4.

Lesions in the orbitofrontal region of the brain will present as a patient who is
A. Profane, irritable, and irresponsible
B. Manic
C. Depressed
D. Apathetic
E. Psychotic

ISGTL
JSQLLJITN 5 A 65 year-old woman with schizophrenia believes that she is pregnant with
God’s child. She has been convinced of this for the past five years. When you
confront her on this she tells you that she is certain that she is pregnant and
that God is the father. She will not agree that this is not true. Her thinking is
an example of which one of the following?
A. Egomania
B. Coprolalia
C. Delusion
D. Ailurophobia
E. Obsession

6 A group of patients are looked at with regard to a risk factor for heart dis-
ease. They are divided into those who have the risk factor and those who do
not. These groups are then followed for a number of years to see who does
and who does not develop heart disease. This is an example of a:
A. Cohort study
B. Case-control study
C. Clinical trial
D. Cross-sectional survey
E. Crossover study
2
7. Who developed the theory of “good enough mothering”?
A. Piaget
B. Freud
C. Mahler
D. Winnicott
E. Erikson

8 A 47 year-old man presents to the emergency room in an acute state of dis-

orientation, with tachycardia, ophthalmoparesis, diaphoresis, and ataxia. He
dies in the hospital 48 hours later. Brain autopsy of this patient would reveal:
A. Frontal and temporal lobe atrophy
B. Substantia nigra depigmentation
C. Hemorrhages in the ependyma of the third ventricle and superior vermis
D. Diffuse Lewy bodies in cortex
E. Subcortical white matter lesions perpendicular to the ventricles