2.

A term that emphasized the change in Glutamate hyper/hypoactivity and

cognition and early onset of the disorder neurotoxicity causes positive
Dementia precox symptoms
All of the above None of the above
Schizophrenia Dopamine hyperactivity causes
Paranoia positive negative
- symptoms

None of the above All of the above

3. He coined the term schizophrenia 8. True statement/s regarding

None of the above neuropathology of schizophrenia
All of the above There is reduced symmetry in several
Emil Kraepelin brain areas such as the temporal,
Eugene Bleuler frontal, and occipital lobes
Sigmund Freud There is lateral and third ventricular
enlargement and reduction in cortical
4. The following are first rank symptoms of volume
schizophrenia There is a decrease in the size of the
Thought broadcasting region including the amygdala,
All of the above hippocampus, and parahippocampal
Audible thoughts gyrus
Perplexity -> 2ND RANK None of the above
None of the above All of the above

5. The following are second rank symptoms of
schizophrenia except
All of the above
Depressive and euphoric mood
changes
None of the above
Delusional perceptions -> 1ST RANK
Feelings of emotional impoverishment
6. True statement s about the epidemiology
of schizophrenia
Men are more likely to be impaired
with negative symptoms true
None of the above
It is equally prevalent among men and
women true
All of the above
Peak age of onset is much earlier in
men true
7. The following statements are correct
regarding biochemical factors in
schizophrenia
Serotonin excess causes both negative
and positive symptoms
9. Postulated that schizophrenia resulted
from developmental fixations that occurred
earlier than those culminating in the
development of neuroses
None of the above
Paul Federn
Margaret Mahler
Sigmund Freud
All of the above
10. True of paranoid subtype of schizophrenia
None of the above
All of the above
There is presence of disorganized
speech -> should not be prominent
There is preoccupation with one or
more delusions or frequent auditory
hallucinations ->true
Disorganized or catatonic behavior,
flat or inappropriate affect are
1. True statement s regarding
schizophreniform disorder
It is a chronic psychotic disorder that
has a rapid onset and lacks a long
prodromal phase -> acute lang
All of the above
None of the above
It is similar to schizophrenia except
that its symptoms last at least 1
month but less than 6 months - ->true
Patients return to their baseline level
of functioning once the disorder has
resolved ->true
2. Valid statement s regarding schizoaffective
disorder:
All of the above
Patients have good premorbid
functioning ->true
Onset of symptoms is sudden and
most commonly occur in adolescents
->true
None of the above
It has both symptoms of
schizophrenia and mood disorders
->true
3. All of the following statement s describe
schizoaffective disorder
None of the above
Depressive type may be more
common in older persons while
bipolar type may be more
common in younger people ->true
All of the above later
Age of onset in women is earlier than
- hallucination absence of
that for men age of onset for
women is later
It has a better prognosis than for
patients with schizophrenia but has a
poorer prognosis than those patients
with mood disorder true
4. Is is characterized by non bizarre delusions
of at least one month's duration that cannot
be attributed to other psychiatric disorders
All of the above
None of the above
Paranoid schizophrenia
Brief psychotic disorder
Delusional disorder and Shared
psychotic disorder
5. The following statement s characterizes
the mental status exam of a patient with
delusional disorder:
May seem eccentric, odd, suspicious,
or hostile true
Quite normal except for a markedly
abnormal delusional system true
All of the above
Their mood is consistent with the
content of their delusions true
None of the above
6. The following are types of Delusional
Disorder
Persecutory type classic symptom
Sensorimotor type
All of the above
Erotomanic type psychose
passionelle
None of the above
7. The following statement s characterize
erotomania
The object being the first to fall in love
true
The object is one of a much higher
rank or stature true
None of the above
There must be the presence of
hallucinations
All of the above
8. The following statements characterize Brief
Psychotic Disorder
All of the above
There is full remission of symptoms
and the individual returns to
premorbid level of functioning true
Sudden onset of psychotic symptom,
which lasts 1 day or more but less
than 3 months 1 day or more but
less than I month
 less than 1 month None of the above
Occurs more often among young er All of the above
patients (20's and 30's) true
3. Shows a feeling of a wild and apparently
deranged excitement and energy
9. Is a culture bound syndrome characterized Flight of ideas
by uncontrollable shouting, attacks of crying, All of the above
trembling, heat in the chest rising in the head, Mania
as well as physical and verbal aggression None of the above
None of the above Affect
Amok
Ataque de nervios 4. It refers to a thought disorder wherein
All of the above there are abrupt, rapid changes in the topic of
Brain fag the conversation
All of the above
10. A culture bound syndrome characterized None of the above
by a sudden outburst of agitated and Flight of ideas
aggressive behavior, marked confusion, and Pressure of speech
psychomotor excitement Thought racing
Koro
Spell
Bouffe' delirante 5. It is a series of uncontrollable thoughts that
None of the above switch rapidly between ideas
All of the above Thought racing
All of the above
Pressure of speech
Flight of ideas
None of the above

