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Psychiatry Part I Exam
Sample MCQs
1- Eye to eye contact
A.
B.
C.
D.
E.
is usually decreased in depression
is never a sign of aggression
is an essential part of psychotherapy
is influenced by cultural factors
is assessed in the mental state examination
2- Obsessional thoughts
A.
B.
C.
D.
E.
always give rise to compulsions
are ego-alien
rarely are of sexual nature
are best treated by thought stopping
usually response to imipramine
3- Electrical stimulation of the following causes anxiety
A.
B.
C.
D.
E.
vagus
hypothalamus
dorsal raphe nucleus
locus coeruleus
median raphe nucleus
4- The Ganser Syndrome occurs in
A.
B.
C.
D.
E.
schizophrenia
manic-depressive psychosis
prisoners awaiting trial
personality disorder
hysteria
5- Passivity experiences
A.
B.
C.
D.
E.
include made actions
occur in manic-depressive psychosis
include echo de la pensee
are recognized in obsessive neurosis
exclude thought broadcasting
6- Animal phobias are
A. commoner in men
B. usually occur in middle age
C. generally non-specific
D. treatable with behavioral therapy
E. a poor diagnostic group
7- The following statements are true
A.
B.
C.
D.
E.
2nd person auditory hallucinations do not occur in schizophrenia
pseudo-hallucination have prognostic value in schizophrenia
illusion are invariable in paranoid schizophrenia
visual hallucinations exclude a diagnosis of schizophrenia
functional hallucinations may occur in organic brain disease
8- Features of atypical grief could include
A.
B.
C.
D.
E.
feelings of self-blame
pseudohallucinations of the deceased
searching behaviour
illusions
misidentifications
9- Features of Alzheimer’s disease may include
A.
B.
C.
D.
E.
onset at age 60-70 years
amnesia is rarely the first symptom noted
EEG changes usually seen in the late stage of illness
marked loss of verbal skills on WAIS
psychotic features
10- Features of counter-transference could include
A.
B.
C.
D.
always unconscious
may be experienced by patient
always a response to transference
may be positive or negative
E. does not occur in psychoanalysis
11- Possible features of Electra complex include
A.
B.
C.
D.
E.
rivalry between daughter and father
resolved by castration anxiety
seen in all girls
converse of the Oedipus complex
Electra was the step-sister of Oedipus
12- Features of splitting may include
A.
B.
C.
D.
relates to the paranoid position
the primary defence according to Anna Freud
applied to either parents as the object
related to objective identification
1
E. similar to spitting
13- Physical dependence occur with
A.
B.
C.
D.
E.
psilocybin
cocaine
LSD ( lysergic acid diethylamide)
morphine
amphetamine
14- Diplopia occurs in
A.
B.
C.
D.
E.
neuropathy of oculomotor nerve
Parkinson’s disease
Neuropathy of facial nerve
Huntingdon’s chorea
Diabetes insipidus
15- Components of the basal ganglia may include
A.
B.
C.
D.
E.
amygdaloid nucleus
red nucleus
dentate nucleus
caudate nucleus
subthalamic nucleus
16- The circle of Willis is formed by
A.
B.
C.
D.
E.
superior cerebellar artery
posterior spinal artery
posterior communicating artery
middle cerebral artery
anterior inferior cerebellar artery
17- Delerium tremens
A.
B.
C.
D.
E.
Characteristically begin about a week after the last drink
Has an insidious onset
Is a disorder of a reticular activating system
Is associated with vestibular disturbances
Has a mortality rate of 5%
18- Contraindications to ECT include
A.
B.
C.
D.
E.
patients with cardiac arrhythmias
women in the third trimester of pregnancy
patients taking anticonvulsants for epilepsy
raised intracranial pressure
mania
19- Characteristic features of psychogenic fugue include
A. amnesia for the episode
B. purposeless wondering
2
C. mutism
D. self-neglect
E. automatic obedience
20- The following are not indicative of suicidal intent in relation to an act of
deliberate self-harm
A.
B.
C.
D.
E.
leaving a note
a history of several previous attempts
failing to alert potential helpers
taking antihypertensive drugs
taking an overdose in the presence of others
21- Common features of post-natal depression include
A.
B.
C.
D.
E.
ataxia
ideas of reference
panic attacks
excessive worries about babies health
feeling of hostility towards the baby
22- In alcoholic hallucinosis
A.
B.
C.
D.
E.
perceptional abnormalities are predominantly visual
conciousness is impaired
symptoms last for two to three months in the majority of cases
phenothiazine drugs are usually effective in treatment
there is an increased familial risk of schizophrenia
23- The following are more suggestive of an affective psychosis than acute
Schizophrenia
A.
