Psych exam final all questions from Pretets 12th edition questions

14. An 18-year-old man is brought to the emergency room by his college roommate, after the
roommate discovered that the patient had not left his room for the past 3 days, neither to eat nor to

examination reveals that the patient has auditory hallucinations of two voices commenting upon his
s always been somewhat of a loner and
unpopular, but otherwise did fairly well in school.

ANS: Schizophreniform disorder

15. A 32-year-old woman comes to the psychiatrist with a chief complaint of anxiety. She notes that
she worries about paying the mortgage on time, whether or not she will get stuck in traffic and be

has always been anxious, but since the birth of her daughter 2 years ago, the anxiety has worsened
to the point that she feels she cannot function as well as she did previously.

ANS: Generalized anxiety disorder

18. A 69-year-old man is brought to see his physician by his wife. She notes that over the past year
he has experienced a slow, stepwise decline in his cognitive functioning. One year ago she felt his

remember simple directions. The patient insists that he feels fine, though he is depressed about his
loss of memory. He is eating and sleeping well. Which of the following is the most likely diagnosis?

ANS: a. Multi-infarct dementia b. Mood disorder secondary to a general medical condition c.

Schizoaffective disorder d. Delirium e. Major depression

is having a good laugh. Which of the following is this man most likely suffering from?

ANS: a. Cataplexy b. Narcolepsy c. Hysteria d. Drop seizures e. Histrionic personality

ANS: (Exam had option called catalepsy the answer is cataplexy)

5-year-old boy is brought to the psychiatrist because he has difficulty paying attention in school. He
fidgets and squirms and will not stay seated in class. It is noted that at home he talks excessively and
has difficulty waiting for his turn. His language and motor skills are appropriate for his age. Which of
the following is the most likely diagnosis?

ANS: Oppositional defiant disorder (ODD) b. Attention-deficit hyperactivity disorder (ADHD) c.

Pervasive developmental disorder d. Separation anxiety disorder e. Mild mental retardation
212. A 24-year-
states that for the last 6 months she has been crying on
a daily basis and that she has decreased concentration, energy, and interest in her usual hobbies.
She has lost 25 lb during that time. She cannot get to sleep, and when she does, she wakes up early
in the morning. For the past 3 weeks, she has become convinced that she is dying of cancer and is
rotting on the inside of her body. Also, in the past 2 weeks she has been hearing a voice calling her
name when no one is around. Which of the following is the most likely diagnosis?

ANS: a. Delusional disorder b. Schizoaffective disorder c. Schizophreniform disorder d. Schizophrenia

e. Major depression with psychotic features

213. A 19-year-old man is brought to the physician by his parents after he called them from college,
terrified that the Mafia was after him. He reports that he has eaten nothing for the past 6 weeks

that the Mafia has put cameras in his dormitory room and that they are watching his every move. He
occasionally hears the voices of two men talking about him when no one is around. His roommate
states that for the past 2 months the patient has been increasingly withdrawn and suspicious. Which
of the following is the most likely diagnosis?

ANS: a. Delusional disorder b. Schizoaffective disorder c. Schizophreniform disorder d. Schizophrenia

e. Phencyclidine (PCP) intoxication

214. A 36-year-old woman is brought to the psychiatrist by her husband because for the past 8
months she has refused to go out of the house, believing that the neighbors are trying to harm her.
She is afraid that if they see her they will hurt her, and she finds many small bits of evidence to
support this. This evidence include
to trip her, parking their cars in their driveways so they can hide behind them and spy on her, and
walking by her house to try to get a look into where she is hiding. She states that her mood is fine

following is the most likely diagnosis?

ANS: a. Delusional disorder b. Schizophreniform disorder c. Schizoaffective disorder d. Schizophrenia

e. Major depression with psychotic features

215. A 35-year-old woman has lived in a state psychiatric hospital for the past 10 years. She spends
most of her day rocking, muttering softly to herself, or looking at her reflection in a small mirror. She
needs help with dressing and showering, and she often giggles and laughs for no apparent reason.
Which of the following is the most likely diagnosis?

