Theme 1. Subject and tasks of Psychiatry and Addictology, history of
development. Organization of aid for patients with mental disorders. Features
of structure of mental hospital and psychoneurologic dispensary. Principles of
psychiatric nursing. Methods of investigation in psychiatry. Classification of
mental disorders, definition of psychopathological symptom, syndrome and
disease, registers of mental disorders.
1. Subject task Psychiatry.
2. Milestones psychiatry. Achieving national scientists.
3. Structure of psychiatric and drug treatment, mental hospital and dispensary.
4. Principles of care and monitoring of mentally ill patients.
5. The first and urgent care patients with mental disorders, the main indications for
hospitalization.
6. Methods and general maintenance of the mentally ill.
7. Features of transporting patients who are found in a state of arousal.
8. The concept of psychopathological symptoms, syndrome and disease.
9. The concept of psychotic, nonpsychotic disorders, organic mental defect.
10. Classification of Mental Disorders (syndromologic and nosological).
11. The concept of mental illness registers.
12. Deontological principles in Psychiatry.
13. Organization of hospital psychiatric care, the principles of outpatient and
inpatient care of mentally ill.
14. The principles of mental health care in rural areas.
15. Ten principles of the WHO concerning the protection of the rights of mental
patients.
16. Legal principles of psychiatric care. The modern concept of mental health in
Ukraine.
17. The role of the doctor of physical profile for the care of patients with mental
disorders.
18. Role of district and family physician in identifying psychiatric diseases and
disorders, providing medical care, the organization and treatment.
Tests
1. Select most accurate definition. Psychiatry is:
- a science concerned with the study of state of the human mind;
- a science concerned with the study of mental disorders;
- a branch of medicine;
- a branch of medicine concerned with the treatment of mental disorders
- the medical science dealing with the study of etiology, pathogenesis, diagnosis,
treatment and prevention of mental diseases.
2. Tasks of modern psychiatry are all, except:
- study of the etiology and pathogenesis of mental diseases;
- study of the rate, conditions of origination, nosological structure and clinical
peculiarities of mental diseases;
- treatment and prevention of mental diseases;
- social-labour rehabilitation of patients;
- insulation of mentally diseased
3. Tasks of modern psychiatry are all, except:
- carrying out of sanitary-educational and psychohygienic measures among the
population.
- study of the rate, conditions of origination, nosological structure and clinical
peculiarities of mental diseases;
- labour, forensic and military psychiatric examination;
- social-labour rehabilitation of patients;
- mental case detection to immediate treatment
4. Tasks of modern psychiatry are all, except:
- carrying out of sanitary-educational and psychohygienic measures among the
population.
- study of the rate, conditions of origination, nosological structure and clinical
peculiarities of mental diseases;
- labour, forensic and military psychiatric examination;
- social-labour rehabilitation of patients;
- explain to mentally diseased their problem
5. Who is obliged to adequately determine the register of mental disturbances and
devise his tactics in each particular case?
- psychiatrist
- medical psychologist
- neurologist
- everything above-listed
- every doctor
6. Upon the level and depth of the disturbances it is expedient to divide all mental
disorders into:
- 2 groups
- 3 groups
- 4 groups
- 5 groups
- 6 groups
7. The psychotic state:
- is mostly characterized by disorders of emotions and in the effector-volitional sphere.
The patients critically assess their diseased state, understanding that they are ill
- manifest themselves through disrupted intellectual functions (of memory and
thinking)
- is characterized by presence of at least one of the following signs: clouding of
consciousness, delusions, hallucinations. In this situation the patient cannot critically
assess his diseased state and does not understand the morbid character of the
disturbances
- everything listed
- nothing listed
8. Nonpsychotic (borderline) mental disorder:
- is mostly characterized by disorders of emotions and in the effector-volitional sphere.
