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    Psychiatry MCQs LJ

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    Anwaar Yousaf
    This document contains a quiz on psychiatric disorders. It includes multiple choice questions testing knowledge of topics like indicators of organic illness, characteristics of delirium, the Mini-Mental State Examination, causes of violent behavior, use of restraints, suicide risk factors and methods, schizophrenia, dementia, the DSM-IV classification system, and features of specific disorders like conversion disorder and bipolar disorder.

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    Psychiatry MCQs LJ

    Uploaded by

    Anwaar Yousaf
    2K views5 pages
    This document contains a quiz on psychiatric disorders. It includes multiple choice questions testing knowledge of topics like indicators of organic illness, characteristics of delirium, the Mini-Mental State Examination, causes of violent behavior, use of restraints, suicide risk factors and methods, schizophrenia, dementia, the DSM-IV classification system, and features of specific disorders like conversion disorder and bipolar disorder.

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    This document contains a quiz on psychiatric disorders. It includes multiple choice questions testing knowledge of topics like indicators of organic illness, characteristics of delirium, the Mini-Mental State Examination, causes of violent behavior, use of restraints, suicide risk factors and methods, schizophrenia, dementia, the DSM-IV classification system, and features of specific disorders like conversion disorder and bipolar disorder.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    2K views5 pages

    Psychiatry MCQs LJ

    Uploaded by

    Anwaar Yousaf
    This document contains a quiz on psychiatric disorders. It includes multiple choice questions testing knowledge of topics like indicators of organic illness, characteristics of delirium, the Mini-Mental State Examination, causes of violent behavior, use of restraints, suicide risk factors and methods, schizophrenia, dementia, the DSM-IV classification system, and features of specific disorders like conversion disorder and bipolar disorder.

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    © All Rights Reserved
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    of 5
    At a glance
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    Some key points about various psychiatric disorders are discussed including schizophrenia, delirium, suicide, dementia, and conversion disorder. Diagnostic criteria and risk factors are outlined.

    According to the passage, schizophrenia is associated with blunted emotions, lack of volition responsive to antipsychotics, and loosening of associations. However, drugs do not cause schizophrenia.

    According to the passage, delirium is characterized by a fluctuating or decreased level of consciousness and disorientation.

    MCQ PSYCHIATRIC DISORDERS SUSAN TUCKER

    1.High yield indicators of an organic illness include all of these except?


    a) disorientation
    b) rapid onset
    c) no pre morbid decline
    d) a score of 23 on Folsteins Mini Mental state Examination
    e) first presentation of mental illness

    2.Delerium is characterized by all except?


    a) fluctuating or decreased level of consciousness
    b) disorientation
    c) age greater than 40
    d) visual hallucinations and delusions
    e) movement disorders

    3.Regarding Folsteins Mini Mental State examination which is incorrect?


    a) it is scored out of thirty
    b) its aim is aid in the determination of whether an illness is organic or psychiatric in origin
    c) a score of 20 or less indicates cognitive impairment
    d) it includes calculation, memory recall and comprehension
    e) orientation makes up 10% of the marks

    4.Do a Mini Mental State Examination on your study buddy.

    5.With regards to violent behaviour which is false?


    a) organic disorders are a more frequent cause of violent behaviour than psychiatric disorders in
    Australian hospitals
    b) hypoxia, head injury and dementia are frequently identified organic mental disorders causing violence
    c) a violent patient should be triaged national triage category 2
    d) an agitated pt who is loud and pacing excessively is likely to become aggressive
    e) a violent patient cannot be legally chemically restrained if they specifically ask not to be

    6.The general indications for the use of chemical and physical restraint include all except?
    a) at the patients request
    b) to prevent s significant harm to the environment of the emergency department
    c) to allow evaluation, investigation and treatment of the patient
    d) to facilitate taking of a police blood alcohol sample
    e) to prevent imminent harm to the patient or to others

    7.With the use of physical restraints all are true except?


    a) they should be non-locking
    b) vital sign should be taken every fifteen minutes
    c) the pt should be supervised at all times
    d) the doctor must document the requirement for restrains
    e) there must be temporary relief of one of the four point restraints every hour to minimize neurovascular
    compromise

    8.With regard to chemical restraint which is false?


    a) the end point of rapid tranquilization is sedation
    b) diazepam should not be given i.m.
    c) a patient should be offered oral sedation first
    d) the antipsychotic agents should not be used in seizure prone patients
    e) both the i.v amd the i.m routes are acceptable routes of administration
    9.With regards to suicide which is false?
    a) the most common methods of suicide in Australia include hanging, firearms and CO poisoning
    b) suicide is the leading cause of death under 30 years of age in Australia
    c) suicide is more likely if you are male, single and unemployed
    d) there is pre-existing psychiatric illness in 90-100% of pts who suicide
    e) 20% of schizophrenic pts die by suicide, usually during an acute psychotic phase of the illness

    10.With regard to suicide and deliberate self harm which is false?


    a) the peak age for suicide for men is in the early 20s
    b) the peak age for suicide for women is in the early 30s
    c) the most common cause of DSH is self poisoning
    d) a score of 10 on the sad persons scale suggests a high risk of suicide
    e) a score of 8 on the sad persons scale suggests a low risk of suicide

    11.Complete this sad person scale below. ie what do the letters stand for?