ANS: a. Schizophrenia b. Delusional disorder c. Bipolar disorder, manic phase d. Schizoaffective

disorder e. Schizophreniform disorder

217. A 21-year-old man is brought to the emergency room by his parents because he has not slept,
bathed, or eaten in the past 3 days. The parents report that for the past 6 months their son has been
 s been locking himself in his room, talking to
himself, and writing on the walls. Six weeks prior to the emergency room visit, their son became
convinced that a fellow student was stealing his thoughts and making him unable to learn his school
material. In the past 2 weeks, they have noticed that their son has become depressed and has
stopped taking care of himself, including bathing, eating, and getting dressed. On examination, the
patient is dirty, disheveled, and crying. He complains of not being able to concentrate, a low energy
level, and feeling suicidal. Which of the following is the most likely diagnosis for this patient?

ANS: a. Schizoaffective disorder b. Schizophrenia c. Bipolar I disorder d. Schizoid personality disorder

e. Delusional disorder

218. A 47-year-old woman is brought to the emergency room after she jumped off an overpass in a
suicide attempt. In the emergency room she states that she wanted to kill herself because the devil
had been tormenting her for many years. After stabilization of her fractures, she is admitted to the
psychiatric unit, where she is treated with risperidone and sertraline. After 2 weeks she is no longer
suicidal and her mood is euthymic. However, she still believes that the devil is recruiting people to
try to persecute her. In the past 10 years, the patient has had three similar episodes prior to this
one. Throughout this time, she has never stopped believing that the devil is persecuting her. Which
of the following is the most appropriate diagnosis for this patient?

ANS: a. Delusional disorder b. Schizoaffective disorder c. Schizophrenia, paranoid type

d. Schizophreniform disorder e. Major depression with psychotic features

Case where man wanted to rub privates against people in public:

Answer is : Froteuristic

Lady gives birth feels anxious 2 weeks after feels she cope with baby:

Answer is Postpartum blues

292. A 32-year-old woman is brought to the emergency room by the police after she was found
standing in the middle of a busy highway, naked, commanding the traffic to stop. In the emergency
room she is agitated and restless, with pressured speech and an affect that alternates between
euphoric and irritable. Her father is contacted and states that this kind of behavior runs in the family.
Which of the following is the most likely diagnosis?

Ans : a. Delirium b. Bipolar disorder, manic c. Bipolar disorder, mixed state d. Cyclothymia e.
Schizophrenia

317. An elderly man has been profoundly depressed for several weeks. He cries easily and is
intensely preoccupied with trivial episodes from his past, which he considers unforgivable sins. This
patient awakens every morning at 3 AM and cannot go back to sleep. Anything his family has tried to
cheer him up has failed. He has completely lost his appetite and appears gaunt and emaciated.

ANS: Melancholic depression

319. For the past 6 weeks, a middle-

up briefly when her grandchildren visit or in coincidence with other pleasant events. She is
consistently less depressed in the morning than at night. When her children fail to call on the phone
to inquire about her health, her mood deteriorates even more. She sleeps 14 hours every night and
has gained 24 lb.

ANS: Atypical depression

328. A 28-year-old taxi driver is chronically consumed by fears of having accidentally run over a
pedestrian. Although he tries to convince himself that his worries are silly, his anxiety continues to
lf that nobody lies hurt
in the street. This behavior best exemplifies which of the following?

ANS: a. A compulsion secondary to an obsession b. An obsession triggered by a compulsion c. A

delusional ideation d. A typical manifestation of obsessive-compulsive personality disorder e. A
phobia

329. A young woman, who has a very limited memory of her childhood years but knows that she was
removed from her parents because of their abuse and neglect, frequently cannot account for hours
or even days of her life. She hears voices that alternately plead, reprimand, or simply comment on
what she is doing. Occasionally, she does not remember how and when she arrived at a specific
location. She finds clothes she does not like in her closet, and she does not remember having bought
them. Her friends are puzzled because sometimes she acts in a childish dependent way and at other
times becomes uncharacteristically aggressive and controlling. These symptoms are most commonly
seen in which of the following disorders?

