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Lisa Marii Cookingham
Social & Behavioral Sciences
Practice Midterm Questions
Multiple Choice.
1. A 54-year old man reports that he has been waking up before his alarm, has little appetite, and has lost interest
in his normal activities. Which of the following is the most likely laboratory finding in this man?
a. Negative dexamethasone suppression test (DST)
b. Positive dexamethasone suppression test (DST)
c. Increased response to a challenge with thyrotropin-releasing hormone
d. Agranulocytosis
e. Hyperthyroidism
2. A formerly high-functioning 67-year old male stroke patient has scored 18 on the Folstein Mini-Mental State
Examination. From this score, the doctor can conclude that this patient probably
a. Has a lower than normal IQ
b. Cannot read
c. Is cognitively impaired
d. Is “faking bad”
e. Is normal
3. Determines which brain areas are physiologically active when a 44-year old man is doing a mathematical
calculation.
a. Positron emission tomography (PET)
b. Computed tomography (CT)
c. The Amytal interview
d. Electroencephalogram (EEG)
e. Evoked EEG
f. Sodium lactate administration
4. Determines whether a 5-month old infant, who otherwise appears to be developing normally, is able to hear
sounds.
a. Positron emission tomography (PET)
b. Computed tomography (CT)
c. The Amytal interview
d. Electroencephalogram (EEG)
e. Evoked EEG
f. Sodium lactate administration
5. Identifies whether panic disorder should be diagnosed in a 28-year old woman who has experienced three
episodes over the last 2 weeks. These episodes include “palpitations,” trouble breathing, and feelings of
intense fear. The results of physical examination, ECG, and basic laboratory screening tests are
unremarkable.
a. Positron emission tomography (PET)
b. Computed tomography (CT)
c. The Amytal interview
d. Electroencephalogram (EEG)
e. Evoked EEG
f. Sodium lactate administration
6. A 12-year old girl has an IQ of 25. The mental ability of this child is equivalent to that of a child aged
a. 2 years
b. 3 years
c. 4 years
Lisa Marii Cookingham
Social & Behavioral Sciences
Practice Midterm Questions
d. 5 years
e. 6 years
7. A primary care doctor is evaluating a 20-year old female patient for depression. Of the following, which is
the most appropriate test for the doctor to use?
a. Thematic Apperception Test (TAT)
b. The Beck Depression Inventory
c. Wechsler Intelligence Scale for Adults – Revised (WAIS-R)
d. Rorschach Test
e. Folstein Mini-Mental State Examination
8. A physician is asked to examine an 85-year old woman who has been a nursing home patient for the past 2
years. Despite diabetes and some loss of vision, the patient’s physical condition is good. During the
interview, the patient tells the doctor that she does not enjoy anything anymore, even the desserts that she
used to like, and that she no longer looks forward to visits with her family. She says that she cannot imagine
that anything would make her feel better and that she just wants to die. The best description of this patient’s
mood is
a. Euphoric
b. Dysphoric
c. Euthymic
d. Labile
e. Anhedonic
9. For evaluating the self-care skills of a 44-year old man with an IQ of 60 for placement in a group home, what
is the most appropriate test?
a. Rorschach test
b. Vineland Social Maturity Scale
c. Wide Range Achievement Test (WRAT)
d. Folstein Mini-Mental State Examination
e. Glasgow Coma Scale
10. A 65-year old man has been diagnosed with advanced prostate cancer. The patient has lost 20 pounds and has
decreased energy and difficulty sleeping because of pain. Over the past month he has been expressing
fearfulness about dying and strong feelings of guilt about “bad things I’ve done in my life,” which he believes
have caused his illness. The sign or symptom most likely to indicate that this patient is experiencing a major
depressive episode rather than a normal reaction to serious illness is
a. Weight loss
b. Decreased energy
c. Difficulty sleeping
d. Excessive guilt
e. Fear of dying
11. When compared with an American man, the chances that an American woman will develop major depressive
disorder (MDD) or bipolar disorder over the course of her lifetime are, respectively:
a. Higher, lower
b. Higher, equal
c. Higher, higher
d. Lower, higher
e. Lower, lower
f. Equal, lower
g. Equal, higher
Lisa Marii Cookingham
Social & Behavioral Sciences
Practice Midterm Questions
h. Equal, equal
12. A depressed 25-year old female patient who is slow moving and shows a flat affect is put on fluoxetine
(Prozac). Within 2 weeks, she is showing greatly increased activity level, flight of ideas, and pressured
speech. In this patient, the medication has
a. Precipitated a manic episode
b. Had a toxic effect
c. Increased anxiety
d. Increased deperssion
Read the passage below and answer the following questions.
