Stomatological faculty
4th course
Department of neurology, psychiatry, narcology and medical psychology
Psychiatry
Module 2 “Special (nosology) psychiatry”
1. "Verbal salade" is observed at
A. depressed phase of MDP
B. maniac phase of MDP
C. phase of intermission of MDP
D. observed on all of the stages of motion of MDP
E. for MDP not typical
ANSWER.B
2. A favourable prognosis, possibility of reccurent development of symptoms, is
observed at
A. Depressed phase of MDP
B. Maniac phase of MDP
C. Both to the syndrome
D. Neither that nor other
E. No correct answer
ANSWER.C
3. A presence of affect disorders is in the structure of disease
A. Manic-depressive psychosis
B. Schizophrenia
C. Both diseases
D. Neither that nor other
E. No correct answer
ANSWER.C
4. Agile and ideatory dormancy is observed for patients from
A. Reactive depression
B. Depressed phase of MDP
C. And that, and other disease
D. Neither that nor other
E. No correct answer
ANSWER.C
5. All of the following antidepressants increase serotonin neurotransmission by
reuptake inhibition except
A. Mirtazapine
B.
C.
D.
E.
Venlafaxine
Fluvoxamine
Citalopram
Sertraline
ANSWER.A
6. All of the following are features of "atypical depression" except
A. Intense, unstable emotions
B. Increased appetite
C. Increased sleep
D. Mood reactivity
E. Rejection sensitivity
ANSWER.A
7. All of the following are found in brain imaging studies of persons with
depression except
A. Decreased volume of the parietal lobes
B. Decreased volume of the frontotemporal lobes
C. Decreased caudate size
D. Increased ventricular size
E. Decreased blood flow in the dorsolateral prefrontal cortex
ANSWER.A
8. All of the following are indicators of good response to lithium except
A. Family history of bipolar disorder
B. Good baseline functioning
C. Nonrapid cycling
D. Mixed episode
E. No correct answer
ANSWER.D
9. All of the following are known causes of secondary mania except
A. Cocaine
B. Propranolol
C. Steroids
D. Antidepressants
E. L-dopa
ANSWER.B
10.All of the following are side effects resulting from muscarinic receptor
blockade of antidepressants except
A. Orthostatic hypotension
B. Dry mouth
C. Constipation
D. Blurred vision
E. Urinary retention
ANSWER.A
11.All of the following are true about antidepressant discontinuation syndromes
except
A. More common with short half-life drugs
B. Are caused by most antidepressants
C. May be caused by abrupt discontinuation of antidepressants
D. Indicate that the patient is dependent on these medicines
E. Cause irritability, insomnia, and restlessness
ANSWER.D
12.All of the following are true about carbamazepine except
A. Can cause S1ADH
B. Induces its own metabolism
C. Eliminated by extrahepatic metabolism
D. Reduces levels of valproic acid
E. Toxicity is not accurately indicated by plasma level
ANSWER.C
13.All of the following are true about cyproterone acetate except
A. Used sometimes in the treatment of sexually disinhibited behavior in the
context of mental illness
B. Decreases the erectile response to stimulation
C. Can be given orally or intramuscularly
D. More effective in older men
E. Has been used to control sexual disinhibition in mentally retarded people
ANSWER.D
14.All of the following are true about dystonia except
A. More common in men than in women
B. More common in younger than older patients
C. Is more common than akathisia in patients treated with neuroleptics
D. Treated with lorazepam or diphenhydramine hydrochloride
E. Can cause trismus
ANSWER.C
15.All of the following are true about the course of a major depressive disorder
except
A. Five to 10 percent of persons with a single episode will eventually
develop bipolar disorder.
B. Thirty percent of patients recover within 6 months with or without
treatment.
C. The recurrence rate is high, especially after two or more episodes.
D. Sudden onset of depression is usually associated with a severe
psychosocial stressor.