ANS: a. Dissociative amnesia b. Depersonalization disorder c. Korsakoff dementia d. Dissociative

identity disorder e. Schizophrenia

350. A 65-year-old woman lives alone in a dilapidated house, although her family members have
tried in vain to move her to a better dwelling. She wears odd and out-of-fashion clothes and
rummages in the garbage cans of her neighbours to look for redeemable cans and bottles. She is
very suspicious of her neighbours. She was convinced that her neighbours were plotting against her
life for a brief time after she was mugged and thrown onto the pavement by a teenager, but now

strewn haphazardly throughout her house. Which of the following is the most likely diagnosis?

ANS: a. Autism b. Schizophrenia, paranoid type c. Schizotypal personality disorder d. Avoidant

personality disorder e. Schizoid personality disorder

353. An attractive and well-dressed 22-year-old woman is arrested for prostitution, but on being
booked at the jail, she is found to actually be a male. The patient tells the consulting physician that
he is a female trapped in a male body and he has felt that way since he was a child. He has been
taking female hormones and is attempting to find a surgeon who would remove his male genitals
and create a vagina. Which of the following is the most likely diagnosis?

ANS: a. Homosexuality b. Gender identity disorder c. Transvestic fetishism d. Delusional disorder e.

Schizophrenia

ANS: (Answer is Gender identity disoreder but in exam its written and Gender dysmorphia)

Questions from lang

CHAPTER 2 Adult Psychopathology chapter

30: A 22-year-old woman presents with fatigue for 4 months. She also reports irritability and poor
energy, with dismal sleep and poor concentration. She has maintained a rigorous exercise routine, as

dropped and she has lost a significant amount o

diagnoses is the most likely?

Ans: (A) Anorexia nervosa (B) Avoidant/ restrictive food intake disorder (ARFID) (C) Bulimia nervosa
(D) Exercise-induced amenorrhea (E) Obsessive-compulsive disorder (OCD)

32. A 36-year-old graduate student comes to your office because of difficulty sleeping since breaking
up with his fiancée 5 months ago. He is spending at least 2 hours in bed thinking about his ex-fiancée

completing his coursework. While he feels down, he is not suicidal, and he is seeking support of
friends in the post-breakup period. He is attending most classes. He describes feeling tenser overall,
especially when he is at a bar. He is having more trouble relaxing and has noted the new onset of
low back and shoulder pain. Which of the following is the most likely diagnosis?
Ans: (A) Acute stress disorder (B) Adjustment disorder (C) Generalized anxiety disorder (D) Major
depressive disorder (E) Normal reaction

42. A 69-year-old woman is brought to your geriatric psychiatry clinic by her husband. She denies
anything is wrong, but he is concerned that for the past year or so she has been less able to recall
things she reads about in her magazines. She used to be in charge of grocery shopping, but over the
past year or so she has been leaving things off the list, and her husband has taken over the job since

finances, and there have been several occasions when her son found her wandering outside, a
number of houses away. She is otherwise healthy, and takes a multivitamin daily. Her physical
examination is unremarkable. Mental status examination reveals a healthy appearing woman who is
cooperative with your questioand laughs when she cannot recall any of the three items you ask her
to repeat. Her attention is intact. She has some difficulties naming objects. She states her mood as
opriate
provisional diagnosis

Ans: (A) Delirium (B) Major depressive disorder (C) Major neurocognitive disorder (D) Mild
neurocognitive disorder (E) Normal pressure hydrocephalus

47. A 27-year-old woman was involved in a train derailment 2 weeks ago. Since that event, she has
felt down, has not slept well, has experienced repeated and intrusive thoughts of the accident, and
has recurrent nightmares. Lately, she has changed her commute to avoid the train, even though this
adds 3 hours to her commute daily. When on the train she has an acute increase in her anxiety. She

following diagnoses is the most appropriate for this patient?

Ans: (A) Acute stress disorder (B) Adjustment disorder (C) Generalized anxiety disorder (GAD) (D)
Posttraumatic stress disorder (PTSD) (E) Major depressive disorder (MDD)

77) A 32-year-old man is brought to the psychiatric emergency department by the police after
having been arrested for public nudity. On mental status examination, the patient cannot sit down
and is only partly cooperative. He interrupts the interview several times demanding to contact his

inf
depression in the past, one of which resulted in a suicide attempt. He is currently a computer
programmer, but has been increasingly stressed at work. One month ago, his girlfriend broke up
with him, and since then he has been increasingly irritable. Over the past 2 weeks he has maxed out
his credit card from online gambling sites, which he has continued to visit over the past four
consecutive nights. Laboratory tests show a negative drug screen and alcohol levels. 77. Which of
the following is the most likely diagnosis?

