Download Final module control SPECIAL (NOSOLOGY) PSYCHIATRY 1. The

FINAL MODULE CONTROL
SPECIAL (NOSOLOGY) PSYCHIATRY
1. The condition of dependence from toxic substances named:
A. Asthenic syndrome
B. Narcotic syndrome
C. Hypochondriac syndrome
D.* Abstinential syndrome
E. Depressive syndrome
2. What is cholinolitic of central action, which using with purpose toxicomania:
A. Phenobarbital
B.* Tincture of belladonna
C. Ephedrine
D. Heroine
E. Caffeine
3. What is purpose abusing of tranquilisers:
A. Stimulation
B. Hypnotic effect
C. Anti depressive effect
D.* Euphoria
E. General tonic effect
4. With purpose blocking of feel (inclination) to toxic substances using:
A. Sedatives
B. Antidepressants
C. General tonic remedies
D.* Psychotherapy
E. Nootropics
5. What is neurotic disoders, when patient constantly repeats complaints on somatic
diseases, demands of medical examinations, distrasts medical diagnosis and demands to reveal
any somatic disease:
A. Neurasthenic disoders
B. Dissociative (conversive) disoders
C. *Somatoform disoders
D. Panic disoders
E. Obsessive compulsive disoders
6. Select neurotic state with vegetative, somatic and emotional violation (variation arterial
pressure, tachycardia, fever, dyspepsia, pain of muscles, violation of sleep, headache, giddiness,
irritation, disable of weakening):
A.* Neurasthenic disoders
B. Dissociative (conversive) disoders
C. Obsessive compulsive disoders
D. Generalized anxiety disoders
E. Somatoform disoders
7. What is neurotic state with chronic excessive anxiety in unimportant negative
situation?
A.* Generalized anxiety disoders
B. Panic disoders
C. Obsessive compulsive disoders
D. Dissociative (conversive) disoders
E. Somatoform disoders
8. Select neurotic state with repeating fits of heavy anxiety (panic), that does not limit
specific situation:
A.* Panic disoders
B. Obsessive compulsive disoders
C. Dissociative (conversive) disoders
D. Somatoform disoders
E. Neurasthenic disoders
9. Select neurotic disoders with sudden temporary violation of function of consciousness,
realizing of authenticity own “ego” or behaviour , result in certain part of these function are loss
(patient losses ability to reproduce important intimate information):
A.* Dissociative (conversive) disoders
B. Generalized anxiety disoders
C. Panic disoders
D.Obsessive compulsive disoders
E. Neurasthenic disoders
10. In girl A. 19 years old after rope diagnosed stupor neurotic reactions: general
constraint, inhibition of motions, indifference to herself and surrounding events. Speech is slowly
and silent. Consciousness is narrowed. What medicine will you use?
A.* Solution of sibasoni 0,5 %, 2 ml
B. Solution of melipramini 1,25 %, 1 ml
C. Solution of caffeine 20 %, 1 ml
D. Solution of halloperidoli 0,5 %, 1 ml
E. Solution of sodium-barbitali 10%, 5 ml
11. Patient T., 26 years old after rope was hospitalized: she is crying in voice and
demonstrative, banging ones fists on the table, stamping ones feet, tearing herself garment, thinking
about suicide. Diagnosis?
A. Erotic excitement
B. *Hysterical excitement
C. Panic excitement
D. Epileptic excitement
E. Amential excitement
12. Patient B., 21 years old after traffic accident was hospitalized with next clinical
picture: chaotic movements, tremor of hands, rapidity of speech, fear, anxiety. Orientation is present,
disturbance of perception, delusion did not reveal. Diagnosis?