B.
C.
D.
E.
mode congruent delusions
misidentification of people
imperative hallucinations
formal thought disorder
disorientation
24- The EEG can be used in epilepsy
A.
B.
C.
D.
E.
to exclude the diagnosis
to assess the adequacy of anticonvulsant therapy
to decide the safety of stopping treatment
to assess the side effects of anticonvulsant treatment
to diagnose pseudo-seizures
3
25- Inhibitory neurotransmitters include
A.
B.
C.
D.
E.
26-
Recognized complications of sodium valproate therapy include
A.
B.
C.
D.
E.
27-
gamma-aminobutyric acid (GABA)
aspartic acid
acetylcholine
glutamic acid
dopamine
carditis
alopecia
gingival hypertrophy
hypothyroidism
bleeding
The following statements are correct
A. manneristic speech is characterized by constant repetition of words or
phrases out of context
B. mannerism include adaptive postures which are modified in a curious
fashion
C. stereotypies include the unusual performance of goal-directed motor act
D. stereotypic speech is characterized by alteration in the quality, tone or
pronunciation of speech
E. stereotypic speech does not occur in organic mental disorders
28- Drugs which should be avoided in renal impairment
A.
B.
C.
D.
E.
carbamazepine
lithium
procyclidine
artane
sulpride
29- Delusions
A.
B.
C.
D.
are false beliefs held with absolute convictions
are modifiable by experience
are shared bye those of a common social and cultural background
when systematized can invariably be traced back to the development of a
primary delusion
E. are present in neurotic illnesses
30- The superego
A.
B.
C.
D.
E.
develops before the resolution of Oedipal complex
arises from the ego
is entirely conscious
it is exactly internalized parental authority
according to Freud is stronger in girls than boys
4
31- Idiopathic epilepsy
A.
B.
C.
D.
E.
accounts for more than 50% of all cases
is commoner in men
in the majority of cases causes focal seizures
causes higher incidence of psychological disability than other forms of the disorders
is associated with neurological abnormalities between attacks in 30% of the cases
32- Beta waves in the adult EEG
A.
B.
C.
D.
E.
are increased by anxiety
are the dominant component of stage IV sleep
are increased by alcohol
have frequency of 1-3 Hz
are principally occipito-parietal distribution
33- In Korsakoff’s psychosis (dysmnesic syndrome)
A.
B.
C.
D.
E.
digit span testing is characteristically abnormal
confabulation is an essential diagnostic features
disorientation in time is evident
clouding of consciousness is present
treatment with thiamine is usually ineffective
34- Characteristic features of
include
A.
B.
C.
D.
E.
histrionic (hysterical) personality disorder
emotional shallowness
argumentativeness
attention seeking behaviour
indecisiveness
sexual promiscuity
35- Hallucinations
A.
B.
C.
D.
E.
are always perceived as emanating from the surrounding environment
may be conjured up or dismissed at will
are distortions of real perceptions
involve alterations in the intensity, quality or spatial form of stimuli
have the same qualities as normal perceptions
36- Examples of pharmacodynamic drug interactions include
A.
B.
C.
D.
E.
competitive receptors site blockade
induction of liver microsomal enzymes
interaction by mixing in syringe
competition for plasma binding sites
decreased intestinal absorption
37- A six years old child brought to the clinic for treatment of her generalized
5
anxiety. Which one of the following behavioral treatments has been
found helpful for the childhood anxiety
A.
B.
C.
D.
E.
relaxation training
desensitization
modeling
contingency management
all of the above
38- 24-years old male presents to the center with 2 years history of
increasingly disabling intrusive thoughts about germs.
He spends up to 4 hours a day showering and washing himself. Which of
the following would be the most appropriate medication for him
A.
B.
C.
D.
E.
bupropion
buspirone
olanzapine
clonazepam
sertraline
39- A young man with schizophrenia over the 5 past years. The patient
mother call to say that her son has been talking about harming someone.
Which of the following is the single best predictor of violence
A.
B.
C.
D.
E.
a history of violence
paranoid thinking
substance abuse
antisocial personality disorder
head injury
40- A 44-year-old man refuses to comply with your request to dispose of his
Firearms. He admits to having thoughts of shooting himself. Important
factors. In determining the patient’s degree of dangerousness to himself
would include all of the following EXCEPT
A.
B.
C.
D.
