Psychiatry Questions for Exam

A 27 yo lady presents to your practice concerned about hearing voices. she reports that she sometimes hears voices when she wakes up in the morning and also sees shadows in the room. She is aware that there is nobody present during these symptoms. What is the phenomenon called? a. Pseudohallucination b. Reflex-hallucination c. Functional hallucination d. Hypnopompic hallucination e. Synaesthesia

d. Hypnopompic hallucination

Odontophobia is a type of a. Stomatization disorder b. specific phobia c. a agoraphobia d. Social phobia e. Panic disorder

b. specific phobia

Which of these symptoms is NOT a specific to depressive disorder? a. Arhedonia b. Excessive guilt c. Decreased need for sleep d. anergia e. insomnia

c. Decreased need for sleep

Which of these is a disorder of thought contacts? a. Acceleration b. Perseveration c. Delusional thinking d. Derailment e. Circumstantial thinking

c. Delusional thinking

A 22 yo male complains of an increased gap between teeth and insist on a corrective procedure. The patient had already been examined by 3 doctors and they refused to perform the procedure. You did not detect any changes after examining the patient. What is the most likely diagnosis? a. somatisation disorder b. Generalised anxiety disorder c. Dysmorphia d. Schizophrenia e. Bipolar affective disorder

c. Dysmorphia

a 23 year old woman presents to a clinic w/ a chief complains " difficulty concentrating because I worry about my child". She has recently gone back to teaching after having her third child. the patient states ages is constantly wondering about other things as well. For example, she is going to help her sister in law throw a good bye party and finds herself constantly going over what she needs to do to prepare for the party. At the end of the day, her husband claims she is irritable and tired. At night, she is unable to sleep, keeps thinking about her task for the next day. What is the most likely diagnosis? a. Depression b. Obsessive compulsive disorder c. Generalised anxiety disorder d. Panic disorder e. Specific phobia

c. Generalised anxiety disorder

Which of these statements about depression is not correct? a. early morning awaking (waking up to 2 hours earlier than usually) are typical for depression b. diagnosis of severe depression requires all three core symptoms c. In depression, mood is usually worse in the second half of the day d. feelings of excessive guilt are typical for depressive episodes e. dysthymia lasts for more than 2 years

c. In depression, mood is usually worse in the second half of the day

A 31 yo old woman present to her GP. She has a long history of a poorly controlled generalised anxiety disorder w/ a recurrent depressive disorder. she is currently prescribed sertraline (an SSRI) for depression and anxiety, sodium valproate (as a mood stabiliser), pregabalin (an anti-epileptic used in her situation for anxiety), lorazepam (an anxiolytic). she describes an overwhelming desire to take one of these drugs, and admits to buying it over the internet, as well as taking those prescribed by her GP. When she doesn't take this substance she sweats, shakes and feels physically unwell. she has noticed that in the year she has been taking this drug she has needed larger doses to make her feel better and treat her anxiety symptoms Which of the following drugs describing and causing these problems? a. Propranolol b. Pregabalin c. Lorazepam d. Sertraline e. Sodium valproate

Lorazepam

which of these is not a core symptom of depression a. anxiety b. anhedonia c. low mood d. lack of energy

a. anxiety

Delirium tremens is called a. Opiate withdrawal delirium b. Alcohol intoxication delirium c. Benzodiazepine withdrawal delirium d. Amphetamine intoxication delirium e. Alcohol withdrawal delirium

b. Alcohol intoxication delirium

a 47 yo man presents to the GP complaining of recurrent period of chest pains. These episodes can happen at any time of the day or night, and the pain is not made worse on exertion. He explains that when the chest pain starts he becomes convinced that he will die. He has called an ambulance and seen to the emergency department on five occasions over the last months. When the cast pain starts he complains of breathlessness, chest highness tingling in his fingers and a feeling of being light headed. He was worried that he will pass out. These episodes can last for up an hour. When seen in the Ermegency Department he has had blood tests and an ECG, and there has been no evidence of a cardiac cause for his problems. Between episodes he feels all and has no other physical or mental health concerns. The last three spisodes all occurred when he was out shopping, and he has avoided being back to the supermarket in case it happens again. What is the most likely diagnosis? a. generalised anxiety disorder b. Panic disorder c. Somatoform autonomic dysfunction d. depressive episode e. Specific phobia

b. Panic disorder

A 50 year old w/ known paranoid schizophrenia reported that he suddenly has a desire to go to a fast food restaurant. He had never eaten there before. He believes that the thought about get to a fast food restaurant is not his own but was put into his head by some outside force. He becomes worried that it may be a trap where some harm will come to him if he goes to the fast food restaurant a. delusion of reference b. Persecutory delusion c. Though broadcast d. Though insertion e. Though withdrawal

b. Persecutory delusion d. Though insertion

a 47 yo patient is admitted to a medical assessment unit. He is known for drinking 6 litres of strong beer each day and has been drinking this heavily for about 3 month. Within 12 hours of admission he becomes anxious, restless, begins to sweat and shake. Orientation to time and place is intact, he denies any psychotic symptoms What is the most likely diagnosis? a. Alcohol intoxication b. alcohol withdrawal c. Harmful use of alcohol d. Delirium tremens e. Wernicke encephalopathy

b. alcohol withdrawal

a 21yo male complaints that since a car accident where he was driving, he has not been able to get back in a car, either as a driver/ or as a passenger. When he goes to get in a car he complaints of multiple symptoms of anxiety, he experiences frequent vivid memories the accident and night mares. His mood is low, he is not able to enjoy hobbies anymore. The accident happened 3 month ago and the problems are to getting any easier What is the most likely diagnosis? a. Panic disorder b. Generalised anxiety disorder c. Depressive episode d. Agoraphobia e. Post-traumatic stress disorder

e. Post-traumatic stress disorder

a 82 yo man is hospitalised for a complicated urinary tract infarction. the wife points out that memory disorder have progresses for several years. at night patient gets restless, start yelling, calling his wife, searching for documents in the closet. During examination, the patient is angry, tense, unable to give a date, says he is at home. What is the best treatment option? a. Transfer to psychiatric hospital b. antidepressants c. Small doses of benzodiazepines d. Donepezil e. Small doses of antipsychotics

e. Small doses of antipsychotics