A. Stuporous neurotic reaction
B. Psychogenic delirium
C. Psychogenic stupor
D. Anxiety neurotic reaction
E.* Fugiform excitement
13. Etiological factors of reactive psychosis are:
A. Biological
B. Psychological
C. Social
D.* All above mentioned
E. Phisical
14. Specific clinical signs of reactive psychosis are:
A.* Karl Jasper’s syndrome
B. Kandinski-Clerambault’s syndrome
C. Korsakoff’s syndrome
D. Paranoid syndrome
E. All mentioned
15. Acute reactive psychosis are:
A. Twilight state
B. Reactive stupor
C. Reactive confusion
D. Reactive paranoid
E.* All above mentioned
16. On the background of fear with panic flight does appear:
A.* Acute twilight state
B. Acute reactive stupor
C. Acute reactive confusion
D. Acute reactive paranoid
E. Acute hallucinosis
17. State from oligokinesia to total absence of movements with mutism are specific for:
A. Acute twilight state
B.* Acute reactive stupor
C. Acute reactive confusion
D. Acute reactive paranoid
E. Acute hallucinosis
18. Psychomotor excitement with fear, constantly verbal production are specific for:
A. Acute twilight state
B. Acute reactive stupor
C.* Acute reactive confusion
D. Acute reactive paranoid
E. Acute hallucinosis
19. Fear with anxiety, paranoid ideas of relation and persecution are specific for:
A. Acute twilight state
B. Acute reactive stupor
C. Acute reactive confusion
D.* Acute reactive paranoid
E. Acute hallucinosis
20. Subacute reactive psychosis are:
A. Twilight state
B. Pseudodementia
C. Ganser’s syndrome
D.* All above mentioned
E. Delirium
21. Clinical signs of pseudodementia are:
A. Wrong answers
B. Not right actions
C. Foolish
D.* All above mentioned
E. Hallucinatoins
22. Prolonged reactive psychosis are:
A. Paranoid depressive
B. Hysteric depressive
C. Asthenic depressive
D.* All above mentioned
E. Hallucinatoin paranoid
23. Post-traumatic stress disorder appears after:
A. Conflict in family
B.* Extreme situations
C. Drug abuse
D. Injury of head
E. All above mentioned
24. Specific clinical signs of post-traumatic stress disorder are:
A. Karl Jasper’s syndrome
B. Kandinski-Clerambault’s syndrome
C. Korsakoff’s syndrome
D. Paranoid syndrome
E.* Reexperiencing of the trauma
25. Diagnostic criteria of post-traumatic stress disorder are:
A. Inability to feel emotion
B. Intrusive imagery of the events
C. Insomnia
D.Trouble concentrating
E.* All above mentioned
26. During what period post-traumatic stress disorder does appear:
A. From few days to few weeks
B. From few months to few years
C.* From few weeks to half years
D. From few hours to few days
E. From few weeks to two years
27. For treatment of post-traumatic stress disorder used all except:
A. Anxiolytic
B. Soporific
C. Antidepressants
D.* Psychostimulants
E. Psychotherapy
28. What sign is specific for pshychogenic psychosis?
A. Euphoria
B.* Fear
C. Melancholy
D. Obsession
E. Compulsion
29. Clinical picture of post-traumatic stress disorder includes:
A. Vegetative disoders
B. Disoders of mood
C. Disoders of bechaviour
D.* All right
E. All wrong
30. Clinical symptoms of depressive syndrome include all signs, except:
A. Increased of movement
B. Retarded thinking
C.* Cloudiness of consciousness
D. Suicidal thinking
E. Delusion of being guilty and self-condemnation
31. What measures are most effective for treatment reactive depression?
A.* Psychotherapy and antidepressants
B. Psychotherapy and anxiolytic
C. Physiotherapy and psychotherapy
D. Antidepressants and neuroleptics
E. Tricycle antidepressants and inhibitors MAO
32. Clinical symptoms of affective-shock reactions include all next signs, except:
A. Appear during catastrophe
B. Presence cloudiness of consciousness
C.* Behaviour is infantile and foolish
D. Patients are dangerous for surrounding people
E. Prognosis – full recovery
33. What is most probably reason for beginnings of schizophrenia?
A.* Inheritance
B. External factors
C. Endocrine disoders
D. Infection-allergic factors
E. Products of decay of carbons metabolism
34. What syndrome is specific for schizophrenia?
A. Depressive state
B. Maniac state
C.* Kandinski-Clerambault’s syndrome
D. Dysphoric state
E. Amnestic disorientation
35. Next signs are specific of catatonic form of schizophrenia, except:
A. Dupre’s symptoms
B.* Maniac ideas
C. Waxen flexibility
D. Negativism
E. Autism
36. Next signs are specific of paranoid form of schizophrenia, except:
A. Persecutory delirium
B. Kandinski-Clerambault’s syndrome
