بعض اسئله موك السايكيترى psychiatry
بعض اسئله موك السايكيترى psychiatry
١.٥  سؤال كل سؤال ب١٠٠  اللى قدرنا نجمعها (االمتحان كان٢٠٢٢  دى بعض اسئله موك السايكيترى دور كتوبر-
                                                                                          -: ) درجات
 االسئلة مش متجاوبه-
                                                 1
2
A 45-year-old lady with a long-standing delusional disorder has .5
now developed features of schizophrenia. She is poorly compliant
with oral antipsychotics and community nurse involved in her care
suggests depot formulation. Which of the following is true
                                    ?concerning depot antipsychotics
A. Patients do not prefer depot medications consistently
                                    irrespective of previous exposure
B. The risk of tardive dyskinesia is equal for depot and oral
                                             formulation of same drug
C. The risk of neuroleptic malignant syndrome is higher compared
                                                          to oral drugs
D. Neuroleptic malignant syndrome is a contraindication for
                                                subsequent depot use
   .E. Atypical antipsychotics are not available in depot formulations
                                                     :Tramadol is .7
                                        A. Weak Mu-receptor agonist
                                                              B. SNRI
                                                   C. Epileptogenic
                                                 D. All of the above
                                   3
    B. 40%
    C. 50%
    D. 60%
    E. 75%
4
A 23-year-old male graduate student gets into a serious argument .9
with one of his college professors, making a physical threat to the
professor, and necessitating a call to campus security. The argument
was precipitated by an incident between the professor and the
student's girlfriend; when the Professor corrected the student's
girlfriend in class, the student felt the Professor was verbally
          ?abusive. Which of the following is the most likely diagnosis
A. Dependent personality disorder B. Histrionic personality disorder
                                    C. Narcissistic personality disorder
                                      D. Paranoid personality disorder
                                   5
Which of the following symptoms is MOST LIKELY to persist .12
when a young person suffers from Attention Deficit and
               ?Hyperactivity Disorder (ADHD) becoming an adult
                                                  A. Accident risk
                                                 B. Hyperactivity
                                                    C. Impulsivity
                                                   D. Inattention
                                          .E. Learning difficulties
                                  6
                        B. Life style modification
                         C. Switch to risperidone
D. Switch to quetiapine E. Give long acting depot
              7
      :Which of the following has the least anticholinergic effects-16
                                                         A. Fluoxetine
                      B. Nortriptyline C. Amitriptyline D. Venlafaxine
One of the following sleep disorder could precede the onset of .17
            :Parkinson's disorder by about 10 years, this disorder is
                                           A. REM behavior disorder
                                B. Periodic limb movement disorder
                                          C. Restless limb syndrome
                                                     D. Head banging
                                                E. Nocturnal dystonia
                    :The best treatment of transient insomnia is .18
                               A. The nonbenzodiazepine: Zolpidem
                                 B. The benzodiazepine: Alprazolam
                               C. The benzodiazepine: Bromazepam
                                D. The benzodiazepine: Clonazepam
                          E. The benzodiazepine: chlorodiazepoxide
One of the following may be a differentiating feature between .19
                   :major depression and primary anorexia nervosa
                                                       A. Constipation
                                        B. Early morning awakening
                                             C. Distorted body image
                                                   D. Low self esteem
                                  8
RC is a 26 year old man complains of episodes during sleep .20
including: limited, quiet behavior such as sitting up on the side of
the bed, sometimes standing up, looking perplexed and confused
and then returning to bed and to sleep. He had similar episodes
since the age of six. PSG demonstrated a longer than expected sleep
latency period; sleep fragmentation unexplained by any other sleep
disorder. During at least one segment of stage 4 NREM sleep the
interruption was followed by the patient getting out of bed,
appearing confused and mumbling. The patient then went
immediately into stage 2 NREM sleep. The most probable diagnosis
                                                                      :is
                                             A. REM behavior disorder
                                                       B. Sleep walking
                                                         C. Sleep terror
                                                 D. Confusional arousal
                                            E. Impulse control disorder
The role of norepinephrine in the sexual functions includes all of .21