A 45-year old man reports a variety of aches, pains, and extreme fatigue that have been present for the past 6
months. Physical examination is unremarkable but the patient has lost 10 pounds without dieting since his
checkup last year. The patient reports that he wakes 2 hours before his alarm and has significant problems
concentrating on his work. The patient denies that he is sad or hopeless. After a 5-week trial of antidepressant
medication, the patient’s aches and pains are gone, he is sleeping all night, and his energy level and concentration
are normal, and he has gained 5 pounds.
13. This patient’s symptoms before treatment were probably a result of
a. Hypochondriasis
b. Dysthymic disorder
c. Cyclothymic disorder
d. Depression
e. Malingering
14. Analysis of neurotransmitter availability in the brain of this patient before treatment is most likely to reveal
which of the following?
a. Increased dopamine
b. Decreased histamine
c. Increased acetylcholine
d. Decreased acetylcholine
e. Decreased serotonin
Multiple choice.
15. A hospitalized, depressed 20-year old woman tells her physician that she will kill herself with her brother’s
gun when she is released from the hospital. When the doctor suggests that she remain in the hospital, she
refuses. Her brother, with whom she lives, says that he will get rid of the gun and insists that his sister be
allowed to come home. The doctor should next do which of the following?
a. Release the woman into the care of her brother
b. Hold the woman involuntarily for 24 to 48 hours for evaluation
c. Ask the brother to provide proof that the gun was removed and then release the woman
d. Commit the woman to a mental health facility for 30 days
e. Make an appointment for the woman to receive outpatient counseling
16. A 40-year old Muslim woman has been abusing alcohol from the past 5 years. Her history reveals that she
has been married for the past 15 years. Which of the following characteristics is this patient’s greatest risk
factor for suicide?
a. Alcoholism
b. Sex
Lisa Marii Cookingham
Social & Behavioral Sciences
Practice Midterm Questions
c. Marital status
d. Religion
e. Age
17. For the same patient listed in question 16: this woman is at the highest risk for suicide if she works as a
a. Messenger
b. Secretary
c. Teacher
d. Nurse
e. Physician
18. For the same patient listed in question 16: if this patient tries to commit suicide, the method most likely to fail
is
a. Shooting herself with a gun
b. Crashing her car
c. Slashing her wrists
d. Jumping from a high place
e. Hanging herself
19. After a doctor tells a patient that he needs additional medical tests, the patient says, “Doc, maybe my time is
up.” The most appropriate next statement by the physician is
a. “Please tell me what you mean by that.”
b. “It’s not so bad, the tests are not painful.”
c. “Don’t worry, you will be fine.”
d. “How long have you felt suicidal?”
e. “Have you ever tried to kill yourself?”
20. A terminally ill 55-year old patient who says to his doctor, “I would not be dying if you had taken better care
of me” is most likely to be in the stage of dying that Kubler-Ross described as
a. Denial
b. Anger
c. Bargaining
d. Depression
e. Acceptance
Read the passage below and answer the following questions.
A 22-year old medical student relates that she has recently begun to experience sudden bouts of dizziness and
shortness of breath that last about 20 minutes and then subside. Because of these attacks, she must sit near the
door of the lecture hall so that she can leave in a hurry. This student has no history of asthma. Other than an
increased pulse rate, physical findings are normal.
