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Семестр: 8
Situetional tasks to "Psychiatry"
Опис:
8 term
Перелік питань:
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Patients who are not on dialysis usually experience:
Adjustment disorder can lead to behavioral problems.
Major depression is the most common psychiatric diagnosis.
Adjustment disorders can influence physical outcome.
Adjustment disorders may become chronic.
Lack of energy and insomnia are less indicative of depression than
Patients with late-onset depressive disorder have
Decreased possibility of depression history
Decreased risk of developing dementia
Reduced mortality
Decreased structural abnormalities
Good treatment response
The use of seclusion and restraint is contraindicated for all of the following except
To prevent harm to the patient or others
To assist the staff during staff shortages
To assist in treatment
To prevent significant disruption to a treatment program
To decrease sensory stimulation
A 22-year-old woman is seen in the outpatient clinic for anxiety problems. After the assessment, the
psychiatrist tells the patient that she has agoraphobia because she has expressed fear associated with
public places. She tells the psychiatrist that her father was killed in a motor vehicle accident when
she was 6 years old and wonders if that could be responsible for her problems. All of the following
could be the defense mechanisms used in this patient except
Symbolization
Avoidance
Undoing
Repression
Displacement
A 23-year-old male patient believes he has social phobia and would like to know if the information
he has about social phobia is true or not. All of the following facts are true about social phobia except
Most common anxiety disorder
More common in women in clinical samples
Onset is usually in adolescence
Has two specific subtypes: performance anxiety versus generalized anxiety
Most common comorbidities are depression and substance abuse (alcohol or drug abuse)
A 24-year-old woman is diagnosed with social phobia. All of the following are effective treatments
except
SSRls
Flooding
Modeling
Systematic desensitization
ЕСТ
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A 24-year-old woman is referred for a psychiatric consultation by a plastic surgeon. She is very angry
that the surgeon thinks "It's in my brain" and refused to acknowledge that she has a "crooked nose."
The psychiatrist thinks that there is no obvious defect with the patient's nose but reassures her and
tries to calm her. After obtaining all the collateral information and extensively interviewing the
patient, he diagnoses her with body dysmorphic disorder. All of the following about this disorder are
true
except
Suicide
is rare.
Preoccupation with imagined or slight physical anomaly is markedly excessive.
Up to one-third of patients with this disorder may be housebound.
Hair, nose, and skin complaints are most common.
Comorbid depression and anxiety are common.
A 26-year-old woman presents who appears to have generalized anxiety disorder with panic attacks.
Terrified by the panic attacks, she requests medication, saying: "I need something to control them
immediately" She is otherwise fit and healthy and has no history of any substance abuse or
dependence. A reasonable approach would be to
Start the patient on intensive psychotherapy
Start the patient on a combination of bupropion and clonazepam
Start the patient on any SSRI
Start the patient on an SSRI and refer the patient to cognitive- behavorial therapy
Start the patient on a combination of an SSRI for the long term and low-dose clonazepam for a short
duration
A 28-year-old female patient is diagnosed with generalized anxiety disorder and substance abuse. A
trial of SSRIs fails, and the physician is reluctant to prescribe any benzodiazepines for symptomatic
relief in view of the patient's history of substance abuse. He prescribes buspirone. Buspirone acts as a
5HT2C agonist
5НТ1А agonist
5НТ1А antagonist
GAB A agonist
Serotonin reuptake inhibitor
A 28-year-old woman is admitted to a general medical unit for hypoglycemia. A psychiatry
consultation is requested because the patient's story "doesn't fit." The patient tells the psychiatrist
how bad the problem is and uses medical jargon. She appears to be an intelligent person with strong
dependency needs. The nurse interrupts the psychiatrist and tells him that she found insulin-filled
syringes beneath the patient's pillow. This upsets the patient and before anything can be done about
it, she elopes from the hospital. The most likely diagnosis in this patient is
Somatization disorder
Hypochondriasis
Factitious disorder
Malingering
Munchausen syndrome by proxy
A 34-year-old female patient is referred by her psychiatrist for systematic desensitization therapy
because of a specific phobia. However, before she starts therapy, the patient wants to know if there
are any factors that would result in a less-than-ideal response in her case. All of the following are
predictors of good response except
Good relaxation response
Free-floating anxiety
Good motivation
No secondary gain from the phobia
No obsessions
12.
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C.
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A 34-year-old male is seen in the psychiatric emergency room of a city hospital for bizarre
presentation. Social worker tells the psychiatrist that after obtaining extensive collateral information,
she learned that the patient lives in a nearby town and was "normal" until a severe earthquake hit the
town recently. He is not able to recall his personal information, and neither is he able to explain how
he traveled the 65 miles from his town or when he arrived in this city. There is no history of any
substance abuse and family members are concerned. What is the most likely diagnosis?
Dissociative amnesia
Dissociative fugue
Transient global amnesia
Malingering
Dissociative identity disorder
A 36-year-old male patient is admitted to the chronic pain unit for severe, chronic back pain. After
extensive evaluations, pain disorder associated with psychological factors and a general medical
condition is diagnosed. All of the following are true about pain disorder except
A significant psychological stress is often a precipitating factor.
Peak incidence is during third and fourth decade of life.
Men mainly complain of back pain.
Women mainly complain of abdominal pain.
Multidisciplinary treatment approach is best.
A 36-year-old woman is diagnosed with post-traumatic stress disorder following a violent assault and
rape. Over the next 2 years, although the posttraumatic stress disorder abates, she feels anxious and
depressed and starts using alcohol and other illicit drugs. Which of the following is the most common
comorbid condition in women with PTSD?
Substance abuse (alcohol or drugs)
Eating disorders
Anxiety disorder
Psychotic disorders
Depression
A 38-year-old woman with a diagnosis of acute PTSD completes an MMPI as part of a psychological
workup; all of the following scales are likely to be elevated except
F: Infrequency scale
SC: Schizophrenia
D: Depression
ES: Ego strength
Ps: Psychaesthenia
A patient appealed to the doctor-psychotherapist with a request to deprive him from permanent
burdensome ideas about possible insolvency in a sexual sphere.
perseveration
nosomania
overvaluable ideas
to obtrusiveness
psychical automatisms
A patient asks to deprive her from ideas that she can to inflict injury to the child.
an influx of ideas /is a mentism/
obtrusive ideas
perseveration
psychical automatisms
E.
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overvaluable ideas
A patient is low-spirited weak, complains, that crisp linen body irritates and scratches
hyperesthesia
perseveration
psychical automatisms
overvaluable ideas
pseudohallucinations
A patient is low-spirited, complains, that sounds perceived deafly like distant and meal seems
deprived to taste ("as grass").
Paresthesia
Hypesthesia
Perseveration
Nosomania
Pseudohallucinations
A patient gets nervous easily, asks those who surround him to talk more quiet and to close window
shades, as "daylight blinds eyes”
Paresthesias
Derealization
Depersonalization
Parejdolics
Hyperesthesia
All of the following theories have been put forward to explain phobias except
The concept of "preparedness"
Classic conditioning
Neurodevelopmental theory
Operant conditioning
Observational learning
Apart from SSRIs, which have proven efficacy in PTSD, all of the following medications are
considered to be useful in the treatment of PTSD except
Anticonvulsants
MAOls
Trazodone
Propranolol
Antipsychotics
Carries raid of theatrics, demonstrativeness
Maniac excitation
Catatonic excitation
And that, and other
Neither that nor other
No correct answer
The interruption of diazepam after chronic use may cause all of the following except
Depersonalization and derealization
Perceptual disturbances
Anxiety
Constipation
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Rhinorrhea
Clinical lines which allow to set the diagnosis of pseudodementia for elderly people include the
tendency of part of such patients :
to grumble about the strong loss of mental abilities
to show the subzero degree of attention and concentration
not to show noticeable efforts during realization of testing
to demonstrate behavior which does not relate to the mental function
No correct answer
Critical estimation of present disorders of perception.
Hallucinations
Illusions
And that, and other
Neither that nor other
No correct answer
ELENIUM is mostly used as:
Tranquilizer
Neuroleptic
Antidepressant
Anticonvulsant means
Does not behave to psychotropic facilities
Erroneous perception of really existent objects, phenomena.
Hallucinations
Illusions
And that, and other
Neither that nor other
No correct answer
Factitious disorder with predominant physical signs and symptoms, is also known as
Hypochondriasis
Munchausen syndrome
Munchausen syndrome by proxy
Somatoform disorder
None of the above
Following the September 2001 terrorist attacks, the most common psychiatric problem diagnosed in
the Manhattan residents was
PTSD and depression
In PTSD, acrophobia and anxiety
Panic disorder and PTSD
Depression and anxiety
Xenophobia
For a diagnosis of chronic PTSD according to DSM-1V, for at least how long must the patient have
symptoms of PTSD?
6 months
1 year
2 years
3 months
E.
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39.
1 month
For which of the following has biofeedback been used as treatment?
Multiple sclerosis
Hypertension
Brain tumors
Parkinsonism
Diabetes insipidus
How does the technique known as flooding expose patients to their phobic stimuli?
Gradually
In symbolic form
Along with benzodiazepines to allay anxiety
In massive amounts
Along with an interpretation of conflicts
In patients with anxiety spectrum disorders, all of the following are observed except
Decreased skin conductance
Panic in response to sodium lactate infusion
Increased cutaneous blood flow
Decreased splanchnic blood flow
Decreased habituation following electrodermal stimulation
In theory of development conception of critical periods belongs to
to different inclination of criticism on the different stages
to the different degrees of development, which can happen in definite time, to stay too long or not to
happen in general
to different psychical forces which operate for support of equilibrium in face of crisis
to the crises, by a necessity for normal development of person
nothing of above-stated
Patient, with most authenticity that has psychological complication after a surgical operation:
young woman which yielded to cosmetic surgery
a patient is with depression
a patient is with schizophrenia in a remission
patient which did not have a pre-operative alarm
a patient is with strong domestic copulas
For how long do the patients with generalized anxiety disorder who have excessive anxiety can
2worry?
weeks
2 months
6 weeks
6 months
4 weeks
Patients with the syndrome of Munhausen usually have:
strong necessity for a foolish doctor
composition of person, that doesn`t agree
masochistic propensity to sickly procedures
satisfactory prognosis
No correct answer
The brain-imaging studies in panic disorder implicate pathological involvement of the
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Temporal lobe
Frontal lobe
Parietal lobe
Midbrain
Occipitoparietal junction
The DSM-1V diagnostic criteria for acute stress disorder include most of the criteria for PTSD, but
they add and emphasize one of the following groups of symptoms. Which group?
