severe financial stress f

.18delirium:

a.is mainly disorder of memory f

b.mainly disorder of level of consciousness t

c.disorder of mood f d.treated mainly by removal of the cause t

.19the following features are characteristic of major depressive episodes

a.early morning awakening t

b.diurnal variation t

c.hypersexuality f d.hyperactivity f

.21the following are common causes of delirium

a.Fever t

b.hepatic encephalopathy t

c.nicotine intoxication f d.Major surgeries t

.21Negative symptoms of shizophrenia include:

a.delusions f

b.blunted affect t

c.lack of volition t d.auditory hallucinations f

.22obsessive compulsive disorder is characterized by

a.recurrent intrusive absurd thoughts t

b.delusions of sin and excessive guilt t c.anxiety t

d.reccurent rituals or behaviors to neutralize the negative thoughts t


.23auditory hallucinations

a.can occur in all psychiatric disorders t

b.are disorders of attention f c.can contain controlling demands to the patient


t d.can occur in severe cases of fever in normal individuals t

.24the following psychiatric patients could become violent

a.delirious patients t

b.manic patients t

c.obsessive patients f d.schizophrenic patients t

-25in mania:

a -patient can't control behavior t

b-he has no will to move f

c-can be voluble t d- have hypersomnia f

-26TCAs:

a-have anticholinerfic side effects t

b-contraindicated in glaucoma t

c-cause postureal hypotension t d-cause sexual dysfunction t

-27Neruoleptic malignant syndrome:

a-sevee hypothermia f

b-severe hyperthermia t

c-generalized muscle rigidity t d-elevation of CPK t

-28the chemical problem in major depressive disorders:

a-histaminergic f

b-serotnin t c-cholinergic f d-noradrenaline t

-29etiology in psychiatry:
a-exclusively biological f

b-follows biso-psycho-social t

c-exclusivly due to life stessors f d-realted to patient's personalit t

-31alzheimer

a -loss of long term precedes short term f

b- loss of short percedes loss of long term t