C. Pseudo hallucination
D. Psychical automatism
E.* Mutism
37. Next signs are presence about emotional stupidity, except:
A. Indifference to myself and surrounding people
B. Emotional coolness to relatives
C. Decreasing of intensive activity
D. Decreasing of energetic potential
E.* Melancholic delusion
38. Specific signs are presence about abulia, except:
A. Lowering of libido
B. Loosing of impulse to action
C.* Agoraphobia
D. Loosing of physical and psychical activity
E. Lowering interest to environment
39. Next nuclear form of schizophrenia there are all, except alone:
A. Simple
B. Heboid
C.* Hypertoxic
D. Paranoid
E. Catatonic
40. Next disoders of psychical function are specific of schizophrenia, except:
A. Thinking
B. Emotion
C. Will
D.* Memory
E. Speech
41. Schizophrenia has next basic symptoms, except:
A. Emotional stupidity
B.* Euphoria
C. Paralogic thinking
D. Abulia
E. Intra psychical ataxia
42. What is basic syndrome of schizophrenia:
A. Senestopathia
B.* Intra psychical ataxia
C. Amentia
D. Metamorphopsia
E. Confabulation
43. Next signs are specific of paranoid form of schizophrenia, except alone:
A. Non systematized delusions
B. Kandinski-Clerambault’s syndrome
C. Psychical automatism
D. Atactic incoherence of speech
E.* Amential confusion
44. Terminal state of schizophrenia is characterized by:
A.*Apato-abulic syndrome
B. Paranoid delirium
C. Paraphrenic delirium
D. Confabulations
E. Obsessive states
45. Schizophrenia has next signs, except:
A. Progressing
B. Intra psychical ataxia
C. Estrangement from reality
D.* Paramnesia
E. Ambivalents of fillings
46. What is philosophizing judgement:
A. Rapidity of thought
B. Echo of thoughts
C.* Disposition to futile judgements
D. Symptom of “deja vu”
E. Echo mnesia
47. Heboid (hebephrenic) form of schizophrenia is characterized by:
A. Emotional lability
B. Mutism and negativism
C. Slowing of movements
D.* Frolicsome, incongruous behaviour
E. Amnesia
48. Next signs are specific of catatonic form of schizophrenia, except alone:
A. Mutism
B. Stupour
C. Waxen flexibility
D. Impulsive actions
E.* Imbecility
49. Next signs are specific of simple form of schizophrenia, except alone:
A. Improverishing of psychical life
B. Autism
C. Blunting of affect and loss of volition
D. Symbolic thinking
E.* Non-malignant flowing
50. Simple form of schizophrenia does begin?
A.* in 14-20 years
B. in 8-13 years
C. in 21-34 years
D. in 35-40 years
E. after 100 years
51. What is basic method of treatment of patients with schizophrenia?
A. Hormone therapy
B. Insulin comatose therapy
C. Convulsion therapy
D.* Psychopharmacologic therapy
E. Psychotherapy
52. What medicines are using in patients with paranoid form of schizophrenia?
A.* Haloperidol
B. Zoloft
C. Cipramil
D. Amitriptilin
E. Meliril
53. Next medicines are used in patients with schizophrenia, except:
A. Clopicsol
B. Risperidon
C. Zipreksa
D. Fluanksol
E.* Fluoksitin
54. All medicines are atypical anti psychotic means, except:
A. Zipreksa
B. Rispolept
C. Solian
D. Clopicsol
E.* Etaperasin
55. BAD begins in next age:
A. 10-15 years
B. 15-20 years
C.* after 25 years
D. after 55 years
E. after 75 years
56. What symptoms are specific for maniac episode:
A.Rapidity association
B.High spirit
C.High psychomotor activity (excitement)
D.Rapidity of thought
E.*All above mentioned
57. All signs are present about depressive episode, except:
A. Retarted thinking
B. Psychomotor retardation
C.* Cloudiness of consciousness
D. Suicidal ideas
E. Guilty thoughts and self-condemnation
58. What medicines are using at maniac excitement:
A. Antidepressants
B. Antipsychotic
C. Anticonvulsive
D.* Anxiolitics
E. Lithium
59. What medicines are using in remission with purpose prevent of bouts BAD:
A. Antidepressants
B. Anxiolitics
C.* Lithium
D. Antipsychotic
E. Soporific
60. What antidepressant is tricyclic drugs:
A. Zoloft
B.* Imipramine
C. Lithium
D. Floxetin
E. Lerivon
61. The patient is excited and restless, incessantly walks around the room, wrings her
hands, weeps and groans. There is an expression of fear on her face. Asks the people around her
to save her family, which is sure to be in great danger. Promises to give the people much money
for rescuing her relations. The personnel can’t dissuade her: the patient stays extremely anxious.
Couldn't sleep for two nights, and hasn't eaten any food for three days, saying, “How can I eat,
when my dear ones are dying?” Tried to commit suicide.