21. Of the following, the most effective immediate treatment for this patient when she develops these symptoms
is
a. An antidepressant
b. Psychotherapy
c. A benzodiazepine
d. Buspirone
e. A beta-blocker
22. Of the following, the most effective long-term treatment for this patient is
Lisa Marii Cookingham
Social & Behavioral Sciences
Practice Midterm Questions
a.
b.
c.
d.
e.
an antidepressant
Psychotherapy
A benzodiazepine
Buspirone
A beta-blocker
Multiple choice.
23. A 26-year old, fourth-year medical student with no previous psychiatric history reports that he has had a
recurring thought over the past year that he will kill a patient before he graduates. The student has never
harmed a patient and has no intention of doing so. When he snaps his fingers repeatedly, he feels somewhat
calmer. This student is most likely to be experiencing
a. Panic disorder
b. Obsessive-compulsive disorder (OCD)
c. Generalized anxiety disorder (GAD)
d. Social phobia
e. Adjustment disorder
24. A 45-year old diabetic man is admitted to the hospital with a serious foot infection. During the last year, his
wife divorced him and he declared personal bankruptcy. After this, he moved to a new apartment. On his
first day in the apartment he was robbed at knife point in the elevator. Which of the events experienced by
this man is most likely to result in PTSD?
a. Divorce
b. Bankruptcy
c. Serious illness
d. Changing residence
e. Robbery
25. A 23-year old student reports that he becomes very “uptight” when he must use a public restroom but
otherwise does not report episodes of anxiety. Because he becomes so uncomfortable about using public
restrooms, he refuses when his classmates ask him to join them when they go out. Of the following, the
pharmacologic agent which has FDA approval for the long-term treatment of this student’s symptoms is
a. Imipramine (Tofranil)
b. Chlordiazepoxide (Librium)
c. Clominpramine (Anafranil)
d. Venlafaxine (Effexor)
e. Clonazepam (Klonopin)
26. A 78-year old retired pediatrician reports that she has been confused and forgetful over the past 10 months.
She also has difficulty sleeping, her appetite is poor, and she has lost 12 pounds. Questioning reveals that her
18-year old cat died 10 months ago. This clinical picture is most suggestive of
a. Delirium
b. Pseudodementia
c. Dementia of the Alzheimer’s type
d. Dissociative fugue
e. Amnestic disorder
f. Depersonalization disorder
27. For the same patient listed in question 26: Of the following, the most effective intervention for this patient is
a. Antipsychotic medication
b. Provision of a structured environment
Lisa Marii Cookingham
Social & Behavioral Sciences
Practice Midterm Questions
c. Antidepressant medication
d. Tacrine
e. Reassurance
28. A 45-year old, mildly mentally retarded patient has recently started to experience memory loss. The patient
has odd facial features. The chromosomal abnormality most likely to be responsible for this clinical picture is
chromosome
a. 1
b. 14
c. 19
d. 21
29. An 84-year old woman is brought to the emergency room by a neighbor who found her wandering down the
street in her nightclothes. The patient seems confused and mistakes the emergency room physician for her
nephew. Further examination of this patient and details of her history reveal evidence of pneumonia and
presence of a high fever. The neighbor notes that before today, the patient always appeared oriented and alert.
This clinical picture is most suggestive of
a. Delirium
b. Pseudodementia
c. Dementia of the Alzheimer’s type
d. Dissociative fugue
e. Amnestic disorder
f. Depersonalization disorder
30. A 35-year old female patient tells the physician that she often feels as though she is living her life in a dream
and is watching herself perform as though she were in a stage play. Although the patient states, “I know this
is not real,” the feeling of distance from the world gets even stronger when she is under stress. Physical
examination is normal. This clinical picture is most suggestive of
a. Delirium
b. Pseudodementia
c. Dementia of the Alzheimer’s type
d. Dissociate fugue
e. Amnestic disorder
f. Depersonalization disorder
31. An 80-year old patient with Alzheimer’s disease can no longer live alone. Which of the following factors is
most important in determining if the patient can live with an adult child or should be cared for in a nursing
home setting?
a. The sex of the adult child
b. The responsibilities of the adult child outside the home
c. The level of the patient’s dementia
d. The age of the grandchildren in the home
e. The proximity of the nursing home
32. A 15-year old girl is admitted to the hospital with a diagnosis of “abdominal pain of unknown origin.” Her
parents tell you that she is interested in going into nursing. After extensive testing has failed to identify a
cause for the pain, the teenager is seen reading a medical textbook by flashlight under the blanket at night.
