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C) pentobarbital
D) carbamazepine
E) clonazepam
19.All the following statements regarding agoraphobia are true EXCEPT that
A) affected persons suffer an intense and irrational fear of leaving home
B) affected individuals are aware that their fear is unreasonable
C) medication is often effective in titrating agoraphobic panic
D) initial treatment often focuses on the behavioral aspects of the phobia rather
than on underlying psychodynamic concerns
E) the phobic anxiety, once treated, is very unlikely to recur
20.A person with which one of the following personality disorders is less likely to
seek medical care or psychiatric treatment?
A) dependent
B) antisocial
C) borderline
D) schizoid
E) obsessive-compulsive
21.All of the following phenomena occur in children during the first third of the
major sleep episode (slow wave sleep) EXCEPT
A) night terrors
B) bed-wetting (enuresis)
C) sleep-walking (somnambulism)
D) nightmares
E) sleep paralysis
22.Characteristics of AD/HD include all of the following EXCEPT
A) hyperactivity
B) abnormalities in coordination
C) emotional lability
D) thought disorder
E) a strong male predominance
23.The DSM-IV uses an approach to diagnosis of psychiatric disorder that
emphasizes all of the following EXCEPT
A) observed behavior
B) descriptions of syndromes
C) underlying causes
D) diagnostic criteria
E) multiaxial model
24.Conversion disorder (also known hysterical neurosis, conversion type) is
distinguished by the following symptoms EXCEPT
A) suggest a physical disorder
Comprehensive Exam Psychiatry
D) supportive psychotherapy
E) anti-depressants
31.Which of the following is the most accurate statement about vascular
dementia?
A) agitation in vascular dementia is best treated with benzodiazepines
B) early signs include memory loss, irritability, and difficulty concentrating
C) women are affected more commonly than men
D) the condition is rarely characterized by sudden exacerbations or by remissions
E) the condition is usually first evident in individuals over age 80
32.Which one of the following symptoms is the most distinguishing feature of
delirium?
A) fever
B) memory impairment
C) personality changes
D) reduced clarity of awareness
E) tremulousness
33.Which f the following disorders is thought to be especially related to OCD?
A) somatization disorder
B) body dysmorphic disorder
C) conversion disorder
D) pain disorder
E) factitious disorder
34.The concurrent presence of a mood disorder is more likely in which of the
following?
A) schizoid personality disorder
B) paranoid personality disorder
C) borderline personality disorder
D) avoidant personality disorder
E) antisocial personality disorder
35.Cluster C, anxious group of personality disorders, includes avoidant,
dependant, and
A) histrionic personalities
B) schizoid personalities
C) borderline personalities
D) obsessive-compulsive personalities
E) depressive personalities
36.Perceptual abnormalities include all of the following EXCEPT
A) hallucinations
B) depersonalization
Comprehensive Exam Psychiatry
C) illusions
D) perseverations
E) depersonalization
37.Medical conditions that can cause manic-like symptoms include all of the
following EXCEPT
A) AIDS
B) Wilson disease
C) Hyperthyroidism
D) TB
E) Cushing disease
38.Individuals with personality disorders have chronic impairments in their ability
to work and love and tend to be less educated, drug addicts, and sex offenders.
The prevalence of these disorders in the general population is striking and
threaten any modern society as it ranges from:
A) 30 to 40%
B) 13 to 15 %
C) 11 to 23 %
D) 5 to 10 %
E) 23 to 33 %
39.Anti-cholinergic poisoning is characterized by all of the following EXCEPT
A) warm, dry skin
B) mydriasis
C) psychosis
D) tachycardia
E) coryza
40.An obsessive-compulsive personality disorder man is likely to exhibit all of the
following symptoms EXCEPT
A) perfectionism that interferes with performance
B) compulsive checking or hand-washing behaviors
C) preoccupation and concern for rules
D) indecisiveness
E) stinginess with compliments
41.Which of the following statements regarding autistic disorder is most accurate?