Name the syndromal diagnosis.
A. Hypochondriac syndrome
B. Anxiety and depressive syndrome
C.* Agitated depression syndrome
D. Masked depression syndrome
E. Catatonic syndrome
62. A male patient 22 years old, a bank clerk, two weeks ago had flu, but didn't stay in
bed and continued to work. Complains of constant pain in his throat, supposes that he “is ill with
the larynx tuberculosis”, that his throat “has decomposed”, all his teeth have fallen out, and the
brain “has dissolved”. Refuses to walk, because all his organs were "pasted together." Assured
everybody around that he has died, remaining "a living corps." His mood is gloomy and
depressed. Refuses to communicate with people, because his “mouth is full of dangerous germs”.
What is the syndromal diagnosis?
A.* Cotard's syndrome
B. Paranoiac syndrome
C. Depressive-paranoid syndrome
D. Hypochondriac syndrome
E. Paranoid syndrome
63. Patient A., female, 30 years old, at the psychiatric inpatient department lies all the
time in bed, without changing her posture. Manifests no reaction to the changes in the
environment, presence of other people, and sounds. Is absolutely devoid of activity. Doesn’t eat
on her own, has to be fed from the spoon. When a doctor or some other person speaks to her, the
patient doesn't answer, but seems to listen and sometimes tears appear in her eyes. Her facial
expression is constantly sad. Her muscular tonus is somewhat increased.
Name the syndromal diagnosis:
A. Psychogenic stupor
B. Catatonic stupor
C. Asthenic stupor
D. Apathetic and abulic stupor
E.* Depressive stupor
64. A 20-year-old patient is known as using to clash with teachers and classmates in school, to
shout, to be able to throw with fists. He was detained several times for fighting and was
convicted. He has changed several places of work due to conflicts and aggression. Psychiatric
status: he is focused correctly, answers loudly, using obscene words. He demands "to leave him
in rest "because "he does not control himself". In department he shows aggression for the most
insignificant reasons. What is your preliminary diagnosis?
A. *Maniacal-depressive psychosis
B. Explosive psychopathy
C. Hysterical psychopathy
D. Hysterical neurosis
E. Schizophrenia
65. In mental status of a 22-year-old man there is a stable pathological depressed mood. The
patient is sociable, replies briefly but to the point. The speech is laconic, tempo is slowed, and
movements are constrained and inhibited. Speaks on the ideas of self-accusation and selfhumiliation. Medications of what group are to be prescribed to this patient?
A. Tranquilizers
B. Hypnotics
C. *Antidepressants
D. Neuroleptics
E. Normotimics
66. A 32-year-old female complains of feeling too lazy, reduction of work capacity, and
hopelessness of life. The suicide idea takes place. During 2 weeks before, the raised activity,
uncontrollable fun and levity was observed. What is your diagnosis?
C. *Bipolar affective disorder
A. Recurrent depressive disorder
B. Schizoaffective disorder
D. Depressive episode
E. Maniacal episode
67. The mental status of a 22-year-old man is characterized by a stable pathological depressed
mood. The patient is sociable, replies briefly but to the point. The speech is laconic, in slowed
tempo, movements are constrained and inhibited. Speaks on the ideas of self-accusation and selfhumiliation. Medications of what group are to be prescribed to this patient?
D. *Antidepressants
A. Tranquillisers
B. Neuroleptics
C. Hypnotics
E. Normotimics
68. A woman aged 35 has been suffering with pulmonary tuberculosis for 10 years. When in
phthisiatric clinic, she started to act strangely: put on a gaudy make-up, gathered the other
patients around her, was singing and dancing with them. Highly excited, passed all the time
among males, flirted, started sexually-biased conversations. The whole night absented from the
clinic ("was on a date"). What leading syndrome of mental disorders is observed?
D. *Maniacal
A. Morion-like
B. Psychopathy-like
C. Xenophobic
E. Hebephrenic
69. A 31 y.o. patient has had mental disorder for a long time. He suffers from insomnia for a
long time. He has got fears, suicidal thoughts, tried to hang himself. His mood is depressed, he
refuses from treatment. What measures are the most expedient for the prevention of suicide?
A. Out-patient treatment
B. Strict supervision at home
C. Psychotherapeutic conversation
D. *Admission to the mental hospital
E. Admission to the neurological department
70. A male patient, 37 years old, became too cheerful for no particular reason, he has a
subjective feeling of high creative abilities, enthusiasm, elation and increased productivity, in
spite of manifest disability to concentrate (impaired attention); his speed of thinking processes is
too high. He is uncritical to his state, and finds it normal.