Dissociative symptoms
Psychotic symptoms
Neurotic symptoms
Depressive symptoms
Cognitive symptoms
A man 38 y.o euphoric, talks much, a language is inexpressive however, jokes cynical, co-ordination
of motions is broken, face slightly bloodshot. This state can be caused by a reception:
to the natrium oxybutyrate
barbiturates
Seduksen(Relanium)
to the alcohol
the all enumerated is possible
A man 38 exited, euphoric, talks much, a language is inexpressive however, jokes cynical,
co-ordination of motions is broken, pupils of ordinary size, person slightly bloodshot, it is not felt the
smell of alcohol . This state can be caused by a consumption of:
cocaine
opium
hashish
barbiturates
marihuana
A man 38 yars old, euphoric, talks a lot, used for setting fire, sometimes aggressive, tahicardia and
increase of arteriotony, expansion is marked. This state can be caused by a reception:
To Phenaminum (to the amphetamine)
of the ephedrine
of the cocaine
opium
marihuana
A patient is restless. Partly accessible for a contact, but in surrounding not oriented. Often jumps
from a bed, something searches under a pillow, peeps under a bed, dug in bed linen, fumbles a hand
to down the wall, tries to catch imaginary insects. Speaks to the imaginary interlocutor. What
abnormal psychology syndrome takes place for a patient?
Hallucinosis
Paranoid syndrome
Delirium
Hallucinatory-paranoid syndrome
No correct answer
Patient 43, 15 more than practises upon an alcohol, can have a drink a more than 1 litre of vodka,
even in a state of strong intoxication comes home, though does not remember as it was. Drinks on a
few days in succession, while money will not end. In days the forced restraint there is wicked, sleeps
badly, there is тремор. What from symptoms below is observed for this patient ?
A.
B.
C. *
D.
E.
46.
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B.
C.
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E.
47.
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48.
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49.
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50.
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51.
symptom of Argyll-Robertson
hard pseudodrinking
an increase of tolerance is to the alcohol
Reihard` symptom
polineuropathia
A 26-year-old patient without any cardiac risk factors suffers a myocardial infarction. What
substance is most likely to be the cause?
PCP
Sedative
Hallucinogen
Stimulant
Alcohol
A 26-year-old patient without any cardiac risk factors suffers a myocardial infarction. What
substance is most likely to be the cause?
PCP
Sedative
Hallucinogen
Stimulant
Alcohol
A 40-year-old woman presents to the ER with confusion and drowsiness. She is ataxic and her speech
is slurred. She has lateral nystagmus with normal pupils. Respirations are shallow. Shortly after, she
has respiratory arrest and grand mal seizure. The family reports that she has been taking sleeping pills
for a long time. What is the most likely cause for her presentation?
Antidepressant overdose
Anticholinergic overdose
Barbiturate overdose
Benzodiazepine withdrawal
Opiate overdose
A 45-year-old man who drinks a quart of whisky a day reports feelings of hopelessness, suicidal
thoughts, sleeplessness, and weight loss. What is the most appropriate diagnosis?
Major depression
Adjustment disorder
Alcohol withdrawal
Dysthymia
Alcohol-induced mood disorder
A fellow 16 left off to go out a house, does not attend school, nothing busy at, does not produce
complaints, to the patients itself does not count. To 8 class studied perfectly, was assiduous, tied to
the parents. From a 8 class became rough, unmanaged, lost interest in studies, tramped, regularly
practised upon an alcohol. What is mostly reliable diagnosis?
alcoholism of I stage
alcoholism of II stage
alcoholism of III stage
Korsakoff`s psychosis
symptoms do not answer a diagnosis "alcoholism"
A fellow is 16 euphoric, some excited, multilingual, impulsive, sometimes aggressive, a face pale,
pupils wide, is arterial pressure - 160/90, a stuffiness in nose, tahicardia and easy tremor is marked.
Such state resembles:
A.
B.
C.
D. *
E.
52.
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C.
D.
E.
53.
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B.
C.
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54.
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B.
C. *
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E.
55.
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B.
C. *
D.
E.
56.
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B.
C.
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E. *
maniac syndrome
opium intoxication
hashish intoxication
cocaine intoxication
barbituratе intoxication
A man 37 acts on treatment with complaints about insomnia, anorexia, headaches, palpitation,
shortness of breath, that arose up after stopping of alcoholizing. 10 more than practises upon an
alcohol, the last time can drink the large doses of alcohol notedly not getting drunk. Repeatedly
appeared at work with the smell of alcohol. What most reliable diagnosis?
alcoholism of I stage
alcoholism of II stage
alcoholism of III stage
alcoholic delirium
pathological intoxication
A man 37 in a state of alcoholic intoxication struck a knife an own wife. An alcohol uses from 18,
tolerance a to 800 ml of vodka in twenty-four hours. After the excessive alcoholizing the cases of
partial amnesia were episodically marked. What your conclusion?
Healthy
alcoholism of I stage
alcoholism of II stage
pathological intoxication
there is not sufficient information for establishment of diagnosis
A man 37 uses an alcohol from 18. Four last weeks he drinks practically every day. Tolerance grew a
to 800 ml of vodka in twenty-four hours. The letheral forms of intoxication are marked. In days the
forced maintenance from alcoholizing there is irritable, badly sleeps at night, an arteriotony rises.
What your conclusion?
Healthy
alcoholism of I stage
pathological intoxication
alcoholism of II stage
there is not sufficient information for establishment of diagnosis
A man 39 from 18 practises upon an alcohol. Uses the substitutes of alcohol. Drinks the last years
during twenty-four hours repeatedly small doses. The decline of algesthesia is marked on feet,
violation of step. Delivered by relatives in a hospital, as in closing dates became forgetful. Does not
know a current date, can not remember event that took place some minutes back. What your
conclusion?
white
fever
alcoholic paranoid
Corsakov psychosis
pathological intoxication
not enough data for a diagnosis
A patient 30 after stopping of the regular alcoholizing had insomnia, headaches, hypertension,
nausea, shortness of breath, fear of death. Appoint adequate treatment:
Hemodez, Lasixu, Radedorm
glucose with the vitamin С, diazepam, etaperazyn
sulfate of magnesium, vitamins, Pyrroxanum
Pyracetamum, drink, sonapax, adelpam, nozepam
it is possible to use any of the offered charts
57.
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B.
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D.
E.
58.
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B.
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D.
E.
59.
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B.
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D.
E.
60.
A.
B.
C. *
D.
E.
61.
A.
B. *
C.
D.
E.
62.
A.
B.
C.
D.
E. *
A patient with alcohol dependence is ataxic, confused, and had a seizure after admission to a
substance abuse clinic a day ago. He has no history of seizures. What is the most appropriate
parenteral drug for this patient?
Lorazepam
Phenytoin
Thiamine
Folate
Valproic acid
A patient with alcohol dependence is ataxic, confused, and had a seizure after admission to a
substance abuse clinic a day ago. He has no history of seizures. What is the most appropriate
parenteral drug for this patient?
Lorazepam
Phenytoin
Thiamine
Folate
Valproic acid
How long should alcohol be avoided following cessation of disulfiram?
24 hours
З days
7 days
1 month
3 months
How long should alcohol be avoided following cessation of disulfiram?
24 hours
З days
7 days
1 month
3 months
Man 25, engineer married. Apt to abuse of alcohol. Two weeks ago there were strange metallic
"voices" in a head. Declared to the wife, that he is the object of telepathic influence of new-comers
from space. It was anxious, unsuccessfully tried to weaken this influence the reception of alcohol.
What most reliable diagnosis?
progressive paralysis
schizophrenia;
tromomania
alcoholic hallucinosis;
alcoholic paranoid.
Man 28, engineer married. Apt to abuse of alcohol. Two weeks ago there were strange metallic
"voices" in a head. Declared to the wife, that he is the object of telepathic influence of new-comers
from space. It was anxious, unsuccessfully tried to weaken this influence the reception of alcohol.
What most reliable diagnosis?
alcoholic hallucinosis
tromomania
alcoholic paranoid
Corsakov psychosis
not enough data for a diagnosis
63.
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B. *
C.
D.
E.
64.
A. *
B.
C.
D.
E.
65.
A.
B.
C.
D. *
E.
66.
A.
B.
C. *
D.
E.
67.
A.
B.
C. *
D.
E.
Man 29, from 18 practises upon an alcohol. A permanent train felt to alcoholic. Two days ago in the
evening there were "voices" which discussed inter se his acts. In daily time, especially when a patient
is at work and busy at business, voices disappear however in evening time they arise up again. What
your conclusion?
tromomania
alcoholic hallucinosis
alcoholic paranoid
Corsakov psychosis
not enough data for a diagnosis
Patient 27. From little up differed in "heavy" character: was friends with by asocial teenagers, under
their influence from 11 began to burn and accept an alcohol. Stole money for parents, participated in
a street in thefts, lay, begged pardon, promised to behave properly. It was indifferent to the studies.
Presently works as a night-watchman. Spends all money on an alcohol. What facilities are shown at
treatment of this patient?
Antipsychotics
antidepressants;
psychostimulants
nootropicssalts of lithium.
No correct answer
Patient of 23. From young years differed in "heavy" character: was friends with by asocial teenagers,
under their influence from 11 began to smoke at alcohol. Stole money from parents, participated in a
street in thefts, begged pardon, promised to behave properly. He was indifferent to the studies.
Presently works as a night-watchman. Spends all money on an alcohol. Disorders of what spheres of
psyche do prevail for this patient?
Perception
thought;
to the intellect
will and trains
to consciousness.
Patient 29, appealed to the district expert in narcology, from 18 practises upon an alcohol. A
permanent train felt to alcoholic. Two days ago in the evening there were "voices" which discussed
inter se his acts. In daily time, especially when a patient is at work and busy at business, voices
disappear however in evening time they arise up again. What leading abnormal psychology
syndrome?
abstinent
Korsakoff`s
hallucinosis
delirium
paranoid
Patient 39, from 18 practises upon an alcohol. Uses the substitutes of alcohol. Drinks the last years
during twenty-four hours repeatedly small doses. The decline of algesthesia is marked on feet,
violation of step. Delivered by relatives in a hospital, as in closing dates became forgetful. Does not
know a current date, can not remember that took place some minutes back. What leading abnormal
psychology syndrome?
abstinent
paranoid
Korsakoff`s
delirium
hallucinosis
68.
A.
B.
C.
D. *
E.
69.
A.
B.
C.
D.
E. *
70.
A.
B.
C.
D.
E. *
71.
A.
B.
C.
D. *
E.
72.
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B.
C.
D. *
E.
73.
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B. *
C.
D.
E.
