Rembe - Chapter 3 (MS) Flashcards

Psychiatry

1
Q

All of the following characteristics are exhibited by a passive-aggressive personality EXCEPT

Pouting
Stubbornness
Procrastination
Indecisiveness

A

Indecisiveness

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2
Q

All of the following characteristics are exhibited by a passive-dependent personality EXCEPT

Lack of self-confidence
Indecisiveness
Emotional dependency
Pouting

A

Pouting

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3
Q

A patient who is oversuspicious, with delusions of persecution, is pathognomonic of

Paranoia
Hebephrenia
Catatonia
Passive-aggressive personality

A

Paranoia

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4
Q

The term used to describe a condition in which a person has abnormal fear of heights is

Agoraphobia
Acrophobia
Algophobia
Mysophobia

A

Acrophobia

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5
Q

Which of the following is the most serious or severe form of mental disease?

Psychoneurotic disorder
Psychophysiologic disorders
Psychotic disorders
Psychosomatic disorders

A

Psychotic disorders

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6
Q

The earliest stage of development and associated appropriate behavior for the first year of life is

Oral period
Anal period
Genital period
Latency period

A

Oral period

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7
Q

The Bender Gestalt test can be used as

An individual motivator
A group IQ test
A measurement for verbal and abstract thinking
A projection test

A

A projection test

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8
Q

Avoidance learning by the patient is best described as

a. Not used for understanding neurotic behavior
b. Acts out his conflicts by aberrant behavior
c. The ego retains its reality-testing functions
d. Acquired from negative reinforcement

A

d. Acquired from negative reinforcement

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9
Q

In comparing the hebephrenic type with catatonic type of schizophrenic reaction the former includes

a. More frequent hallucination
b. Less frequent regression
c. No dissociation between affect and identical content
d. Very aggressive and destructive behavior

A

b. Less frequent regression

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10
Q

A psychotic reaction in which there is severe disturbance in affect so that the moods of the individual may swing between hyperactivity and hypoactivity is called

a. Schizophrenic reaction
b. Paranoid reaction
c. Involutional psychotic reaction
d. Manic-depressive reaction

A

d. Manic-depressive reaction

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11
Q

Klinefelter’s syndrome is characterized by

a. Male with multiple X chromosomes
b. Female with multiple X chromosomes
c. Female with less than two X chromosomes
d. Male with no X chromosomes

A

a. Male with multiple X chromosomes

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12
Q

Which of the following defense mechanisms is utilized by a paranoid patient?

Sublimation
Projection
Regression
Rationalization

A

Projection

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13
Q

All of the following are characteristics of a dependent personality EXCEPT

a. Physically deficient
b. Emotional responses below par
c. Unable to see a problem through to a successful conclusion
d. Show poor judgment

A

a. Physically deficient

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14
Q

All of the following are classified as personality pattern disturbances EXCEPT

a. Inadequate personality
b. Schizoid personality
c. Paranoid personality
d. Emotionally unstable personality

A

d. Emotionally unstable personality

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15
Q

Which of the following is characteristic of the paranoid personality?

a. Wide mood swings from elation to depression
b. Tendency for suspicion of the motivation of others
c. Extremely childish
d. Distortion in the passive and aggressive elements of the personality

A

b. Tendency for suspicion of the motivation of others

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16
Q

Which of the following statements is NOT applicable to the defense mechanism of rationalization?

a. It is one of the most common defense mechanisms used by the ego
b. It is used to a certain extent by nearly everyone
c. This mechanism helps prevent distress from developing within the ego
d. The original affect for one object is transferred to another object

A

d. The original affect for one object is transferred to another object

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17
Q

Which defense mechanism is being used by the ego when it reverts from a present level of psychosexual adjustment to a former more infantile level?

Isolation
Undoing
Regression
Displacement

A

Regression

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18
Q

The defense mechanism that unconsciously transfers normal body movements to abnormal is called

Conversion
Rationalization
Regression
Isolation

A

Conversion

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19
Q

All of the following statements are relevant to a neurosis or neurotic illness EXCEPT

a. Less severe than a psychosis
b. Thinking processes may be impaired
c. Judgment is impaired
d. Regressive behavior and attitudes

A

d. Regressive behavior and attitudes

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20
Q

All of the following etiological processes apply to the acute brain syndrome EXCEPT

Cerebral thrombosis
Cardiac failure
Cerebral embolism
Cerebral arteriosclerosis

A

Cerebral arteriosclerosis

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21
Q

All of the following statements apply to schizophrenia EXCEPT

a. Usually begins at about middle age
b. There is a break with reality
c. The onset may be sudden or it may be gradual
d. Unconscious material is no longer repressed by the ego

A

a. Usually begins at about middle age

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22
Q

In comparing hypomania to the manic syndrome, the former

a. Is more severe
b. The disturbance is personality function is more marked
c. Is outgoing, flamboyant, reckless, and impulsive
d. There is more of a tendency for suicide