Name the syndrome:
A. Manic (non-psychotic) syndrome
B. Syndrome of dysphoria
C.* Hypomanic (non-psychotic) syndrome
D. Obsessive syndrome
E. Depersonalization syndrome
71. Determine emotional disorder, which very often is present in patients with epilepsy
and has next signs: anxiety, depression and horror; attacks with feelings of anger combined with
anguish; aggression.
A. Mania
B.* Dysphoria
C. Distimia
D. Depression
E. Pathological effect
72. Patient K, 23 old years, sufferings on epilepsy during 10 years. Objectively: he has
repeated spasm fits every 2-3minits – clonic and tonic contraction of hands and legs; pupils are
dilated; pupilliary, corneal and tendon reflex absent; cyanosis of integuments; red foam exudes from
mouth; tachycardia (150 per minute); involuntary miction. Duration fit – 60 sec. Determine
syndrome of disturbance of consciousness.
A.Obnubilation
B.Somnolention
C.*Comatose condition
D.Soporific state
E.Clouded mental state
73. Patient L, 32 old years, sufferings on epilepsy. He becomes excited suddenly without
reason. Psychical status: patient has disorientation in own personality and surroundings, optic and
acoustic hallucination, delusions of relation and persecution. His face expresses fear, angry. Patient’s
behaviour is aggressive. Determine psychopathological syndrome.
A. Delirium syndrome
B. Maniac syndrome
C. Heboid syndrome
D.* Twilight syndrome
E. Paranoid syndrome
74. Patient C, 38 old years, sufferings on epilepsy. He used anticonvulsive drugs irregulary.
He has status epileptic. Urgent help we shall begin from:
A.Prophylactic of traumas of head
B.Anticonvulsive therapy
C.Dehydratation therapy
D.*Restoring of permeability of airway
E.Lumbar puncture
75. Women A, 29 old years, sufferings on epilepsy from 9 old years. He used anticonvulsive
drugs irregulary. She has status epileptic. Your tactic:
A.Hospitalization in neurology department
B. Hospitalization in mental department
C.* Hospitalization in reanimation department
D. Hospitalization in neurosurgery department
E. Call of psychiatrist or neurologist
76. Patient G, 40 old years, prisoner. He accused in homicide. He had serious trauma of head
in 35 old years, after it he sufferings on grand mal seizures with loss of consciousness. Objectively:
he is irritable, dissatisfied in all, has stiffness of thinking; criticism absent. Your tactic:
A.Discharge the prisoner at home
B.Put in prison
C.To treatment in out-patients clinic
D.*To treatment in specialised clinic of closed type
E. To treatment in mental clinic
77. Patient O, 42 old years. Objectively: he has spasm fits very often during day,
consciousness is lost inter fits; pupils are dilated; pupilliary, corneal and tendon reflex absent;
cyanosis of integuments; blood pressure – 80/65 mm hg, temperature of body 39,9. Determine
psychopathological state.
A.Hypoglycemic coma
B. Catatonic stupor
C.Alcohol coma
D.*Epileptic status
E.Psychogenic stupor
78. Patient P, 20 old years, sufferings on epilepsy. He has status epileptic. Urgent help we
shall begin from next medicines:
A.Carbamazepine
B.Hexenal
C. Phenobarbital
D.Pyracetam
E.*Diazepam
79. Women A, 30 old years, sufferings on epilepsy in long time. In time status epileptic
next complications appear: breaking breathing, dampness of cardiac tones, extrasystoles, blood
pressure – 90/60 mm hg. What medicine is forbidden in this case:
A.*Corasol
B.Caffeine
C.Corglycon
D.Lobelin
E.Strophantin
80. Patient M, 18 old years, sufferings on epilepsy in long time. He has dysphoria without
reason. He becomes irritable, angry, aggressive to surrounding persons, dissatisfied in all. What
medicine you will use with purpose prophylactic this state?