Patient In. 45 in the last few years became irresponsible, does not execute the promises, points
unfamiliar people home, does not give money to wife, beats her and then feels sorry, promises to
reform. Such changes of personality are characteristic for:
to schizophrenia
manic-depressive psychosis
epilepsies
to alcoholism
atherosclerosis imbecility
Patient К. with the excessive alcoholizing in anamnesis was hospitalized in psychiatric permanent
establishment in connection with senseless behavior and disorientation of activity. What is your
conclusion in relation to the diagnosis of this patient?
delirium
onejroid
amention
twilight state
not enough data for a diagnosis
Patient P. with the excessive alcoholizing in anamnesis was hospitalized in psychiatric permanent
establishment in connection with senseless behavior and disorientation of activity. What is your
conclusion in relation to the diagnosis of this patient?
delirium
onejroid
amention
twilight state
not enough data for a diagnosis
Severe alcohol withdrawal is associated with all the following medical соmplications, except
Magnesium deficiency
Wernicke's encephalopathy
Hypertension
Hyperglycemia
Seizures
Severe alcohol withdrawal is associated with all the following medical соplications, except
Magnesium deficiency
Wernicke's encephalopathy
Hypertension
Hyperglycemia
Seizures
The man of 32 acts on treatment with complaints about insomnia, anorexia, headaches, palpitation,
shortness of breath, that arose up after stopping of alcoholizing. Practises upon an alcohol, the last
times could drink the large doses of alcohol notedly not getting drunk. Repeatedly appeared at work
with the smell of alcohol. What is the leading syndrome for this patient?
Pyracetamum (Nootropil)
vitamins of group B and ascorbic acid
tranquilizers
teturam
nalmefen
74.
A.
B. *
C.
D.
E.
75.
A.
B. *
C.
D.
E.
76.
A.
B. *
C.
D.
E.
77.
A.
B.
C.
D. *
E.
78.
A.
B.
C.
D. *
E.
79.
The man of 34 acts on treatment with complaints about insomnia, anorexia, headaches, palpitation,
shortness of breath, that arose up after stopping of alcoholizing. 10 more than practises upon an
alcohol, the last time can drink the large doses of alcohol notedly not getting drunk. Repeatedly
appeared at work with the smell of alcohol. What is the leading syndrome for this patient?
delirium of absthinentia
an increase of tolerance is to the alcohol
Psycho-organic
adynamic
paranoia
The man of 42, anxious, can not fall asleep, jumps from a bed, declares, that just saw shade of dog,
again lies down to sleep, but soon gets up and asserts that sparrows jump on a bed. Includes light, can
not find sparrows. Then he saw spider on the ceiling that fell down on his wife and he tried to take it
off her. Such state specifies on:
sharp attack of schizophrenia
beginning of delirium
epileptiform poroxizm
chronic hallucinosis
antipsychotic syndrome
The patient of М., 29, systematic practises upon an alcohol. Sharply changed attitude toward a wife:
began to check up her the worn next to the skin linen, finding on her tracks which testify, according
to his opinion, about matrimonial infidelity. Beated her, declared that a wife betrays to him, while he
takes shower. What psychical violation is observed for this patient?
symbolic thought
overvaluable ideas of jealousies
delirium
fixed ideas
psychical automatisms
What is the half-life of LAAM?
8 hours
24-36 hours
48 hours
72-96 hours
1 day
You are asked to see a 42-year-old male patient on a surgical ward who had a major operation 2 days
ago and is now exhibiting bizarre behavior. He expresses fears that aliens are coming to take him
away and appears to be responding to hallucinations. On examination he is tremulous and sweating
but appears oriented and denies any hallucinations. His laboratory workup is subnormal with
increased MCV and GGT. What is the most likely cause of his symptoms?
Alcohol withdrawal
Schizophrenia
Severe depression
Delirium tremens
Alcoholic hallucinosis
You are asked to see a 38-year-old male patient on a surgical ward who had a major operation 2 days
ago and is now exhibiting bizarre behavior. He expresses fears that aliens are coming to take him
away and appears to be responding to hallucinations. On examination he is tremulous and sweating
but appears oriented and denies any hallucinations. His laboratory workup is subnormal with
increased MCV and GGT. What is the most likely cause of his symptoms?
A.
B.
C.
D. *
E.
80.
A. *
B.
C.
D.
E.
81.
A. *
B.
C.
D.
E.
82.
A.
B. *
C.
D.
E.
83.
A.
B.
C. *
D.
E.
84.
A.
B.
C. *
Alcohol withdrawal
Schizophrenia
Severe depression
Delirium tremens
Alcoholic hallucinosis
Youth 19 is some excited, smiles, multilingual, talks very quickly, slurs, in conversation easily
distracted on side themes, gives the enormous amount of advices surrounding, offers the help, hunger
hypersexual felt. Face of the ordinary colouring. It is not felt the smell of alcohol. Such state is more
than all alike on:
maniac syndrome
opium intoxication
hashish intoxication
cocaine intoxication
barbituratе intoxication
Youth 19 is some excited, smiles, multilingual, talks very quickly, slurs, in conversation easily
distracted on side themes, gives the enormous amount of advices surrounding, offers the help, hunger
hypersexual felt. Face of the ordinary colouring. It is not felt the smell of alcohol. Such state is more
than all alike on:
maniac syndrome
opium intoxication
hashish intoxication
cocaine intoxication
barbituratе intoxication
The patient of М., 29, systematic practises upon an alcohol. Sharply changed attitude toward a wife:
began to check up her the worn next to the skin linen, finding on her tracks which testify, according
to his opinion, about matrimonial infidelity. Beated her, declared that a wife betrays to him, while he
takes shower. What psychical violation is observed for this patient?
symbolic thought
overvaluable ideas of jealousies
delirium
fixed ideas
psychical automatisms
A patient is restless. Partly accessible for a contact, but not oriented in surroundings. Often jumps
from a bed, something searches under a pillow, peeps under a bed, dug in bed linen, fumbles a hand
down the wall, tries to catch imaginary insects. Speaks to the imaginary interlocutor. What abnormal
psychology syndrom takes place for patient?
Hallucinosis
Paranoid syndrome
Delusions
Twilight disorder
Hallucinatory-paranoid syndrome
Patient 43 years old, abuses alcohol, can have a drink for more than 1 litre of vodka, even in a state of
strong intoxication comes home, though does not remember how it was. Drinks for few days until he
spent all his money. In days of forced restraint he feels wicked, sleeps badly, has a tremor. What
symptoms are true for this patient ?
symptom of Argyle-Robertson
hard pseudodrinking
an increase of tolerance to the alcohol
D.
E.
85.
A.
B.
C.
D. *
E.
86.
A.
B.
C.
D. *
E.
87.
A.
B.
C.
D. *
E.
88.
A.
B.
C.
D. *
E.
89.
A.
B.
C.
D.
E. *
90.
A.
B.
C.
D.
Rejhardt symptom
polineuropathy
A 26-year-old patient without any cardiac risk factors suffers a myocardial infarction. What
substance is most likely to be the cause?
PCP
Sedative
Hallucinogen
Stimulant
Alcohol
A 29-year-old patient without any cardiac risk factors suffers a myocardial infarction. What
substance is most likely to be the cause?
PCP
Sedative
Hallucinogen
Stimulant
Alcohol
A 40-year-old woman came to the psychiatrist with confusion and drowsiness. She is ataxic and her
speech is slurred. She has lateral nystagmus. Respiration is shallow. Shortly after, she has respiratory
arrest and grand seizure. The family reports that she has been taking sleeping pills for a long time.
What is the most likely cause of her state?
Antidepressant overdose
Anticholinergic overdose
Barbiturate overdose
Benzodiazepine withdrawal
Opiate overdose
A 46-year-old woman came to the psychiatrist with confusion and drowsiness. She is ataxic and her
speech is slurred. She has lateral nystagmus. Respiration is shallow. Shortly after, she has respiratory
arrest and grand seizure. The family reports that she has been taking sleeping pills for a long time.
What is the most likely cause of her state?
Antidepressant overdose
Anticholinergic overdose
Barbiturate overdose
Benzodiazepine withdrawal
Opiate overdose
A 45-year-old man who drinks a quart of whisky a day reports feelings of hopelessness, suicidal
thoughts, sleeplessness, and weight loss. What is the most appropriate diagnosis?
Major depression
Adjustment disorder
Alcohol withdrawal
Dysthymia
Alcohol-induced mood disorder
A 45-year-old man who drinks a quart of whisky a day reports feelings of hopelessness, suicidal
thoughts, sleeplessness, and weight loss. What is the most appropriate diagnosis?
Major depression
Adjustment disorder
Alcohol withdrawal
Dysthymia
E. *
91.
A.
B.
C.
D.
E. *
92.
A.
B.
C.
D. *
E.
93.
A.
B. *
C.
D.
E.
94.
A.
B.
C.
D. *
E.
95.
A.
B.
C.
D. *
E.
Alcohol-induced mood disorder
A boy, 16 years old stays at home, doesn`t attend school, doesn`t complain, does not count with
people. Until he entered 8th form he studied perfectly, was assiduous, communicated with parents.
After 8th form he became rough, unmanaged, tramped and lost the interest in studies, he started to
drink lcohol. What diagnosis is right?
alcoholism of I of century
alcoholism of II of century
alcoholism of III of century
Korsakoff`s psychosis
symptoms which are not linked with a diagnosis "alcoholism"
A boy, 16 years old is euphoric, excited, multilingual, impulsive, sometimes aggressive, has a pale
face, the blood pressure - 160/90, feels stuffiness in nose, tahicardia and easy tremor. Such state is the
sign
of: syndrome
maniac
opium intoxication
hashish intoxication
cocaine intoxication
barbiturate intoxication
A men, 20 years old has a militia in connection with acute excitation and senseless behavior. Escapes
from imaginary pursuers, yelles of being attacked by military man. In a hospital he came to memory.
In an induction centre the smell of alcohol from the mouth was marked. The patient names himself
correctly, but can remember nothing about the event during an attack. How to characterize this
psychosis?
onejroid
twilight state
delusions
epileptic status
amention
A men, 18 years old has a militia in connection with acute excitation and senseless behavior. Escapes
from imaginary pursuers, yelles of being attacked by military man. In a hospital he came to memory.
In an induction centre the smell of alcohol from the mouth was marked. The patient names himself
correctly, but can remember nothing about the event during an attack. How to characterize this
psychosis?
Schizophrenia
Maniac-depressive psychosis
alcoholism
epilepsy
psychopathy
A men, 20 years old has a militia in connection with acute excitation and senseless behavior. Escapes
from imaginary pursuers, yelles of being attacked by military man. In a hospital he came to memory.
In an induction centre the smell of alcohol from the mouth was marked. The patient names himself
correctly, but can remember nothing about the event during an attack. What tactics it should be right
to follow with this psychosis?
electro-convulsive therapy
urgent hospitalization is in psychiatric permanent establishment
introduction of antidepressants
introduction of neuroleptics
disintoxication
96.
A.
B. *
C.
D.
E.
97.
A.
B.
C.
D.
E. *
98.
A.
B.
C. *
D.
E.
99.
A.
B.
C.
D.
E. *
100.
A.
B.
C. *
D.
E.
101.
A.
B.
C.