The patients critically assess their diseased state, understanding that they are ill
- manifest themselves through disrupted intellectual functions (of memory and
thinking)
- is characterized by presence of at least one of the following signs: clouding of
consciousness, delusions, hallucinations. In this situation the patient cannot critically
assess his diseased state and does not understand the morbid character of the
disturbances
- everything listed
- nothing listed
9. Defect-organic disorders:
- is mostly characterized by disorders of emotions and in the effector-volitional sphere.
The patients critically assess their diseased state, understanding that they are ill
- manifest themselves through disrupted intellectual functions (of memory and
thinking)
- is characterized by presence of at least one of the following signs: clouding of
consciousness, delusions, hallucinations. In this situation the patient cannot critically
assess his diseased state and does not understand the morbid character of the
disturbances
- everything listed
- nothing listed
10. What reflects scientific notions about mental diseases?
- socioeconomic conditions
- ideology
- philosophy
- natural scientific views of historical period
- everything listed
11. Who laid foundations for the materialistic, natural scientific understanding of
mental diseases?
- Asclepius
- Hippocrates
- Pinel
- Esquirol
- everything listed
12. In what period was the statement that any disturbances in the psychic activity
were not a disease but resulted from a voluntary communication with the devil
prevailing?
- in the ancient times
- in the Middle Ages
- in the period from the beginning of the XVIII to the beginning of XIX century
- the epoch of E. Krepellin's nosological psychiatry
- in the XX century
13. In what period was the stage of formation of psychiatry as a part of the
medical science?
- in the ancient times
- in the Middle Ages
- in the period from the beginning of the XVIII to the beginning of XIX century
- the epoch of E. Krepellin's nosological psychiatry
- in the XX century
14. In what period the creation of a nosological classification of mental disorders
was the main outcome of this stage?
- in the ancient times
- in the Middle Ages
- in the period from the beginning of the XVIII to the beginning of XIX century
- the epoch of E. Krepellin's nosological psychiatry
- in the XX century
15. What period can be called the stage of social psychiatry?
- in the ancient times
- in the Middle Ages
- in the period from the beginning of the XVIII to the beginning of XIX century
- the epoch of E. Krepellin's nosological psychiatry
- in the XX century
16. Who created the first nosological classification of mental disorders?
- Adolf Meyer
- Emil Kraepelin
- Eugene Bleuler
- Sigmund Freud
- nobody listed
17. Who suggested a term “schizophrenia” and described the comprehensive
characteristic symptoms of this disease.
- Adolf Meyer
- Emil Kraepelin
- Eugene Bleuler
- Sigmund Freud
- nobody listed
18. Who was the founder of psychoanalysis?
- Adolf Meyer
- Emil Kraepelin
- Eugene Bleuler
- Sigmund Freud
- nobody listed
19. Who was the founder of psychobiology?
- Adolf Meyer
- Emil Kraepelin
- Eugene Bleuler
- Sigmund Freud
- nobody listed
20. In Ukraine the Law on Psychiatric Aid has to guarantee all, except:
- regulates the rights of
- regulates the rules for giving to mental patients aid
- clearly determines indications for hospitalizing patients to psychiatric
establishments
- everything listed
- limits the rights of the mental patients declared in the Constitution of Ukraine
21. Main principles worked out by the Mental Health Department of the World
Health Organization are as follows, except:
- development of mental health and prevention of mental disorders
- availability of the basic psychiatric aid
- assessment of the mental health in compliance with the generally accepted
international principles
- provision of the psychiatric aid in the most restrictive form
- self-determination, i.e. receiving of the patient's consent before using any type of
interference
22. In case if it is necessary to use of a physical restriction of mental patient, one should
revise this decision:
- every 5 minutes and not more than 2 hours
- every 5 minutes and not more than 4 hours
- every 30 minutes and not more than 2 hours
- every 30 minutes and not more than 4 hours
- every 45 minutes and not more than 8 hours
23. Main principles worked out by the Mental Health Department of the World
Health Organization are as follows, except:
- the right to receive help in self-determination
- availability of the reassessment procedure
- the mechanism of automatic periodical revision
- qualification of the people taking a decision
- respect of tradition
24. Within what period after taking the decision concerning treatment or
hospitalization procedure of reassessment realized with the help of a judge must be
opportune?
