The student’s name ID

Date 15/1/2023

Subject code: Psychiatry final exam

1) Schizophrenia is most commonly diagnosed between the ages of

a) 16 to 30
b) 10 to 40
c) 13 to 40
d) 20 to 50
e) 3o to 50
2) Schizophrenia is a chronic, severe, debilitating mental illness characterized by
disordered thoughts that
A- impairs judgment only
B- impairs judgment, behaviors, cognition and emotions
C- affect female more than male
D- affect adults only
3) Schizophrenia is well established as a brain disorder, with abnormalities in
A- Occipital lobe
B- Mesolimbic area
C- Mesocortical area
D- Mesolimbic area and Mesocortical area
4) The main neurotransmitter affected in schizophrenia is
A- Serotonin
B- NA
C- DOPAMIN
D- GLUTAMATE
5) HALLCINATION IN SCHEZOPHERNIA
A- NEGATIVE SYMPTOM
B- COGNITIVE SYMPTOMS
C- THOUGHT SYMPTOMS
D- MORE AUDITORY AND VISUAL
E- MORE VISIUAL AND GUSTATORY

6) DELUSIONS;
A- NEGATIVE SYMPTOM
B- COGNITIVE SYMPTOMS
C- THOUGHT SYMPTOMS
D- OCCURES IN SCHEZOPHERNIA ONLY
7) WHICH OF THE FOLLOWING DRUGS IS 1ST line treatment in
schizophrenia?
A- Anti-histaminic
B- anti-depressant
C- HALLOPERIDOL
D- Mood stabilizer
8) the first-line treatment for patients with schizophrenia IS
 A- ATYPICAL ANTI PSYCHOTIC
B- ECT
C- ANTIEPILEPTIC
D- TYPICAL ANTIPSYCHOTIC
E- TYPICAL ANTIPSYCHOTIC COMPINED BY ANTIDEPRESSANT
9) Presence of ≥1 of: delusions; hallucinations; disorganized speech; grossly
disorganized/catatonic behavior, Duration of sx: ≥ 1 day, < 1 month
DIAGNOSED?
A- SCHIZOPHRENIA
B- BRIEF PSYCHOTIC DISORDER
C- DELUSINAL DISORDE
D- depression

10) Presence of ≥1 of: delusions; hallucinations; disorganized speech; grossly

disorganized/ WITH HISTORY OF SMOKING OF CANNABIS, Duration of
sx: ≥ 1 day, < 1 month DIAGNOSED?
A- SCHIZOPHRENIA
B- BRIEF PSYCHOTIC DISORDER
C- DELUSINAL DISORDE
D- DRUGE INDUCED PSYCHOSIS
11) Presence of of: delusions of persecution without hallucinations; disorganized
speech; grossly disorganized/catatonic behavior, Duration of sx: ≥ 30 day
A- SCHIZOPHRENIA
B- BRIEF PSYCHOTIC DISORDER
C- DELUSINAL DISORDE
D- DRUGE INDUCED PSYCHOSIS

12) Diagnosis of schizophrenia require at least one of the following except:

A-delusions
B-hallucinations
C-disorganized speech, behavior
D-insomnia
13) Diagnosis of schizophrenia require duration Continuous signs for at least
(psychosis + prodromal + residual sx)?
A- 6 months
B- 1month
C- 2weeks
D- 1year

14) Psychosocial Factors in schizophrenia include except:

A-Expressed emotion
B-Stressful life events
 C-Low socioeconomic class
D-brain damage
15) treatment of somatic symptom not include?
a- regular visits to trusted healthcare professional
b- psychotherapy
c- unnecessary investigations
d- anti-depressant

16) depression affect;

A-male<female
B-male>female
C-male=female
D-adult only

17) Variants of depression include except?

A-unipolar depression
B-bipolar depression
C-dysthymia
D-phobias

18) psychosocial factors in depression not include?

A-parenting
B-social support
C-viral infection
D-stress

19) Risk factors in depression increase with:

A-aging
B-high socioeconomic level
C-negative family history
d-less stressful events

20) psychological sequels of depression not include?