A

c. Is outgoing, flamboyant, reckless, and impulsive

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23
Q

All of the following statements describe a compulsive personality EXCEPT:

a. There is a lack of overt obsessions or compulsions
b. The individual is a perfectionist
c. There is general rigidity of the personality
d. Tend to be suspicious of the motivation of others

A

d. Tend to be suspicious of the motivation of others

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24
Q

Conditioned response or respondent conditioning is the result of

Discrimination
Operant
Regression
Reinforcement

A

Reinforcement

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25
Q

Operant conditioning is a process in which the behavior is

Introjected
Denied
Strengthened
Isolated

A

Strengthened

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26
Q

The defense mechanism of reaction formation is quite closely related to

Undoing
Sublimation
Projection
Rationalization

A

Undoing

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27
Q

In considering petit mal disorders and similar psychomotor types, both have

a. The so-called aura
b. Brief duration
c. A tonic phase followed by a clonic phases
d. Amnesia for whatever occurred during the seizure

A

d. Amnesia for whatever occurred during the seizure

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28
Q

Which of the following is characteristic of a sensory disturbance developing as a conversion reaction?

a. Gradual onset
b. Stocking-like distribution over an extremity
c. A pattern of anesthesia following dermatome distribution
d. Produce no line of demarcation

A

b. Stocking-like distribution over an extremity

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29
Q

Which of the following personality disorders is LESS incapacitating to the individual’s adjustment?

Inadequate personality
Cyclothymic personality
Paranoid personality
Compulsive personality

A

Compulsive personality

30
Q

Which of the following conditions may lead to extreme violence in which maniacal crimes may be committed

Grand mal epilepsy
Petit mal epilepsy
Psychomotor equivalent
Manic-depressive psychosis, manic phase

A

Psychomotor equivalent

31
Q

Which of the following drugs assists schizophrenic individuals to function more effectively?

Lithium Carbonate
Methylphenidate
Nortriptyline
Fluphenazine enanthate

A

Fluphenazine enanthate

32
Q

The difference between schizophrenia and schizophreniform disorders is

Age at onset
Duration of illness
Nature of symptoms
Absence of stress

A

Duration of illness

33
Q

Purposeful forgetting of internal urgings or external events which would be painful for the ego is an example of

Sublimation
Projection
Rationalization
Repression

A

Repression

34
Q

An individual with symptoms of delusion for the past 8 months probably can be diagnosed as

Acute paranoid
Folie a deux
Paranoia
Schizophrenia

A

Paranoia

35
Q

The most frequent type of schizophrenic disorder admitted to the hospital is

Catatonic
Paranoid
Autistic
Hebephrenic

A

Paranoid

36
Q

The triad of wernicke’s syndrome includes all of the following EXCEPT

Clouded consciousness
Ophthalmoplegia
Amnesia
Ataxia

A

Amnesia

37
Q

The triad described by Korsakoff included all of the following EXCEPT

Amnesia
Confabulation
Ataxia
Peripheral neuropathy

A

Ataxia

38
Q

A psychoneurosis characterized by the presence of one or more unexplained, severe, or unrealistic fears is called

Dissociative reaction
Conversion reaction
Obsessive-compulsive reaction
‘Phobic reaction

A

‘Phobic reaction

39
Q

A condition of pathological overeating is called

Porphyria
Dysphagia
Enuresis bulimia
Binge eating disorder

A

Binge eating disorder

40
Q

Tourette’s disorder is characterized by

Barks, grunts, or snorts
Bed wetting
Sleep walking and terrors
Encopresis and colic

A

Barks, grunts, or snorts

41
Q

Anorexia nervosa is a disorder that causes

Severe vomiting
Severe weight gain
Severe weight loss
Severe diarrhea

A

Severe weight loss

42
Q

A condition which, if untreated, results in mental retardation is

Pavor nocturnus
Phenylketonuria
Folie a deux
Pick’s disease

A

Phenylketonuria

43
Q

The ego

a. Exists at birth
b. Is undifferentiated as far as psyche structure is concerned
c. Assumes control of conscious activity
d. Is absorbed in the unconscious soon after birth

A

c. Assumes control of conscious activity

44
Q

That portion of the personality termed the superego is

a. Unconscious in its entirety
b. The reservoir of instincts
c. The intermediary between the unconscious and the outside world
d. The individual censorship mechanism between right and wrong

A

d. The individual censorship mechanism between right and wrong

45
Q

The chief mechanism whereby the superego enforces its demands upon the psyche is in the production of

Somatic illness
Anxiety
Guilt
Fear

A

Guilt

46
Q

Which of the following symptoms is basic to every type of psychoneurosis?