E. The interepisode interval is less with an increasing number of episodes.
ANSWER.B
16.All of the following are true about the epidemiology of bipolar disorder except
A. High incidence of comorbidity
B. Lifetime prevalence of about 1% in classic cases
C. Greater prevalence in women
D. Average age of onset around 19 to 20 years
E. Equal incidence in all socioeconomic strata
ANSWER.C
17.All of the following cause or contribute to confusion and memory problems
following electroconvulsive therapy except
A. Prolonged seizures
B. Old age
C. High-intensity stimulus
D. Inadequate oxygenation
E. Unilateral electrode placement
ANSWER.E
18.All of the following drugs are effective in the treatment of the acute phase of
mania except
A. Lithium
B. Lamotrigine
C. Olanzapine
D. Valproic acid
E. Haloperidol
ANSWER.B
19.All of the following medications are approved by the FDA for bipolar affective
disorder except
A. Lithium
B. Valproic acid
C. Olanzapine
D. Lamotrigine
E. Carbamazepine
ANSWER.E
20.All of the following statements are true of the epidemiology of depression
except
A. The rates are equal in men and women after the age of 50 years.
B. Women are twice as affected as men between puberty and 50 years.
C. Girls are four times more affected than boys before puberty.
D. Point prevalence of depression is 2-3% for men and 5-9% for women.
E. Increased rates of depression have been observed over the past 4 to 5
decades.
ANSWER.C
21.All of the following statements are true regarding mood disorders except
A. The interepisode duration in bipolar I disorder increases as the illness
progresses.
B. The interepisode duration in bipolar I disorder decreases as the illness
progresses.
C. The interepisode duration stabilizes at around 6 to 9 months after five or
six episodes.
D. The average duration of an episode is about 6 months in recurrent
depression.
E. Men have more manic episodes on average, and women have more
depressed episodes on average.
ANSWER.A
22.All of these people were involved in distinguishing unipolar from bipolar
disorders except
A. Kraepelin
B. Angst
C. Leonhard
D. Perris
E. No correct answer
ANSWER.A
23.Associative dormancy is observed at:
A. Depressed phase of MDP
B. Maniac phase of MDP
C. Both to the syndrome
D. Neither that nor other
E. No correct answer
ANSWER.A
24.Changes of personality observed at
A. Reactive depression
B. Depressed phase of MDP
C. And that, and other disease
D. Neither that nor other
E. Corsakov psychosis
ANSWER.D
25.Daily allowance fluctuations of mood are observed at
A. depressed phase of MDP
B. maniac phase of MDP
C. phase of intermission of MDP
D. observed on all of the stages of motion of MDP
E. for MDP not typical
ANSWER.A
26.Depression is in a sear and yellow leaf:
A. quite often accompanied an alarm
B. anxiety appears sometimes
C. can be accompanied nosomania
D. quite often appears the syndrome of Kotar
E. characterized the properties indicated all higher
ANSWER.E
27.Depressions are characterized that:
A. it is the reliable sign of manic-depressive psychosis
B. usually back after 5-7 days of reception of antidepressants
C. accompanied appearance of sharp waves on an electroencephalogram
D. quite often accompanied takchicardy and increase of arteriotony
E. Nothing of indicated higher.
ANSWER.D
28.Depressions are characterized that:
A. E. Bleyler were first described
B. for a man quite often result in the decline of potency and libido
C. as a rule, accompanied collapses
D. quite often subferilitetom is accompanied and leykocitosis
E. All is listed above right.
ANSWER.B
29.Depressions are characterized that:
A. it is the reliable sign of manic-depressive psychosis
B. usually back after 5-7 days of reception of antidepressants
C. accompanied appearance of sharp waves on an electroencephalogram
D. quite often accompanied huge heart rate and increase of arteriotony
E. Nothing of indicated higher.
ANSWER.D
30.Depressions are often characterized that:
A. for women observed more frequent, than for a man
B. can arise up spontaneously without apparent cause
C. usually proceed a few months
D. for women quite often accompanied violation of menstrual cycle
E. All is listed above right.
ANSWER.E
31.Feeling of melancholy and depression is observed for patients from
A. Reactive depression
B. Depressed phase of MDP
C. And that, and other disease
D. Neither that nor other
E. Corsakov psychosis
ANSWER.C
32.For a maniac syndrome the typical followings symptoms:
A. acceleration of thought
B. propensity is to violence and aggression
C. increase of appetite, sex hyperappeal
D. on height of attack - eclipse of consciousness
E. No correct answer
ANSWER.B
33.For the maniac phase of MDP typical symptoms:
A. Bone-holding amnesia
B. Raving ideas of pursuit
C. Pseudoreminiscences
D. Motion of associations a speed-up
E. No correct answer
ANSWER.D
34.Inattention, senseless expense of money typical for
A. depressed phase of MDP
B. maniac phase of MDP
C. phase of intermission of MDP
D. observed on all of the stages of motion of MDP
E. for MDP not typical
ANSWER.B
35.Melancholia is also known as
A.
B.
C.
D.
E.
Reactive depression
Exogenous depression
Endogenous depression
Psychotic depression
Masked depression
ANSWER.C
36.Motive dormancy observed at
A. maniac syndrome
B. depressed syndrome
C. and that, et al
D. neither that nor other
E. Korsakov syndrome
ANSWER.B
37.Prevailing of affect disorders in the structure of disease is observed at
A. Depressed phase of MDP
B. Maniac phase of MDP
C. Both syndromes
D. Neither that nor other
E. No correct answer
ANSWER.C
38.Propensity to the origin of the repeated attacks is observed for patients from
A. Reactive depression
B. Depressed phase of MDP
C. And that, and other disease
D. Neither that nor other
E. No correct answer
ANSWER.B
39.Somato-vegetativ disorders are most expressed at:
A. maniac syndrome
B. depressed syndrome
C. parafrennal syndrome
D. Korsakov syndrome
E. dismorfomanic syndrome
ANSWER.B
40.Somnipathies are observed at
A. maniac syndrome
B. depressed syndrome
C. and that, et al
D. neither that nor other
E. No correct answer
ANSWER.C
41.Specify, disorders of which spheres of psyche typicali for MDP.
A. Disorders of affect sphere
B. Pathology of associative process
C. Motive-volitional disorders
D. Syndromes of eclipse of consciousness
E. No correct answer
ANSWER.A
42.Studies have shown that relapse of bipolar disorder after discontinuation of
lithium is
A. 10% in 1 year
B. 50% in 1 year
C. 50% in 6 months
D. 20% in 6 months
E. 50% in 2 years
ANSWER.C
43.Suicid is possible for patients from
A. Reactive depression
B. Depressed phase of MDP
C. And that, and other disease
D. Neither that nor other
E. No correct answer
ANSWER.C
44.The attacks of depression arise up spontaneously
A. Reactive depression
B. Depressed phase of MDP
C. And that, and other disease
D. Neither that nor other
E. No correct answer
ANSWER.B
45.The depressed phase of MDP is characterized the followings clinical signs:
A. cowardice
B. Pathological circumstantiality of associative process
C. Incoherent thought
D. Ideas of self-accusation
E. No correct answer
ANSWER.D
46.The expressive improvement of consisting of the second half of day is
observed at:
A. Reactive depression
B. Depressed phase of MDP
C. And that, and other disease
D. Neither that nor other
E. No correct answer
ANSWER.B
47.The extended people are observed at
A. maniac syndrome
B. depressed syndrome
C. and that, et al
D. neither that nor other
E. No correct answer
ANSWER.B
48.The followings preparations are antidepressants:
A. Melipraminum
B. Pyrazidolum
C. Amitriptilin
D. Azaphenum