A-suicide
B-eating disorders
C-cognitive slowness
D-immune suppression

21) co morbidities with depression include?

A- anxiety disorders
B- substance abuse disorder
C- bipolar disorder
D- all of the above
22) depression is
A- treatable
 B- untreatable
C- usually, progressive
D- endocrinal disease
23) positive family history is a risk factor in mental illness?
A-true
B-false
24) neurotransmitters involved in depression include except?
A-serotonin
B-dopamine
C-norepinephrine
D-acetyl choline
25) electro convulsive therapy is safe?
A-true
B-false
26) Relaxation techniques is beneficial in depression and anxiety?
A-true
B-false
27) dystonic reaction is?
A-acute
B-chronic
28) tardive dyskinesia is?
A- long-term effect of antipsychotics
B- short term effect of anti-psychotics
29) Pseudo Parkinsonism treated by?
A-anti cholinergic
B-anti biotics
C-muscle relaxant
D-anti-inflammatory

30) Which of the following is true?

A- The exact cause of mental illness is well known

B- Psychological factors are the only cause for depression
C- Most mental illnesses are caused by a combination of several factors
D- Mental illnesses are untreatable

31) Which of the following is a psychological factor involved in mental illness?

 A- Injury
B- Brain tissue defects
C- Substance use
D- Sexual abuse

32) Which one of the following factors can contribute to mental illness?

A- Childhood psychological trauma

B- Early loss of a parent
C- Neglect
D- All of the above

33) a system of classification of mental illnesses includes except?

A- DSM-5
B- DSM-IV
C- ICD-10
D- Müller AO

34) Which of the following statements is false?

A- Sigmund Freud pioneered the psychoanalytic theory of psychiatry

B- In ancient Greece mental disorders were considered supernatural in origin
C- The 2 most prevalent mental illnesses are anxiety and depression
D- Schizophrenia can be treated by psychotherapy only

35) In psychiatric history taking, the present complaint is taken from

A- The patient only

B- The patient’s family only
C- The patient and the family
D- The patient’s previous medical records

36) In psychiatric history taking, which of the following is not relevant to the present
history of the disease?

A- Onset
B- Precipitating factors
C- Duration
D- Surgical history

37) A perception without stimulus would cause

A- Amnesia
B- Delusions
C- Hallucination
D- Obsessions

38) A disturbance of consciousness would cause

 A- Stupor
B- Irritability
C- Circumstantiality
D- Stammering

39) Which of the following is not a symptom of depression?

a. Feeling of sadness b. Sleep disturbances

c. Delusions of grandeur d. Suicidal thinking

40) About depression which is true?

A- In bipolar disorder patients alternate between episodes of depression and mania

B- The only symptom needed to diagnose depression is sleep disturbance
C- Depression is mainly treated by eating high-calorie food
D- Depressive disorders only occur in adults

41) Which of the following classes of drugs is used in treatment of bipolar depression

A- Selective Serotonin Reuptake Inhibitors

B- Tricyclic Antidepressants
C- Antibiotics
D- Mood stabilizing drugs

42) Which of the following is not used as treatment for depression

A- Cognitive behavioral psychotherapy

B- Serotonin-Norepinephrine Reuptake Inhibitors
C- Anti-viral drugs
D- Selective serotonin reuptake inhibitors

43) Which of the following statements is false?

A- Dysthymia has more severe symptoms than Major Depressive Disorder

B- Depression could occur as a result of abusing illicit psychoactive drugs
C- Depressive episodes can occur only once, but many people have more multiple
episodes
D- Loss of interest or pleasure in hobbies is a symptom of depression

44) An anxiety disorder is known by?

A- An emotional state identified by panic attacks

B- An emotional condition classified by excessive checking
C- Disordered thinking
D- An excessive or aroused state characterized by feelings of apprehension,
uncertainty and fear
45) Which of the following is a Drug treatment for social phobia?

A- Selective Serotonin reuptake inhibitors (SSRIs)

B- Antibiotics
C- Anti-viral drugs
D- Anti-inflammatory drugs

46) Which of the following physical symptoms are associated with Panic attacks?