    S
    A
    D
    P
    E
    R
    S
    O
    N
    S

    12.With regards to schizophrenia which is false?


    a) it affects 1% of the population
    b) it usually has a gradual onset over months
    c) there is up to a 25% incidence of secondary depression
    d) the diagnosis of schizophrenia can only be made after the illness has been going for 6 weeks
    e) the earlier the onset the worse the prognosis

    13.Which is false with regards to dementia?


    a) there is a disturbance of cognitive and higher cortical functioning
    b) consciousness is sometimes clouded but not always
    c) it is characterized by short term memory loss
    d) there is also some evidence of global memory impairment
    e) it is a disease of the elderly

    14.Which is incorrect with regard to the DSM IV classification of psychiatric illness?


    a) Axis 1 describes the clinical syndrome of mental disorder
    b) Axis V describes the global assessment of functioning
    c) A lacerated wrist would be an Axis III disorder
    d) Borderline personality disorder would be an axis IV disorder
    e) Dementia and delerium can be an Axis I diagnosis
    f) Alcohol intoxication can be an Axis I diagnosis

    15.Which is not a positive symptom of schizophrenia?


    a) hallucinations
    b) delusions
    c) disorganized behaviour
    d) disorganized speech
    e) lack of volition

    16.Which is not true of major depression?


    a) it affects 10% of the population
    b) it is more common in men
    c) the symptoms must be present for at least two weeks to make the diagnosis
    d) it is more common if an individual has a family history of depression
    e) it is primarily due to a disorder of noradrenaline and serotonin in the limbic system

    17.Conversion disorder, which is false?


    a) the patient consciously produces the symptom
    b) the symptom cannot be explained by a known organic aetiology
    c) the symptom expressed is a loss or change in physical function, suggesting a physical disorder
    d) the symptom is not pain
    e) the patient must have experienced a recent psychosocial stressor

    ANSWERS
    1)D 2)E 3)E 4)30 5)E 6)D
    7)E 8)A 9)E 10)E 11)D 12)D
    13)B

    14)D 15)E 16)B 17)A

    20/8/14: 11/15

    13Which of the following patient features is LEAST associated with the risk of suicide?

    a) Male gender
    b) Divorced
    c) Excessive drug use
    d) Loss of rational thought
    e) Age between 19 and 65 years

    9. In conversion disorder (psychiatry)

    A. pain is commonly a factor in presentation


    B. often have varied presentations
    C. usually has a dramatic presentation

    10. anxiety related Hyperventilation- repeat q

    A. more common in females


    B. is related to hypophasphatemia
    A

    42. According to the Sad Persons Scale used to assess suicide risk, which of the following features scores 2
    points?
    a) loss of rational thinking
    b) excessive drug use
    c) single, separated or divorced
    d) male gender
    e) severe personality disorder
    Cam 512

    1. Schizophrenia is associated with


    a) a predominant pattern of acute onset of symptoms and signs
    b) blunting of emotion and lack of volition which is responsive to anti-psychotic medication
    c) loosening of associations
    d) psychosis of less than 4 weeks duration after a stressful trigger
    e) rapid, pressurised speech
    Tint 1909-1910

    57. Which ONE of the following is NOT an early characteristic or association of senile dementia:
    a) Demonstrable cortical atrophy
    b) Paranoid delusions
    c) Onset after 65 years of age
    d) Loss of long term memory
    e) Loss of short term memory

    1. All of the following characteristics are associated with an increased suicide risk EXCEPT
    A. psychosis
    B. unemployment
    C. chronic illness
    D. first attempt
    E. readily available lethal weapon

    49) Regarding differentiation of dementia with depression which of the following is useful
    a. Early loss of short term memory loss
    b. Answers all questions with dont know
    c. Loss of autonomy at home
    d.
    e.

    50) With respect to schizophrenia which is false


    a. An associated delusional disorder is characteristic
    b. Olfactory hallucinations are common
    c.
    d.
    e.

    31) Regarding the diagnosis of schizophrenia which of the following is TRUE?


    a. According to DSM IV criteria all patients with the diagnosis of schizophrenia must have hallucinations
    b. 10% of patients have a 1st degree relative with the condition
    c. Drugs can cause schizophrenia
    d. As
    e. As

    31) Regarding the diagnosis of schizophrenia


    a. According to DSM IV criteria must have hallucinations. False 2 of hallucinations, disorganized speech
    (due to thought disorder), delusions or bizarre behavior and negative symptoms
    b. 10% have 1st degree relative with the condition. ? not sure, there is some familial predisposition but its
    not this strong
    c. Drugs can cause schizophrenia. False can cause drug induced psychosis

    12. Features consistent with bipolar disorder include all the following except
    Impulsivity
    Lack of remorse
    Unstable relationships
    Labile emotions
    Self harm behaviour

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