This clinical presentation is most consistent with
a. Factitious disorder
b. Conversion disorder
c. Factitious disorder by proxy
Lisa Marii Cookingham
Social & Behavioral Sciences
Practice Midterm Questions
d.
e.
f.
g.
Somatization disorder
Malingering
Hypochondriasis
Somatoform pain disorder
33. For the same patient listed in question 32: Which of the following best describes symptom production and
motivation in this teenage?
a. Symptom production conscious, motivation primarily conscious
b. Symptom production unconscious, motivation primarily conscious
c. Symptom production conscious, motivation primarily unconscious
d. Symptom production unconscious, motivation primarily unconscious
34. A 40-year old woman comes to the emergency room on a Sunday afternoon complaining of intolerable,
unremitting foot pain. She is sweating profusely and seems agitated. Radiographic and laboratory studies fail
to reveal any pathology. After the patient receives an injection of meperidine hydrochloride (Demerol) and
instructions to visit her family physician for further evaluation, her agitation and sweating improve and she
quickly leaves the hospital. Later, a check of her medical records reveals that she has visited the emergency
room on at least three other occasions with complaints of severe headache, toothache, and stomach pain for
which she has also received meperdine injections. This clinical presentation is most consistent with
a. Factitious disorder
b. Conversion disorder
c. Factitious disorder by proxy
d. Somatization disorder
e. Malingering
f. Hypochondriasis
g. Somatoform pain disorder
35. A second-year medical student complains of a “tight” feeling in his abdomen after eating which has been
present over the past eight months. He believes that the pain indicates that he has hepatitis because of eating
at the school cafeteria salad bar. Physical examination is normal and all tests are negative but he continues to
believe that he is ill. His preoccupation with his symptom has negatively affected his schoolwork and social
life. Which disorder best fits this clinical picture?
a. Factitious disorder
b. Conversion disorder
c. Factitious disorder by proxy
d. Somatization disorder
e. Malingering
f. Hypochondriasis
g. Somatoform pain disorder
36. A 48-year old man from Ohio is found in Alaska working as a night watchman. He states that he cannot
remember who he is or where he previously lived. The police discover that the man is wanted in Ohio for
armed robbery. This clinical picture is an example of
a. Factitious disorder
b. Conversion disorder
c. Factitious disorder by proxy
d. Somatization disorder
e. Malingering
f. Hypochondriasis
g. Somatoform pain disorder
Lisa Marii Cookingham
Social & Behavioral Sciences
Practice Midterm Questions
37. A 48-year old woman reports persistent muscle pain for which no medical cause can be found. There is no
reason to believe that the patient is malingering. Which of the following is the most effective strategy for the
primary care doctor to take in dealing with this patient?
a. Refer her to a mental health clinician
b. Prescribe antidepressant medication
c. Prescribe an analgesic
d. Establish a multidisciplinary treatment approach
e. Explain to the patient that her symptoms are not real
f. Terminate her care as soon as possible
38. A 35-year old single woman who has been smoking three packs of cigarettes a day for the last 15 years asks
the doctor to help her stop smoking. The doctor asks the patient why she smokes so much. The patient
responds, “All my life I have always felt very alone and empty inside; I smoke to fill myself up.” The patient
shows no evidence of a thought disorder but reveals that she often cuts her skin with a razor in order to “feel
something” and has made three suicide attempts. This clinical picture is most consistent with which of the
following personality types?