E. All of above-stated
ANSWER.E
49.The followings therapeutic methods and medications are utillized on the
different stages of treatment of patients from BAD:
A. Antidepressants
B. Electroplexy
C. Neyroleptiks
D. Preparations of lithium
E. All of above
ANSWER.E
50.The gallop of ideas is typical for:
A. Depressed phase of MDP
B. Maniac phase of MDP
C. Both to the syndrome
D. Neither that nor other
E. No correct answer
ANSWER.B
51.The increase of appetite, sex hyperappeal, is observed at
A. maniac syndrome
B. depressed syndrome
C. and that, et al
D. neither that nor other
E. No correct answer
ANSWER.A
52.The overvalue of the capabilities, boastfulnesses, is observed at
A. maniac syndrome
B. depressed syndrome
C. and that, et al
D. neither that nor other
E. No correct answer
ANSWER.A
53.The raving ideas of influence are observed at
A. Depressed phase of MDP
B. Maniac phase of MDP
C. Both to the syndrome
D. Neither that nor other
E. No correct answer
ANSWER.D
54.The raving ideas of self-accusation, self-abasement, are typical for:
A. Depressed phase of MDP
B. Maniac phase of MDP
C. Both to the syndrome
D. Neither that nor other
E. No correct answer
ANSWER.A
55.There are all of symptoms at a manic-depressive psychosis, except for:
A. Disorders of associative sphere
B. Disorders of motive-volitional sphere
C. Disorders of consciousness
D. Disorders of affect sphere
E. Raving ideas
ANSWER.C
56.There can be the followings forms of excitation at a manic-depressive
psychosis:
A. Katatonic
B.
C.
D.
E.
Azhitation
Hebephrenic
Maniac
No correct answer
ANSWER.C
57.To find it is more reliable in all possible out suicidal tendencies:
A. questioning the relatives of patient
B. put a patient a direct question about his intentions
C. looking after a patient, when a patient about it is unaware
D. as a result of deksametazon test
E. on the level of 5-gidroksiindoluksusnoy acid in a neurolymph
ANSWER.B
58.What does the term "double depression" describe?
A. Major depressive disorder superimposed on grief reaction
B. Major depressive disorder superimposed on dysthymia
C. Major depressive disorder not responding to treatment
D. Major depressive disorder with psychosis
E. Major depressive disorder with anxiety
ANSWER.B
59.What facts are confirmation of endogenous nature of manic-depressive
psychosis?
A. connection of disease is with inherited burdened
B. spontaneous origin of attacks
C. connection of attacks is with seasonal and monthly rhythms
D. a high concordance is for MDP in cosmobions
E. all of above-stated
ANSWER.E
60.What from the listed states is more frequently require exigent hospitalization of
patient in psychiatric permanent establishment?
A. MDP (maniac phase)
B. Epilepsy is with large convulsive attacks
C. MDP (depressed phase)
D. An alcoholic hallucinosis is with commenting hallucinations
E. Schizophrenia (simple form)
ANSWER.C
61.What from follow typical for motion MDP ?
A. Forming of korsakov syndrome
B. Gradual growth of apathy and abulia
C. Periodically nascent nonseizure paroxisms
D. Cyclic fluctuations of mood
E. No correct answer
ANSWER.D
62.What from transferred does string characterizes the period of intermission in
motion of manic-depressive psychosis?
A. usually observed in springtime
B. accompanied an overactivity and "wave of force"
C. the expressed fluctuations of mood are marked for a day long
D. some psychical disorders absent
E. No correct answer
ANSWER.D
63.What is the approximate duration of untreated depressive episodes in patients
with bipolar disorder?
A. 3 months
B. З to 6 months
C. 6 to 12 months
D. 2 to 4 weeks
E. 2 months
ANSWER.C
64.What is the lifetime prevalence of dysthymic disorder?