A. Phenozepam
B. Phenobarbital
C.*Carbamazepine
D.Valproic acid (Depakene)
E.Topamax
81.IQ of mild mental retardation is:
A. 70-81
B.* 50-69
C. 35-49
D. 34-20
E. below 20
82. IQ of moderate mental retardation is:
A. 70-81
B. 50-69
C.* 35-49
D. 34-20
E. below 20
83. IQ of severe mental retardation is:
A. 70-81
B. 50-69
C. 35-49
D.* 34-20
E. below 20
84. IQ of profound mental retardation is:
A. 70-81
B. 50-69
C. 35-49
D. 34-20
E.* below 20
85.What psychopathy (personality disoders) is characterized by next signs - stiffness and
circumstantial of thinking, inertness of psychical processes:
A.*Epileptoid psychopathy
B. Paranoid psychopathy
C. Excitable psychopathy
D. Shisoid psychopathy
E. Hysteric psychopathy
86. What psychopathy (personality disoders) is characterized
emotionally cold, self-sufficient, detached, insensitiveness:
A.Epileptoid psychopathy
B. Hysteric psychopathy
C.* Shisoid psychopathy
D. Excitable psychopathy
E. Paranoic psychopathy
by next signs –
87. What psychopathy (personality disoders) is characterized
emotionality, brightness of behaviour, egocentrism, demonstrativeness:
A.Epileptoid psychopathy
B. Excitable psychopathy
C. Shisoid psychopathy
D.* Hysteric psychopathy
E. Paranoid psychopathy
by next signs –
88. What psychopathy (personality disoders) is characterized by next signs – inhibiting
perfectionism, immersion in detail, indecisiveness:
A.Epileptoid psychopathy
B. Obsessional psychopathy
C. Shisoid psychopathy
D. Hysteric psychopathy
E.* Paranoid psychopathy
89. What psychopathy (personality disoders) is characterized
sensitiveness, suspiciousness, irritability, touchiness, stubborness:
A.Epileptoid psychopathy
B.* Obsessional psychopathy
C. Shisoid psychopathy
D. Hysteric psychopathy
E. Paranoid psychopathy
by next signs –
90. What psychopathy (personality disoders) is characterized by next signs –
disregard for social obligations, low tolerance to frustration, a tendency to blame others:
A.Epileptoid psychopathy
B. Obsessional psychopathy
C. Shisoid psychopathy
D.* Dissocial psychopathy
E. Paranoid psychopathy
91. The hyperkinetic disorders display in:
A. 2-4 y.o.
B. 6-8 y.o.
C. 10-14 y.o.
D.* 14-15 y.o.
E. 15-18 y.o.
92. The hyperkinetic syndrome are present in next disease:
A. Epilepsy
B. Schisophrenia
C. Mental retardation
D. Personality disorders
E.* All mentioned
93. Who did describe autism syndrome for the first time:
A.* Kanner
B. Asperger
C. Jaspers
D. Blejcher
E. Korsakov
94. When does autism syndrome display:
A. 1-3 y.o.
B.* 2-4 y.o.
C. 5-6 y.o.
D. 8-10 y.o.
E. 10-12 y.o.
95. What signs does autism syndrome have:
A. Emotional idifference
B.Fear
C. Speek disoders
D.*All above mentioned
E. Hallucination
96. Normal or high level IQ is about next syndrome:
A. Kanner’s syndrome
B.* Asperger’s syndrome
C. Heboid syndrome
D. Korsakov’s syndrome
E. All above mentioned
97. The children don’t want to associate about next syndrome:
A.Hyperdynamic syndrome
B.*Autism syndrome
C. Fear syndrome
D. Pathologic fantasy syndrome
E. Paranoid syndrome
98. What syndrome is present in patient with motional anxiety, restlessness, impulsive actions:
A.*Hyperdynamic syndrome
B.Autism syndrome
C. Fear syndrome
D. Pathologic fantasy syndrome
E. Heboid syndrome
99. A patient, while making repairs at home, suddenly stood quite still with the painting
brush in his hand, then dropped it. This state lasted for a few seconds. After that the patent was
rather confused, for some moments he couldn't understand what was happening. He totally forgot
the state he was in and the events around him, occurring while he was in that state.
Determine psychopathological syndrome.
E. *Petit mal, epilepsy
A. Disphoria, epilepsy
B. Jacksonian fit, epilepsy
C. Grand mal, epilepsy
D. Twilight state, epilepsy
100. After a head injury that the patient had 5 years ago he developed affective disturbances:
suddenly and for no serious reason he feels anger. His mood during these periods is
characterized by tension, depression combined with anger or even rage, high irritability with a
tendency to aggressive actions.
Determine psychopathological syndrome.
