PSYCHIATRY

1. A patient is asked what is the similarity between a chair and a table. He answers that both are
made up of trillions of molecules. The patient is exhibiting what type of thinking?
A. Abstract
B. Concrete
C. Weird
D. Delusional

2. A patient is asked to look around the room for a few minutes. He was then asked to enumerate
at least 3 things that he saw. He was unable to do so. You are testing the patient’s :

A. Judgment
B. Abstract reasoning
C. Short term memory
D. Spatial orientation

3. A college student patient is asked to subtract 7 from 100 until he reaches the lowest possible
answer. The patient gives the wrong answer every time and would sometimes answer with a
larger number than the number being subtracted from. The patient is exhibiting:

A. Poor judgment
B. Poor insight
C. Poor concentration
D. Poor grasp of reality

4.What dominant personality trait is common among Cluster C personality disorders?

A. Dramatic
B. Egoistic
C. Dependent
D. Isolated

5. A 24-year-old man claims he is a genius and has discovered several cures for COVID 19. He
has an IQ of 100. He gets angry easily when others do not believe his claims. Initial drug of
choice for him is:

A. Diazepam
B. Lithium carbonate
C. Escitalopram
D. Clonazepam
6. Effects of serotonin excess include

A. Positive symptoms of schizophrenia

B. Negative symptoms of schizophrenia
C. Both positive and negative symptoms of schizophrenia
D. No effects in either positive or negative symptoms in schizophrenia

7. A 28-year-old. male has behavioral changes characterized as insomnia, anhedonia, talking to

self, auditory hallucinations, delusions of reference, isolates from family members and decreased
self-care). His wife noted the said symptoms for the past 4 months. He became violent hours
prior to admission. What medication/s will you give him?

A. DA/dopamine antagonist
B. SDA/ serotonin dopamine antagonist
C. DA with mood stabilizer
D. SDA with mood stabilizer

8. The following are possible etiology behind psychiatric symptoms except:

A. Inflammation of the myelin in the involved area of the brain

B. Inflammation of the blood vessels in the are involved
C. Receptor failure or dysfunction
D. Transmitter failure or dysfunction

9. What is the most common reason why chronic schizophrenic patients will display smacking or
sucking movements of their lips and tongue?

A. They will have tardive dyskinesia

B. They are undermedicated with neuroleptics
C. They have cerebellar lesions
D. They have hebephrenic lesions

10. Which of the following personality disorders characterize the person as excitable and
emotional and behave in a colorful, dramatic, extroverted fashion but has inability to maintain
deep, long-lasting attachments?

A. Histrionic personality
B. Borderline personality
C. Antisocial personality
D. Narcissistic personality
11. What personality disorder is characterized by emotional constriction, orderliness,
stubbornness, and indecision?

A. Paranoid personality disorder

B. Borderline personality disorder
C. Obsessive personality disorder
D. Narcissistic personality disorder

12. At least how many symptoms from the DSM5 do you need to qualify an addiction case as a
moderate case of substance use disorder?

A. 2-3
B. 4-5
C. 1
D. 5-6

13. As the attending Psychiatrist, what is your best approach of intervention of a patient
experiencing severe manic episode with psychosis?

A. Give oral medications and allow the family to bring the patient home to rest
B. Individual psychotherapy
C. Hospital and give inpatient care
D. Talk to the patient until he/she calms down

14. A high school teacher who is schizophrenic is asked whether he is mentally sick. He answers
that he is a teacher. What is your assessment?

A. Patient is delusional
B. Patient is dysphoric
C. Patient is hallucinating
D. Patient has poor insight

15.What is the common defense mechanism most often employed in paranoia?

A. Introjection
B. Reaction formation
C. Restitution
D. Projection
16. What is the law enacted by the Congress of the Philippines responsible for helping drug
dependents recover from their addiction problems?

A. RA 9165
B. RA 1186
C. RA 12495
D. RA 3754

17. The following is true about addiction:

A. It is a relapsing disease
B. It is an indicator of morality
C. They lack willpower
D. They are intrinsically bad people

18. The DSM-5 Criteria for a diagnosis of Bipolar I Disorder specifically requires:

A. The presence of a distinct period of abnormal mood lasting at least one week
B. The presence of persistent depressive and anxiety symptoms
C. The presence of a period of abnormal mood lasting for a few days
D. Presence of consistent behavioral dyscontrol

19. A mentally ill patient is asked whether he is mentally sick. He answers that he is a teacher.
What is your assessment?

A. Patient is delusional
B. Patient is dysphoric
C. Patient is hallucinating
D. Patient has poor insight

20. The following are true of obsessive-compulsive disorder except:

A. Anal stage is the struggle between parents versus the child on toilet training
B. If anal stage is not passed satisfactorily, the person develops obsessive compulsive traits
C. The person is emotionally constricted, indecisive, and is a perfectionist
D. Main reason why it takes an OCD person not to finish his work is he is lazy

21. The following are true of organic brain lesions except:

A. Slowed speech
B. Can understand but unable to speak
C. Cannot understand but speaks well
D. Impaired pronunciation of mimim, ggaga, and lalala
22. A 24-year-old combative male was diagnosed with schizophrenia. Chemical restraint with 5
mg haloperidol was ordered. What is the most common relative contraindication to giving this
drug?

