Psychiatry Final Exam-2011

1. Mention how would you approach a patient with psychotic symptoms ,

including lines of management .
2. Mention the diagnostic criteria for the following :
Somatization disorder
Major depressive episode (MDE)
Conversion disorder
Social phobia
3. Compare between :

Symptom oriented vs. Insight oriented interview

OCD and obsessional personality
Factitious disorder and malingering
Pseudo dementia and dementia

4. Define the following :

Neuroleptic malignant syndrome
Hypertensive crisis
Adjustment disorder
Delusion of control
Euphoric mood
Fuge
Catalepsy
Vaginismus
Trichotilomania
Reflex hallucination
5. 20 MCQs :
1. Risk of suicide increase in the following except : age >45 ,
male>female , numbibg and dissociative symptoms, suicide
note, psychosis
2. (Note , incidence of suicide is higher in female ,,however
,because males succeed more than females in suicide , this is
considered a high risk ,,so it is not the answer ).
3. The following drug is the most teratogenic : lithium , diazepam ,
imipramine , flouxetine,?,
4. In hypochondriasis all true except : maladaptive reaction ,
male>female , doctors shopping , physical complications occur
because of repeated diagnostic testing , ?,
5. In DSM 4 , the following contains dissociative symptoms : PTSD ,
acute stress disorder , dissociative disorder , conversion disorder
, all of the above

6. The following is sexual dysfunction disorders except : desire

disorder , sadism , sexual pain disorder ,,,
7. The patient is aware in the following disorder ???: factitious
disorder with physical symptoms , conversion , somataization ,
hypochondriasis,,,,
8. Q about ecstasy
9. In anorexia nervosa all true except : loss of control
10.The following are S.E of classical antipsychotics except :
increased seizure threshold
11.Main defense mechanism in borderline personality disorder is : (I
think splitting)
12.Q about histrionic personality , all true except : (may be the
answer is , suicide but I am not sure )
13.Q about factors causing recurrence in schizophrenia
14.Q about GAF
15.Q about dissociative amnesia all true except..( one of the
choices was ,,
Presence of antegrade and retrograde amnesia,,, I think it is the
answer because in dissociative amnesia ,,the problem is inability
to recall important info.,(retrograde amnesia only ),,but I am not
sure whether it is the correct answer or not..because other
choices were doubtful as well,, but I dont remember them)
16.How would you act if the interview was with a paranoid
patient ..friendly, explain every action to him,,,,,