A. 1%
B. 10% С 3%
C. 6%
D. 15%
E. 50%
ANSWER.D
65.When compared to patients with unipolar disorder, patients with bipolar
disorder have
A. Less genetic loading
B. Greater genetic loading
C. The same genetic loading
D. No genetic loading
E. No correct answer
ANSWER.B
66.Which of the following accurately states the role of therapy in depression?
A. Antidepressants are the treatment of choice in all severities of
depression.
B. Cognitive-behavioral therapy (CBT) is the treatment of choice in all
severities of depression.
C. CBT is as effective as antidepressants in the treatment of mild to
moderate depression.
D. Combined treatment with cognitive-behavioral therapy and
antidepressants is no better than either on its own.
E. Interpersonal therapy offers more rapid response than antidepressants.
ANSWER.C
67.Which of the following antidepressant blocks reuptake of dopamine?
A. Venlafaxine
B. Bupropion
C. Buspirone
D. Mirtazapine
E. Fluoxetine
ANSWER.B
68.Which of the following can cause depression?
A. Methyldopa
B. Procyclidine
C. Tryptophan
D. Flupenthixol
E. Testosterone
ANSWER.A
69.Which of the following drugs has been shown to decrease the suicide rate?
A. Carbamazepine
B. Olanzapine
C. Sertraline
D. Lithium
E. Valproic acid
ANSWER.D
70.Which of the following has an equal prevalence in both sexes?
A. Bipolar I disorder
B. Dysthymia
C. Major depressive disorder
D. All of the above
E. None of the above
ANSWER.A
71.Which of the following is a reversible MAOI?
A. Moclobomide
B.
C.
D.
E.
Tranylcypromine
Phenelzine
L-deprenyl
Maprotiline
ANSWER.A
72.Which of the following is used as an augmenting agent in the treatment of
depression?
A. Propranolol
B. Pindolol
C. Metaprolol
D. Sotalol
E. Labetolol
ANSWER.B
73.Which of the following over-the-counter (OTC) medications is not advisable in
a 22-year-old sexually active female college student?
A. Acetaminophen
B. Motrin
C. Loratidine
D. St. John's wort
E. No correct answer
ANSWER.D
74.Which of the following sleep abnormalities is found in depressed persons?
A. Decreased REM sleep latency
B. Increased REM density
C. Early morning awakening
D. All of the above
E. No correct answer
ANSWER.D
75.Which of the following SSRIs is least likely to cause discontinuation
syndrome?
A. Sertraline
B. Citalopram
C. Escitalopram
D. Paroxetine
E. Fluoxetine
ANSWER.E
76.Which of the following support the serotonin deficiency hypothesis of
depression?
A.
B.
C.
D.
E.
Decreased 5HT platelet uptake
Decreased plasma tryptophan levels
Decreased 5HIAA levels in CSF
Blunted 5HT1 mediated prolactin release in response to L-tryptophan
All of the above
ANSWER.E
77.Which psychologist from the University of Pennsylvania proposed the
principle of "low rate of reinforcement" as the cause of depression?
A. Beck
B. Seligman
C. Lewinsohn
D. Bowlby
E. No correct answer
ANSWER.C
78.Who coined the term "neurasthenia"?
A. James Braid
B. William Cullen
C. George Beard
D. Robert Post
E. No correct answer
ANSWER.C
79.Who proposed the theory of "learned helplessness" to explain depression?
A. Wolpe
B. Seligman
C. Freud
D. Beck
E. Kraepelin
ANSWER.B
80.A decline or absence of capacity of abstract thought:
A. oligofreniya
B. demenciya
C. and that and other
D. neither that nor other
E. No correct answer
ANSWER.C
81.A monosyllabic language without the expressly formulated phrases is typical
for:
A. idiotiya
B.
C.
D.
E.
micropsychia
debility
all are transferred the states
None of the states
ANSWER.A
82.According to Thomas and Chess, which of the following is not a category of
temperament?