A. Manic (non-psychotic) syndrome
B.* Syndrome of dysphoria
C. Hypomanic (non-psychotic) syndrome
D. Obsessive syndrome
E. Depersonalization syndrome
101. A female, aged 20, after smoking notices a peculiar inebriation with the feeling of burst of
energy, elation, unreality and changing of surroundings: the world gets full of bright colours, the
objects change their dimensions, people's faces get cartoon features, loss of time and space
judgment. What is the most likely diagnosis?
D. *Cannabism
A. Barbiturism
B. Nicotinism
C. Morphinism
E. Cocainism
102. A woman 26 years old has abused alcohol for 7 years. She has psychological dependence
on alcohol, but no withdrawal syndrome. Drinks almost every day approximately 50 – 100 gr. of
wine. Is at her 4-th week of pregnancy. Primary prevention of fetal alcohol syndrome requires:
A. * Treatment of alcoholism and full abstinance from alcohol during all the period of
pregnancy
B. Medical abortion
C. Decrease of alcohol use
D. Participation in the A-ANON group
E. Gyneacological observation
103. Patient A., male, 27 years old came to consult a psychiatrist with the following complaints:
after a bad car accident, the victim of which he was and in which his wife was killed, he suffered
depression, anxiety, flash-backs of the event, sleep disorders and nightmares about the accident.
He also had emotional numbness and fatigue. The cause of the disorder was:
A. Endogenic factors
B. *Severe stress
C. Adjustment disorder
D. Environmental factors
E. Patient’s personality features
104. Patient Yu., male, 20 years old, for 1 year has systematically used synthetic opioid narcotic
drugs. Decided to stop using them "with an effort of his will power." In two days he felt so bad,
that had to consult a psychiatrist. On examination: the patient's skin and visible mucous
membranes pale and damp. He is restless and worried, depressed and feels hopelessness. Sometimes he sneezes, periodically has chills. Complains of pains in his abdomen and in the heart
area, breathlessness, anorexia and sleeplessness. The patient's blood pressure is 80/60 mm hg,
pulse rate is 58 a minute.
What is the syndromal diagnosis?
A. Syndrome of physical dependence
B. Syndrome of psychological dependence
C. Syndrome of changed reactivity
D.* Abstinent syndrome
E. Delirious syndrome
105. Patient A., male, 66 years old, is a chronic patient of a psychiatric hospital. Isn't oriented in
the environment, can't find his bed and lies down on somebody else's, is untidy when he eats. His
mood changes frequently, often is angry and scolds people and grumbles, and sometimes is
complacent and promises to "load everyone with money." Doesn't remember his doctors name,
doesn't recognize his relatives who come to see him. Sometimes becomes anxious, looks for
something under his bed, ties up his things in a bundle and sits on it. Explains these actions,
telling that "there are thieves and robbers" around him. Directly after having had lunch says, that
he didn't eat anything for three days and is starving, asked for a piece of bread. Name the
syndromal diagnosis:
A.* Mental retardation syndrome
B. Amnestic syndrome
C. Organic brain syndrome
D. Dementia syndrome
E. Paranoid syndrome
106. Patient B., male, 18 years old, was sent to the psychiatric hospital for military psychiatric
examination. The level of academic achievements is extremely low (doesn't know any names of
countries, their capitals, is ignorant concerning the basic information about his own country).
Grew up having no contacts with peers, spent almost all his childhood in an isolated house with
his father, a forest guard. Attended school very irregularly, formally had six classes of education.
At the psychological testing shows good abilities in the tasks on analysis and synthesis, and
abstract thinking. Shows interest towards magazines and books at the department library.
What is the syndromal diagnosis?
A. Mental retardation syndrome
B. Dementia syndrome
C.* Isolated family and insufficient schooling
D. Organic brain syndrome
E. Amnestic syndrome
4.6. LIST OF QUESTIONS FOR FINAL TESTING MODULE CONTROL 2.
Topical Module 3.Organic (including symptomatic) mental disorders. Ecological psychiatry
1. Mental disorders in patients with somatic illness.
2.
3.
4.
5.
Mental disorders in pregnant and in lactation period.
Mental disorder in patient with brain cancer.
Mental disorder in patient with cancer of extra brain localization.
Peculiarities of Mental disorders inpatients with pathology of endocrine
system.
6. Basic principles of treatment, rehabilitation and prophylaxis of mental
disorders at endocrine and somatic illness.