D. *
A man 37 years old complaints about insomnia, anorexia, headaches, palpitation, shortness of breath
that rises up after stopping of alcohol use. Last time he could drink the large doses of alcohol notedly
not getting drunk. Repeatedly appeared at work with the smell of alcohol. What is the right
diagnosis? of I stage
alcoholism
alcoholism of II stage
alcoholism of III stage
alcoholic delusions
pathological intoxication
A man 37 years old in a state of alcoholic intoxication strucked a knife in his own wife. He drinks
alcohol since he was 18, had a tolerance a to 800 ml of vodka during twenty-four hours. The partial
amnesia was episodically marked. What is your conclusion?
Healthy
alcoholism of I stage
alcoholism of II stage
pathological intoxication
there are no sufficient information to name diagnosis
A man 37 uses an alcohol from 18. 4 last drinks practically every day. Tolerance grew a to 800 ml of
vodka in twenty-four hours. The letheral forms of intoxication are marked. In days the forced
maintenance from alcoholizing there is irritable, badly sleeps at night, an arteriotony rises. What your
conclusion?
Healthy
alcoholism of I of the stage
pathological intoxication
alcoholism of II of the stage
there is not sufficient information for establishment of diagnosis
A man 38 years old, euphoric, talks a lot, a language is inexpressive however, jokes cynically,
co-ordination of motions is broken. This state can be caused by use of:
to the natrium oxybutorate
Seduksen
the alcohol
marihuana
barbiturates
A man 39 years old, drinks alcohol since 18. Uses the substitutes of alcohol. Drinks the last years
during twenty-four hours repeatedly small doses. The decline of algesthesia is marked on feet,
violation of step. Delivered by relatives in a hospital, as in closing dates became forgetful. Does not
know a current date, can not remembere vents that took place some minutes before. What is your
conclusion?
white
fever
alcoholic paranoid
Korsakoff`s psychosis
pathological intoxication
no enough data for diagnosis
A man 40 years old, euphoric, talks a lot, a language is inexpressive however, jokes cynically,
co-ordination of motions is broken. This state can be caused by use of:
To the cocaine
opium
to hashish
barbiturates
E.
102.
A.
B.
C. *
D.
E.
103.
A.
B.
C. *
D.
E.
104.
A.
B.
C.
D. *
E.
105.
A.
B. *
C.
D.
E.
106.
A.
B.
C.
D. *
E.
107.
A.
B. *
C.
D.
E.
marihuana
A patient with alcohol dependence is ataxic, confused, and had a seizure day ago. He has no history
of seizures. What is the most appropriate parenteral drug for this patient?
Lorazepam
Phenytoin
Thiamine
Folate
Valproic acid
How long should alcohol be avoided with the use of disulfiram?
24 hours
З days
7 days
1 month
3 months
Severe alcohol withdrawal is associated with all the following medical соmplications except
Magnesium deficiency
Wernicke's encephalopathy
Hypertension
Hyperglycemia
Seizures
The man of 32 acts on treatment with complaints about insomnia, anorexia, headaches, palpitation,
shortness of breath, that arose up after stopping of alcoholizing. 10 years or more he drank an
alcohol, the last time can drink the large doses of alcohol notedly not getting drunk. Repeatedly
appeared at work with the smell of alcohol. What is the leading syndrome for this patient?
Pyracetamum (Nootropil)
vitamins of group B and ascorbic acid
tranquilizers
Teturam(antabus)
Nalmefen
What is the half-life of LAAM?
8 hours
24-36 hours
48 hours
72-96 hours
1-2 hours
A 32-year-old mother brings her 7-year-old son to a hospital's emergency department. The child is
found to be restless and displaying stereotyped hand movements. The mother reports that he was
"normal" until 1 year ago and had achieved childhood developmental milestones at the appropriate
times. For the past year, the child has shown progressive deterioration in social interactions and
communication abilities and recently has lost control over the bowel training that he had attained
earlier. Which of the following is the most appropriate diagnosis?
Rett syndrome
Heller syndrome
Asperger syndrome
Minimal brain damage
Kozych syndrome
108.
A.
B. *
C.
D.
E.
109.
A.
B.
C.
D. *
E.
110.
A.
B.
C.
D. *
E.
111.
A.
B.
C.
D. *
E.
112.
A.
B.
C.
D.
E. *
113.
A.
A 28-year-old mother brings her 6-year-old son to a hospital's emergency department. The child is
found to be restless and displaying stereotyped hand movements. The mother reports that he was
"normal" until 1 year ago and had achieved childhood developmental milestones at the appropriate
times. For the past year, the child has shown progressive deterioration in social interactions and
communication abilities and recently has lost control over the bowel training that he had attained
earlier. Which of the following is the most appropriate diagnosis?
Rett syndrome
Heller syndrome
Asperger syndrome
Minimal brain damage
Kozych syndrome
A 4-year-old child whose development was normal until around 3X/2 years develops difficulty
comprehending speech. The child psychiatrist who assessed him believes that he has a severe deficit
in comprehension that is new in onset. After 2 months, the patient is found in his bed unresponsive
and is found to have passed urine in the bed. He is seen by a neurologist, who orders an EEG; the
EEG shows abnormalities in both temporal areas. By now the patient is often found to be irritable,
inattentive, and depressed. Which of the following is the most appropriate diagnosis?
Gerstmann syndrome
Rett syndrome
Heller syndrome
Landau-Kleffner syndrome
Kozych syndrome
A 3,5-year-old child whose development was normal until around 3X/2 years develops difficulty
comprehending speech. The child psychiatrist who assessed him believes that he has a severe deficit
in comprehension that is new in onset. After 2 months, the patient is found in his bed unresponsive
and is found to have passed urine in the bed. He is seen by a neurologist, who orders an EEG; the
EEG shows abnormalities in both temporal areas. By now the patient is often found to be irritable,
inattentive, and depressed. Which of the following is the most appropriate diagnosis?
Gerstmann syndrome
Rett syndrome
Heller syndrome
Landau-Kleffner syndrome
Kozych syndrome
A monosyllabic language without the expressly formulated phrases is typical for:
idiotiya
micropsychia
debility
all are transferred the states
None of the adopted states
A patient expresses ideas about the own lack of need, lays itself to those vital circumstances on
which he did not could influence. Mood proof. What syndrome does take a place for a patient?
astenic
obsesivno-fobichniy
depressed
apatiko-abulichniy
paranoid
A patient is reserved, feels certain difficulties in touch with surroundings :
Hysterical psychopathy
B.
C.
D. *
E.
114.
A.
B. *
C.
D.
E.
115.
A.
B.
C.
D.
E. *
116.
A.
B.
C.
D. *
E.
117.
A.
B.
C.
D. *
E.
118.
A.
B.
C. *
D.
E.
119.
Unsteady psychopathy
Both the variant of psychopathies
Neither that nor other
Clinical psychopathy
A patient is superfluously active, mobile, constantly busy at work. Feel like the overvalue of own
possibilities. It is peculiar for:
Hypotim person
Hypertim person
Psychopathy of excitative circle
Hysterical psychopathy
Shizoid psychopathy
A patient suffers a psychical disease at which regredient is possible ran across. What from these
diseases is regredientnim?
idiotiya
micropsychia
debility
all are transferred the states
none of the adopted states
A patient with disorder of personality is characterized enhanceable sociability (by extroversion). It is
peculiar for:
Hypotim person
Hypertim person
Psychopathy of excitative circle
Hysterical psychopathy
Shizoid psychopathy
A patient with psychopathy feels like realization of asociall acts: thefts, provokes fights. What form
of psychopathy is such conduct typical for?
senzitive shizoid
unsteady
psichastenics
excitative
not of all
According to his schoolteacher, an 11-year-old boy doesn't interact with his peers and prefers to be
left alone. He is considered to be a whiz kid with numbers. He does not get excited by any of his
achievements. His parents also report that he is aloof at home and does not respond to affection from
his parents or siblings. He does not have any impairment in language or cognitive functions. What is
the most likely diagnosis?
Rett syndrome
Pervasive developmental disorder
Asperger syndrome
Selective mutism
Kozych syndrome
According to his schoolteacher, an 11-year-old boy doesn't interact with his peers and prefers to be
left alone. He is considered to be a whiz kid with numbers. He does not get excited by any of his
achievements. His parents also report that he is aloof at home and does not respond to affection from
his parents or siblings. He does not have any impairment in language or cognitive functions. What is
the most likely diagnosis?
A.
B.
C. *
D.
E.
120.
A.
B.
C. *
D.
E.
121.
A.
B.
C. *
D.
E.
122.
A.
B. *
C.
D.
E.
123.
A.
B. *
C.
D.
E.
124.
A.
B.
C.
D.
E. *
125.
A.
Rett syndrome
Pervasive developmental disorder
Asperger syndrome
Selective mutism
Kozych syndrome
According to his schoolteacher, an 11-year-old boy doesn't interact with his peers and prefers to be
left alone. He is considered to be a whiz kid with numbers. He does not get excited by any of his
achievements. His parents also report that he is aloof at home and does not respond to affection from
his parents or siblings. He does not have any impairment in language or cognitive functions. What is
the most likely diagnosis?
Rett syndrome
Pervasive developmental disorder
Asperger syndrome
Selective mutism
Kozych syndrome
According to his schoolteacher, an 11-year-old boy doesn't interact with his peers and prefers to be
left alone. He is considered to be a whiz kid with numbers. He does not get excited by any of his
achievements. His parents also report that he is aloof at home and does not respond to affection from
his parents or siblings. He does not have any impairment in language or cognitive functions. What is
the most likely diagnosis?
Rett syndrome
Pervasive developmental disorder
Asperger syndrome
Selective mutism
Kozych syndrome
Activity is enhanceable, aspiring to activity is typical for:
Hypotim person
Hypertim person
Psychopathy of excitative circle
Hysterical psychopathy
Shizoid psychopathy
At sick M., 32, that in sixth times treats oneself in the conditions of psychiatric permanent
establishment mark lightness of origin of undervalue educations. It typicalally for:
Paranoid psychopathy
Psychopathy of psichastenic
Hysterical psychopathy
Shizoid psychopathy
Unsteady psychopathy
Complete absence of capacity for a language is typical for:
idiotiya
micropsychia
debility
all are transferred the states
None of the adopted states
Decline or absence of capacity for abstract thought:
oligofreniya
B.
C.
D.
E. *
126.
A.
B. *
C.
D.
E.
127.
A.
B.
C.
D.
E. *
128.
A.
B. *
C.
D.
E.
129.
A.
B.
C.
D. *
E.
130.
A. *
B.
C.
D.
E.
131.
A. *
B.
C.
D.