Hysteria
Anxiety
Some type of somatic disturbance
Amnesia

A

Anxiety

47
Q

Personality disorders of children include all of the following EXCEPT

Chronic aggressive reaction
Juvenile delinquency
Passive-aggressive reaction
Anxiety reaction

A

Anxiety reaction

48
Q

Briquet’s disease is a form of

Hypochondria
Hallucination
Hebephrenia
Hysteria

A

Hysteria

49
Q

Which is a characteristic of a dysthymic disorder?

a. Recurrent, mild moods of hypomania and depression
b. Poor response to psychotherapy
c. Absence of psychomotor symptoms
d. Chronic severe depression

A

d. Chronic severe depression

50
Q

Which of the following statements is true of uncomplicated bereavement?

Individuals affected consider it normal
It involves guilt feelings
It varies in duration by individual
All of the above

A

All of the above

51
Q

Characteristics of the cyclothymic personality include

a. Wide mood swings from elation to depression
b. Tendency of suspicion of the motivation of everyone
c. Extremely childish behavior
d. Distortion in the passive and aggressive elements of personality

A

a. Wide mood swings from elation to depression

52
Q

Which of the following best describes tardive dyskinesia?

a. Misdiagnosed as psychomotor retardation
b. Persistent involuntary abnormal movements
c. Complication of lithium
d. Best treated with anticholinergic medication

A

Persistent involuntary abnormal movements

53
Q

Which of the following conditions are diagnosed more often in men than in women?

Nutritional disorders
Mineral disorders
Affective disorders
Antisocial personality

A

Antisocial personality

54
Q

All of the following are childhood adolescent adjustment disorders EXCEPT

Enuresis
Paranoid delusions
Pica
Nightmares

A

Paranoid delusions

55
Q

The most common drug used by American teenagers is

Heroin
Marijuana
Alcohol
Speed

A

Alcohol

56
Q

After the first episode of schizophreniform disorder a patient usually experiences

Stages of exuberance
Paranoid reaction
Depression
Somatization disorder

A

Depression

57
Q

A defense mechanism by society as a whole which diverts unacceptable drives into socially acceptable channels is known as

Substitution
Rationalization
Sublimation
Incorporation

A

Sublimation

58
Q

A psychotic patient is under the delusion that a certain part of his body is nonexistent. The term used to describe this condition is

Narcolepsy
Neologism
Nihilism
Autism

A

Nihilism

59
Q

A schizophrenic patient used stereotyped meaningless repetition of words. This is known as

Perseveration
Neologism
Narcolepsy
Verbigeration

A

Verbigeration

60
Q

Dysphagia is a term used to describe

a. Difficult or painful swallowing
b. Impaired or difficult speech
c. A person with disturbed orientation with respect to time, space, or place
d. A congenital defect of the spinal cord

A

a. Difficult or painful swallowing

61
Q

Which of the following terms is used as a defense mechanism associated with depression?

Delusion
Denial Introjection
Dependency

A

Dependency

62
Q

Which of the following terms is used to describe the condition of a person who is unable to produce normal speech sounds?

Asthenia
Autism
Aphonia
Ataractic

A

Aphonia

63
Q

An acute or chronic brain syndrome is characterized by impairment of all the following components EXCEPT

Memory
Intellectual functions
Judgment
Speech

A

Speech

64
Q

A person with an organic brain disorder is unable to recognize familiar objects through visual, auditory, or somesthetic impressions and to interpret their significance. The term used to describe this condition in general is

Aphasia
Agnosia
Apraxia
Aphonia

A

Agnosia

65
Q

A stroke patient is unable to talk to name common objects, or to formulate words because of brain damage. This condition is termed

Aphasia
Agnosia
Apraxia
Akathisia

A

Aphasia

66
Q

Defense mechanisms are used to resolve emotional conflict. All of the following are common defense mechanisms EXCEPT

Compensation
Identification
Projection
Depression

A

Depression

67
Q

A syndrome that is affected by the use of drugs is

Hypnagogic imagery
Hypesthesia
Iatrogenic
Oligophrenia

A

Iatrogenic

68
Q

A pathological preoccupation or morbid compulsion involving alcoholic beverages is called

Ergomania
Dipsomania
Nymphomania
Megalomania

A

Dipsomania

69
Q

Frequently in schizophrenia, a person may coin a new word or condense a combination of words that expresses a complex meaning related to his conflicts. These words or phrases are not readily understood by anyone else and are termed a

Neologism
Nihilism
Voyeurism
Narcissism

A

Neologism

70
Q

The term used to describe a condition of uncontrollable, excessive talking is

Libido
Logorrhea
Iatrogenic illness fugue

A

Logorrhea

71
Q

About 25% of all first admissions to mental hospitals are classified as

Paranoid reaction
Schizophrenic reaction
Manic-depressive reaction
Involutional psychotic reaction

A

Schizophrenic reaction

72
Q

Approximately what percentage of patients in mental hospitals have a diagnosis of schizophrenia?

10% or less
10%-20%
20%-30%
40%-50%

A

40%-50%