A. Adaptability
B. Intensity
C. Quality of mood
D. Rhythmicity
E. None of the above
ANSWER.E
83.Activity is enhanceable, aspiring to activity is typical for:
A. Hypotim person
B. Hypertim person
C. Psychopathy of excitative circle
D. Hysterical psychopathy
E. Shizoidal psychopathy
ANSWER.B
84.Affect rigid is peculiar for:
A. Paranoia psychopathy
B. Psychopathy of psichastenyc
C. Hysterical psychopathy
D. Shizoidal psychopathy
E. Unsteady psychopathy
ANSWER.D
85.Anxiety, untrustfulness typical for:
A. Paranoid psychopathy
B. Psychopathy of psichastenyc
C. Hysterical psychopathy
D. Shizoidna psychopathy
E. Unsteady psychopathy
ANSWER.A
86.Arises up on the average senior school age
A. idiotiya
B. micropsychia
C. debility
D. all are transferred the states
E. None of the adopted states
ANSWER.E
87.At what age do children develop the concept of death as permanent?
A. 2-3 years
B. 3-4 years
C. 7-8 years
D. 4-5 years
E. 10 year
ANSWER.D
88.Typical presence of delusionss, hallucinations and disorders of consciousness,
for:
A. Psychopathies
B. schizophrenia
C. Both disorders
D. Neither that nor other
E. No correct answer
ANSWER.B
89.Complete absence of capacity for a language is typical for:
A. idiotiya
B. micropsychia
C. debility
D. all are transferred the states
E. None of the adopted states
ANSWER.A
90.Constantly elevated background of mood is typical for:
A. Hypotim person
B. Hypertim person
C. Psychopathy of excitative circle
D. Hysterical psychopathy
E. Shizoidal psychopathy
ANSWER.B
91.Correct utterances include about juvenile pregnancy :
A. high-frequency of exacerbation
B. all of these pregnant have one psychological type
C. risk of complications both at a child and in mother high
D. the most pregnant agree to abortion easily
E. They already psychologically mature to maternity
ANSWER.C
92.Doubts which torture, if necessary to make a decision typical for
A. Shizoidal psychopathy
B. Psichasteniya
C. Both the variant of psychopathies
D. Neither that nor other
E. OCD
ANSWER.E
93.Emotionally volitional weakness
A. Hysterical psychopathy
B. Unsteady psychopathy
C. Both the variant of psychopathies
D. Neither that nor other
E. Schizoid psychopathy
ANSWER.B
94.Explosiveness of affect reactions is peculiar for:
A. Hypotim person
B. Hypertim person
C. Psychopathy of excitative circle
D. Hysterical psychopathy
E. Shizoidal psychopathy
ANSWER.C
95.Extroversion, aspiration to be in the highlight surroundings typicalally for:
A. Astenic psychopathy
B. Psichastenic
C. Both the variant of psychopathies
D. Neither that nor other
E. Hysterical psychopathy
ANSWER.D
96.Difficulties in making a decision typical for
A. Astenic psychopathy
B. Psichastenic
C. Both the variant of psychopathies
D. Neither that nor other
E. No correct answer
ANSWER.B
97.High suggestibility, infantilism typical for:
A.
B.
C.
D.
E.
Hysterical psychopathy
Paranoidal psychopathy
Excitative (explosiv) psychopathy
All of variants of psychopathies
For psychopathies not typicalally
ANSWER.E
98.Hyperstenic in achievement of the put purpose:
A. Paranoia psychopathy
B. Psychopathy of psichastenyc
C. Hysterical psychopathy
D. Shizoidal psychopathy
E. Unsteady psychopathy
ANSWER. C
99.In what percentage of persons with schizophrenia is the onset before the age of
10 years?
A. Less than 10%
B. Less than 7%
C. Less than 3%
D. Less than 1%
E. Less than 100%
ANSWER.D
100.
Leading syndrome in the structure of psychiatric diseases present:
A. astenic
B. obsesivno-fobichniy
C. depressed
D. apatiko-abulichniy
E. paranoid
ANSWER.A