Ans: (A) Adjustment disorder (B) Bipolar disorder (C) Brief psychotic disorder (D) Cyclothymic
disorder (E) Major depressive disorder (MDD)

85. A happily married graduate student comes to your clinic with complaints of insomnia. She has
been unable to fall asleep because she ruminates about grades, money, her relationship, and her
young children. She has always been concerned about these, but lately her worries have gotten out
of control. She is unable to relax and feels constant tension in her muscles. While she denies
symptoms of panic attacks, she has noticed an increase in headaches and gastrointestinal
disturbances over the past few months. She denies any problems with mood. She denies any recent

most likely diagnosis?

ANS: (A) Adjustment disorder (B) Generalized anxiety disorder (C) Obsessive-compulsive disorder (D)
Panic disorder (E) Social anxiety disorder (social phobia)

87) A 23-year-old single medical student comes to your office complaining of difficulty sleeping,
excessive worry about his studies, his relationship with his parents, and that his girlfriend of 2 years
is going to break up with him despite being happy with their relationship. He feels irritable at times,
and has significant muscle tension. Because of these symptoms, his grades have suffered. He does
not report a depressed mood. You diagnose him with generalized anxiety disorder, and prescribe a
combination of psychotherapy and a selectiveserotonin reuptake inhibitor (SSRI). Three months
later, the patient comes back to your office reporting that his mood has been down in the dumps,
and he feels like he may never feel better. Recently, he has been thinking that life was not worth
living anymore and has passive thoughts of suicide. He reports ongoing thoughts of overdosing on
pills. Which of the following would be the most appropriate next step?

ANS: (A) Call his parents and arrange a family meeting (B) Discontinue his SSRI and have him return
in 1 week (C) Refer the patient to the psychiatric emergency department (D) Schedule weekly
outpatient visits (E) Switch the SSRI and have him follow-up with you in 1 month

89) A 29-year-old married white woman with a past medical history of recurrent migraines is
brought to the psychiatric emergency department by her husband who reports that, despite feeling
depressed 2 months ago and being compliant with prescribed treatment, she now has been acting
bizarre for several

interrupt her. Her husband reports that the patient has not slept in over a week, and during the
same time period, she has put a down payment for a car, has purchased a diamond tennis bracelet,
and has booked an extravagant vacation.

ANS: (A) Anxiety disorder (B) Bipolar and related disorder (C) Neurocognitive disorder (D) Psychotic
disorder (E) Somatic symptom disorder

93. A 75-year-

isolative now, as many of the activities he enjoyed doing were with his wife. His appetite is
decreased, but he is still bathing and cooking. He sometimes feels guilty that she died before him,
hears the voice of
his deceased wife encouraging him to move on, and he denies suicidal ideation. Which of the
following is the most appropriate diagnosis at this time.

ANS: (A) Adjustment disorder with depressed mood (B) Bereavement (C) Major depressive disorder
(D) Persistent complex bereavement disorder (E) Schizophrenia
97. A 26-year-old man newly diagnosed with narcolepsy explains that he has episodes of falling
down without any loss of consciousness, precipitated by laughter or anger. Which of the following
terms best describes this symptom?

ANS: (A) Catalepsy (B) Cataplexy (C) Hypersomnia (D) Hypnagogic hallucinations (E) Sleep paralysis

106) A 24-year-old graduate student in philosophy is referred by his student health center for a
psychiatric evaluation. Although he claims to have had similar but attenuated symptoms in
childhood, since beginning his thesis, he describes an acute worsening of fears that he will contract
H IV. While he understands the modes and risks of contraction and practices safe sex, he is unable to

even to the point of their becoming raw and bleeding. Despite his insight that his concerns are
irrational, he is not able to stop the behaviors. A positron emission tomography (PET) scan of this

structures?