E.
medical illness
substance abuse
employment history
political party
family history of suicide
41- A female patient complains that she unable to experience an orgasm on
the higher dose of paroxetine. She prefer to remain on this medication
since this is the first time she has not felt depressed in several months. A
pharmalogic antidote for SSRI-related anorgasmia include which of the
following medications
A. citalopram
6
B.
C.
D.
E.
floxetine
venalofaxine
bupropion
non of the above
42- A 33-years old female patient suffering from extreme fatigue, crying
spells, angry outburst and insomnia several days before the onset of her
menstrual period. She has experienced these symptoms for several years.
Which of the following medications would be the best intervention for this
patient
A.
B.
C.
D.
E.
nortriptyline
amitriptyline
flouxetine
all of the above
none of the above
43- Which of the following conditions has an increased comorbidity with
social anxiety disorder?
A.
B.
C.
D.
E.
substance abuse
depression
anxiety disorders
chronic medical illness
all of the above
44- Which of the following is indicated in the treatment of social anxiety
disorder?
A.
B.
C.
D.
E.
Phenelzine
Paroxetine
Cognitive behavioral therapy
All of the above
None of the above
45- Which of the following is true about concrete thinking?
A.
B.
C.
D.
E.
It is usually seen in bipolar disorder
It is diagnostic of schizophrenia
It is diagnostic of organic brain disease
It is a defect of conceptual abstract thought
It is always seen in schizophrenia
46- Pseudo dementia is characterized by
A. Abnormal EEG
7
B.
C.
D.
E.
Chronic course
Onset with depressive features
Localized neurological signs
Confabulation
47- Which of the following is true about Capgras syndrome?
A.
B.
C.
D.
E.
It is also called erotomania
It is also called delusion of doubles
It is usually associated with Brain disease
It is the same as hysteria
It is seen in husbands of pregnant woman
48- In history taking and mental status examination, all of the following are
true except
A.
B.
C.
D.
E.
Occupational history may give an indication of severity of condition
Cognitive testing is not indicated if a full history is obtained
Family history may give a clue about family dynamics
Mental status examination need not be done in recommended sequence
Proverb interpretation demonstrates concrete thinking
49- Which of the following conditions does not classically cause emotional
liability?
A.
B.
C.
D.
E.
Mania
Severe depression
Psuedobulbar palsy
Hysteria
Delirium
50- Which of the following cognitive impairments is found in persons with
schizophrenia?
A.
B.
C.
D.
E.
Deficits in information processing
Deficits in executive function
Deficits in language ability
None of the above
All of the above
51- Which of the following is considered a bad consequence of
deinstitutionalization of schizophrenic patients?
A. Some of the patients were transferred to alternative forms of unregulated
custodial care like nursing homes and poorly managed shelter systems
8
B. Some patients were let free into nearby communities, which were unable or
unwilling to take care of the released patients
C. Responsibility for care was transferred to patients’ families, for whom it has
become a burden
D. Some of the released patients ended up in the prison system
E. All of the above
52- The risk of siblings of affected individuals developing schizophrenia is
A.
B.
C.
D.
E.
5%
10%
20%
40%
50%
53- The risk of schizophrenia is increased in first-degree relatives of patients
with
A.
B.
C.
D.
E.
Depressive disorder
Bipolar disorder
Obsessive-compulsive disorder
Panic disorder
Schizoaffective disorder
54- 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?
A.
B.
C.
D.
E.
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
55- Which of the following drugs has been shown to decrease the suicide
rate?
A.
B.
C.
D.
E.
Carbamazepine
Olanzapine
Sertraline
Lithium
Valproic acid
56- The following are recognized side effects of lithium at therapeutic dose
except
9
A.
B.
C.
D.
E.
57-
Which of the following antipsychotic also has an antidepressant effect?
A.
B.
C.
D.
E.
58-
Venlafaxine
Bupropion
Buspirone
Mirtazapine
Fluoxetine
All of the following statements are true of the epidemiology of
depression except
A.
B.
C.
D.
E.
60-
Flupenthixol
Chlorpromazine
Haloperidol
Trifluperazine
Fluphenazine
Which of the following antidepressant blocks reuptake of dopamine?
A.
B.
C.
D.
E.
59-
Thirst
Fine tremors
Polydipsia
Diplopia
Erectile dysfunction
The rates are equal in men and women after the age of 50 years
Women are twice as affected as men between puberty and 50 years
Girls are four times more affected than boys before puberty
Point prevalence of depression in 2-3% for men and 5-9% for women
Increased rates of depression have been observed over the past 4 to 5 decades
All of the following neurotransmitter abnormalities are detected in
anxiety disorders except
A.
B.
C.
D.