                                                  :the following except
                        A. Inhibition of muscle contraction of orgasm
                                      B. Increase arousals and orgasm
                               C. Prevention of retrograde ejaculation
                              D. Maintenance of baseline flaccid state
                                    9
                                  A. Conversion disorder
                                          B. Malingering
                                   C. Factitious disorder
                               D. Somatization disorder
:The lifetime prevalence of somatoform disorder is .24
                                        A. 5% in women
                                          B. 0.2% in men
             C. 4% in the office of general practitioners
                                      D. 2% among men
                    10
    :All of the following is true about conversion disorder except .25
                      .A. It is the most common somatoform disorder
B. It represent 2% of psychiatric consultation in the general hospital
                                                C. It can occur in children
                                       D. It is more common in females
                                   11
        B. Provocation by strong emotion
               C. Impaired consciousness
D. Responsiveness to treatment with TCA's
       12
                   :One of the following is specific for narcolepsy .30
                                                      A. Sleep paralysis
                                         B. Hypnogogic hallucinations
                                                            C. Cataplexy
                                                        D. Sleep attacks
The most common presenting symptom in obstructive sleep .31
                                                        :apnea (OSA) is
                                      A. Excessive daytime sleepiness
                                                              B. Snoring
                                                            C. Insomnia
                                                           D. Dysthymia
 The sequence of administration of medications in anesthesia for .32
                                                                    :ECT
           A. Succinylcholine---atropine---thiopentone/methohexitol
        B. Atropine--- succinylecholine---thiopentone/methohexitol
                           C. Atracurium---succinylcholine---atropine
          D. Atropine---thiopentone/methohexitol---succinylcholine
rTMS is found to have antidepressant properties when applied .33
                                                                      to
                                            A. Parieto-occipital cortex
                            B. Temporal-parietal regions of the cortex
                                                     C. Occipital cortex
                             )D. Dorsolateral prefrontal cortex (DLPFC
                                   13
A 19-year's old woman is referred to psychiatrist because she .34
currently pulls hair from eye brows to the point that she has
scarring and there is no eyebrow hair left. She states that her
natural eyebrows are bushy and repulsive and that she looks like a
                ?cave-man. What is the most appropriate diagnosis
                                                A. Trichotillomania
                                      B. Body dysmorphic disorder
                               C. Delusional disorder, somatic type
                                  D. Obsessive compulsive disorder
                                  14
D. Kaufman Assessment Battery for Children is 16 subtests battery
designed ages 2.5-12.5. for assessing cognitive development for
                                                         children
                               15
         :Among the common co-morbidities with panic disorders .38
                                                         A. Bipolar disorder
                                                             B. Agoraphobia
                                              C. Major depressive disorder
                                                        D. Hypochondriasis
  All of the following are of the cognitive errors in phobic anxiety .39
                                                                     :EXCEPT
                   A. Under-estimation of the ability of oneself to cope
                            B. Under-estimation of the degree of danger
                                                     C. Over-generalization
                                                    D. Selective abstraction
                         :All of the following are panicogens EXCEPT .40
                                                          A. Sodium lactate
                                                                  B. Caffeine
                                                               C. Flumazenil
                                                            D. Amitriptyline
Which of the following is true of neuroleptic malignant .41
                                                                   syndrome
                               A. It can be lethal in up to 50% of patients
B. Risk is decreased in combined lithium and antipsychotic
                             treatment C. It will not occur with clozapine
                  D. It may cause myoglobinuria leading to renal failure
                 E. Patients who survive usually have residual disability
                                               Acute dystonic reaction .42
         A. Occurs later on in long term treatment with antipsychotics