E.
dementya
schizophrenia
neither that nor other
All of the disorders
Far-fetchedness, difficulties in making a decision
Astenic psychopathy
psychastenic
Both the variant of psychopathies
Neurosis
Neither that nor other
For a patient I., 42, that in seventh times treats oneself in the conditions of psychiatric permanent
establishment mark lightness of origin of feeling of guilt and reproaches. It is typicalally for:
Hypotim person
Hypertim person
Psychopathy of excitative circle
Hysterical psychopathy
Neither that nor other
Mark the decrease capacities for abstract thought, weight in memoryzation of new information,
emotional disorders. It typicalally for:
oligofreniya
dementya
and that, et al
neither that nor other
psichastenic
For patient T., 43 in the clinical picture of disease mark the syndrome of psychical avtomatism of
Kandinsky-klerambo. It is a patognomonical sign for :
Shizoid psychopathy
psichastenic
Both the variant of psychopathies
Neither that nor other
dementya
For the decision of subsequent tactic of treatment of sick with an cognitive decline it is necessary to
differentiate total and focal dementia. What basic displays of focal dementia?
a presence of criticism is to the state
absence of will, falling of activity
sharp weakening of memory
the sugaryness is in combination with explosiveness
loss of some former skills and knowledges
For the decision of subsequent tactic of treatment of the sick with an cognitive decline it is necessary
to differentiate total and focal dementia. What basic displays of total dementia?
destruction of kernel of person
fabrications and pseudoreminiscences
absence of capacity is for abstract thought
pathological circumstantiality
the sugaryness is in combination with explosiveness
132.
A.
B.
C.
D.
E. *
133.
A.
B.
C.
D.
E. *
134.
A.
B.
C. *
D.
E.
135.
A.
B.
C.
D. *
E.
136.
A.
B.
C.
D. *
E.
137.
A.
B.
C.
D. *
E.
138.
A.
For the patient of psychiatric permanent establishment mark a disease which results in a cognitive
defect. Probably it:
Psychopathies
schizophrenia
Both disorders
Neither that nor other
Dementia
In a psychiatric department a patient treats oneself with obsessive-compulsive disorder of personality.
Anankast disorder of personality, in accordance with the criteria of ICD-10, is characterized by all of
transferred, except:
High propensity to the doubts and carefulness
By a disturbance by details and order
By appearance of obtrusive and obtrusive ideas and appetences
Groundless demand in attitude toward circumferential
By suggestibility and lightness of influence from the side of circumferential
In a psychiatric department a patient treats oneself with astenic disorder of personality. Astenic
psychopathy is characterized:
Rapid psychical exhausting
By possibility to the protracted intellectual labour
By a languor, absence of initiative
By sense of alarm, fear, before new difficulties
By optimism, overpriced self-appraisal
In children with depression, a decrease in growth hormone secretion has been found after challenge
with which of the following substances?
Clonidine
Levodopa
Desmethylimipramine
All of the above
Non of all
In children with depression, a decrease in growth hormone secretion has been found after challenge
with which of the following substances?
Clonidine
Levodopa
Desmethylimipramine
All of the above
Non of all
In children with depression, a decrease in growth hormone secretion has been found after challenge
with which of the following substances?
Clonidine
Levodopa
Desmethylimipramine
All of the above
Non of all
In children with depression, a decrease in growth hormone secretion has been found after challenge
with which of the following substances?
Clonidine
B.
C.
D. *
E.
139.
A. *
B.
C.
D.
E.
140.
A.
B.
C.
D.
E. *
141.
A.
B.
C.
D.
E. *
142.
A. *
B.
C.
D.
E.
143.
A.
B.
C. *
D.
E.
144.
A.
B.
C. *
D.
E.
145.
A.
B.
Levodopa
Desmethylimipramine
All of the above
Non of all
A question stands in relation to determination of subsequent tactic in relation to recommendations to
the studies/work. What prognosis is typical for oligofrenia?
stable nonprogredient state
continuous growth of defect of intellect
an improvement of adaptation is due to mastering of new skills
regress of pathological disorders is under the action of medications
Frequent joining of psychosis
A question stands in relation to direction sick on expertise for determination of degree of loss of
capacity. What typicalal for patients with a debility?
can be engaged in unskilled labor
seize reading and write
can independently serve themself
can execute arithmetic actions
all is correct
Instinctive behaviors are characterized by:
genetic show off
strengthening or weakening under act of environment
by possibility to be displaced in the different feelings or styles of conduct
by possibility to form the base of conflict, anchorman, to to to the psychical disease
all of above-stated
Lightness of origin of feeling of guilt and reproaches is typical for:
Hypotim person
Hypertim person
Psychopathy of excitative circle
Hysterical psychopathy
Shizoid psychopathy
Lightness of origin of undervalue educations is typical for:
Paranoid psychopathy
Psychopathy of psichastenic
Hysterical psychopathy
Shizoid psychopathy
Unsteady psychopathy
On what the theory of development pays attention in psychiatry:
association "nature is studies"(nature - nurture)
analysis of child's flashbacks
passing of the different stages of development a child
stopping of development is after achievement of youth
making of optimism
One of basic dominants of pathological anxiety , which have a root in babyhood:
a constitutional difference is in temperament
conduct of parents
C.
D.
E. *
146.
A.
B.
C.
D.
E. *
147.
A.
B.
C.
D. *
E.
148.
A.
B.
C.
D.
E. *
149.
A.
B. *
C.
D.
E.
150.
A.
B.
C.
D. *
E.
151.
A.
B.
C.
D.
real or unreal fears of child
a child has fear of parents at initial phobias
all of above-stated
Patient A., 43 during life characterizes itself as anxious, such, that is easily added extraneous
influence, talks “in simi a wife leads for me”. Such lines are typical for :
Paranoid psychopathy
Psychopathy of psichastenic
Hysterical psychopathy
Shizoid psychopathy
Unsteady psychopathy
Patient I., 26 years characterized by high pliability asociall influence of circumferential. For a patient
takes a place:
Hysterical psychopathy
Unsteady psychopathy
Both the variant of psychopathies
Neither that nor other
Clinical psychopathy
Patient In., 26 years characterized by high propensity to formation of obsessives. For a patient takes a
place:
Astenic psychopathy
psichastenic
Both the variant of psychopathies
Neither that nor other
Obsessive compulsive psychopathy
Patient I., 29 years from teens characterized by an impulsive conduct, inclined to accomplish
conflicts, fights. Married fourth times. Tells, that in certain vital situations hardness him to control
himself. It is peculiar for:
Hysterical psychopathy
Unsteady psychopathy
Both the variant of psychopathies
Neither that nor other
Clinical psychopathy
Patient K. 37 years. Accessible to the linguistic contact, on a question gives right answer, faithful,
does long pauses, long thinks above the questions put him. Thinking is rigid, viscid, feel like the huge
details. Such clinical picture is typical for:
Hysterias
Psychopathies
Neuroses
Epilepsies
Dromomania
Patient in a department is mobile, talkative, demonstrative in a conduct. For what disorder is it
typicalally?
Astenic psychopathy
psichastenic
Both the variant of psychopathies
Neither that nor other
E. *
152.
A.
B. *
C.
D.
E.
153.
A. *
B.
C.
D.
E.
154.
A.
B.
C.
D. *
E.
155.
A. *
B.
C.
D.
E.
156.
A.
B.
C.
D.
E. *
157.
A.
B. *
C.
D.
E.
Mania
Patient F., 30 suffers a disease which is characterized by stable total disharmony of personality. It is:
Psychopathy
schizophrenia
Both disorders
Neither that nor other
mania
Patient S., 17,all time in a department conducts lying in a bed. Periodically gets up aimlessly, swings
arms. Not able to talk. Knows separate words only. It is peculiar for:
idioty
micropsychia
debility
all are transferred the states
None of the adopted states
Patient M., 25 years entered the hospital with complaints about a stuffiness, feeling to globus in a
throat. A behaviour is demonstrative, yells “why you do not rescue me, I will die presently!!!”. It is
found out no pathological changes at an objective review. It is known that a psichotraumatic situation
took a place before the beginning of disease. It is
schizophrenia
hysterical psychopathy
neurosis of the obsessive states
hysterical neurosis
psychopathy
Patient M., 34 entered hospital 3 days ago. Emotionally unstable, after a few minutes of talk begins to
cry, talks that can accept no decisions, uncertain in that or it costs it to treat oneself, whether
treatment will help. It:
Astenic psychopathy
psichastenic
Both the variant of psychopathies
Neither that nor other
psychopathy
Patient M., 50 years suffers on psichastenic disorder of personality. For sick will be typicalally:
Fatigueability, exhausted
reasonableness, indecision
weak-willedness, pliability to the asociall conduct
difficult contacts are with strangers
non of all
Patient P., 33 years the superfluously active, being in the department of permanent establishment
superfluously aspires to activity, asks the doctor of permission to design wall newspapers for a
department, to help in-process. Such conduct is typical for:
Hypotim person
Hypertim person
Psychopathy of excitative circle
Hysterical psychopathy
Shizoid psychopathy
158.
A. *
B.
C.
D.
E.
159.
A.
B. *
C.
D.
E.
160.
A.
B.
C. *
D.
E.
161.
A. *
B.
C.
D.
E.
162.
A. *
B.
C.
D.
E.
163.
A.
B.
C.
D. *
E.
164.
A.
B.
Patient , 43years ., entered department with complaints about rapid fatigueability, inability to the
tense labour protracted. Objective of inspection did not find out no pathological changes. Such
symptoms are typical for:
Astenic psychopathy
psichastenic
Both the variant of psychopathies
Neither that nor other
Clinical psychopathy
Pedantry, punctuality, enhanceable responsibility are typical for:
Astenic psychopathy
psichastenic
Both the variant of psychopathies
Neither that nor other
Clinical psychopathy
A 6 years boy, entered department with the delay of psichomotor development. Specify that is
not the variant of violations which are underlaid specific parcial delays of development in child's age:
Discalcullation
Disgraphia
Alalia
Dislalia
Cerebrasteny
A patient entered department with the anankast variant of slowed psychopathy. What personality
features does it follow to expect for this patient?
stenic, by a persistence, ardour
By mionectic activity
By propensity to the origin of obtrusive ideas, actions, phobias
By a bashfulness
By an anxiety, pedantry
A patient entered department with hysterical disorder of personality. What personality features will
be inherent be ill
demonstrativeness
high suggestibility
infantilism
Propensity is to dreaming up and lie
All, above enumerated
A patient entered department , suffers on psychopathy. Reason which resulted in hospitalization
describes as: “doubts which torture, if necessary to make a decision”. It is typicalal for:
Shizoid psychopathy
psichastenic
Both the variant of psychopathies
Neither that nor other
Clinical psychopathy
Sick G, 24 has psychopathy. It is necessary to be determined with the subsequent prognosis of
disease. Progredient ran is typical for:
Hysterical psychopathy
Paranoid psychopathy
C.
D.
E. *
165.
A.
B. *
C.
D.
E.
166.
A.
B.
C. *
D.
E.
167.
A. *
B.
C.
D.
E.
168.
