Mental Health Final

Which of the following is NOT a side effect of benzodiazepines?

Which is of the following is NOT a side effect of benzodiazepines?

Which of the following is a feature of the sleep pattern upon benzodiazepine withdrawal?

The presence of benzodiazepines withdrawal as opposed to anxiety is suggested by all of the following EXCEPT:

Which of the following is NOT seen with benzodiazepines use?

The elimination of which of the following benzodiazepines is NOT influenced by liver disease?

Which of the following has active metabolites?

Which of the following is TRUE regarding benzodiazepines?

All of the following drugs can cause tremors EXCEPT:

With which of the following is lithium administration during pregnancy associated?

All of the following are side effects of tricylic antidepressants EXCEPT

Which of the following is a side effect of tricyclic antidepressants?

Which of the following tricyclics is a secondary amine?

The inability of the patient's body to deaminate which of the following causes the hypertensive crisis seen with MAOIs?

All of the following are side effects of MAOI's EXCEPT:

Which of the following is a contraindication to the use of MAOI's?

A 45 year old patient who has been receiving treatment with phenelzine for a long time presents with confusion, agitation, and elated mood. On examination, she is sweating and her body temperature is elevated. Her partner reports that she has recently started a new medication for migraines. What does this clinical picture resemble?

Which of the following should be used with caution in patients with acute angle glaucoma?

Which of the following is a feature of drug-induced tardive dyskinesia?

People with anxiety disorders have all of the following cardiac abnormalities EXCEPT:

Which of the following is true about specific phobias?

A 24 year old woman is diagnosed with social phobia. All of the following are effective treatments EXCEPT:

Of all the following factors, which is the most important risk factor for the development of post-traumatic stress disorder?

Regarding post-traumatic stress disorder (PTSD), all of the following are true EXCEPT:

For a diagnosis of chronic PTSD according to DSM-IV, for at least how long must the patient have symptoms of PTSD?

A 36 year old woman is diagnosed with post-traumatic stress disorder following a violent assault and rape. Over the next 2 years, although the posttraumatic stress disorder abates, she feels anxious and depressed and starts using alcohol and other illicit drugs. Which of the following is the most common comorbid condition in women with PTSD?

Apart from SSRIs, which have proven efficacy in PTSD, all of the following medications are considered to be useful in the treatment of PTSD EXCEPT:

Which of the following is the most common somatoform disorder?

According to DSM-IV, all of the following are the criteria for somatization disorder EXCEPT:

Which of the following does NOT suggest a somatization disorder?

All of the following are characteristic features of conversion disorder EXCEPT:

All of the following are true about conversion disorders except:

A 24 year old woman is referred for a psychiatric consultation by a plastic surgeon. She is very angry that the surgeon thinks "It's in my brain" and refused to acknowledge that she has a "crooked nose". The psychiatrist thinks that there is no obvious defect with the patient's nose but reassures her and tries to calm her. After obtaining all the collateral information and extensively interviewing the patient, he diagnoses her with body dysmorphic disorder. All of the following about this disorder are true, EXCEPT:

All of the following are true about factitious disorder EXCEPT:

A 28 year old woman is admitted to a general medical unit for hypoglycemia. A psychiatry consultation is requested because the patient's story "doesn't fit". The patient tells the psychiatrist how bad the problem is and uses medical jargon. She appears to be an intelligent person with strong dependency needs. The nurse interrupts the psychiatrist and tells him that she found insulin-filled syringes beneath the patient's pillow. This upsets the patient and before anything can be done about it, she elopes from the hospital. The most likely diagnosis in this patient is:

All of the following are true about the psychological profile of patients with factitious disorder EXCEPT:

All of the following are features of Ganser syndrome EXCEPT:

Severe debilitating OCD in a 42-year-old patient is found to be resistant to pharmacotherapy, psychotherapy, and ECT. The option of psychosurgery is discussed with the patient. The most common psychosurgical procedure for OCD is:

Which of the following is TRUE regarding bulimia nervosa?

Patients with bulimia nervosa are characterized by scars on the knuckles of their hands from constantly putting the knuckles of their hands from constantly putting their hands into their mouths to induce vomiting. What is this sign called?

Patients with bulimia nervosa sometimes develop cardiac myopathy. What is the most common cause?

What is considered the first line of treatment for bulimia nervosa?

Which of the following is NOT true for anorexia nervosa?

Which is the most common age of onset of anorexia nervosa?

For which of the following are hormone levels decreased in patients with anorexia nervosa?

Which of the following medical complications is seen with anorexia nervosa?

Patients suffering from anorexia nervosa have a high incidence of which of the following psychiatric conditions?

Which of the following is NOT a good prognostic indicator for anorexia nervosa?

Which of the following medications has been found useful in the treatment of anorexia nervosa?

Melancholia is also known as

Which of the following is NOT a symptom of benzodiazepine withdrawal?