Ans: (A) Amygdala (B) Caudate nucleus (C) Cerebellum (D) Hippocampus (E) Parietal lobes

107) A 70-year-old widowed man without significant medical history is brought in by his daughter
due to concerns about his being able to adequately care for himself. He has been found lost in the
downtown area on several occasions, attempting to walk i
unable to cook for himself but is unable to calculate the correct amount for purchases. His daughter
has noticed that he is dizzy when standing up and has a wide-based, slow walk. Upon interview, he
appears disheveled and smells of urine. He is friendly and cooperative overall, although easily
distracted and confused. While he knows his name, he believes the year is 1989. When confronted
about his memory difficulties, he states that there are small gnomes living in his furniture, who play
tricks on him by moving items around in his condominium. According to the daughter, he rarely
drinks alcohol, does not smoke tobacco, and has never used illicit drugs. 107. Which of the following
diagnoses is most likely?

ANS: (A) Major frontotemporal neurocognitive disorder (B) Major neurocognitive disorder due to
Alzheimer disease (C) Major neurocognitive disorder with Lewy bodies (D) Major vascular
neurocognitive disorder (E) Substance-induced major neurocognitive disorder

A 36-year-old woman presents with complaints of a depressed mood for the past month. She
reports poor sleep, little appetite with weight loss, low energy, decreased concentration, and little
libido. She admits to feeling hopeless and suicidal, although she denies a specific plan or intent. She
is subsequently begun on paroxetine 20 mg at bedtime. Which of the following symptoms would be
most likely to improve the earliest?

Ans: (A) Decreased libido (B) Depressed mood (C) Hopelessness (D) Poor sleep (E) Suicidal ideation

(Question about Paroxetine and what symptoms of depression it will treat first: options were mood,
sleep, suicidal thoughts and appetite: I was unsure so I put sleep)
120. You are asked to review neuropsychological testing for a 19-year-old patient who is failing
classes at his local community college. His results indicate an intelligence quotient (IQ) of 55. He is
has a group of peers but is often immature, and his friends often prevent him from being taken
advantage of as he is very gullible. He takes care of his physical needs but parents ensure that he has
enough groceries and need to remind him to check his bank account balance. Which of the following
is the most appropriate diagnosis

Ans: (A) Mild intellectual disability (B) Moderate intellectual disability (C) No diagnosis (normal
intellectual functioning) (D) Severe intellectual disability (E) Profound intellectual disability

Mild intellectual disability: IQ 50 to 70

Moderate intellectual disability: IQ 35 to 49
Severe intellectual disability: IQ 20 to 34
Profound intellectual disability: IQ less than 20

Conduct disorder (15 y/o boy breaks shop owners shop and trashes his car with no remorse)

Separation anxiety small child cries always when mother drops him off or fakes illness in school to go
home early

OCD always late due to showering long hours, has specific pattern/ritual of scrubbing and washing
body

Purging emaciated teenager eats very little, exercises a lot, what other activity will she likely be
doing?

Atypical depression old woman depressed but feels happy and sleeps longer hours after knowing
her grandchildren will visit her

Seasonal depression young man travels from sunny place to winter place and feels sluggish and
down during winter

Specific phobia soldier afraid of needles

Premenstrual dysphoric disorder young woman who feels irritable, unexplained sadness, bloating
for about a week every 4-5wks (monthly)

Avoidant personality disorder: Question about a young librarian who is shy and feels anxiety when
talking with people, always blushing and thinks people see her as incompetent

Schizoid personality disorder man has a new job that is more open/interactive than his older job of
shelving books in a corner, he has no expression on face (or looks cold) and says
being around people

Transsexual fetishism later

found to be a man crossdresser
 2nd batch:

A 6-year-old boy with an early, ongoing history of distractibility, hyperactivity, and impulsivity is
diagnosed with ADHD. He is treated with methylphenidate. Three weeks later he is brought in and
his inattention and hyperactivity is much better. The mother also notes that he has a small bald spot
from where he has begun repeatedly rubbing his head. You periodically observe him to suddenly
raise his hand to the spot, rub back and forth once, and put his hand down. There is no rash but the
area is hairless. The most likely diagnosis is which of the following?

a. Alopecia secondary to stimulant

b. Drug allergy with contact dermatitis
c. Stimulant-induced complex motor tic
d. Attention-seeking behavior
e. Scabies