                                    B. Is more common in elderly patients
       C. Is more likely to occur with chlorpromazine than haloperidol
                              D. Is exacerbated by anticholinergic agents
                        E. Can be easily mistaken for histrionic behavior
                                     16
     :Causes of reversible dementia include the following except .43
                                                  A. Hypothyroidism
                                         B. Nicotinic acid deficiency
                                                           C. Syphilis
                                              D. Alcohol withdrawal
                                 E. Normal pressure hydrocephalus
                                  17
              C. rTMS stands for rhythmic transmagnetic stimulation
D. The effectiveness of rTMS is measured by the duration of
seizures. E. The intensity of rTMS is usually set as a percentage of
                                        .the patient motor threshold
                                   18
:Regarding management of postpartum depression which is true -50
A. Assessment by Hamilton depression scale during the standard
                    postpartum obstetrical visit at 6 weeks is ideal
                 B. ECT early because it is safe and highly effective
                                   C. SNRI are treatment of choice
D. Most of ADDs are secreted into the breast milk with high
                              concentrations E. None of the above
                                 19
Which of the following conditions is more commonly seen in the -51
   ?restricting type of anorexia as opposed to the binge-purge type
                                    A. Problems with unstable mood
                                           B. deep mistrust of others
                                           C. alcohol and drug abuse
                                                    D. self-mutilation
Which of the following eating disorders does not involve binge .52
                                                              ?eating
A. bulimia (purging type) B. bulimia (non-purging type) C. anorexia
                    )(binge-purge type) D. anorexia (restricting type
A 22-year-old man presents with anxiety that his genitals are .54
misshapen. He is not convinced in spite of a plastic surgeon
reassuring him by showing multiple images of normal genital
appearances. Which of the following interventions has
                  ?evidence-based support in the above situation
                                                      A. Pimozide
                                                  B. Escitalopram
                                                     C. Fluoxetine
                                  20
                     D. Olanzapine
     E. Plastic surgical correction
21
In PANSS scale for schizophrenia, which of the following is coded .55
                                              ?as a positive symptom
                                                     A. Lack of insight
                                            B. Disturbance of volition
                                         C. Unusual thought content
                                                      D. Mannerisms
                                       E. Conceptual disorganisation
                                  22
            SSRI-induced sexual dysfunction occurs secondary to .58
                                          A. Histaminergic blockade
                                                    B. SHT3 blockade
                                                 C. SHTI stimulation
                                                   D. SHT2 blockade
                                                 E. SHT2 stimulation
                                  23
The highest risk of serotonin syndrome is seen in which of the .61
                                                    ?following patients
                        A. 44 year old taking trazadone and fluoxetine
                    B. 55 year old taking phenelzine and escitalopram
                    C. 67 year old taking amitriptyline and phenelzine
                                       D. 32 year old taking citalopram
                     E. 44 year old taking venlafaxine and mirtazapine
A patient being treated with antidepressants for long loses faith .62
in the treatment and asks you if antidepressants really work. Which
                             ?of the following is an accurate response
                .A. They work if one takes them for at least 4 months
B. They work in moderate depression though with increasing
                                             severity they lose efficacy
      .C. They work well for adults though not so well for the elderly
    D. They work best for young children as they take them regularly
E. One additional response occurs for every 5 depressed adults who
                                                  take antidepressants
       The median duration of a treated episode of depression is .63
                                                            A. 6 months
                                                              B. 6 weeks
                                                            C. 12 weeks
                                                              D. 4 weeks
                                                           E. 12 months
                                   24
A known bipolar patient has had many episodes of mania but no .64
clinically significant depression so far. But currently he presents with
                                                      .severe depression
He is already on lithium with good serum levels and is compliant.