a. Borderline
b. Histrionic
c. Avoidant
d. Dependent
e. Paranoid
f. Passive-aggressive
g. Schizoid
39. A 30-year old well-known singer is caught taking a portable CD player from a store without paying for it.
The man has not been in legal trouble for any other reason, but this is the fourth time he has been caught in an
offense of this type. The man states that he did not realize that he had the device in his pocket when he
walked out of the store. The most likely explanation for this man’s behavior is that he
a. Has a dissociative disorder
b. Is faking kleptomania to avoid prosecution for stealing
c. Has the impulse to take things without paying for them
d. Is seeking attention from others
e. Has an antisocial personality disorder
40. A 30-year old woman who has no psychotic, residual, or mood symptoms tells you that sometimes she
becomes frightened at night because her desk looks like a seated man lurking in the room. This description is
an example of
a. An illusion
b. A neologism
c. A hallucination
d. Tangentiality
e. An idea of reference
41. A 53-year old hospitalized schizophrenic patient tells her doctor that another patient was talking about her
when he said, “A woman won $10,000 in the lottery today.” This patient’s statement is an example of
a. An illusion
b. A neologism
c. A hallucination
d. Tangentiality
e. An idea of reference
Lisa Marii Cookingham
Social & Behavioral Sciences
Practice Midterm Questions
42. A 58-year old patient tells you that for the last 5 years his coworkers have been trying to get him fired from
his job by telling lies about him to the boss. The patient is married and has lived in the same town for 25
years. Physical examination is normal. The most appropriate diagnosis for this patient is
a. Schizophrenia
b. Schizoaffective disorder
c. Schizophreniform disorder
d. Brief psychotic disorder
e. Delusional disorder
f. Shared delusional disorder
g. Psychosis caused by a general medical condition
43. A 50-year old man with a history of psychotic symptoms, severe depression, and periods of boundless energy
and enthusiasm has held different jobs but none of them for more than 3 months. Physical examination is
normal. The patient is successfully treated for his mood symptoms but remains strange and distant. The most
appropriate diagnosis for this patient is
a. Schizophrenia
b. Schizoaffective disorder
c. Schizophreniform disorder
d. Brief psychotic disorder
e. Delusional disorder
f. Share delusional disorder
g. Psychosis due to a general medical condition
44. A 40-year old lawyer is sure that her husband is stealing money from her and buying gifts for another woman.
She threatens him with a knife while angrily accusing him of this behavior and is taken to the emergency
room of the local hospital. The husband notes that although she has not been violent before, the patient has
been showing increasingly strange behavior over the past 9 months. She is not currently taking any
medication. Choreoathetoid movements are observed on physical examination. The history reveals that the
patient’s father and uncle died in their 50s after deteriorating physically and mentally for many years. The
most appropriate diagnosis for this patient is
a. Schizophrenia
b. Schizoaffective disorder
c. Schizophreniform disorder
d. Brief psychotic disorder
e. Delusional disorder
f. Share delusional disorder
g. Psychosis due to a general medical condition
45. A 23-year old woman joins eight other women who have run up large gambling debts. The women meet
weekly and are led by a psychotherapist who is trained in treating compulsive gamblers. This type of therapy
is best described as
a. Supportive therapy
b. Implosion
c. Brief dynamic psychotherapy
d. Systematic desensitization
e. Group therapy
46. A 30-year old female patient who has tension headaches is provided with ongoing measurement of the tension
in her frontalis muscle as she uses mental relaxation techniques to decrease this tension. This method of pain
relief is based primarily on
a. Reciprocal inhibition
Lisa Marii Cookingham
Social & Behavioral Sciences
Practice Midterm Questions
b.
c.
d.
e.
Classical conditioning
Aversive conditioning
Operant conditioning
Stimulus generalization
47. A 35-year old man with sexual interest in children (pedophilia) is given an electric shock each time he is
shown a videotape of children. Later, he feels tense around children and avoids them. Which of the
following treatment techniques does this example illustrate?
a. Implosion
b. Biofeedback
c. Aversive conditioning
d. Token economy
e. Flooding
f. Systematic desensitization
g. Cognitive-behavioral therapy
48. A 28-year old female patient tells her therapist that she wants to take a new job but is afraid that she will not
be able to do the work, will be humiliated, and then will be fired. The therapist tells her that each time she
has this negative thought she should imagine a situation in her current job in which she solved a problem or
completed a difficult assignment. This treatment technique is most closely related to which of the following
types of therapy?