Which of the following treatment is best employed to treat the comorbid depressive symptoms of
an adolescent with Conduct Disorder?

a. Multisystemic therapy
b. An antidepressant medication
c. Helping the adolescent change schools
d. Attendance in group therapy
e. Treatment of the family to address the underlying reasons for the depression

Which of the following would not be consistent with the description of a mood-congruent delusion
of psychotic depression?

a. Delusions of thought broadcasting

 b. Nihilistic delusions
c. Delusions of poverty
d. Hypochondriacal delusions
e. Delusions of guilt

A person who had one episode of hypomania and six episodes of depression meets the diagnostic
criteria for which one of the following?

a. Schizoaffective disorder
b. Cyclothymia
c. Recurrent depressive disorder
d. Dysthymia
e. Bipolar affective disorder

A 28-year-old woman presents for her annual gynecology appointment. She complains that in the
week before her period, she often experiences marked anger and irritability and argues more with
her boyfriend. She also reports diminished energy and concentration, and is sleeping more than is
usual for her. These symptoms, in addition to breast tenderness and headaches, always remit in the
week after her menses is finished. Which of the following is the most likely diagnosis?

a. Bipolar disorder
b. Major depressive disorder
c. Premenstrual dysphoric disorer (PMDD)
d. Persistent depressive disorder

An 8-year-old boy is referred to you by a school nurse because he has been complaining of

not like to go to school, insists on coming home immediately after school each day, and sleeps in his
ther complaints. Which of the following is the most likely
diagnosis?

a. reactive attachment disorder

b. posttraumatic stress disorder (PTSD)
c. specific phobia
d. separation anxiety disorder
e. social phobia

Which of the following would be most helpful in distinguishing between mania and ADHD in
children?

a. low self-esteem
b. pressured speech
 c. impulsivity
d. motoric overactivity
e. distractibility

A 22-year-old college student attends the clinic, reporting unbearable embarrassment and tension
when asked to speak in groups. She has stopped attending classes because of fears that she will be
asked to answer a question in front of the class. She believes that she is been judged by peers when
socialising and avoids mixing with her classmates as a result. what is the most likely diagnosis?

a. Panic disorder
b. PTSD
c. Agoraphobia
d. OCD
e. Social phobia

Which of the following is not part of the DSM-5 criteria for diagnosing atypical depression?

a. Shortening of REM latency

b. Mood reactivity
c. Significant weight gain
d. Leaden paralysis
e. Hypersomnia

You are asked to assess an 82-year-old man in the community who seems to be depressed. He is
recently bereaved and lives by himself. His daughter is concerned that he wishes to end his life.
Which of the following factors are not related to an increased risk of suicide in the elderly?

a. Bereavement
b. Female gender
c. Living alone
d. Older age
e. Depression

Which of the following symptoms are not indicative of PTSD?

a. Persecutory delusions
b. Hypervigilance
c. Avoidance of travelling in cars
d. Physiological arousal on reminders of the accident
e. Nightmares

Atomoxetine is a relatively new drug used for the treatment of ADHD. Which of the following
represents the advantage of using atomoxetine over Ritalin?

a. Atomoxetine has a shorter half-life.

b. Atomoxetine can be taken on an empty stomach.
c. Atomoxetine is available in a generic form that is less costly than Ritalin.
d.
e. Atomoxetine appears to have less of a potential for abuse than does Ritalin.
Mild, persistent nonpsychotic depression with predominant anxiety is called

a. Bipolar disorder
b. Bipolar depression
c. Dysthymia
d. Anxiety disorder
e. Postpartum depression

A 42-year-

that the news anchorman gives him special messages about the state of the world every night
through the TV. This last belief is an example of which of the following psychiatric findings?

a. Idea of reference
b. Clouding of consciousness
c. Grandiose delusion
d. Illusion
e. Loose association

A 4-year-old boy is referred to you because he will not speak in preschool. Over the course of about
2 months, he gradually stops talking. Initially his mother reports that he objected to going to
preschool, but no longer complains. She states that at times, her son is quiet and stays in his room,
but that she has not noticed a significant change in his speech or behavior. Which of the following is
the most likely diagnosis?

