TESTS Т1-T3. 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 Т2 1. How is a feeling or impression when the sensory nerve endings of any of the senses (taste, touch, smell, sight, sound and kinesthesia) are stimulated called? a) sensation b) perception c) imagery d) all listed e) nothing listed 2. What does quantitative pathology of sensation include? a) hypesthesia b) hyperesthesia c) anaesthesia d) senesthopathias e) all listed except senesthopathias 3. A decrease of sensitivity towards external stimuli is called: a) hypesthesia b) hyperesthesia c) anaesthesia d) senesthopathia e) all listed 4. What do psychosensory disorders include? a) senesthopathias b) illusions c) distorted perception of environment d) agnosias e) all listed 5. What disorders consist of failure to recognise percepted objects? a) agnosias b) illusions c) hallucinations d) psychosensory disorders e) all listed 6. How do patients perceive the imperative hallucinations? a) hallucinations may comment on the patient's actions b) hallucinations tell him what he must do c) hallucinations abuse or threaten him d) hallucinations may be experienced as music e) all listed 7. How is the process of becoming aware of what is presented through the sense organs called? a) sensation b) perception c) imagery d) all listed e) nothing listed 8. What does qualitative pathology of sensation include? a) hypesthesia b) hyperesthesia c) anaesthesia d) senesthopathias e) all listed except senesthopathias 9. A loss of sensitivity is called: a) hypesthesia b) hyperesthesia c) anaesthesia d) senesthopathia e) all listed 10/ All kinds of listed illusions are discriminated, except: a) physical b) physiological c) affective d) pareidolic e) nothing listed 11. How is a misperception of an external stimulus called? a) agnosias b) illusions c) hallucinations d) psychosensory disorders e) all listed 12. How does a patient perceive the antagonistic hallucinations? a) hallucinations may comment on the patient's actions b) hallucinations tell him what he must do c) hallucinations abuse or threaten him d) hallucinations may be experienced as music e) all listed 13. How is an experience within the mind, usually without the sense of reality, called? a) sensation b) perception c) imagery d) all listed e) nothing listed 14. What does pathology of sensation include? a) hypesthesia b) hyperesthesia c) anaesthesia d) senesthopathias e) all listed 15. Abnormal unpleasant sensation in different parts of body or internal organs, which are difficult to describe is called: a) hypesthesia b) hyperesthesia c) anaesthesia d) senesthopathia e) all1 16. All kinds of listed hallucinations are discriminated, except: a) elementary b) complex c) physiological d) true e) pseudohallucinations 17. What kind of illusions is pathological? a) physical b) physiological c) affective d) pareidolic e) all listed 18. In what diseases the hallucinations of taste, smell, and deep sensation mainly occur? a) neuroses b) alcohol abuse c) schizophrenia d) organic mental disorders e) all listed 19. What do sensory functions include? a) sensation b) perception c) imagery d) all listed e) nothing listed 20. Abnormally high sensitiveness to external stimuli is called: a) hypesthesia b) hyperesthesia c) anaesthesia d) senesthopathia e) all listed 21. What does pathology of perception include? a) illusions b) psychosensory disorders c) agnosias d) all listed e) nothing listed 22. What psychopathological disorders are manifested in distorted perception of external objects or one's own body? a) agnosias b) illusions c) hallucinations d) psychosensory disorders e) all listed 23. What psychopathological disorders are manifested in an apparent perception of an object, when no corresponding real object exists? a) agnosias b) illusions c) hallucinations d) psychosensory disorders e) all listed 24. With what diseases are the visual hallucinations particularly associated? a) neuroses b) alcohol abuse c) schizophrenia d) organic mental disorders e) all listed Т3 1. Select the most accurate definition of “emotion”: a) it is a special kind of mental reaction that accompanies other mental processes and gives them a sensual tone b) it is a very intensive subjective experience c) it is a complicated, more or less stable subjective state, tone of feelings d) all listed e) nothing listed 2. Features of emotional disorders according to sensitivity and intensity include all listed, except: a) sensitivity b) emotional coldness c) rigidity d) irritability e) nothing listed 3. How is abnormal readiness to anger called? a) emotional coldness b) irritability c) rigidity d) sensitivity e) nothing listed 4. How is frequent anger and