A- Heart palpitations
B- Perspiring
C- Hyperventilating
D- All of the above

47) Which of the following is considered to be a symptom of social phobia?

A- Increased arousal
B- Avoidance and numbing of emotions
C- A persistent fear of social situations
D- All of the above

48) Which of the following statements best define specific phobia?

A- Excessive worry bouts triggered by nonspecific object or situation

B- An abnormal sensitivity to light
C- An excessive, unreasonable, persistent fear triggered by a specific object or situation
D- A persistent fear of social situations

49) Which of the following increases vulnerability to addiction?

A- Genetic factors
B- Environmental factors
C- Repeated Exposure to drug
D- All of the above

50) Which of the following substances cannot cause addiction?

A- Antidepressants
B- Sedative Hypnotics
C- Stimulants
D- Alcohol

51) Which of the following statements is false?

A- Repetitive drug use often alters brain functions

B- People who develop substance use disorder rarely have any other mental illnesses
C- Opioid painkillers can cause addiction
D- Managing substance use disorder is a lifelong job

52) Which of the following treatments are appropriate for substance use disorder?
 A- Detoxification
B- Medication to control withdrawal symptoms
C- Psychotherapy
D- All of the above

53) Which of the following is not a diagnostic criterion of substance use disorder
according to DSM.

A- Hazardous use
B- Social problems related to use
C- Repeated attempts to quit
D- Legal problems related to use

54) Extrapyramidal symptoms are most commonly caused by which of the following
classes of drugs?

A- Typical antipsychotics
B- Antidepressants
C- NSAIDs
D- All of the above

55) Which of the following is not an extrapyramidal symptom?

A- Facial muscle spasms

B- Involuntary movements of body parts
C- Restlessness
D- Olfactory hallucinations

56) Which of the following tracts is mainly associated with extrapyramidal

symptoms

A- Mesolimbic tract
B- Mesocortical tract
C- Nigrostriatal tract
D- Tuberoinfundibular tract

57) Extrapyramidal side effects are due to the blockage of which receptors?

A- Dopamine
B- Serotonin
C- α1-adrenergic
D- Norepinephrine

58) Which of the following statements is false?

A- Anticholinergic drugs could be used to treat dystonia

B- Increasing antipsychotic doses reduce the severity of EPS
C- Beta-blockers could be used to treat akathisia
D- Extrapyramidal symptoms could be acute or chronic
 59) Which of the following statements is false?

A- One or more somatic symptoms that are accompanied by excessive thoughts related
to the somatic symptoms
B- Patients with somatic symptom disorder often fake their symptoms
C- Somatic symptom disorder occurs in about 5 to 7 percent of the adult population
D- Somatic symptom disorder occurs when a person feels extreme, exaggerated anxiety
about physical symptoms

60) Which of the following is not a predisposing factor for somatic symptom
disorder?

A- Substance abuse
B- Being male
C- Physical abuse
D- Comorbid anxiety

61) Which of the following could be used to treat somatic symptom disorder?

A- Antidepressants
B- Medical reassurance
C- Psychotherapy
D- All of the above

62) Which of the following statements is true.

A- Somatic symptom disorder is usually associated with schizophrenia

B- Somatic symptom disorder is always associated with a known medical cause
C- Somatic symptom disorder disrupts the patient’s daily life and function
D- Somatic symptom disorder is treated using anti-epileptic drugs

63) To diagnose somatic symptom disorder, the patient must be symptomatic for at
least

A- 2weeks
B- 1month
C- 3 months
D- 6months

64) causse of somatic symptom includes except?

A- hypersensitivity to pain
B- family history
C- positive personality
D- inability to handle emotions

65) Normal anxiety is adaptive?

A. True
B. False
66) social anxiety more intense than shyness?
 A- True
B- false
67) panic disorder usually treatable?
A- True
B- false
68) bipolar 1disorder may have psychotic symptoms?
A-true
B-false
69) addiction is a neuropsychological characterized by persistent use drug despite adverse
consequences?
A-true
B-false
70) in somatic symptom disorder person has high level of anxiety about health or
symptom:
A- true
B- false