A. Preference of the family

B. Temperature of 39 degrees Centigrade
C. BP 80/40 mm Hg
D. O2 saturation of 96%

23.The following are characteristics of an OCD person except:

A. Can never have a stable marriage

B. Follows rules and regulations rigidly
C. Lacks a sense of humor
D. Result oriented

24. The following are true for telepsychiatry except:

A. Overall effects are lesser than actual face to face consultations

B. Reduces barrier of stigma
C. Integrates behavioral care and primary care
D. Improves continuity and follow up care

25. The past medical history of the patient includes:

A. Only the psychiatric history of the patient

B. His ongoing medical problems
C. All the medical history of the patient since his birth
D. Only the medical history that is related to the history of present illness

26. The hallmark of a manic episode in Bipolar I Disorder is manifested as:

A. Anxious and irritable mood

B. Elevated, expansive or irritable mood
C. Depressive with irritable mood
D. Irritable mood with psychosis

27. All of the following are included in the General Data section of history taking except?

A. Civil status
B. Hobbies
C. Address
D. Religion
28. What is NOT a Cluster A personality disorder?

A. Paranoid personality disorder

B. Narcissistic personality disorder
C. Schizotypal personality disorder
D. Schizoid personality disorder

29. A 21-year-old female student is a very shy person, but she has a great desire for
companionship. She shows extreme sensitivity to rejection and lead a socially withdrawn life.
Which of the following personality disorders does this patient have?

A. Antisocial personality disorder

B. Schizoid personality disorder
C. Avoidant personality disorder
D. Histrionic personality disorder

30. What is the most effective treatment modality being used on treating drug addiction?

A. Antipsychotic medications alone

B. 12 Step Method
C. Behavior Cognitive Therapy with Medication
D. Self Help programs NA/AA

31. Which of the following is described as a chronic fluctuating mood disturbance characterized
by episodes of hypomania and mild depression?

A. Bipolar Type I Disorder

B. Bipolar Type II Disorder
C. Cyclothymia
D. Dysthymia

32. Which of the following personality disorders is characterized by an inability to conform to

the social norms that ordinarily govern many aspects of a person’s adolescent and adult life?

A. Antisocial personality
B. Schizotypal personality
C. Paranoid personality
D. Narcissistic personality
33.What is the best treatment combination of medications recommended during the manic
episode and maintenance phase of bipolar disorder?

A. Antipsychotic alone
B. Antipsychotic and mood stabilizers
C. Antipsychotic and antidepressants
D. Antidepressant and mood stabilizers

34. Psychiatric symptoms present for less than 6 months will warrant a diagnosis of:

A. Schizoaffective disorder
B. Personality Disorder
C. Schizophreniform disorder
D. Schizophrenia

35. How many standard drinks of alcohol can be metabolized by the body every one hour?

A. 1 standard drink
B. 2 standard drinks
C. 10 standard drinks
D. 20 standard drinks

36. What personality disorder is distrustful, suspicious, and a fault finder?

A. Dependent personality disorder

B. Avoidant personality disorder
C. Schizoid personality disorder
D. Paranoid personality disorder

37.Which of the following is the most common type of hallucination in schizophrenia?

A. Feeling invisible insects crawling on the skin

B. Suicidal thinking
C. Hearing of voices
D. Seeing religious visions

38. A patient tells you that he is happy but his facial expression is that of a sad person. What type
of mood is he in?

A. Inappropriate
B. Euphoric
C. Euthymic
D. Dysphoic
39. A patient has little interest in doing things he normally enjoyed doing, has difficulty falling
asleep, is feeling tired with little energy, and has lost his appetite nearly every day in a week’s
time. In addition, he has trouble in concentrating on tasks at hand, even when reading the
newspaper, and speaks slowly that he can barely be understood by others readily. His condition
has affected his work. The following is true for this case:

A. Watchful waiting is the proper course of action

B. No pharmacotherapy is indicated
C. Give the person some space
D. Counselling and psychopharmatherapy are indicated

40. A patient has been hearing a voice commanding him to harm his brother. He thinks he is the
commander in chief of the armed forces. He appears unkempt, suspicious of everyone around
him, keeps on roaming around the room, and is talking incoherently to nobody in particular. This
has been going on for 8 months. The most probable diagnosis is:

A. Schizoaffective disorder
B. Schizophrenia
C. Borderline personality disorder
D. Bipolar I Disorder

41.What is the most common premorbid characteristic of schizophrenia patients?