1. The following statement/s about mood is
correct except:
All of the above
It influences a persons behavior and
perception of the world
It is a pervasive and sustained feeling
tone
It is experienced externally
(internally)
None of the above
2. It is the observed feeling tone of an
individual
Affect
Mania wild and apparently
deranged excitement and energy
Flight of ideas thought disorder,
wherein there are abrupt, rapid shifts
in the conversation topics
6. The following statement/s are correct
regarding pressure of speech except:
None of the above
Speech may be too fast, erratic,
irrelevant, or too tangential for the
listener to understand
All of the above
It is not difficult to interrupt
It is the tendency to speak rapidly
and frenziedly, as if motivated by an
urgency not apparent to the listener
7. The following statement s regarding
tangentiality are correct except:
The train of thought will return to the
initial topic of the conversation (never
return)
The train of thought of the speaker
wanders
 All of the above
The train of thought shows a lack of
focus None of the above
8. It occurs when the focus of the
conversation drifts, but often comes back to
the original point
Circumstantiality BUMABALIK
-
Tangentiality
None of the above
All of the above
Flight of ideas
9. The following statement/s are correct
regarding a manic episode
It is present most of the day, or
nearly everyday (or any duration if
hospitalization is
necessary) present
None of the above
Increased goal directed activity or
energy true, (lasting at least 1
week)
All of the above
It will last for at least a week
10. The following statement/s are correct
regarding a hypomanic episode
It is present most of the day, nearly
everyday true
Elevated, expansive, irritable mood
true
Abnormally and persistently
increased activity or energy, lasting at
least 10 consecutive days at least 4
consecutive days
None of the above
All of the above
1. The following statement/s are correct
regarding disruptive mood dysregulation
disorder : progressively higher over time as the
Severe recurrent temper outbursts
manifested verbally but not
behaviorally (manifested verbally and
behaviorally)
All of the above
The temper outbursts occur at least
three or more times per week
None of the above
The temper outbursts are inconsistent
with developmental level
2. The following statement/s are correct
regarding the prevalence of disruptive mood
dysregulation disorder :
It is less common than bipolar
affective disorder prior to adolescents
(more common)
All of the above
None of the above
In adolescents the prevalence rate is
1-2%
In children the prevalence rate is
2-5%
3. The following statement/s are correct
regarding Major Depressive Disorder except:
All of the above
None of the above
MDD is associated with high mortality
due to suicide
The occurrence of MDD is not better
explained by schizophrenia and other
psychotic disorders
There is a manic or hypomanic
episode (NEVER had a manic or a
hypomanic episode)
4. The following statement s are correct
regarding the course and prognosis of MDD
except:
None of the above
Course is variable as some rarely
experience remission for many years
while others have few or no
symptoms between episodes
All of the above
It appears at any age but increases
markedly during puberty
The risk of recurrence becomes
duration of remission increases
(LOWER)
5. The following statement/s are correct
regarding persistent depressive disorder
(Dysthymia) except:
Is characterized by depressed mood
most of the day, for more days than
not, as indicated by either subjective
account or observation by others, for
at least 6 months (at least 2 Years)
The criteria for a major depressive
disorder may not be continuously
present for 2 years
Presence of at least 2 of the following
- poor appetite, insomnia, low energy,
low self esteem,poor concentration,
feelings of hopelessness, helplessness,
