Lesson 1 “Psychopathological symptoms”
Variant 1
1. Patient, 23 years old, during the last 6 months became reserved, avoided contacts with others,
secluded, spoke with himself. In conversation with psychiatrist initially concealed his feelings, but then told
about the special, unreal voices, which are contained in him ("nest in the brain). Identify disorders of
perception?
A. Pseudohallucinations.
B. Illusions.
C. True hallucinations.
D. Metamorphopsiae.
E. Derealization.
2. A 23-year-old man admitted to the psychiatric hospital stated that he had been upset for at least a year
owing to the fact, that he had been hearning voices when he was no his own and when there were no obvious
causes. He would typically hear two male voices who would talk to each other about him and who would
also sometimes comment on his actions. He had “realized” that the voices were the result of his being spied
on by security agents, who were plotting to kill him. What is the leading psychopathological symptome?
A. Impirative hallucinations.
B. Comment hallucinations.
C. Antogonistic hallucinations.
D. Functional hallucinations.
E. Simple hallucinations.
3. A fragment of the patient’s speech: “Not knowing that I was ill, I made no attemp to understand what
was happening, but felt that there was some overwhelming significance in all of this, produced either by
God or Satan…”.The walk of a stranger on the street could be a “sign” to me which I must interpret. Every
face in the windows of a passing street car would be engraved on my mind, all of them concentrating on me
and trying to pass me some sort of message. What is the leading psychopathological symptome?
A. Symbolic thinking.
B. Circumstantial thinking.
C. Flight of ideas.
D. Loosening of association.
E. Thought blocking.
4. The patient N., actor, has been treating in the mental hospital for 6 months. He told his doctor that he
came back from his tour yesterday, spoke with his wife (but his wife visited him two weeks ago). What is
the leading psychopathological symptome?
A. Amnesia.
B.Hypermnesia.
C. Pseudoremenescence.
D. Criptomnesia.
E. Confabulation.
5. The patient was a 28-year-old married worker. After learning that his wife was having an affair, he
went to the basement and hanged himself with the rope looped over a water pipe. He had been hanging by
the neck for about ten minutes. By the time patient was cut down, he had suffered pulmonary and cardiac
arrest and dilated pupils. The patient was resuscitated. Mental status examination revealed that patients was
oriented to self but disoriented as to place and time. Reading, writing, and spelling were not affected. His
recent memory was impaired, and he was unable to recall any three objects after 5 minutes. His distant
memory was better, in that he remembered his birthplace and some details of his early life, e.g., physical
punishment by his stepfather. What is the leading psychopathological symptome?
A. Anterograde amnesia.
B. Retrograde amnesia.
C. Pseudoremenescence.
D. Criptomnesia.
E. Hypermnesia.
Lesson 1 “Psychopathological symptoms”
Variant 2
1. A 23-year-old man admitted to the psychiatric hospital stated that he had been upset for at least a year
owing to the fact, that he had been hearning voices when he was no his own and when there were no obvious
causes. He would typically hear two male voices who would talk to each other about him and who would
also sometimes comment on his actions. He had “realized” that the voices were the result of his being spied
on by security agents, who were plotting to kill him. What is the leading psychopathological symptome?
A. Impirative hallucinations.
B. Simple hallucinations.
C. Antogonistic hallucinations.
D. Functional hallucinations.
E. Comment hallucinations.
2. Patient, 23 years old, during the last 6 months became reserved, avoided contacts with others,
secluded, spoke with himself. In conversation with psychiatrist initially concealed his feelings, but then told
about the special, unreal voices, which are contained in him ("nest in the brain). Identify disorders of
perception?
A. Metamorphopsiae.
B. Illusions.
C. True hallucinations.
D. Pseudohallucinations.
E. Derealization.
3. A fragment of the patient’s speech: “Not knowing that I was ill, I made no attemp to understand what
was happening, but felt that there was some overwhelming significance in all of this, produced either by
God or Satan…”.The walk of a stranger on the street could be a “sign” to me which I must interpret. Every
face in the windows of a passing street car would be engraved on my mind, all of them concentrating on me
and trying to pass me some sort of message. What is the leading psychopathological symptome?
A. Symbolic thinking.
B. Loosening of association.
C. Flight of ideas.
D. Circumstantial thinking.
E. Thought blocking.
4. The patient was a 28-year-old married worker. After learning that his wife was having an affair, he
went to the basement and hanged himself with the rope looped over a water pipe. He had been hanging by
the neck for about ten minutes. By the time patient was cut down, he had suffered pulmonary and cardiac
arrest and dilated pupils. The patient was resuscitated. Mental status examination revealed that patients was
oriented to self but disoriented as to place and time. Reading, writing, and spelling were not affected. His
recent memory was impaired, and he was unable to recall any three objects after 5 minutes. His distant
memory was better, in that he remembered his birthplace and some details of his early life, e.g., physical
punishment by his stepfather. What is the leading psychopathological symptome?
A. Criptomnesia.
B. Retrograde amnesia.
C. Pseudoremenescence.
D. Anterograde amnesia.
E. Hypermnesia.
5. The patient N., actor, has been treating in the mental hospital for 6 months. He told his doctor that he
came back from his tour yesterday, spoke with his wife (but his wife visited him two weeks ago). What is
the leading psychopathological symptome?
A. Amnesia.
B.Hypermnesia.
C. Pseudoremenescence.
D. Criptomnesia.
E. Confabulation.