a. MDD
b. social phobia
c. dysthymic disorder
d. selective mutism
e. separation anxiety disorder

A 49-year-old bank teller with no known psychiatric history is referred to your office by her internist
for an evaluation. For the past 2 months, she has been increasingly convinced that a well-known
music star is in love with her and that they have had an ongoing affair. She is well-groomed, and
there is no evidence of thought disorder or hallucinations. She has been functioning well at work and
in other social relationships. Which of the following is the most likely diagnosis?

a. Paranoid personality disorder

b. Brief psychotic disorder
c. Schizophrenia
d. Delusional disorder
e. Schizophreniform disorder

Unexpected panic attacks are required for the diagnosis of

a. specific phobia
b. social phobia
c. generalized anxiety disorder
d. panic disorder
 e. all of the above

In distinguishing schizophrenia from amphetamine-induced toxic psychosis,the presence of which of

the following is most helpful?

a. Auditory hallucinations
b. Paranoid delusions
c. Intact orientation
d. Tactile or visual hallucinations
e. Clear consciousness

A 72-year-old woman is asked to immediately repeat back three words that are said to her in the
MMSE. What component of cognitive functioning does this test?

a. Attention
b. Orientation
c. Memory
d. Executive function
e. Language

A 72-year-old woman is asked to immediately repeat back three words that are said to her in the
MMSE. What component of cognitive functioning does this test?

a. Attention
b. Orientation
c. Memory
d. Executive function
e. Language

A 14-year-
very short temper, argues with them and teachers at school daily, often refuses requests at both
settings, and usually blames her teachers or her parents for the behaviors she is showing. She denies
being depressed , anxious or any psychotic symptoms. With this information, what might be the best
diagnosis?

a. Posttraumatic stress disorder

b. Oppositional defiant disorder
c. Conduct disorder
d. Borderline personality disorder
e. Antisocial personality disorder

Which of the following is not a component of the DSM 5 diagnostic criteria for OCD

a. The person recognized the obsessional thoughts as a product of outside themselves

b. There are attempts to ignore or suppress compulsive thoughts or impulses
c. Obsessions or compulsions are time consuming, and take more than 1 hour a day
d. Children need not recognize their obsessions are unreasonable
e. Obsessions are acknowledged as excessive or unreasonable
All of the following are associated with a good prognosis in a brief psychotic disorder except

a. No affective symptoms
b. Sudden onset of symptoms
c. Severe precipitating stressor
d. Few premorbid schizoid traits
e. Confusion during psychosis

Which of the following is the best predictor of likelihood of attempting suicide in future?

a. Prior suicide attempt

b. Gender
c. Unemployment
d. Recent divorce
e. Alcohol abuse

Depression and mania share which of the following symptoms?

a. Psychomotor acceleration
b. Grandiosity
c. Pessimism
d. Anger and irritability
e. Low-self esteem

A 21-year-old man with a diagnosis of schizophrenia is arrested by police, having assaulted a

member of the public in the street. On assessment, he seems intoxicated and psychotic. He has a
history of assault. He is unemployed and has relationship difficulties. He was abused by his parents
as a child. What is the greatest risk factor for future violence?

a. History of violence
b. Substance misuse
c. Psychotic illness
d. Relationship problems
e. Traumatic experiences

A 45-year-old woman presents to the clinic reporting that she feels exhausted. She describes poor
concentration and sleep and that she feels on edge most of time, making it difficult for her to switch
off. She reports experiencing muscle tension and recurrent headaches. This has been occurring for
nearly a year now and she is frustrated by feeling unable to cope with daily activities and being
worried about most things on a daily basis. Please select the probable diagnosis.

a. OCD
b. Social phobia
c. Delusional disorder
d. Depressive episode
e. Generalised anxiety disorder

The negative symptoms of schizophrenia include all of the following except

a. avolition
b. alogia
 c. aggressivity
d. affective flattening
e. inattentiveness

A 25-year-old man complains that he is being spied on by the intelligence services. He reports that
his house is bugged and that he can hear agents speaking about what he is doing. He is convinced
that this is happening and states that it started 6 months ago. Please select the probable diagnosis.

