Mental Health Quiz

A 42 year old man comes to ED with the presenting complaint that "the men are following me". He also complains of hearing a voice telling him to hurt others. The news anchorman gives him special messages about the state of the world every night through the TV. This last belief is an example of which psychiatric finding?

A 56 year old man has been hospitalised for an myocardial infaraction. Two days into his admission, he wakes up at midnight and screams that there is a man standing by the window in his room. When the nurse enters the room and turns the light on, the patient is relieved to learn that the "man" was a drape by the window. This misperception of reality is best described by which psychiatric term?

A 24 year old man is brought to ED after his mother noted he was standing in one place for hours at a time in abnormal postures. In ED, you watch him standing beside his bed with one arm raised directly above his head and the other straight out in front of him. He is mute, does not appear aware of his surroundings, and actively resists any attempts to change his position. Which of the following best describes the patients behaviour

This symptom can be seen in which of the following diagnoses?

A 65 year old man, brought to ED and diagnosed with pneumonia, begins screaming for his nurse, stating that "there are people in the room out to get me". He gets off the bed and pulls out his IV line. On exam, he alternates between agitation and falling asleep. He is not orientated to time or place. Vitals are HR 126/min, RR 32/min, BP 80/58, T 38.6. Which of the following diagnoses best fits this patients clinical picture?

A 29 year old woman comes to the ED with the presenting complaint of a depressed mood for 3 weeks. As she is telling the assessing nurse about this, she smiles broadly. Which of the following best describes this behaviour.

A young woman with a history of severe childhood abuse cuts or burns herself when she feels angry or anxious. She claims that hurting herself self calms her and causes no pain. Self-injury can have this effect because it triggers the release of which of the following substances?

A 32 year old woman is brought in to ED under a section 109, found standing in the middle of a busy highway, naked, commanding traffic to stop. She is agitated and restless, with pressured speech and an affect that alternates between euphoric and irritable. Her father is contacted and states that this kind of the behaviour runs in the family. Which of the following diagnoises is most likely. Urine toxicology is negative for substances.