                                             ?What will be the next step
                                                      A. Add lamotrigine
                                             B. No intervention required
                                                       C. Add venlafaxine
                                   D. Increase lithium dose E. Add SSRI
A 45-year-old woman has recurrent depression and hypomanic .65
episodes which occur only when she is treated with ECT. She has
had 4 episodes of ECT-induced hypomania in the past. Which of the
following terms provides the most accurate description of her
                                                                   ?illness
                              A. Bipolar I disorder B. Bipolar 3 disorder
                             C. Bipolar 4 disorder D. Bipolar 5 disorder
                                                     E. Bipolar 2 disorder
Which of the following has RCT evidence in favour of treatment .66
                                       ?during acute episodes of mania
                                                            A. Bupropion
                                                              B. Selegiline
                                                              C. Tiagabine
                                            D. Clonazepam E. Diazepam
                                    25
A 44 year old patient has been admitted 7 times with a relapse .67
of bipolar disorder in last few years. Which of the following
          ?laboratory investigations is very important in this patient
                                                   A. Full blood count
                                     B. Liver function especially GGT
                                              C. Thyroid function test
                                                        D. Folate levels
                                                           E. MRI brain
A known bipolar patient has had many episodes of mania and .68
depression so far. He also had significant episodes of manic switch
following SSRI treatments in the past. Currently he presents with
severe depression. He is already on lithium with good serum levels
                       ?and is compliant. What will be the next step
                                                   A. Consider MAOIS
                     B. Consider haloperidol C. Consider quetiapine
                                                       D. Consider ECT
                                                 E. Consider tricyclics
Which of the following is the most important predictor of .69
                          ?relapse in a patient with bipolar disorder
                                                            :Select one
                                 A. Family history of bipolar disorder
                                                  B. Sex of the patient
                                                 C. Age of the patient
                                   D. Presence of residual symptoms
                              E. Dose needed for mood stabilization
                                   26
A 35 year old lady is going to be discharged from hospital after .70
successful treatment of a depressive episode. She has had 5
depressive episodes in the past and this time following depression
             ?she developed hypomania. What would you prescribe
                                                  A. Carbamazepine
                                                      B. Lamotrigine
                                                            C. Lithium
                                           D. Atypical antipsychotic
                                                E. Sodium Valproate
      Median time to recover from a treated episode of mania is .71
                                                         A. 2-3 weeks
                                                              B. 1 year
                                                         C. 4-5 weeks
                                                   D. 12 to 18 weeks
                                                          E. 6 months
Which of the following drugs is most likely to cause .72
                                                    ?hyponatraemia
                                                         A. Valproate
                                                        B. Olanzapine
                                                        C. Citalopram
                                                  D. Carbamazepine
                                                       E. Risperidone
                                  27
Which of the following antidepressants is highly likely to induce .73
                            ?a mood switch from depression to mania
                                                               A. Sertraline
                                                              B. Paroxetine
                                                              C. Fluoxetine
                                                             D. Citalopram
                                                           E. Amitriptyline
   All of the following are contraindications for zopiclone except .74
                                                          A. Sleep apnoea
                                            B. Pregnancy/Breast feeding
             C. Unstable myasthenia gravis D. Respiratory depression
                                                 E. Memory impairment
Which of the following is true with regard to generalized anxiety .75
                                                                  ?disorder
                                  A. Characterized by suicidal thoughts
B. Punctuated by brief depressive episodes C. Characterized by
                                                     Obsessive thoughts
                            D. Concordance of DZ twins more than MZ
                                          E. Characterized by avoidance
                With regard to PTSD which of the following is true .76
                               .A. Chronic pain is associated with PTSD
                                  B. Resilience is not a dynamic quality
                  C. Prevalence of PTSD is the same all over the world
                                                   D. It is overdiagnosed
              E. Prior trauma does not increase susceptibility to PTSD
                                    28
With respect to the recommended treatments for PTSD which of .77
the following are endorsed by NICE guidelines for use in primary
                                                         ?care settings
                                      A. Amitriptyline and phenelzine
B. Sertraline and paroxetine C. Mirtazapine and paroxetine D.
                                             Sertraline and fluoxetine
                                         E. Mirtazapine and fluoxetine
Which of the following neuroimaging findings is most consistent .78
                                                            ?with OCD
A. Decreased metabolism at orbitocingulate region B. Decreased
metabolism at dorsal prefrontal cortex C. Increased metabolism of
        orbitocingulate region D. Decreased metabolism at amygdala
                                E. Increased metabolism at amygdala
A 20-year-old man is sent home from college as he was drunk .79
before giving a presentation. He is reported to be spending more
time alone as his friends have stopped calling him due to his
repeated refusals to go out with them anymore. He is refusing to go
to a family meal for his father's birthday as he says he would be so
tense that he may vomit at the party. Which of the following is the
                                                 ?most likely diagnosis
                                       A. Generalised anxiety disorder
                                                     B. Claustrophobia
                                                       C. Social phobia
                                               D. Adjustment disorder
                                                 E. Depressive episode
                                  29
In PANDAS which of the following tests is most likely to be .80
                                                             ?positive
                                    A. Anti Basal Ganglia antibodies
                                                      B. Anti DNAse B
                                                             C. PANCA