A) the child has usual language development
B) the disorder commonly begins after the age of 5 years
C) preoccupation with the internal world of the individual to the exclusion of
external reactivity
D) autistic children often treat other individuals intimately
E) social development is nearly normal
42.Negative symptoms of schizophrenia include all of the following EXCEPT
A) affective blunting and flattening
Comprehensive Exam Psychiatry
C) echolalia
D) all of the above
E) none of the above
55.A mentally retarded child showing frequent bizarre behavior and absolute
dependence. His I.Q. was found to be approximately 15, the most probable
diagnosis is
A) mild mental retardation
B) moderate mental retardation
C) severe mental retardation
D) profound mental retardation
E) borderline intelligence
56.Concrete thinking means:
A) multidimensional thinking
B) limited use of metaphor without understanding of nuances of meaning
C) abstraction
D) false fixed beliefs
E) none of the above
57.A maladaptive pattern of substance use characterized by 3 (or more criteria)
occurring in the same 12 months, of which are: tolerance, withdrawal, and
taking the substance in larger amount than was intended. This condition
describes:
A) substance use disorder
B) substance withdrawal
C) substance dependence
D) substance intoxication
E) substance adverse effect
58.A disorder that meets all criteria for schizophrenia, its duration is not less than
one month but less than 6 months is called
A) schizoid personality disorder
B) schizoaffective disorder
C) brief psychotic disorder
D) psychotic disorder NOS
E) schizophreniform disorder
59.Anhedonia is described as
A) an affective state means reduction in intensity of feeling tone
B) behavioral abnormality means motiveless resistance to all instructios
C) mood variant indicating loss of interest in and withdrawal from all regular and
pleasurable activities
D) lack of reaction to surroundings
E) blocking out those things that generate anxiety
60.Appropriate, flat, restricted, labile are expressions used to describe :
A) mood
Comprehensive Exam Psychiatry
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B) behavior
C) thinking process
D) affect
E) speech
61.Dissociative amnesia is defined according to the DSM-IV as:
A) amnesia due to the direct physiological effects of a neurological condition
B) an inability to recall important personal information, usually of a traumatic or
stressful nature and subdivided into five types
C) normal forgetfulness following recovery fron general mesdical condition
D) a somatoform disorder in which the person can't recall important personal
information
E) amnesia for one's identity, which is coupled with sudden, unexpected travel
62.which of the following is true regarding dissociative identity disorder
A) existence of two or more distinct personality states that exchange executive
control of the person's behavior
B) previously called mixed personality disorder
C) synonym of gender identity disorder
D) more prevalent in men than women
E) the patient is always able to recall important personal information
63.Frotteurism means
A) genital exposure
B) use of nonliving objects for sexual behavior
C) rubbing against or touching a nonconsenting person
D) clandestine observation of another person's undressing, toileting, or sexual
behavior
E) sexual behavior with prepubescent or peripubertal children
64.Regarding gender identity disorder, all of the following are true EXCEPT
A) a strong and persistent gender identification
B) one possible source is congenital virilizing adrenal hyperplasia
C) in boys, the disturbance is manifested by assertion that his penis or testes are
disgusting
D) persistent discomfort with his or her sex or sense of inappropriateness in the
gender role of that sex
E) the disturbance is not concurrent with a physical intersex condition
65.Primary dyssomnias are: primary insomnia, primary hypersomnia, brathingrelated sleep disorder, circadian rhythm sleep, and which one of the following?
A) nightmares
B) sleep terror disorder
C) sleep walking disorder
D) narcolepsy
E) sleep bruxism
11
12
13
(A)
(B)
(C)
(D)
(E)
(F)
lithium carbonate
phenelzine
diazepam
clozapine
haloperidol
thioridazine
73.Dosage above the recommended upper limit can lead to retinitis pigmentosa
74.Sudden development of a severe throbbing headache signals a possible medical
emergency
75.GI distress and fine tremor of the hands indicate toxicity
76.In low doses, its relative lack of autonomic side effects make it a drug of
choice in the treatment of agitation in elderly individuals
77.Inhibition of ejaculation is a characteristic side effect
78.Agranulocytosis
73
74
75
76
77
78
14
incoherence
derailment
perseveration
neologism
pressure of speech
80
81
82
83
Questions 84 through 88
A) conversion disorder
B) hypochondriasis
C) panic disorder
D) somatization disorder
E) body dysmorphic disorder
Comprehensive Exam Psychiatry
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F) cerebro-vascular accident
84.complaints of episodic chest tightness and breathing difficulty occurring
spontaneously with palpitation, depersonalization, and fear of death
85.sudden loss of sensation and flaccid paralysis of the entire left arm without any
evident central neurological defect in a 20-year-old woman
86.preoccupation with some imagined defect in the body, usually the face that lead
to frequent visits to doctors
87.multiple chronic joint pains in a 35-year-old man with chronic bloating and
nausea, impotence, and localized left lower limb weakness
88.a 30-year-old woman chronically preoccupied with fears that she have a breast
cancer although through investigations revealed nothing
84
85
86
87
88
Questions 89 through 93
The following specifiers are assigned as specific types of delusional disorder, based
on predominant delusional theme. For each delusional description, match the type of
delusional disorder
A) erotomanic type
B) grandiose type
C) jealous type
D) persecutory type
E) somatic type
F) mixed type
89. Delusions that the individual's sexual partner is unfaithful
90. Delusions that the person has physical defect or general medical condition
91. Delusions that another person, of higher status, is in love with the individual
92. Delusions that the person (or someone to whom the person is close) is being
malevolently treated in some way
93. Delusions of inflated worth, power, knowledge, identity, or special
relationship to a deity or famous person
89
90
91
92
93
16
A)
B)
C)
D)
E)
F)
G)
H)
1 day
2 days
4 days
7 days
2 weeks
1 month
6 months
2 years
95
96
97
98
17
99
100