Prof. CHUNLY Sem 2 Year 1

Which of the following is considered to be a symptom of posttraumatic stress disorder?
A. Flight of ideas
B. Ideas of guilt unworthiness
C. Pessimistic thoughts
D. Inflated self-esteem
E. Flashbacks
Although posttraumatic stress disorder can appear at any age, it is most prevalent in:
A. Young Children
B. Children
C. Adolescents
D. Young adults
E. Older persons
Posttraumatic stress disorder that is comorbid with other disorders is often:
A. More severe
B. Not chronic
C. Easy to treat
D. Not complicated
E. Very Easy to treat
Which of the following factor is considered to be a good prognosis of posttraumatic stress disorder?
A. Delayed onset of the symptoms
B. Short duration of the symptoms (less than 6 months)
C. Poor premorbid functioning
D. Poor social supports
E. Presence of other psychiatric disorders
The DSM-IV-TR diagnostic criteria for posttraumatic stress disorder allow clinicians to specify whether the disorder is acute if the symptoms have lasted:
A- Less than 3 months
B- 3 months or more
C- More than 3 months
D- Less than 6 months
E- More than 6 months
The DSM-IV-TR diagnostic criteria for posttraumatic stress disorder allow clinicians to specify whether the disorder is chronic if the symptoms have lasted:
A- Less than 3 months
B- 3 months or more
C- More than 3 months
D- Less than 6 months
E- More than 6 months
The DSM-IV-TR also allows clinicians to specify that the disorder (posttraumatic stress disorder) was with delayed onset if the onset of the symptoms:
A- was 3 months or more after the stressful event
B- was 4 months or more after the stressful event
C- was 5 months or more after the stressful event
D- was 6 months or more after the stressful event
E- was 7 months or more after the stressful event
Which of the following is considered to be an intrusive symptom of posttraumatic stress disorder?
A. Flight of ideas
B. Pessimistic thoughts
C. Flashbacks
D. Emotional numbing
E. Hypervigilance
Which of the following is considered to be an avoidance symptom of posttraumatic stress disorder?
A. Flight of ideas
B. Pessimistic thoughts
C. Flashbacks
D. Emotional numbing
E. Hypervigilance
Which of the following is considered to be an arousal symptom of posttraumatic stress disorder?
A. Flight of ideas
B. Pessimistic thoughts
C. Flashbacks
D. Emotional numbing
E. Hypervigilance
Which of the following type of medication is considered first-line treatments for posttraumatic stress disorder?
A. Tricyclic antidepressants
B. Selective serotonin reuptake inhibitors
C. Monoamine oxidase inhibitors
D. Mood stabilizers
E. Antipsychotics
Which of the following is considered to be a symptom of manic disorder?
A. Inflated self-esteem
B. Ideas of guilt unworthiness
C. Pessimistic thoughts
D. Flashbacks
E. Nightmares
Which of the following is not the symptom of manic disorder?
A. Inflated self-esteem
B. Decreased need for sleep
C. Great physical and mental activity
D. Over involvement in pleasurable behavior
E. Pessimistic thoughts
Clinical features of mania include all, except:
A. Irritable mood
B. Elevated mood
C. Decreased libido
D. Expansive mood
E. Euphoric mood
Adherence to treatment is often a problem, because patients with mania frequently:
A. Lack of insight
B. Impaired judgment
C. Impaired impulsivity
D. Impaired memory
E. Poor concentration
Which of the following is not seen in hypomania?
A. Elevated mood
B. Expansive mood
C. Irritable mood
D. Euphoric mood
E. Impairment in occupational functioning
Which of the following is considered to be a symptom of depressive disorder?
A. Flight of ideas
B. Nightmares
C. Pessimistic thoughts
D. Flashbacks
E. Inflated self-esteem
Clinical features of depression include all, except:
A. Dysphoric mood
B. Loss of interest
C. Decreased libido
D. Worthless
E. Euphoric mood
The essential features of such primary dysthymic disorder include all, except:
A. Habitual gloom
B. Brooding
C. Lack of joy in life
D. Euphoric mood
E. Preoccupation with inadequacy
Which of the following is a chronic mood disturbance that can cause depressive symptoms, but does not disrupt normal functioning?
A- Depressive disorder
B- Recurrent depressive disorder
C- Bipolar affective disorder
D- Dysthymic disorder
E- Cyclothymic disorder
Major depressive disorder with atypical features is characterized by all of the following, except:
A. Overeating
B. Oversleeping
C. Weight gain
D. Increased libido
E. weakness
The most common age group for depression is:
A. Children
B. Young girls
C. Middle-aged men
D. Middle-aged women
E. Old-aged persons
Clinical features of depression in adolescents include all, except:
A. Poor academic performance
B. Substance abuse
C. Antisocial behavior
D. Sexual promiscuity
E. Excessive clinging to parents
The patients with an initial diagnosis of major depressive disorder have a manic episode 6 to 10 years after the first depressive episode:
A. About 5 to 10 percent
B. About 10 to 15 percent
C. About 15 to 20 percent
D. About 20 to 25 percent
E. About 25 to 30 percent
Which of the following is good prognostic indicator in the course of major depressive disorder?