- 1 day
- 3 days
- 1 week
- 3 weeks
- 1 month
25. In cases of decisions concerning treatment or hospitalization of mental patients,
with long-term consequences, the automatic periodical revision should be with a
interval after:
- 1 month
- 3 months
- 6 months
- 1 year
- any listed
26. According to main principles worked out by the Mental Health Department of the
World Health Organization the people who take a decision concerning the mental
patients must be all, except:
- competent
- compassion
- informed
- independent
- impassive
27. The body taking a decisions concerning treatment or hospitalization of mental
patients should consist of at least:
- 2 persons
- 3 persons
- 4 persons
- 5 persons
- 7 persons
28. The scheme of organization of psychiatric aid includes:
- out-patient (outside the hospital) psychiatric aid
- in-patient psychiatric aid
- social-rehabilitative establishments
- everything above-listed
- nothing above-listed
29. Out-patient psychiatric aid includes:
- a psychiatric (psychoneurological) room of the children's or general polyclinic
with a district paediatric or general psychiatrist, a psychiatric room of the central
district hospital
- a psychoneurological dispensary or a dispensary department of the mental hospital
of the city, region, country
- a narcological dispensary
- everything above-listed
- nothing above-listed
30. In-patient psychiatric aid includes:
- city and regional mental hospitals in the system of health services composed of
various specialized departments
- specialized mental hospitals in the system of the Ministry of Internal Affairs
- narcological hospitals
- everything above-listed
- nothing above-listed
31. In-patient psychiatric aid includes:
- psychoneurological departments at psychoneurological dispensaries, large somatic
hospitals and military hospitals
- day-time and night-time departments at mental hospitals or psychoneurological
dispensaries
- homes for disabled patients with chronic mental diseases
- everything above-listed
- nothing above-listed
32. Social-rehabilitative establishments are:
- medical industrial workshops at mental hospitals and dispensaries
- subsidiary farms at mental hospitals, rehabilitation centres
- sanatorium schools for children with asthenic states
- everything above-listed
- nothing above-listed
33. Social-rehabilitative establishments are:
- sanatorium schools for children with asthenic states
- schools and groups for children with speech and other disturbances
- boarding schools and schools for mentally retarded children
- everything above-listed
- nothing above-listed
34. In places where a network of psychiatric establishments is not sufficiently
developed yet, the out-patient aid has to be given:
- by folk healer
- by priest
- by policeman
- by family doctors
- by emergency doctor
35. The structure of a psychoneurological dispensary may include all following
rooms, except :
- for district psychiatrists
- psychotherapeutic
- narcological
- gerontological
- children's
36. The structure of a psychoneurological dispensary may include the following
room:
- logopaedic
- organizational-methodical
- for legal aid
- nothing listed
- everything listed
37. The structure of a mental hospital include:
- administrative and executive personnel of the hospital
- different types of auxiliary medical services of the hospital
- different types of medical departments
- nothing listed
- everything listed
38. Psychiatry is different from other branches of medicine in the methods used to
investigate patients, because:
- diagnoses are based to a great extent on objective clinical investigations
- objective clinical data are not informative
- many mental disorders are functional, and the patients experiences are subjective
- everything listed
- nothing listed
39. The methods used in psychiatry include:
- psychological investigation
- physical examination
- observation
- everything listed
- nothing listed
40. The methods used in psychiatry include all, except:
- observation
- neurophysiological investigations
- X-ray investigations
- laboratory tests
- nothing listed
41. The main method of investigation in psychiatry is:
- clinical interview
- observation of the patient's behaviour
- psychological investigation
- physical examination
- laboratory tests
42. The clinical interview consists of all, except:
- questions concerning complaints
- questions concerning disturbances of mental functions
- subjective anamnesis
- objective anamnesis
- psychological investigation
43. Information about the structure of skull and brain provides:
- psychological investigation
- observation
- neurophysiological investigations
- X-ray investigations
- laboratory tests
44. What methods of investigation are based on analysis of patient's behaviour?
- psychological investigation
- observation
- neurophysiological investigations
- X-ray investigations
- laboratory tests
45. According to what contemporary trends in psychiatry all mental disorders are
presented in the form of distinct mental diseases with their own etiology,
pathogenesis, clinical manifestations, course and most probable prognosis?