All of the following are features of endogeneous depression EXCEPT:

A 68 year old man is admitted to an acute psychiatric unit for severe suicidal ideation. He is very much preoccupied with death and refuses to agree to a contract for safety. The diagnostician determines the patient to be severely depressed because of noncompliance with medication and severe social stressors. The patient refuses to take any medication because, he says, "Nothing will change, anyway". He also stops eating and drinking and becomes increasingly dehydrated. A reasonable choice of treatment in this patient would be to:

A 28 year old woman is being assessed for bipolar disorder. She complains of mood swings from time to time ranging from "tearfulness to feeling really good" On further questioning, she reveals that she has not been able to maintain any relationship because of her mood swings and feels empty. She fears abandonment by her friends because of her mood swings but also blames everyone for her "current state". The most important differential diagnosis in this patient is:

A 32 year old woman is admitted to an acute psychiatric impatient unit for severe depression. The patient has been ruminating about suicide and guilt feelings. She believes that she has committed a sin and deserves to be punished. The resident physician thinks that the patient is obsessed with thoughts of guilt and suspects that patient has a primary obsessional disorder. The attending psychiatrist explains that patient is not obsessional but severely depressed because:

All of the following are features of "atypical depression" EXCEPT:

How many categories of unipolar depressive disorder are listed by DSM-IV?

All of the following statements are true of the epidemiology of depression EXCEPT:

According to DSM-IV, one of the criteria for dysthymic disorder is that the patient should not be symptom free for more than a certain number of months in a 2-year period (or 1 year period in children or adolescents). How many months must the patient be symptom free?

A 29-year-old man comes along with his wife of 4 years to the psychiatric clinic. The patient's wife reports that he has had repeated episodes of "highs and downs" for the last 3 years. The episodes are short, lasting only a few days. These episodes disrupt the patient's work schedule and sometimes the young couple's social life. What is the most appropriate diagnosis?

When compared to patients with unipolar disorder, patients with bipolar disorder have:

According to DSM-IV, rapid-cycling bipolar disorder is characterized by:

According to DSM-IV, for a mixed manic episode. Criteria for both major depressive disorder and mania should be present every day for:

All of the following are features of rapid-cycling bipolar disorder EXCEPT:

Which of the following neurotransmitters has been implicated in the pathophysiology of schizophrenia?

Which of the following substances demonstrates effects that support the dopamine hypothesis of schizophrenia?

Clonidine has been found by some studies to reduce psychotic symptoms in schizophrenic patients. Which of the neurotransmitters do these studies implicate as playing a role in the development of schizophrenia?

Which of the following is the most common symptom of acute schizophrenia?

A 35 year old woman is referred to a psychiatric outpatient clinic by a plastic surgeon. According to the referral letter, this person has consulted three cosmetic surgeons in the last 6 months about what she perceives to be a deformity in her upper lip. All the physicians have told her that there is no deformity, and this belief has hampered her socially and occupationally. What is the diagnosis?

Which of the following is not a good prognostic factor for delusional disorder?

Which of the following types of delusions has the best prognosis?

Which of the following is a positive symptom of schizophrenia?

Which of the following suggests schizophrenia?

Which of the following abnormalities, if present alone without any other symptoms, is sufficient for a diagnosis of schizophrenia according to DSM-IV?

Which of the following is the most common symptom in persons with delusional disorder?

For a diagnosis of delusional disorder according to DSM-IV, how long must the delusions be present?

Which subtype of delusional disorder is also known as de Clerambault syndrome?

Which of the following delusional disorders responds specifically to primozide?

Which of the following is one the four as identified by Eugene Bleuler as the primary symptoms of schizophrenia?

Which of the following cognitive impairments is found in persons with schizophrenia?

Which of the following did Bleuler consider a primary symptom of schizophrenia?

Which of the following forms of schizophrenia has the best prognosis?

In persons with schizophrenia, paranoid symptoms are more common in:

A 42 year old with schizophrenia keeps repeating certain words in the same fashion. What is this phenomenon called?

A 72 year old patient with over 50 years of being diagnosed with schizophrenia is observed to repeat the same words and phrases over and over again for days. What is this phenomenom called?

The most common feature of chronic schizophrenia is

Fertility rates among schizophrenic patients are:

A 19year 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?

Which of the following should raise suspicions of child abuse?

Which of the following features should raise the suspicion of sexual abuse in children?

Which of the following is true about persons with oppositional defiant disorder?

Which of the following is true regarding ADHD in children?

An 18 month old girl is separated from her parents for about 1 month following a natural calamity. The child develops severe depression following this episode. What is the name of this phenomenon?

Which of the following tricyclic antidepressants used in treatment of ADHD has led to four reported deaths in children?

Which of the following is not true for tourette syndrome?

Which of the following is not true regarding gender identity?

Which is the only SSRI authorized by the FDA for treatment of depression in children?

Which of the following is associated with use of illicit drugs?

Which of the following is a risk factor for alcoholism?

What is the most common comorbid psychiatric disorder in prisoners with addictive disorders?

Severe alcohol withdrawal is associated with all of the following medical complications except:

Which of the following is not a complication of alcohol abuse?

Which of the following is a good first-line drug for alcohol detoxification?

Which of the following is caused by cocaine toxicity?

Which of the following is not useful in the assessment of a patient with alcoholism?