A. Long hospital stay
B. Absence of psychotic symptoms
C. Coexisting dysthymic disorder
D. Abuse of alcohol and other substances
E. Anxiety disorder symptoms
Which of the following is bad prognostic indicator in the course of major depressive disorder?
A. Mild episodes
B. Absence of psychotic symptoms
C. Short hospital stay
D. Stable family functioning
E. Coexisting dysthymic disorder
What is the first goal of the treatment of patients with mood disorder?
A. Safety of the family
B. Safety of the patient
C. Prevention of relapse
D. Prevention of recurrence
E. Prevention of rebound symptom
Selection of the initial treatment of depression not depends on:
A. Chronicity of the condition,
B. Course of illness,
C. Family history of illness and treatment response,
D. Symptom severity,
E. Available of the medicine
Patients with major depressive disorder with atypical features may preferentially respond to treatment with:
A. MAOIs or SSRIs
B. Tricyclic antidepressant
C. Phototherapy (light therapy)
D. Electroconvulsive therapy
E. Psychotherapy
Patients with seasonal winter depression can be treated with:
A. MAOIs or SSRIs
B. Tricyclic antidepressant
C. Phototherapy (light therapy)
D. Electroconvulsive therapy
E. Psychotherapy
In bipolar I disorder; major depressive episodes alternate with periods of:
A. Mania
B. Hypomania
C. Hyperthermia
D. Hyperactivity
E. Hypoxia
In bipolar II disorder, major depressive episodes alternate with periods of:
A. Mania
B. Hypomania
C. Hyperthermia
D. Hyperactivity
E. Hypoxia
A 35-year-old, widow with 3 children. She complained of poor sleep, lack of energy, feelings of guilt, problems thinking and making decisions, and irritability. Her symptoms started about two months prior to consultation (no previous psychiatric illness). Her blood pressure 120/70, pulse 80/mn, and temperature 37 C. What is her accurate diagnosis?
A- Manic episode
B- Depressive disorder
C- Bipolar affective disorder
D- Dysthymic disorder
E- Generalized anxiety disorder
A 38-year-old female came to the psychiatric outpatient clinic on 02nd January 2017. She complained of sleeping too much, feelings of worthlessness or guilt, irritability, hopelessness and loss of energy. Her symptoms started about three months prior to consultation. In 2015, she had mental problem the same as now and was treated for one year by psychiatrist. Her blood pressure 110/70, pulse 80/mn, and temperature 37 C. What is her appropriate diagnosis?
A. Depressive disorder
B. Recurrent depressive disorder
C. Bipolar affective disorder
D. Dysthymic disorder
E. Cyclothymic disorder
A 26-year-old female has four episodes of mood disturbance within one year period that meet criteria for a major depressive, manic, mixed, or hypomanic episode. What is her accurate diagnosis?
A. Recurrent depressive disorder
B. Bipolar affective disorder
C. Dysthymic disorder
D. Cyclothymic disorder
E. Rapid cycling disorder
A 27-year-old, widower with depression is treating in the psychiatric outpatient clinic. During the treatment, he returned of symptoms of depression before a full remission has been reached. What do they call in his situation?
A. Recurrent
B. Relapse
C. Rebound symptoms
D. Withdrawal symptoms
E. Resistant
A 35-year-old, widow with 2 children appeared of another new episode of depression after full remission of a previous episode has been achieved. What do they call in her situation?
A. Recurrent
B. Relapse
C. Rebound symptoms
D. Withdrawal symptoms
E. Resistant
A 33-year-old female came to the psychiatric outpatient clinic on 01st June 2017. She complained of poor sleep, feelings of guilt, irritable, hopelessness and suicidal thought. Her symptoms started about one month prior to consultation. In 2015, she had mental problem such as talk too much, expensive mood, grandiose idea, and aggressive behavior (for 6 months). Her blood pressure is 110/70, pouls is 80/mn. What is her appropriate diagnosis?
A. Manic episode
B. Depressive disorder
C. Bipolar affective disorder
D. Dysthymic disorder
E. Cyclothymic disorder
A 23-year-old female complained of oversleeping, overeating, weakness, feelings of guilt, problems thinking and making decisions, and worry too much. Her symptoms started about two months prior to consultation (no previous psychiatric illness). Her blood pressure is 110/70, pouls is 80/mn. What is her accurate diagnosis?
A. Manic episode
B. Depressive disorder with atypical feature
C. Depressive disorder
D. Dysthymic disorder
E. Generalized anxiety disorder
A 45-year-old man reports that he has become increasingly irritable, sleepless, has started spending large amounts of money, and shows increased sexual behavior. His symptoms started for about one month prior to consultation (no previous psychiatric illness). His blood pressure is 120/70, pouls is 80/mn. What is her accurate diagnosis?
A. Manic episode
B. Hypomania
C. Depressive disorder
D. Acute stress disorder
E. Dysthymic disorder
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