a. Implosion
b. Biofeedback
c. Aversive conditioning
d. Token economy
e. Flooding
f. Systematic desensitization
g. Cognitive-behavioral therapy
49. A 10-year old boy, his mother, father, and siblings visit a family therapist. The parents relate that for the past
6 months the boy has been truant from school, has been fighting with his siblings, and has been defying his
parents’ rules. They say that their family had been happy but that the child’s bad behavior has “ruined” their
family life. During the first session, the therapist discovers that the boy’s symptoms started when he found by
chance that his father had a life-threatening illness. She explains that the boy is “using” bad behavior to avoid
dealing directly with his depression and fear resulting from the father’s illness. She also notes that the family
should work toward meeting each others needs and deal with family crises more openly and with all family
members. The family therapy technique used by the therapist is best described as
a. Redefining blame
b. A subsystem
c. A triangle
d. Mutual accommodation
e. Normalizing boundaries
50. Blood plasma analysis of a 25-year old female patient shows an increased concentration of homovanillic acid
(HVA). Of the following disorders, this finding is most closely associated with
a. Parkinson’s disease
b. Untreated depression
c. Treated schizophrenia
d. Pheochromocytoma
e. Untreated schizophrenia
Lisa Marii Cookingham
Social & Behavioral Sciences
Practice Midterm Questions
51. For the same patient listed in question 50: If this diagnosis is appropriate, the size of cerebral ventricles,
glucose utilization in the frontal lobes, and size of limbic structures in this patient are most likely to be
respectively
a. Increased, decreased, decreased
b. Increased, decreased, increased
c. Increased, increased, decreased
d. Decreased, decreased, decreased
e. Decreased, increased, decreased
f. Decreased, increased, increased
52. A right-handed 61-year old stroke patient tells the physician that since the stroke he feels “down” and no
longer has interest in food or in any of the activities he formerly enjoyed. This patient’s mood symptoms
suggest that the part of his brain most likely to have been affected by the stroke is the
a. Right temporal lobe
b. Left temporal lobe
c. Right parietal lobe
d. Left parietal lobe
e. Right frontal lobe
f. Left frontal lobe
53. For the same patient listed in question 52: Analysis of the body fluids of this depressed patient are most likely
to show
a. Increased 3-methoxy-4-hydroxyphenylglyco (MHPG)
b. Increased acetylcholine
c. Increased 5-hydroxyindoleacetic acid (5-HIAA)
d. Decreased 5-HIAA
e. Increased homovanillic acid (HVA)
54. A 33-year old woman shows side effects such as sedation, increased appetite, and weight gain while being
treated with antipsychotic medication. Of the following, the mechanism most closely associated with these
effects is
a. Blockade of serotonin receptors
b. Blockade of dopamine receptors
c. Blockade of norepinephrine receptors
d. Blockade of histamine receptors
e. Decreased availability of serotonin
55. A 70-year old former college professor cannot tell you the name of the current president and has difficulty
identifying the man sitting next to her (her son). She began having memory problems 3 years ago. Her motor
function is essentially normal. Of the following, the areas of the brain most likely to be affected in this
patient are the
a. Right parietal lobe and basal ganglia
b. Basal ganglia and left parietal lobes
c. Hippocampus and nucleus basalis of Meynert
d. Reticular system and hippocampus
e. Amygdala and left temporal lobe
f. Right frontal lobe and nucleus basalis of Meynert
56. Which of the following statements about patients with affective disorders is true?
a. The lifetime prevalence of unipolar disorder is approximately equivalent in men and women
b. In bipolar disorder, episodes of elevated mood are more common than episodes of depression
Lisa Marii Cookingham
Social & Behavioral Sciences
Practice Midterm Questions
c. The lifetime prevalence of bipolar disorder is approximately equivalent in men and women
d. Patients with bipolar disorder rarely have relatives with unipolar illness
e. The concordance rate for unipolar disorder is higher than for bipolar disorder
