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6-Schizophrenia;
a-atypical anti psychotic is the 1st line treatment.
b-benzodiazepine is effective in treatment of –ve symptoms.
c-affective symptoms are of good prognosis.
d-of good prognosis if occur in young age.
e-Tardive dyskinesia is a reversible complication.
7-Alcohol-in regard delirium tremens:
a-symptoms occur 6 hours after withdrawal
b-carries mortality of 19%.
c-associated. With delusion.
d-biochemical evidence of liver dysfunction in more than 90%.
e-characteristically occurs more at night.
8-Conduct disorders in children:
a-associated with school truancy.
b-there is difficulty in dealing with the authority figures.
c-may be associated with dissocial (antisocial ) in adulthood.
d-respond well to antipsychotic.
e-associated with dysfunctional family background .
9-ECT:
a-EEG should always be given to all patients.
b-C/I if patient taking tricyclic antidepressants.
c-C/I if having pacemaker.
d-is the treatment of choice for mania resistant to drugs.
e-may be used in pregnancy.
10-Psychdynamic psychotherapy:
a-depend on conscious , cognition and behaviour.
b-transference is the therapist emotion reaction to the patient.
c-first work was done by Si. & Froid.
d-dreams can be interpreted using a dream directory.
e-target the unconscious cognition and behaviour.
11-Overeating is a recognised feature in the following:
a-anorexia nervosa.
b-bulimia nervosa .
c-puerperal psychosis.
d-depression.
e-social phobia .
13.Schizophrena:
a. There is a strong genetic factor.
b. Increased suicidal risk.
c. Chlorpromazine is the treatment of choice.
d. In men has an earlier age of onset than women.
e. Catatonic symptoms are good prognostic feature.
16.Rregarding Depression:
a. In male is more common than female.
b. There is motor retardation.
17. Anxiety:
1. Incidence in females is double the males.
b. Benzodiazepine is the treatment of choice for all types.
18. Chlorpromazine:
a. Has an Anti-Prolactin affect.
19. Mania can present with:
a. Agitation.
b. Grandiose delusions.
c. Affection of mood.
d. Sleep disturbance.
e. Social promiscuity.
20.the following are True about Affective Disorders:
1. Bipolar Disorders is commoner in Females > Males.
2. In Bipolar Disorders, recovery is complete between episodes.
3. In Bipolar Disorders, mania is common in elderly.
4. In Bipolar Disorders are common above the age of 30.
1. Anti-psychotic.
2. Anti-emetic
3. Parkinsonian Features
4. Postural Hypotension.
5. Weight Gain.
1. Cognitive Process.
2. Behavioral Process.
3. Emotional Reaction.
4. Biophysiological Aspects.
5. Psychological aspects.
30- Side effects of SSRI are:
a. Nausea.
b. Sweating.
c. Tremor.
d. Sedation.
e. Thyroid dysfunction.
35- Vascular Dementia is more likely than Alzheimer’s dementia in the presence of:
a. Step-wise progression.
b. Hypertension.
c. Carotid bruit.
d. Plantar extensor.
e. Short term memory loss.
36-Depression:
More than 60% of patients respond in the first week of treatment.
Can be caused by calcium channel blockers.
Prevalence is 1% life long.
If bipolar, mood stabilizer should be stopped.
May be associated with pseudo-dementia.
37-Schizophrenia:
Visual hallucination is characteristic.
Auditory hallucination is diagnostic.
There is seasonal birth effect.
Confusion and disorientation are rare.
There is a better outcome in the industrialized countries.
38-Deliberate self-harm:
More common in males.
May lead to future suicide.
The patient is usually suffering from depression.
May be an attention seeking behavior.
Associated with skin artifact lesion.
39-Autism:
There is language speech delay.
Males affected more than females.
Obsessive-compulsive pre-occupied.
Verbal ticks.
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40-Phobia:
Agoraphobiacs usually suffer from depression.
Simple phobia is considered as delusion.
Social phobia is commonly associated with alcoholism.
Uncommon in children.
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41-Antipsychotics:
Reduce the threshold for convulsions.