A.
B. *
C.
D.
E.
169.
A.
B.
C.
D. *
E.
170.
A.
B.
C.
D.
E. *
171.
Excitative psychopathy
All of variants of psychopathies
For psychopathies not typicalally
Sick K, 47 years with an cognitive decline, narrowing of circle of interests, emotional fading after
carried neyroinfection. For a patient takes a place:
oligofreniya
dementya
and that, et al
neither that nor other
mania
Sick K., 26 years feel like theatrics, at heavy vital situations suddenly get “ill”, that requires
enhanceable attention. It is:
Paranoid psychopathy
Psychopathy of psichastenic
Hysterical psychopathy
Shizoid psychopathy
Unsteady psychopathy
Sick K., 34 feel like the demonstrative forms of conduct, likes to be in the highlight surroundings, in
relations with surrounding extravert, often does not maintain distance at intercourse. Such conduct is
typical for:
Hysterical psychopathy
Paranoid psychopathy
Excitative psychopathy
All of variants of psychopathies
For psychopathies not typicalally
Sick K., 35 years, pedantic, punctual, superfluously responsible. It typicalally for:
Astenic psychopathy
psichastenic
Both the variant of psychopathies
Neither that nor other
mania
Sick K., 37, a stationary inspection and treatment passes in a psychiatric department concerning
explosive psychopathy. What pathological signs does it follow to expect for this patient?
Inclination is to forming of undervalue ideas
Purposefulness, aspiring to leadership
reserve, difficult contacts with surroundings
Propensity is to the attacks of dysphory
Neither that nor other
Sick K., 37, at stationary inspection and treatment passes in a psychiatric department concerning
Paranoid psychopathy. What personality features does it follow to expect for this patient?
Inclination is to forming of undervalue ideas
Used propensity to aggression
High capacity, purposefulness, persistence
reasonableness, disturbance by the state of the health
Neither that nor other
Sick K., in 21 feels certain instability of attention. Level of IQ 110. For a patient takes a place:
A.
B.
C.
D.
E. *
172.
A.
B. *
C.
D.
E.
173.
A.
B.
C. *
D.
E.
174.
A.
B. *
C.
D.
E.
175.
A.
B.
C.
D. *
E.
176.
A.
B.
C. *
D.
E.
177.
idiotya
micropsychia
debility
all are transferred the states
1None of the adopted states
Sick M., 18 years from early years fallen behind in physical and psichomotor development from own
yearlings. A language is monosyllabic, badly modulated. To read, not able to consider. For a patient
takes a place:
idiotiya
imbecility
debility
all are transferred the states
None of the adopted states
Sick M., 18 years from early years fallen behind in physical and psichomotor development from own
yearlings. Able to read very slow, considers within the limits of 20 with errors. The table of contents
of proverbs, saying, explains with a prompt. It is:
idiotiya
micropsychia
debility
all are transferred the states
none of the adopted states
Sick M., 18 years from early years fallen behind in physical and psichomotor development from own
yearlings. Able to read very slow, considers within the limits of 20 with errors. The table of contents
of proverbs, saying, explains with a prompt. The leadthrough of all of the followings measures is
needed for the most complete adaptation of such patient, EXCEPT:
permanent medical treatment
studies are in the special schools
physical education
bringing in is to labour
encouragement of aspiring is to intercourse and creation
Sick M., 24 from teens carries with religious literature, all of spare time dedicates reading. By
nothing especially takes interest other. Nowhere studies and does not work, considers it empty waste
of time. Does not have friends. Such picture is typical for:
Paranoid psychopathy
Psychopathy of psichastenic
Hysterical psychopathy
Shizoid psychopathy
Unsteady psychopathy
Sick M., 27 years from teens easily excitative, irritable, sometimes aggressive in relation to
circumferential. It typicalally for:
Hypotim person
Hypertim person
Psychopathy of excitative circle
Hysterical psychopathy
Shizoid psychopathy
Sick M., 34 feels difficulties in socializing with circumferential. Distrustful, anxious. Something
questions constantly. Feel like formation of undervalue ideas. It is peculiar for:
A.
B.
C.
D. *
E.
178.
A.
B.
C.
D.
E. *
179.
A.
B.
C.
D.
E. *
180.
A.
B.
C.
D. *
E.
181.
A.
B. *
C.
D.
E.
182.
A.
B.
C.
D. *
E.
183.
A.
B.
C.
D.
Paranoid psychopathy
Psychopathy of psichastenic
Hysterical psychopathy
Shizoid psychopathy
Unsteady psychopathy
Sick M., 35 years delivered to the hospital in the state of psichomotor excitation. A patient declares,
that he is pursued by the special troops, want to find out certain information. Anxious, inwardly
tense. Diagnose.
Hysterical psychopathy
Paranoid psychopathy
Excitative psychopathy
All of variants of psychopathies
For psychopathies not typicalally
Sick M., 35 years delivered to the hospital in the state of psichomotor excitation. A patient declares,
that he is pursued by the special troops, want to find out certain information. Anxious, inwardly
tense. Diagnose.
idiotiya
micropsychia
debility
all are transferred the states
none of the adopted states
Sick P., 23 from teens began to carry with ornithology. More time conducts sitting on a balcony,
looks after birds. Conducts the special diary where brings the supervisions. By nothing takes interest
other. For a patient takes a place:
Paranoid psychopathy
Psychopathy of psichastenic
Hysterical psychopathy
Shizoid psychopathy
Unsteady psychopathy
Sick P., 35 years feels obtrusive ideas, fears. For a patient takes a place:
Shizoid psychopathy
psichastenic
Both the variant of psychopathies
Neither that nor other
mania
Sociability, (extroversion) typical for:
Hypotim person
Hypertim person
Psychopathy of excitative circle
Hysterical psychopathy
Shizoid psychopathy
Studies are possible in higher educational establishments at:
idiotiya
micropsychia
debility
all are transferred the states
E. *
184.
A. *
B.
C.
D.
E.
185.
A.
B. *
C.
D.
E.
186.
A.
B.
C.
D.
E.
187.
A.
B.
C.
D. *
E.
188.
A. *
B.
C.
D.
E.
189.
A.
B.
C.
D. *
E.
190.
A.
B.
C.
none of the states
The age of incidence of fragile X syndrome decreases in succeeding generations. What is this
phenomenon called?
Anticipation
Assimilation
Both of the above
None of the above
Prevention
The delusions of pursuit is typical for:
Hysterical psychopathy
Paranoid psychopathy
Excitative psychopathy
All of variants of psychopathies
For psychopathies not typicalally
What disorder is complete convalescence possible?
Psychopathies
Nonactive schizophrenia
Both disorders
Neither that nor other
Mania
A patient writes down the fantasies in a thick notebook, illustrating them with plenty of pictures and
characters – is:
mutizm
shperrung
mentism
autism thought
psychical automated
"You asked, that presently disturbs me!"
pathological circumstantiality
symbolic thought
delusions
psychical automated
autistichne thought
A 19-year-old man was recently discharged from the hospital after treatment for acute schizophrenia.
On his follow-up visit 2 weeks later, he reports having stopped taking the prescribed medication.
What should be the next step in his treatment?
Start the patient on risperidal consta.
Hospitalize the patient.
Report him to the department of health services.
Inquire about side effects from neuroleptics.
None of the above
A 23-year-old college student is brought to the ER in the early morning by friends who found him
behaving strangely. He was very irritable, abusive, and assaultive toward them. He also reported
getting special messages from the TV instructing him to perform special missions. What should the
psychiatry resident who sees him in the ER do first?
Contact the patient's family to obtain a history regarding mental illness in the family.
Give the patient an injection of long-acting risperidone.
Do a urine drug screen and other laboratory tests.
D. *
E.
191.
A.
B. *
C.
D.
E.
192.
A.
B.
C.
D. *
E.
193.
A.
B.
C.
D. *
E.
194.
A.
B.
C.
D. *
E.
195.
Place the patient on one-to-one observation.
Non of all
A 32-year-old patient has been under treatment for chronic paranoid schiz¬ophrenia. He presents to
the ER with a relapse of symptoms and is admitted to the hospital because he is very agitated. He had
missed an appointment with his psychiatrist a few days before, although he had his WBC count done
the day before that. He is started back on clozapine at the same dosage he was receiving before
admission: 450 mg. The next morning he is found unconscious near his bed with a bump on the head.
Which of the following could have led to this clinical situation?
Starting the patient on clozapine
Starting the patient on the same dosage of clozapine as previously
Not starting the patient on benztropine
None of the above
Starting the patient on anapriline
A 34-year-old woman is referred to a psychiatrist by her primary care physician. According to her
husband, the patient has been behaving differently in the last few months. She is paying less attention
to her appearance. She has become less industrious in keeping the house clean and taking care of her
children and seems isolated from the family. She doesn't get up until late afternoon. Husband reports
that these changes appeared gradually over the last two years and that the patient is showing further
deterioration. The patient reports fleeting delusional beliefs and hallucinations. Which of the
following is the best diagnosis?
Paranoid schizophrenia
Undifferentiated schizophrenia
Stuporous catatonia
Simple schizophrenia
mania
A 35-year-old woman is referred to a psychiatric outpatient clinic by a plastic surgeon. According to
the referral letter, this person has consulted three cosmetic surgeons in the last 6 months about what
she perceives to be a deformity in her upper lip. All the physicians have told her that there is no
deformity and that there is no need for any surgery. But the woman firmly believes that there is a
deformity, and this belief has hampered her socially and occupationally. What is the diagnosis?
Hypochondriasis
Somatization
Body dysmorphic disorder
Delusional disorder, somatic type
schizophrenia
A 37-year-old Caucasian male with a history of chronic paranoid schizophrenia is hospitalized for a
relapse of symptoms. He is given parenteral haloperidol because he is very agitated and threatening.
The patient continues to be belligerent and has to be put in physical restraints. The next day the
patient is less agitated and belligerent, but he reports feeling nauseated and tired and toward evening
is found to be disoriented to time and place. His laboratory work-up shows an increase in BUN and
creatinine. He is diagnosed with acute renal failure and transferred to the medical floor. What could
be the cause of his acute presentation?
Intramuscular injection
Myoglobinuria due to muscle breakdown secondary to struggling when restrained
Dystonia secondary to multiple doses of pareneteral antipsychotic P. All of the above
Delusional disorder, somatic type
Not correct ansver
A 42-year-old with schizophrenia keeps repeating certain words in the same fashion. What is this
phenomenon called?
A.
B.
C.
D. *
E.
196.
A.
B. *
C.
D.
E.
197.
A.
B.
C. *
D.
E.
198.
A.
B.
C.
D. *
E.
199.
A. *
B.
C.
D.
E.
200.
A. *
B.
C.
D.
E.