57. Which of the following personality disorders has been linked to alcoholism in relatives?
a. Histrionic
b. Borderline
c. Obsessive-compulsive
d. Avoidant
e. Antisocial
58. Parkinson’s disease is associated with damage to what area of the brain?
a. Cerebellum
b. Hypothalamus
c. Basal ganglia
d. Frontal lobes
e. Temporal lobes
59. What is the major area of the brain implicated in Alzheimer’s disease and amnestic disorders?
a. Amygdala
b. Parietal lobes
c. Hippocampus
d. Thalamus
e. Basal ganglia
60. Which of the following statements about electroconvulsive therapy (ECT) is true?
a. The most common indication is in the treatment of schizophrenia
b. It involves induction of a generalized seizure
c. It is associated with considerable risk
d. It is an effective treatment for anxiety
e. Maximum response is usually seen after two to four treatments
61. A patient with bipolar disorder is being treated with lithium. Which adverse effect is this patient least likely
to experience?
a. Cardiac conduction abnormalities
b. Gastric distress
c. Tremor
d. Mild cognitive impairment
e. Food allergy
62. Which of the following is thought to be the major neurotransmitter involved in the development of
schizophrenia?
a. Norepinephrine
b. GABA
c. Dopamine
d. Acetylcholine
e. Enkephalin
63. A 16-year old male who will have his first schizophrenic episode in 6 months is LEAST likely to show
a. Abnormal mood changes
b. Strange behavior
Lisa Marii Cookingham
Social & Behavioral Sciences
Practice Midterm Questions
c. Strange perceptions
d. Excessive spending
e. Somatic complaints
64. For the same patient listed in 64: The patient is most likely to show which type of hallucination during his
first schizophrenic episode?
a. Kinesthetic
b. Auditory
c. Cenesthetic
d. Visual
e. Olfactory
65. Which of the following is a disorder of content of thought in schizophrenia?
a. Flight of ideas
b. Delusions
c. Short attention span
d. Thought blocking
e. Clang associations
66. Which of the following is a positive symptom of schizophrenia?
a. Hallucinations
b. Flattening of affect
c. Deficiencies in speech content
d. Thought blocking
e. Social withdrawal
67. Negative symptoms of schizophrenia include
a. Hallucinations
b. Cognitive deficits
c. Loose associations
d. Strange behavior
e. Talkativeness
68. All of the following statements about bipolar disorder are true EXCEPT
a. About 1% of men and women will develop the disorder
b. It is more common in lower socioeconomic groups
c. It has a genetic component
d. Differential diagnoses include schizophrenia
e. Differential diagnoses include drug abuse
69. All of the following statements about depression are true EXCEPT
a. It correlates with the loss of a parent in the first decade of life
b. The depressed mood is basically a severe form of sadness
c. Depressed patients are often unable to cry
d. Stressful life events are related to clinical depression
e. It is related to loss of a spouse
70. Which of the following statements is characteristic of major depressive disorder?
a. Severely depressed patients often do not have the energy to commit suicide
b. As severe depression lifts, the risk of suicide decreases
c. Orientation with respect to person, place, and time is usually impaired
Lisa Marii Cookingham
Social & Behavioral Sciences
Practice Midterm Questions
d. Presence of delusions indicates that the patient is schizophrenic, not depressed
e. Psychomotor retardation is seen mainly in depressed teenagers
71. Which of the following is a physical manifestation of anxiety?
a. Flight of ideas
b. Depression
c. Tingling in the extremities
d. Ideas of reference
e. Neologisms
72. Which of the following best describes a 55-year old female patient experiencing panic attacks?
a. Symptoms include dizziness, sweating, and fainting
b. Attacks commonly occur once a month
c. Intense periods of anxiety usually last 3-4 hours
d. Attacks first appeared at age 45
73. Which of the following statements about obsessive-compulsive disorder is true?
a. EEG abnormalities are rare
b. It is characterized by recurrent thoughts or feelings
c. The most effective drug treatment is diazepam
d. Antipsychotic drugs are the primary treatment
e. Associated sleep disorders are similar to those that occur in mania
Match the clinical profile with the disorder that best describes it.
a.
b.
c.
d.
e.