aggressive reactions, a tendency to bursting forth violently for no serious reason called? a) parathymia b) explosion readiness c) irritability d) rigidity e) nothing listed 5. What feature describes physiological affect? a) the individual can understand their consequences b) the individual has a command over his or her actions c) the individual later remembers what has happened during his/her state of affect d) emotion is usually more or less adequate to the situation e) all listed 6. How is the symptom of anxiety or fear arising in relation to a specific stimulus called? a) anticipatory anxiety b) phobia c) anesthesia psychica dolorosa d) all listed e) nothing listed 7. Select the most accurate definition of “affect”: a) it is a special kind of mental reaction that accompanies other mental processes and gives them a sensual tone b) it is a very intensive subjective experience c) it is a complicated, more or less stable subjective state, tone of feelings d) all listed e) nothing listed 8. Features of emotional disorders according to stability include all listed, except: a) anxiety b) lability c) rigidity d) explosion readiness e) nothing listed 9. How is a tendency to exaggerated affective responsiveness called? a) sensitivity b) irritability c) lability d) pathologic affect e) nothing listed 10. How is the mental state when emotions remain constant in the face of circumstances that normally call for changes in affect called? a) emotional coldness b) ambivalence c) rigidity d) parathymia e) nothing listed 11. What feature describes pathological affect? a) the individual can understand their consequences b) the individual has the situation c) the individual later remembers what has happened during his/her state of affect d) emotion is usually more or less adequate to the situation e) nothing listed 12. What symptoms describe the typical depressive (Krepelin’s) triad? a) lowering of mood-tone, slowing down of thinking and psychomotor retardation b) feelings of painful dejection, difficulty in thinking and anticipatory anxiety c) lowering of mood-tone, feelings of despair and guilt d) lack of emotions, difficulty in thinking and ideas of self-humiliation e) lowering of mood-tone, feelings of guilt and a characteristic expression in which the corners of the mouth are turned down and the centre of the brow has vertical furrows 13. Select the most accurate definition of “mood”: a) it is a special kind of mental reaction that accompanies other mental processes and gives them a sensual tone b) it is a very intensive subjective experience c) it is a complicated, more or less stable subjective state, tone of feelings d) all listed e) nothing listed 14. Distortion of emotions include all listed, except: a) ambivalence b) hyperthymia c) parathymia d) pathologic affect e) nothing listed 15. How is a diminution of normal emotional responsiveness called? a) rigidity b) ambivalence c) parathymia d) flattening of affect e) nothing listed 16. How is the phenomenon when the person may look and feel happy when thinking about a sad event called? a) parathymia b) pathologic affect c) ambivalence d) rigidity e) nothing listed 17. What symptoms describe the Protopopov's triad? a) lowering of mood-tone, slowing down of thinking and psychomotor retardation b) lack of emotions, difficulty in thinking and ideas of self-humiliation c) tachicardia, dryness in the mouth and low appetite d) constipation, dilation of pupils, and tachicardia e) dilation of pupils, tachycardia and decrease of weight 18. What following properties do emotions have? a) sensitivity b) mobility c) amplitude d) content e) all listed 19. Mood disorders include all listed, except: a) euphoria (mania) b) apathy c) dysphoria d) emotional coldness e) nothing listed 20. How are marked mood changes, when one emotion quickly changes the other called? a) irritability b) sensitivity c) lability d) ambivalence e) nothing listed 21. How is the phenomenon if a patient experiences two opposite feelings towards one object or circumstance called? a) parathymia b) pathologic affect c) ambivalence d) rigidity e) nothing listed 22. How is mood which varies from day to day, and depends on the circumstances called? a) labile b) hyperthymic c) dysthymic d) euthymic e) nothing listed 23. What symptoms describe the typical manic triad? a) lowering of mood-tone, slowing down of thinking and psychomotor retardation b) tachicardia, dilation of pupils, and constipation c) hyperthymia, increased psychomotor activity, increased speed of thinking and speech d) hypermnesia, increased psychomotor activity, increased speed of thinking and speech e) hyperthymia, increased appetite, grows sexual activity