Echolalia
Perseveration
Echopraxia
Verbigeration
Non of all
A 52-year-old woman who is a resident of a state psychiatric hospital is admitted to a private hospital
for treatment of her medical problems. When speaking with the resident physician, she claims she is
the president of the company that owns the private hospital. However, she willingly takes all the
medicines given to her and willingly stays in the room she shares with another patient. What term
denotes this phenomenon?
Double depression
Double bookkeeping
Both of the above
None of the above
Double looking
A 58-year-old African American male with a long history of NIDDM develops blindness.
Approximately 6 months later, he is brought to the ER by his girlfriend. According to the girlfriend,
the patient has been reporting seeing burglars breaking into their house. The patient is well oriented
to time and place, and he reports that although he realizes what he is seeing is untrue, the experience
is very unsettling for him. What is this phenomenon called?
Doppelganger
Reflex hallucinations
Charles Bonnet syndrome
Functional hallucinations
Kozych syndrome
A 72-year-old patient with over 50 years of being diagnosed with schizophrenia is observed to repeat
the same words and phrases over and over.again for days. What is this phenomenon called?
Echolalia
Echopraxia
Stilted language
Verbigeration
None of the above
A fellow without every reason sharply changed the attitude toward parents. Renounces to accept a
meal in their presence. Declares, that they not him actual parents, his parents, allegedly live in
Copenhagen.
delusions
fixed idea
nadcinna idea
rezonerstvo
psychical automated
A fellow without every reason sharply changed the attitude toward parents. Renounces to accept a
meal in their presence. Declares, that they not him actual parents, his parents, allegedly live in
Copenhagen.
delusions
fixed idea
value idea
rezonerstvo
psychical automated
201.
A.
B.
C. *
D.
E.
202.
A.
B.
C. *
D.
E.
203.
A.
B. *
C.
D.
E.
204.
A.
B.
C.
D.
E. *
205.
A. *
B.
C.
D.
E.
206.
A.
B. *
C.
D.
E.
207.
A.
B. *
C.
A man, which a conflict, obstinacy, of trifling principle, always were peculiar to, was exempt from
work on reduction of the staff. During half-year applies in different establishments with a
requirement to pick up a thread justice, renouncing other advantageous variants of employment.
fixed ideas
perseverations
value ideas
pathological circumstantiality
psychical automated
A man, which a conflict, obstinacy, of trifling principle, always were peculiar to, was exempt from
work on reduction of the staff. During half-year applies in different establishments with a
requirement to pick up a thread justice, renouncing other advantageous variants of employment.
fixed ideas
perseverations
value ideas
pathological circumstantiality
psychical automated
A parent of a schizophrenic patient criticizes the patient, saying that he is not showing any affection
toward his parents. The same parent shies away when the patient wants to show affection in public.
How did Gregory Bateson describe this kind of family interaction?
Expressed emotions
Double-bind communications
Discursive speech
None of the above
mania
A patient asks to close window shades, as "daylight blinds eyes".
Paresthesias
Derealization
Depersonalization
Pareydolies
Hyperestesy
A patient changes a theme often, not having time to make off a former idea
acceleration of thought
incoherence
torn
mentism
thought
A patient complains, that it "inwardly changed" that its feelings and ideas do not look like former.
Senestopathies
Depersonalization
Sensory deprivation
Hyperestesy
Disorders of chart of body
A patient complains, that it "inwardly changed" that its feelings and ideas do not look like former.
Senestopathies
Depersonalization
Sensory deprivaciya
D.
E.
208.
A.
B.
C. *
D.
E.
209.
A.
B.
C. *
D.
E.
210.
A.
B.
C. *
D.
E.
211.
A.
B.
C.
D.
E. *
212.
A.
B.
C.
D.
E. *
213.
A. *
B.
C.
D.
E.
214.
A.
B.
Hyperestesy
Disorders of chart of body
A patient complains, that periodically he has feeling, that the walls of room bent over and can fall
down on him
Depersonalization
Hyperesthesy
Psychosensornal disorders
Pareydolies
Pseudohallucinations
A patient complains, that periodically he has feeling, that the walls of room bent over and can fall
down on him
Depersonalization
Hyperestesy
Psikhosensornal disorders
Pareydolies
Pseudohallucinations
A patient complains, that periodically he has feeling, that objects in a room change a form, lengthen.
Depersonalization
Hyperestesy
Psikhosensornal disorders
Pareydolies
Pseudohallucinations
A patient complains, that, although perceives the world brightly enough, but little different, than
before ("as though through a glass wall").
Hypesthesia
Hysterical anaesthesia
Pareydolichni of illusion
Pseudohallucinations
Derealization
A patient complains, that, although perceives the world brightly enough, but little different, than
before ("as though through a glass wall").
Hypesthesia
Hysterical anaesthesia
Pareydolical of illusion
Pseudohallucinations
Derealization
A patient considers that after him watch, want to sew underneath an ampoule in a hand, for that,
constantly to control, submerged in these experiencing, anxious, inwardly tense.
delusions
fixed idea
value idea
thought
psychical automated
A patient declares, that a man on a portrait which hangs in a room makes faces and pulls out a
tongue.
Imperative hallucinations
Verbal hallucinations
C.
D. *
E.
215.
A.
B.
C.
D. *
E.
216.
A. *
B.
C.
D.
E.
217.
A.
B.
C.
D.
E. *
218.
A.
B.
C. *
D.
E.
219.
A.
B.
C.
D.
E. *
220.
A.
B. *
C.
D.
E.
221.
A.
B.
Psikhosensornal disorders
Pareydolical illusion
Pseudohallucinations
A patient declares, that a man on a portrait which hangs in a room makes faces and pulls out a
tongue.
Imperative hallucinations
Verbal hallucinations
Psikhosensornal disorders
Pareydolical illusion
Pseudohallucinations
A patient declares, that in a department he came not, but «force entangled ideas, zaparalizuvala me
and brought here”. How is it possible to characterize this symptom?
psychical automated
rituals
nosomania
obtrusive ideas
value ideas
A patient declares, that neighbours dug under his house a channel and through him call at a house,
steal things. How is it possible to characterize this symptom?
paralogism thought
value ideas
fixed ideas
psychical automated
delusions
A patient declares, that people in the street sometimes seem little ("as hop-o'-my-thumbs").
Hyperestesy
Depersonalization
Psychosensoric disorders
Pareydolies
Pseudohallucinations
A patient declares, that sees everything a "internal look" that takes a place after a wall
Senestopathies
Actual hallucinations
Verbal hallucinations
Pareydolical of illusion
Pseudohallucinations
A patient declares, that sometimes to him absolutely stranger him ideas get to the head. Expresses
suspicion, that these ideas intrude upon him his neighbour.
obtrusive ideas
psychical automated
perseverations
nadcinna idea
rituals
A patient declares, that there was an out of control stream of ideas in his head
acceleration of thought
incoherence
C.
D. *
E.
222.
A.
B.
C.
D. *
223.
A.
B.
C.
D. *
E.
224.
A. *
B.
C.
D.
E.
225.
A.
B.
C.
D. *
E.
226.
A.
B.
C. *
D.
E.
227.
A.
B. *
C.
D.
E.
228.
A.
B.
C.
D. *
E.
torn
mentism
perseverations
A patient experiences inexplicable sense, that the world was removed and perceived, "as through a
spyglass".
Veritable hallucinations
Pareydolical of illusion
Senestopathies
Derealization
A patient experiences sense "magnetism" in the back of head.
Veritable hallucinations
Paresthesias
Psikhosensornal disorders
Senestopatiya
Pseudohallucinations
A patient feels non-existent hairs in a company. Unsuccessfully tries to clean a mouth.{
Haptic hallucinations
Senestopathies
Psikhosensornal disorders
Pareydolies
Pseudohallucinations
A patient feels that his head diminished to the sizes of walachian nut.
Senestopathies
Actual hallucinations
Verbal hallucinations
Disorders of chart of body
Pseudohallucinations
A patient feels that sometimes his feet become enormous ("as for an elephant").
Senestopathies
Metamorfopsiy
Disorders of chart of body
Pareydolical of illusion
Pseudohallucinations
A patient feels insects and worms under a skin
Pareydolical of illusion
Haptic hallucinations
Verbal hallucinations
Depersonalization
Pseudohallucinations
A patient grumbles about pain after a breastbone that seems like an acid that eats body
Hyperestesy
Paresthesia
Psikhosensornal disorders
Senestopatia
Pseudohallucinations
229.
A.
B.
C.
D.
E. *
230.
A.
B.
C.
D.
E. *
231.
A.
B.
C. *
D.
E.
232.
A. *
B.
C.
D.
E.
233.
A.
B.
C.
D.
E. *
234.
A.
B.
C.
D.
E. *
235.
A.
B. *
A patient has an enhanceable sensitiveness to the irritants. How is it possible to characterize this
symptom?
Paresthesias
Derealization
Depersonalization
Pareydolies
Hyperestesy
A patient in the moment of backfilling sees frightful grimaces persons which laugh at him and show a
tongue.
Reflex (functional) illusions
Hipnopompici of hallucination
Physical illusions
Pareydolical of illusion
Hypnagogic hallucinations
A patient is in bed in the same pose. He finds out the symptoms of waxen flexibility. What is the
treatment for this patient?
Aminazin
Galoperidol
Mazheptil
Eglonylum
Triftazin
A patient is multiverbal, a rate of language is speeded-up, changes the theme of talk fastly, not
following previous idea.
acceleration of thought
incoherence
torn
mentism
thought
A patient is multiverbal, gladly speaks on philosophical-ethics themes, however he can`t concrete
answer on one question.
torn
incoherence (inkogerent thought)
the acceleration of thought is expressed
all are listed above the states
none of the indicated states
A patient is with acute paranoid form of schizophrenia. An alarm, internal tension is expressed. What
preparation you need to apply in this case?
Aminazin
Mazheptil
Leponexum
Tizercin
Triftazin
A patient looks around, declares that someone near the window calls him and answers on imaginary
calls.
Reflex (functional) illusions
Actual hallucinations
C.
D.
E.
236.
A.
B.
C.
D. *
E.
237.
A.
B. *
C.
D.
238.
A. *
B.
C.
D.
239.
A.
B. *
C.
D.
E.
240.
A.
B.
C.
D. *
E.
241.
A.
B.
C.
D. *
E.
Psikhosensornal disorders
Pareydolicf illusion
Pseudohallucinations
A patient operates the abstract concepts, often comes to the paradoxical senseless conclusions.
perseverations
mentism
fixed ideas
paralogism thought
value ideas
A patient reports to his doctor that enemies from Mars have replaced his wife with an impostor that
looks and behaves exactly like his real wife. What is the name of this phenomenon?
Fregoli syndrome
Capgras syndrome
Cotard syndrome
Othello syndrome
A patient looks at the clean sheet of paper on a table and sees a lot of bugs and then tries to catch
them.