Post-traumatic stress disorder (PTSD)
Generalized anxiety disorder (GAD)
Obsessive-compulsive disorder (OCD)
Panic disorder
Phobias
74. A lawyer who works in the World Trade Center has recurrent flashbacks of his experiences after the center is
bombed.
75. A patient checks five times to be sure that her front door is locked every time she leaves home.
76. A 40-year old woman has palpitations and feels tense most of the time.
Multiple choice.
77. All of the following are common causes of delirium EXCEPT
a. Brain trauma
b. Encephalitis
c. Meningitis
d. Epilepsy
e. Alzheimer’s disease
78. Which of the following statements about pseudodementia is true?
a. It is rarely treatable
b. It is characterized by mania
c. Memory loss frequently occurs
Lisa Marii Cookingham
Social & Behavioral Sciences
Practice Midterm Questions
d. It is common in young adults
e. It results in Alzheimer’s disease
79. A patient reports that she has no sensation in her left arm. Physical examination fails to reveal evidence of a
physiologic problem. The most likely diagnosis for this condition is
a. Hypochondriasis
b. Body dysmorphic disorder
c. Conversion disorder
d. Undifferentiated somatoform disorder
e. Somatoform pain disorder
For each set of clinical manifestations, select the personality disorder that best describes the patient.
a.
b.
c.
d.
e.
Antisocial
Avoidant
Paranoid
Schizotypal
Schizoid
80. A patient who has been passive and withdrawn throughout life but is not psychotic.
81. A patient who dresses strangely and behaves oddly but is not psychotic.
82. A patient who appears hostile and blames the physician for his illness.
83. A patient who is timid, sensitive, and socially withdrawn.
84. A patient who has just been released from jail after his third incarceration for armed robbery.
Multiple choice.
85. IV administration of sodium lactate is most useful in the diagnosis of
a. Conversion disorder
b. Cognitive disorder
c. Malingering
d. Panic disorder
e. Major depression
86. Which of the following statements concerning the dexamethasone suppression test (DST) is true?
a. It is used frequently in the diagnosis of schizophrenia
b. It shows abnormalities in at least 95% of depressed patients
c. It has been used in the diagnosis of depression
d. It is rarely abnormal in patients with medical conditions
e. It is affected by decreased melatonin levels
For each set of clinical manifestations, select the personality disorder that best describes the patient.
a.
b.
c.
d.
Psychogenic fugue
Derealization
Factitious disorder
Malingering
Lisa Marii Cookingham
Social & Behavioral Sciences
Practice Midterm Questions
e.
f.
g.
h.
Conversion disorder
Multiple personality disorder
Depersonalization disorder
Body dysmorphic disorder
87. A patient states that she often feels like an observer rather than a participant in her life.
88. A woman pretends that she is paralyzed following an automobile accident in order to collect from the
insurance company.
89. A woman pretends that she is paralyzed following an automobile accident in order to gain attention from her
doctor.
For each set of clinical manifestations, select the personality disorder that best describes the patient.
a.
b.
c.
d.
e.
f.
g.
h.
Passive-aggressive
Schizotypal
Antisocial
Paranoid
Schizoid
Obsessive-compulsive
Avoidant
Borderline
90. A 25-year old man has an abnormal electroencephalogram and history of head injury.
91. A 30-year old man is a recluse who has no interest in socializing with others.
92. A 25-year old woman states that although she would like to have a relationship with a man, she is
uncomfortable meeting any new people, so she does not date.
93. A new patient is instructed to avoid salt in her diet and to take medication for her hypertension. When the
woman returns for a follow-up visit, she states that she forgot to fill the prescription and is still using salt.
For each set of psychiatric condition, select the most closely associated neurotransmitter.
a.
b.
c.
d.
94.
Serotonin
Dopamine
Acetylcholine (ACh)
GABA
Schizophrenia
95. Depression
96. Anxiety
97. Alzheimer’s disease