                                          D. Anti nuclear antibodies
                                                             E. CANCA
In PTSD there is confirmed effectiveness for all of the following.89
                                                  :treatments except
                                                    A. Antidepressant
                                                              B. EMDR
                                                     C. Hypnotherapy
                                              D. Stress management
                                         E. Trauma focused therapy
What percentage of patients taking benzodiazepines for nearly a .81
                              ?year develop dependence syndrome
                                                                A. 80%
                                                                B. 40%
                                                                C. 15%
                                                                D. 60%
                                                                E. 20%
How much of heroin does a typical heroin dependent user .82
                                                  ?consume on a day
                                                   A. 10-20 g per day
                                               B. 0.25-2.0 g per day
                                                 C. 0.1-0.2 g per day
                          D. 2.0-4.0 g per day E. 5.0-10.0 g per day
                                  30
  Ice is the street name for a particularly strong and pure form of.83
                                                       A. Amphetamine
                                                               B. Cocaine
                                                             C. Cannabis
                                                       D. Phencyclidine
                                                                E. Heroin
Which of the following is an acute effect caused by LSD (Lysergic .84
                                                    ?)acid diethylamide
                                                 A. persistent psychosis
                           B. post hallucinogenic perceptual disorder
                                                           C. flash backs
                                                   D. persistent anxiety
                                                             E. bad trips
Which of the following is a preferred maintenance treatment .85
                                            ?after opioid detoxification
A. Lofexidine B. Oral morphine C. Buprenorphine D. Naloxone E.
                                                                   LAAM
Mr. Z is a gentleman with a history of using illicit drugs in the .86
past. He is observed to have a nasal septal perforation. Which of the
                          ?following is the most likely offending drug
                                                             A. Cannabis
                                                                   B. LSD
                                                                C. Heroin
                                                      D. Amphetamines
                                                               E. Cocaine
                                   31
The common side effects of benzodiazepines include which of .87
                                                         ?the following
                                                             :Select one
                                                            A. Dizziness
                                              B. Gastrointestinal upset
                                                        C. Disinhibition
                                                           D. Headache
                                                       E. Blurred vision
You see a 12 year old boy with Tourette's syndrome, who also .88
has hyperkinetic disorder. The most effective treatment for this boy
                                                              :would be
                                                            A. Pimoline
                       )B. A NARI (Noradrenaline Reuptake Inhibitor
                                             C. A central alpha agonist
                         D. A Tricyclic antidepressant E. Risperidone
The first line of treatment of an 8 year old child with .89
hyperkinetic disorders without any co-morbidities but severe
                                                          impairment is
                                                   A. Methylphenidate
                                                            B. Clonidine
                              C. Cognitive Behavioral psychotherapy
                                                         D. Atomextine
                                                   E. Dexamphetamine
                                   32
The DSM-5 changes in Autistic spectrum disorder resulted in all .90
                                                :of the following except
A. Sensitivity of the diagnosis has been "sacrificed" in order to
                                                     .improve specificity
B. Some DSM-IV cases (with PDD NOS diagnosis) "lost" their
                                         .diagnosis with DSM-5 criteria
              .C. There is a decrease in overall diagnosis of ASD cases
       .D. Pre-/post DSM-5 research studies will not be comparable
     The symptoms of alcohol withdrawal usually subside within .91
       A. 1-2 days after the last drink B. 3-5 days after the last drink
                                         C. 2-3 days after the last drink
        D. 14 days after the last drink E. 5-7 days after the last drink
                                   33
A 25-years old man is brought by police after his arrest as he has .95
been rubbing his penis against unsuspecting women, the most likely
                                                            :diagnosis is
                                                           A. Pedophilia
                                                         B. Frotteurism
                                 C. Paraphilia not otherwise specified
                                                           D. Voyeurism
Which of the following is considered a relatively safe .96
                       ?psychotropic medication in a nursing mother
                                                A. An XR drug formula
         B. A psychotropic with a Relative Infant dose range 1%-10%
C. A medication classified as category B according to FDA letter
                                                  classificatory system
                                  D. A highly lipid soluble medication
Which of the following anti psychotics known to cause .97
                                                             :obsessions
                                                         A. Haloperidol
                                                            B. Clozapine
                                                          C. Ascenapine
                                                         D. Amisulpride
One important issue in therapy for specific phobias is to .98
                                                                :address
A. Ensure the individual never comes in contact with the phobic
                                                      event orsituation
B. The phobic beliefs that sufferers hold about their phobic event or
                                                                situation
C. The individual has ample opportunity to talk about the phobic
                                                     event or situation
         D. That any dreams about the phobic event or situation are
                                                                analyzed
                                   34
Sensitivity to increases in CO2 has been suggested as a risk .99
factor for panic disorder and has given rise to what are known as
"suffocation alarm theories" of panicdisorder where increased CO2
                                                            :intake may
                                        A. Activate the hypothalamus
                                              B. Activate the thalamus
               C. Activate an over-sensitive suffocation alarm system
                                      D. Activate the adrenal system
35