A. Suspicious
B. Sociable
C. Introverted
D. Anti-social

42. Among the clustering of personality disorder, which is most likely to develop schizophrenia?

A. Cluster A
B. Cluster B
C. Cluster C
D. Cluster D

43.What is the most commonly used drug of abuse in the Philippines?

A. Marijuana
B. Cocaine
C. Methamphetamine
D. Nubain
44. The following are true when screening for suicide:
A. Ask a witness to be in the consultation room
B. Refrain from asking patients about suicidal thoughts
C. Ask patient if he think his family will be better off without him
D. Ignore patient’s verbalization about attempting suicide so he will not act on it
{ All of the above statements stated are false }

45. Defense mechanisms usually used by an OCD person include the following except

A. Rationalization
B. Denial
C. Isolation
D. Reaction formation

46. What Neurotransmitter chemical brain substance is responsible for euphoria, pleasurable
effects and experiences by chronic drug dependents?

A. Serotonin
B. THC
C. Cortisol
D. Dopamine

47. Which is NOT a Cluster B personality disorder?

A. Dependent personality disorder

B. Narcissistic personality disorder
C. Antisocial personality disorder
D. Histrionic personality disorder

48. Which of the following will exhibit extremes of excitement and stupor, negativism, mutism
stereotypies?

A. Disorganized schizophrenia
B. Catatonic schizophrenia
C. Paranoid schizophrenia
D. Residual schizophrenia

49. What is the typical characteristic disturbance in schizophrenia?

A. Abnormal interpersonal relations

B. Abnormal orientation
C. Distorted memory
D. Abnormal thinking
50. Which of the following is non-regulated but can cause addiction and is socially acceptable?
A. Marijuana
B. Alcohol
C. Nubain
D. LSD

51. At what age does the prefrontal cortex mature that explains the vulnerability of adolescents to
developing addictions?

A. 18 years old
B. 20 years old
C. 30 years old
D. 15 years old

52. A patient has a pervasive and excessive need to be taken care of that leads to submissive and
has clinging behavior and fears of separation. Management of the case includes:

A. Electroconvulsive therapy
B. Lithium carbonate
C. Psychotherapy
D. Haloperidol

53.Which of the following personality disorders is characterized by a lifelong pattern of social

withdrawal with little to no interest in companionship?

A. Schizoid personality
B. Antisocial personality
C. Paranoid personality
D. Avoidant personality

54. Which of the following is involved in the neurobiology of schizophrenia?

A. TSH
B. Dopamine
C. Cortisone
D. Aldosterone

55. Which are indicators of organicity in the cognitive examination?

A. Seeing people even when there is no one there

B. Delusions
C. Repetitious behavior or action
D. Slow speech
56. Which of the following personality disorders is characterized as a pervasive and excessive
need to be taken care of that leads to submissive and clinging behavior and fears of separation?

A. Antisocial personality
B. Borderline personality
C. Dependent personality
D. Avoidant personality

57. The following are positive symptoms of schizophrenia, EXCEPT:

A. Blunted affect
B. Delusion
C. Hallucination
D. Aggressive Disorder

58. Which is not true about positive and negative symptoms in schizophrenia?

A. Those with negative symptoms has poorer prognosis compared to those with positive
symptoms
B. Those with negative symptoms has better prognosis compared to those with positive
symptoms
C. Negative symptoms include anhedonia and avolition
D. Positive symptoms include delusions and hallucinations

59. A highly agitated known Bipolar I patient is brought to the emergency room. He is shouting,
uncooperative, unmanageable, and combative. Initial pharmacotherapy includes:

A. Diazepam and diphenhydramine IV

B. Lithium carbonate oral
C. Escitalopram
D. Haloperidol and diphenhydramine HCl IM

60. A 30-year-old patient with schizophrenia is to be given IM chlorpromazine. The following is

a contraindication:

A. BP 80/50 mm Hg
B. Temperature 39 degrees Centigrade
C. Patient is agitated
D. Patient is hallucinating
61. At least how many symptoms from the DSM5 do you need to qualify an addiction case as a
mild case of substance use disorder?

A. 4-5
B. 7-8
C. 2-3
D. 1

62. What is NOT a myth about addiction?

A. It is a relapsing disease
B. It is an indicator of morality
C. They lack will power
D. They are bad people

63. What is the usual age of onset of schizophrenia in males?

A. Infants
B. Adolescents and young adults
C. Middle aged
D. Seniors

64.Which of the following symptoms of schizophrenia is most likely to respond to Antipsychotic

medication?

A. Hallucination
B. Social withdrawal
C. Blunted affect
D. Lack of motivation

65.Which are indicators of organicity in the cognitive examination?

A. Seeing people even when there is no one there

B. Delusional
C. Repetitious behavior or action
D. Drooling of saliva

66. Main reason why an OCD person is indecisive is

A. Tendency to postpone things

B. Time given to finish his work is very limited
C. Fear of making mistakes
D. No self confidence