43-Psychotherapy:
Schizophrenia is treated by psychodynamic therapy.
Autism is treated by cognitive therapy.
Panic attacks are treated by cognitive therapy.
Phobias are treated by cognitive therapy.
Depression is treated by arbitrary inference.
44-Opiate addiction:
More common in developing countries.
More common in deprived urban areas.
Female tendency for addiction is more than males.
More than 30% 0f patients have hepatitis c infection.
Cross addiction with diazepam occurs.
45. Alzheimer’s Disease:
a. Affects men more than women.
b. Delta & Beta waves occur in EEG.
c. High Neurofibrillary Tangles correlate with increase in Severity.
d. Commonest cause of Dementia at any age.
e. Is Common in patients with Down’s Syndrome.
f. May be Familial in 10%
g. Reduction in the Biochemical Matter correlates with Cognitive Therapy.
47. ECT:
a. Used in the treatment of Puerperal Psychosis.
b. Is better than Medication in the treatment of Depression.
c. Is more successful in Depression with Delusion.
d. Is of no use in Neurotic Depression.
e. Has been validated in Double Blind Trials.
f. It caused brief memory Disturbance after Application.
48. Clozapine:
a. Causes Aranulocytosis.
b. Is used in the treatment of Resistant Schizophrenia.
c. Does not cause Tardive Dyskinesia.
d. Acts on DI Receptors.
51. Delirium is more common when the those conditions are present:
a. Hypothyroidism.
b. Broncho-pneumonia.
c. An Unstimulating Environment.
d. Treatment with Benzodiazepines.
e. Increasing Age.
53. Enuresis:
a. Is associated with a Psychiatric Disorder in the majority of cases.
b. Can be treated by Antidepressants.
c. Runs in Families.
d. Occurs during Non-REM sleeping.
e. Occurs in 1% of the Teenagers.
54-The following are used in prophylaxis of mania:
a. L-tryptophan.
b. Lithium citrate.
c. Lithium carbonate.
d. Carbamazepine.
e. Phenytoin.
59-Delirium Tremens:
a. Should be treated in a dark room.
b. Hallucinations are mainly auditory.
c. There is vitamin deficiency.
d. Is fatal in 10% of cases.
e. -----------------------.
66-Suicide:
a. More common in males.
b. 60% are associated with Depression.
c. More in the never married.
d. Previous failed Attempts decrease the Risk of Suicide.
e. Is considerable in chronic depressive illness.
76-Child Abuse:
a. Sexual Abuse is associated with Violence or tendency to Violence.
b. Physical Abuse is Common in Preschool Children.
c. Rare in Teen age girls.
d. In Ireland you must notify to Children Abuse Society.
78-Symptoms of depression:
-Sleep disturbances
-Delusion
-Wt.loss
-Flight of ideas
79-in assessing drug overdose:
-Taking history from relatives is important if available
-Increase drug dose increase psychiatric illness
-History is often concealed
-Suicidal note is of no importance
-Recurrent suicidal attempt decreases the risk
80-Anorexia nervosa :
-Occurs In early age than bulimia
-treatment is always by hospitalisation
-Cannot occur in males
-Genetic factor is not proven
-Drug treatment is the only treatment
81-Schizophrenia (good prognosis)
-Old age
-Normal premorbid personality
-Family history of affective disorders
-1st Rank symptoms
-Insidious onset
82-ECT
---Can't be given without consent
-Only effective in psychotic depression
-Contraindicated in ischemic heart disease
-Contraindicated in patient not taking fluids
-Causing irreversible damage to mamilary body.
83-Causes of delirium
Cushing syndrome
Acute alcohol withdrawal
Mania
Schizophrenia
Vit. B1 deficiency
84-delirium tremens
Treated in dark room
Risk of developing convulsions
Hypersomnia
Vit. Deficiency
Mainly auditory hallucination
85-post traumatic stress disorders
Vivid dreams re-encenting the accident
Increased mood
Decreased mood
Flight of ideas
When encounter somebody from the accident will remind her with the accident
86-benzodiazepine withdrawal
Confusion
Aggression
Respiratory depression
Weight gain
Cognitive impairment