Actual hallucinations
Pseudohallucinations
And that and other
Neither that nor other
A patient tells that some force pulls him toward doors. How is it possible to characterize this
symptom?
obtrusive ideas
psychical automated
perseverations
overvalued idea
rituals
A patient describes green ghosts when he hears classical music. What is the phenomenon described
with the patient?
Haptic hallucination
Autoscopic hallucination
Hypnagogic hallucination
Reflex hallucination
All of them
A patient with a long history of schizophrenia is brought to the hospital by the local fire department's
EMTs after his neighbor found him standing in bizarre positions for prolonged period. During
examination he is found standing in a very uncomfortable position. The ER staff reports that he has
maintained this position for the last 40 minutes and has not responded to any attempts to talk to him.
What is the most appropriate action?
Haloperidol intramuscularly
ЕСТ
Risperidone orally dissolving tablet
Lorazepam intramuscularly
Non of all
242.
A.
B. *
C.
D.
E.
243.
A.
B.
C.
D. *
E.
244.
A.
B.
C.
D. *
E.
245.
A.
B. *
C.
D.
E.
246.
A.
B.
C.
D.
E. *
247.
A.
B.
C.
D.
E. *
248.
A.
B.
A patient with chronic schizophrenia walks on the floors of the state hospital where he is swearing
loudly at other inmates. The resident in charge of this patient tells him that he has to earn the right to
watch TV from now . According to the treatment plan submitted to the patient, for every half hour he
is able to prevent himself from using obscenities, he can earn a ticket for a half hour of TV time.
What is this treatment plan an example of?
Extinction
Token economy
Counterconditioning
None of the above
Haloperidol intramuscularly
A patient with the defect of apato-abulical type after the conducted treatment is written for
department. What preparation is it better to appoint for supporting of treatment?
Aminazin
Mazheptil
Haloperidolum
Frenolon
Triftazin
A patient, specifies spots on a wall, declares that it is flies, tries to drive away them.
Hyperestesy
Derealization
Psychosensoric disorders
Pareydolic illusion
Pseudohallucinations
A teenager during the last half year changed the behaviour, began to read literature on different
philosophical themes, limited his contacts with friends.
delusions
metaphysical intoxication
value ideas
paralogism thought
obtrusive ideas
An old woman began to conflict with neighbours. Declares, that neighbours steal salt from a
salt-cellar. The attempts of relatives to satisfy it appeared unsuccessful.
paralogism thought
value ideas
fixed ideas
psychical automated
delusions
The patient asks to close window shades, as "daylight blinds eyes".
Paresthesias
Derealization
Depersonalization
Pareydolies
Hyperestesy
Factors associated with the development of psychosis in patients with complex partial seizures
include
Lateral temporal focus
Late onset of seizures
C. *
D.
E.
249.
A.
B. *
C.
D.
E.
250.
A.
B. *
C.
D.
E.
251.
A.
B.
C.
D.
E. *
252.
A.
B.
C.
D.
E. *
253.
A.
B.
C.
D. *
E.
254.
A.
B.
C.
D. *
E.
255.
A.
Left-sided seizure focus
Right-sided seizure focus
Non of all
Fertility rates among schizophrenic patients are
Increased
Decreased
The same as for the general population
Subject to improvement with treatment
Non of all
For a diagnosis of schizophrenic form of psychosis according to DSM-IV, how long should the
disturbance be present?
6 months
At least 1 month but less than 6 months
Less than 1 month
3 months
None of the above
For a patient a paranoid syndrome developed schizophrenia. What preparation does need to be
appointed for course treatment?
Aminazin
Mazheptil
Leponexum
Tizercin
Triftazin
For a patient with paranoid syndrome developed schizophrenia. What preparation does need to be
appointed for course treatment?
Aminazin
Mazheptil
Leponexum
Tizercin
Triftazin
For supporting psychopath form of schizophrenia it is better to utillize
Galoperidol
Triftazin
Mazheptil
Neuleptil
Sibazon
For which of the following gene locations is there the strongest research evidence of linkage with
schizophrenia in genetic studies of the disorder?
Chromosome 4
Chromosome 8
Chromosome 15
Chromosome 6
Chromosome 21
A patient instantly commuted on side associations, distracted, could not complete a phrase, the suds
are present in the corners of mouth from continuous talking.
torn
B.
C. *
D.
E.
256.
A. *
B.
C.
D.
E.
257.
A.
B.
C.
D. *
E.
258.
A. *
B.
C.
D.
E.
259.
A.
B.
C. *
D.
E.
260.
A.
B.
C.
D.
E. *
261.
A.
B.
C. *
D.
E.
262.
A.
incoherence (inkogerent thought)
the acceleration of thought is expressed
all are listed above the states
none of the indicated states
A patient often changes a theme, doesn`t have time to make a former idea.
acceleration of thought
incoherence
torn
mentism
thoughts
Patient often in the process of conversation suddenly breaks talking, declaring that all of ideas
"suddenly flew away from him".
incoherence
torn
mentism
shperrung
metaphysical intoxication
Patients with the syndrome of Kandinskogo-klerambo have listed symptoms, except
Awareness of sickly character of present disorders
Pseudohallucinations
Raving ideas of relation
Mentism
Alienation of own psychical processes
Psychiatric department a patient entered with katatonic stupor. What preparation does need to be
appointed a patient for course treatment?{
Aminazin
Galoperidol
Mazheptil
Eglonylum
Triftazin
Department a patient at a talk with which it was succeeded to find out entered, that sees everything a
"internal look" that takes a place after a wall. How is it possible to characterize this symptom?
Senestopathies
Actual hallucinations
Verbal hallucinations
Pareydolical of illusion
Pseudohallucinations
Sick ideas which seize consciousness of patient.
Raving ideas
obtrusive ideas
value ideas
And that, et al
Neither that nor other
Sick ideas, dominant in consciousness of patient.
Paranoia syndrome
B.
C. *
D.
263.
A. *
B.
C.
D.
E.
264.
A.
B. *
C.
D.
E.
265.
A.
B. *
C.
D.
E.
266.
A.
B. *
C.
D.
E.
267.
A.
B.
C.
D. *
Syndrome of obtrusive
And that and other
Neither that nor other
The grammatical structure of phrases is right, but sense is not in order.
torn
incoherence (inkogerent thought)
the acceleration of thought is expressed
all are listed above the states
none of the indicated states
The language of patient who was not interested in philosophy before isnow full of philosophical
terms and categories, sometimes without the understanding of their sense.
delusions
metaphysical intoxication
value ideas
paralogism thought
obtrusive ideas
A 32-year-old mother brings her 7-year-old son to a hospital's emergency department. The child is
found to be restless and displaying stereotyped hand movements. The mother reports that he was
"normal" until 1 year ago and had achieved childhood developmental milestones at the appropriate
times. For the past year, the child has shown progressive deterioration in social interactions and
communication abilities and recently has lost control over the bowel training that he had attained
earlier. Which of the following is the most appropriate diagnosis?
Rett syndrome
Heller syndrome
Asperger syndrome
Minimal brain damage
Kozych syndrome
A 29-year-old mother brings her 7-year-old son to a hospital's emergency department. The child is
found to be restless and displaying stereotyped hand movements. The mother reports that he was
"normal" until 1 year ago and had achieved childhood developmental milestones at the appropriate
times. For the past year, the child has shown progressive deterioration in social interactions and
communication abilities and recently has lost control over the bowel training that he had attained
earlier. Which of the following is the most appropriate diagnosis?
Rett syndrome
Heller syndrome
Asperger syndrome
Minimal brain damage
Kozych syndrome
A 3.5-year-old child whose development was normal until around 3X/2 years develops difficulty
comprehending speech. The child psychiatrist who assessed him believes that he has a severe deficit
in comprehension that is new in onset. After 2 months, the patient is found in his bed unresponsive
and is found to have passed urine in the bed. He is seen by a neurologist, who orders an EEG; the
EEG shows abnormalities in both temporal areas. By now the patient is often found to be irritable,
inattentive, and depressed. Which of the following is the most appropriate diagnosis?
Gerstmann syndrome
Rett syndrome
Heller syndrome
Landau-Kleffner syndrome
E.
268.
A.
B.
C.
D. *
E.
269.
A.
B.
C. *
D.
E.
270.
A.
B.
C.
D. *
E.
271.
A.
B.
C.
D.
E. *
272.
A.
B.
C.
D.
E. *
273.
Kozych syndrome
A 4-year-old child whose development was normal until around 3X/2 years develops difficulty
comprehending speech. The child psychiatrist who assessed him believes that he has a severe deficit
in comprehension that is new in onset. After 2 months, the patient is found in his bed unresponsive
and is found to have passed urine in the bed. He is seen by a neurologist, who orders an EEG; the
EEG shows abnormalities in both temporal areas. By now the patient is often found to be irritable,
inattentive, and depressed. Which of the following is the most appropriate diagnosis?
Gerstmann syndrome
Rett syndrome
Heller syndrome
Landau-Kleffner syndrome
Kozych syndrome
According to his schoolteacher, an 11-year-old boy doesn't interact with his peers and prefers to be
left alone. He is considered to be a whiz kid with numbers. He does not get excited by any of his
achievements. His parents also report that he is aloof at home and does not respond to affection from
his parents or siblings. He does not have any impairment in language or cognitive functions. What is
the most likely diagnosis?
Rett syndrome
Pervasive developmental disorder
Asperger syndrome
Selective mutism
Kozych syndrome
Sick M., 34 feels difficulties in socializing with circumferential. Distrustful, anxious. Something
questions constantly. Feel like formation of undervalue ideas. It is peculiar for:
Paranoid psychopathy
Psychopathy of psichastenic
Hysterical psychopathy
Shizoid psychopathy
Unsteady psychopathy
Sick M., 35 years delivered to the hospital in the state of psichomotor excitation. A patient declares,
that he is pursued by the special troops, want to find out certain information. Anxious, inwardly
tense. Diagnose.
Hysterical psychopathy
Paranoid psychopathy
Excitative psychopathy
All of variants of psychopathies
For psychopathies not typicalally
Sick M., 35 years delivered to the hospital in the state of psichomotor excitation. A patient declares,
that he is pursued by the special troops, want to find out certain information. Anxious, inwardly
tense. Diagnose.
idiotiya
micropsychia
debility
all are transferred the states
none of the adopted states
Sick P., 23 from teens began to carry with ornithology. More time conducts sitting on a balcony,
looks after birds. Conducts the special diary where brings the supervisions. By nothing takes interest
other. For a patient takes a place:
A.
B.
C.
D. *
E.
274.
A.
B. *
C.
D.
E.
Paranoid psychopathy
Psychopathy of psichastenic
Hysterical psychopathy
Shizoid psychopathy
Unsteady psychopathy
Sick P., 35 years feels obtrusive ideas, fears. For a patient takes a place:
Shizoid psychopathy
psichastenic
Both the variant of psychopathies
Neither that nor other
mania