7. Classification of mental disorders at acute and chronic infections.
8. Psychiatric disorders in Syphilis.
9. Psychiatric disorders in AIDS.
10. Principles of treatment of mental disorders at acute and chronic infections.
11. Mental disorders at cranial-cerebral trauma.
12.Psychic disorders at vascular diseases of a brain (an idiopathic hypertensia,
a cerebral atherosclerosis).
13.Mental infringements at traumatic defeats of a brain. Clinic of the initial
and acute periods.
14. Mental disorders cased by poisoning with industrial toxic substances.
15. Mental disorders cased by bad ecology situation.
16. Mental disorders cased by radiation.
Topical Module 4. Mental and behavioural disorders due to psychoactive
substance use
17.Biological and psychological mechanisms of the addiction.
18.The Alcoholism, the maintenance of concept.
19.Epidemiology, an etiology and pathogenesis of Alcoholism.
20.Alcoholic psychosis. Clinical stages, variants.
21.Treatment of alcoholism.
22.Treatment of Alcoholic psychosis.
23.Prophylaxis of alcoholism.
24.Mental and behavioural disorders due to psychoactive substance use.
25.Mental and behavioural disorders due to use of opioids.
26.Mental and behavioural disorders due to use of cannabinoids
27.Mental and behavioural disorders due to use of sedatives or hypnotics.
28.Mental and behavioural disorders due to use of cocaine.
29.Mental and behavioural disorders due to use of other stimulants,
including caffeine.
30.Mental and behavioural disorders due to use of hallucinogens.
31.Mental and behavioural disorders due to use of tobacco.
32.Mental and behavioural disorders due to use of volatile solvents.
33.Mental and behavioural disorders due to multiple drug use and use of
other psychoactive substances.
34.Peculiarities of Mental and behavioural disorders due to psychoactive
substance use according to age.
Topical Module 5. Neurotic, stress-related and somatoform disorders
35.Emotional stress and psychical trauma.
36.Etiology and pathogenesis of psychical trauma.
37.Classification of stress-related disorders.
38.Clinical symptoms of neurasthenia.
39.Clinical symptoms of anxiety disorders.
40.Clinical symptoms of obsessive-compulsive disorders.
41.Clinical symptoms of dissociation disorders.
42.Neurotic depressive disorders.
43.Classification and clinical picture of Somatoform disorders.
44.Treatment of Somatoform disorders.
45.Treatment and Prophylaxis of neurosis.
46.Stress-related psychosis.
47.Treatment of Stress-related psychosis.
48.Clinical symptoms of Post-traumatic stress disorder.
49.Treatment and Prophylaxis of Post-traumatic stress disorder.
Topical Module 6. Polyetiological mental disorders
50.The Schizophrenia.
51.Modern representations about an etiology and a pathogenesis of
schizophrenia.
52.Clinical forms of schizophrenia.
53.Negative symptoms of schizophrenia.
54.Positive symptoms of schizophrenia.
55.The types of the development of schizophrenia.
56.Factors Modifying the Clinical Features.
57.Patterns of Outcome in schizophrenia.
58.Effects of schizophrenia on the family.
59.Treatment of schizophrenia.
60.Classification of Depressive Disorders.
61.Clinical symptoms of Bipolar affective disorder.
62.Treatment of affective disorders.
63.Suicidal behavior at mental diseases and at healthy persons.
64.Antisuicidal therapy. Psychoprophylaxis of Suicidal behavior.
65.Primary and secondary (symptomatic) epilepsy. Paroxysm, its clinical
description.
66.Classification of Paroxysms. Convulsive attack, aid for a patient.
67.Epileptic status. Treatment.
68.The principles of therapy of patients with epilepsy.
Topical Module 7. Disorders of adult personality and behaviour. Mental
retardation. Disorders of psychological development. Behavioural and emotional
disorders with onset usually occurring in childhood and adolescence
69.Disorders of adult personality and behaviour, factors which assist their
development.
70.Reasons of mental retardation and its classification after etiologic
factors.
71.Clinical forms and somatic-neurological displays of mental retardation.
72.Principles of therapy, correction, examination and rehabilitation of
mental retardation. Organization of educational-educate and labour
processes.
73.Infantilism. Boundary mental retardation.
74.Clinical variants of psychopathies and accentuation of character. Basic
principles of therapy, rehabilitation and prophylaxis of disorders of
adult personality and behaviour.
75.Early child's and atypical autism. Clinical displays. Diagnostics.
Treatment. Principles of correction and rehabilitation.
76.Attention-Deficit/Hyperactivity Disorder. Assessment and treatment.