E.
Increased platelet MAO activity
Increased activity of central noradrenaline
Increased central GABA activity
Increased circulating adrenaline
Increased circulating noradrenaline
61- Of all the following factors, which is the most important risk factor for
the development of post-traumatic stress disorder?
A.
B.
C.
D.
Individual vulnerability
Nature of the trauma
Sex of the victim
Age of the victim
10
E. All of the above are equally important
62- All of the following are true about hypochondriasis except
A.
B.
C.
D.
E.
It is more common in women
Onset is in early adulthood
Course is chronic with waxing and waning of symptoms
The belief of having a serious disease is not of delusional intensity
The symptoms can involve more than one system
63- The percentage of elderly people with depressive symptoms is
A.
B.
C.
D.
E.
5%
7%
15%
30%
50%
64- In which of the following regions of the brain is a tumor most likely to
cause psychiatric symptoms?
A.
B.
C.
D.
Frontal
Parietal
Temporal
Occipital
65- What is the most common psychiatric manifestation of Cushing
syndrome?
A.
B.
C.
D.
E.
Mania
Psychosis
Depression
Panic attacks
Anxiety
66- What is the most common offence committed by women?
A.
B.
C.
D.
E.
Homicide
Infanticide
Assault
Shoplifting
Hit and run
67- Patients with bulimia nervosa sometimes develop cardiac myopathy.
What is the most common cause?
A.
B.
C.
D.
E.
Electrolyte disturbances
Starvation
Loss of cardiac muscle
Toxicity from ipecac
All of the above
11
68- What is the mental age of an adult with moderate mental retardation?
A.
B.
C.
D.
E.
3 years or less
6 years or less
9 years or less
12 years or less
15 years or less
69- Which of the following is common in the childhood history of patients
with borderline personality disorder?
A.
B.
C.
D.
E.
Shyness
Psychosis
Conduct disorder
Sexual abuse
Magical and odd beliefs
70- For which of the following purposes is the Thematic Apperception Test
(TAT) most useful?
A.
B.
C.
D.
As an aid in the differential diagnosis
In assessment of motivational variables
In assessment of a patient’s intellectual level
In assessment of the risk of suicide in a patient
71- With which of the following is cholestatic jaundice most commonly seen?
A.
B.
C.
D.
E.
Lithium
Chlordiazepoxide
Chlorpromazine
Fluoxetine
Amitryptiline
72- Interpersonal psychotherapy differs from psychodynamic psychotherapy
in that does not use
A.
B.
C.
D.
E.
73-
Empathy
Transference analysis
The “ here and now” approach
An attempt to improve social relationships
Practical procedures
Which of the following is the means by which psychoanalysis achieves
resolution of conflicts rooted in the past ?
A.
B.
C.
D.
E.
Regression
Denial
Projection
Projective identification
Magical undoing
12
74-
Multipolar neurone has
A.
B.
C.
D.
E.
one axon and more than one dendrite
one axon and one dendrite
one dendrite and one axon
one dendrite and more than one axon
no axon and more than one dendrite
75- Diencephalon includes the following structures EXCEPT:
A.
B.
C.
D.
E.
Thalamus
Epithalamus (inc. pineal gland, and
habenular gland)
Hypothalamus (inc. pituitary gland)
Subthalamus
Tectum
76- The mesolimbic dopaminergic system
structures EXCEPT:
A.
B.
C.
D.
E.
olfactory tubercle
77- Gerstmann’s syndrome is characterized by all the following EXCEPT:
A.
B.
C.
D.
E.
right-left disorientation
finger agnosia
dysgraphia
dyscalculia
dysmnesia
78- Limbic structures include: all the following EXCEPT:
A.
B.
C.
D.
E.
Insula
Fornix
Cingulum
Hippocampus
Amygdala
79- Parasympathatic action characteristically includes:
A.
B.
C.
D.
E.
Dilatation of the pupil
Increase in heart rate
Decrease in salivation
Bronchial constriction
Decrease in peristalsis
13
80- 5HT is involved in all the following EXCEPT:
A.
B.
C.
D.
E.
Sleep.
Sex.
Aggressive outbursts.
Thought.
Mood.
81- The behavior of a patient who remains silent during an interview
illustrates which type of resistance?
A. Conscious.
B. Ego.
C. Id.
D. Superego.
E. Countertransference
82- On mental status examination, the patient's stream of thought reveals a
lack of goal directedness, excessive details, and difficulty with closure.