- nosological
- syndromological
- psychoanalytic
- pragmatic
- all listed
46. According to what contemporary trend in psychiatry are syndromes used as
diagnoses irrespective of their etiology?
- nosological
- syndromological
- psychoanalytic
- pragmatic
- all listed
47. According to what contemporary trends in psychiatry do unconscious
processes underlie all mental disorders?
- nosological
- syndromological
- psychoanalytic
- pragmatic
- all listed
48. According to what classification in psychiatry are disorders systematised in a
way, that takes into account opinions of different trends and schools?
- nosological
- syndromological
- psychoanalytic
- ICD 10
- all listed
49. What contemporary trend in psychiatry is reflected in the modern European
International Classification of Diseases (ICD-10) and American Diagnostic and
Statistical Manual (DSM-IV)?
- nosological
- syndromological
- psychoanalytic
- pragmatic
- all listed
List of recommended literature
Basic literature.
1.
Concise Oxford Textbook of Psychiatry. M. Gelder, D. Gath, R.Mayou. –
Oxford; New York; Tokyo; Oxford University Press, 2007. – 953 p.
2.
Modern Synopsis of Psychiatry. A.M. Freedman, H.I. Kaplan, B.J. Sadock. –
USA, 1982. – 433 p.
3.
Psychiatric Dictionary / 5th ed. R.J. Campbell. – Oxford; New York; Oxford
University Press, – 1981. – 693 p.
4.
Psychopatology and addictive Disorders / Ed. By Meyer. - New York; London,
1986. – 283 p.
5.
Psychiatry: course of lecture /Ed.by V.S. Bitensky. – Odessa, 2005. – 336 p.
6.
Zimbardo Ph.G. Psychology and Life. - USA, 19991. – 189 p.
Additional literature.
1.
Brundtland G.H. Mental health in the 21st century // Bulletin of the World Helth
Organization. – 2000. - №87. – Р. 411.
2.
Desjarlais R., Eisenberg L., Good B. et al. World Mental Health: Problems
and Priorities in Low-Income Countries. – New York: Oxford University Press,
1995. – 144 p.
3.
Marsella A., Kleinman A., Good B. Cross-cultural studies of depressive
disorders. An overview. Culture and depression. – Berkley: University of
California Press, 1985. – 213 p.
4.
Mulrow C.D., Williams J.W. Jr., Trivedi M., et al. Treatment of depression:
newer pharmacotherapies. Rockville, MD: Agency for Health Care Policy and
Research, 1999. – 253 р.
5.
Murray C.J.L., Lopez A.D. The global burden of disease: a comprehensive
assessment of mortality and disability from disease, injuries and risk factors in
1990 and projected to 2020. Cambridge, MA: Harvard University Press, 1996. –
68 p.
6.
Kielholz P. Masked Depression. — Berne, 1973. – 97 p.
7.
Lopez-Ibor J. J. The Present Status of Psychotropic Drugs / Ed. by A. Cerletti,
F. J. Bove. - New York, 1999. - 519 p
8.
Preskorn, S.H. Outpatient management of depression: A guide for the Primarycare
practitioner/
S.H.
Preskorn.
-
Wichita;
Kansas:
Professional
Communications,Inc., 1994. - 147 p.
9.
Ustun T.B., Sartorius N. Mental Illness in General Health Care. An
International Study. – Chichester: John Willey @ Sons Ltd, 1995. – 336 p.