and worthlessness
All of the above
None of the above
6. The following statement s are correct
regarding the course and development of
Dysthymia except:
None of the above
It follows an early and insidious onset
Worldwide prevalence is at 4.6%
All of the above
Early onset is associated with a lesser
likelihood of comorbid personality
disorders and substance use
disorders (HIGHER likelihood)
Question 7
The following statement s are correct
regarding risk and prognostic factors of
Dysthymia except:
Greater severity of depressive
symptoms
Lower levels of neuroticism (not
lower)
Loss or separation of parents
None of the above
All of the above
8. The following statement s are correct
regarding Premenstrual Dysphoric Disorder
except:
In the majority of menstrual cycles, at
least five symptoms must be present
in the first week before the onset of
the menses, start to improve within a
few days after the onset of the
menses, and become minimal or
absent in the week postmenses
Is characterized by marked affective
lability, marked irritability or anger,
markedly depressed mood, feelings of
hopelessness, marked anxiety or
tension
None of the above
Decreased interest in usual activities,
subjective difficulty in concentrating,
lethargy, easy fatigability, or marked
lack of energy
9. The following statement/s are correct
regarding substance/medication induced
depressive disorder except:
All of the above
It has a prevalence rate of 0.26%
None of the above
Patient has no history of major
depressive disorder, or drug induced
depression
Once the substance is discontinued,
the depressive symptoms usually
remit within days to several weeks
10. The following statement s are correct
regarding Depressive Disorder due to a
General Medical Condition except:
All of the above
None of the above
CVA or stroke is the most common
cause
There are no epidemiological studies
that provide evidence to differentiate
the risk of suicide from MDD
SLE is the most common cause for
men (women)
 6. The following are commonly used
1. The following statements are correct interview techniques EXCEPT
regarding the functions of medical
interview EXCEPT: a. NOTA
b. AOTA
- To develop and maintain a romantic c. Let the patient talk freeely to observe
relationship how tightly the thoughts are
connected -
2. A type of psychiatric interview which d. Physician should - not use the chief
attempts to elicit unconscious conflict, complaint to develop a provisional
anxieties, and defenses differential diagnosis
e. Establish rapport ASAP during the
- Insight oriented/psychodynamic interview -
interview
7. It is a fine balance between allowing the
3. The following are the stressful situations patients story to unfold at will and
in a psychiatric interview EXCEPT: obtaining the necessary data for diagnosis
and treatment
- Chronic stages of the disorder
- Open vs close ended questions
4. The following are the factor influencing
the psychiatric interview EXCEPT 8. The doctor repeats to a patient, in a
supportive manner, something the patient
a. Patients personality and character -
had said
b. Nota
c. Aota - Reflection
d. Patients relatives
e. Emotional context of interview - 9. It allows the patient to contemplate, to
cry, to just sit in an accepting comfortable
5. The following are the steps in beginning environment
the psychiatric interview EXCEPT
a. NOTA
a. A patients request for the presence of b. AOTA
another person during interview c. Facilitation
should not be granted d. Silence
b. The physician should state his e. reflection
position and professional status
c. aOTA 10. It is done to point out to the patient
d. NOTA something to which the doctor thinks the
e. Physician should initially make sure patient is not paying attention to, is
that they know the patient’s name and missing or denying
that the patient knows the physicians
name a. Facilitation
b. None of the above
c. Confrontation
d. Reflection
e. AOTA