a. Substance-induced psychotic disorder

b. Schizoaffective disorder
c. Manic episode with mood-congruent psychotic features
d. Severe depressive episode
e. Delusional disorder, persecutory type

A 14-year-old boy is referred to your clinic after being expelled from school for persistent aggressive
and bullying behaviour. He was recently arrested for stealing from shops and has previously burgled
houses. He uses alcohol and cannabis with friends. Please select the probable diagnosis:

a. conduct disorder
b. autistic disorder
c. oppositional defiant disorder
d. childhood schizophrenia

Which of the following statements regarding manic episodes is false?

a. The patient will generally be able to maintain an adequate level of functioning

b. The majority of patients with mania will have psychotic symptoms at some point in their
illness
c. Patients with mania generally have decreased need for sleep
d. They are characterised by severe elevations of mood or irritability
e. They can be precipitated by antidepressant therapy

Features of anhedonia may include all of the following except

a. Difficulty describing or being aware of emotions

b. Withdrawal from interest
c. Loss of pleasure
d. Inability to experience normal emotions
e. Derealization

Which of the following is not typically associated with catatonia?

a. stereotypies
b. verbigeration
c. mutism
d. waxy flexibility
e. mannerisms
A 10-year-old boy presents with episodes of somatic complaints, anxiety, and crying at school which
go anywhere without his mother. Which of the
interventions would be appropriate in the plan of treatment?

a. Immediately restrict access to the mother until anxiety symptoms cease.

b. will pass with
little i
c. Place the patient on fluoxetine in low dose.
d. Place on home-bound tutoring to be provided by the school district.
e. Prescribe lorazepam prn for anxiety episodes.

A 24-year-old woman tells the physician that sometimes she becomes frightened when her room is
dark because her computer looks like a lion lurking in the corner. This is an example of

a. a delusion
b. a neologism
c. an illusion
d. an idea of reference
e. a hallucination

You assess a 45-year-old woman with a diagnosis of bipolar disorder in the emergency department.
She is speaking very quickly and is difficult to interrupt. She scarcely finishes a sentence before
starting another. She speaks about a range of topics, but her words make sense and the topics are
clearly linked to one another. What sign is she exhibiting?

a. Blocking
b. Dysphasia
c. Circumstantiality
d. Pressure of speech
e. Tangentiality

A 33-year-old woman with paranoid schizophrenia describes hearing voices when there is no one
around. They are both male and female and they tell her to harm others. She finds them very
distressing and it is difficult for her to resist acting on them. How would you describe this symptom?

a. Second-person command auditory hallucination

b. Sensory distortion
c. Visual hallucination
d. Depersonalization
e. Pseudohallucination

In bipolar affective disorder, which one of the following is correct?

a. At least three episodes of mania are required for its diagnosis

b. Depressive mood swings are usually accompanied by psychotic symptoms
c. It usually presents with delusions of control on mental state exam
 d. Hypermania is a severe form of mania
e. Manic episodes are often associated with irritability rather than elevated mood.

A 36-year-old married white female presents to the emergency room with a 2-month history of
depression, terminal insomnia, fatigue, decreased appetite, anhedonia, and excessive guilt. She feels

Catholic who attends church regularly. Which of the following characteristics most increases this

a. Age
b. Hopelessness
c. Marital status
d. Gender
e. Religion

A 4-year-old boy is referred to you for evaluation because he has not started walking. He appears
healthy and well-cared for. He readily comes with you to the examining room. In your office, he
notices a windup toy and immediately becomes engrossed in winding it up, watching it move around
until it winds down, and winding it up again. After about 10 minutes, you attempt to take the toy
from him and he becomes extremely upset, making an insistent, piercing cry.

a. oppositional defiant disorder

b. selective mutism
c. conduct disorder
d. separation anxiety disorder
e. autistic disorder

A 24-year-old man is admitted to the inpatient psychiatry unit after his mother observed him
standing in place for hours at a time in abnormal postures. During his exam, the patient stands with
one arm raised directly above his head and the other straight out in front of him. He is mute, does
not appear aware of his surroundings, and actively resists any attempts to change his position.

a. Apraxia
b. Dystonia
c. Trance state
d. Synesthesia
e. Catatonia