This thought pattern is called
A. Circumstantiality.
B. Tangentiality.
C. Thought blocking.
D. Perseveration.
E. Neologism.
83- Clinical scales on the Minnesota Multiphasic Personality Inventory–2
include all of the following except
A. Hypochondriasis.
B. Hysteria.
C. Lie.
D. Psychopathic deviance.
E. Psychasthenia
84- Regarding the Hamilton Rating Scale for Depression (HRSD), all of the
following are true except
A. It contains 17–24 items.
B. It has 3- to 5-point severity scales for each item.
C. It is weighted toward the neurovegetative rather the cognitive symptoms of
depression.
D. It is often used in conjunction with the Beck Depression Inventory (BDI).
E. It is self-administered.
14
85- In psychiatry, the electroencephalogram
diagnosis of
A.
B.
C.
D.
E.
(EEG) can be helpful in the
Intermittent explosive disorder
Panic disorder
Bipolar disorder
Social phobia
Frotteurism
86- Which of the following personality disorders shows evidence of genetic
transmission, on the basis of family risk, twin, and molecular studies?
A. Antisocial.
B. Avoidant.
C. Borderline.
D. Dependent.
E. Schizotypal
87- The first stage of Erikson’s psychosocial development is
A. Identity vs confusionl.
B. intiative vs guilt.
C. Trust ss mistrust.
D. Intimacy vs isolationl.
E. Integrity vs despair.
88- As opposed to respondent of Paplovian conditioning , in operant
conditioning
A. Responses are conditioned by consequent response
B. Responses are conditioned by antecedent stimuli
C. Behavior is strengthened by absence of response
D. Behavior is strengthened pairing of neutral stimulus
E. non of the above
89- Which of the following is not considered a perceptual disturbance?
A. Derealization.
B. Illusion.
C. Depersonalization.
D. Delusion.
E. Hallucination.
90- When interviewing a depressed or suicidal patient, the psychiatrist is
advised to do all of the following except
A. Begin with assessment of physical appearance and motor behavior.
B. Thoroughly explore neurovegetative signs or symptoms and their effect on patient
15
function.
C. Be attentive to recent psychosocial stressors (especially losses) and recent
anniversaries of significant past losses.
D. Allow the patient to set the pace of the interview, avoid excessive engagement,
and tolerate long silences.
E. Assess both suicidal cognitions and the patient's ability to control self-destructive
impulses.
91- A methodological limitation of adoption research, in terms of its ability
to separate genetic from environmental influences, is the fact that
A. Most children are adopted away at birth.
B. The environment begins at birth.
C. Adopted children cannot be considered a representative sample of the
population.
D. Adoptive parents often have as much psychiatric illness as biological parents.
E. A false genetic hypothesis (type I error) has been accepted.
92-
Common developmental themes of adolescence include which of the
following?
A. Dependence vs. peer group.
B. Family vs. privacy.
C. Idealization vs. intellectualized control.
D. Identity, role, and character.
E. Identity vs. inferiority.
93- The emergence of stranger anxiety is regularly observed by age
A. Younger than 4 months.
B. 4–8 months.
C. 8–12 months.
D. 12–16 months.
E. 16–24 months.
94- An advantage of magnetic resonance imaging (MRI) over computed
tomography (CT) is that MRI. . .
A. Provides better detection of calcified brain lesions.
B. Is less anxiety provoking.
C. Is less expensive.
D. Provides better visualization of lesions in the brain stem.
E. Requires a shorter period of patient cooperation.
95- Non-goal directed movement carried out in a uniform way is called:
A. perseveration
16
B. stupor
C. stereotypy
D. vorbeireden
E. mitmachen
96- Non-dominant temporal lobe abnormalities may produce:
A.
B.
C.
D.
E.
Aphasia.
Reduced appreciation of music
Impaired learning of new words.
Difficulty planning tasks.
Confabulation.
97- Confusional state may be caused by all the following EXCEPT:
A.
B.
C.
D.
E.
Paracetamol.
Cimetidine.
Procyclidine.
Dothiepin.
Methylcellulose
98- Besides impaired renal function, which of the following is a cause of
increased
lithium levels?
A.
B.
C.
D.
E.
dehydration
ibuprufen
thiazides
sodium restriction
all of the above
99- The following symptoms are recognized features of depression but not of
mania
A.
B.
C.
D.
E.
early morning waking
motor retardation
auditory hallucination
episodic weeping
nihilistic delusion
100- Munchausen syndrome
A.
B.
C.
D.
E.
is named after the 18th century German Baron in whome it was first described
most commonly presents with reccurrent abdominal symptoms
is not associated with criminality
is identified more commonly in those of low intelligence
is more common in females
17