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Psychiatry Final Exam-2011

1. Mention how would you approach a patient(young female) with psychotic symptoms ,
including lines of management .

2. Mention the diagnostic criteria for the following :
Somatization disorder
Major depressive episode (MDE)
Conversion disorder
Social phobia

3. Compare between :

Symptom oriented vs. Insight oriented interview
OCD and obsessional personality
Factitious disorder and malingering
Pseudo dementia and dementia

4. Define the following :
Neuroleptic malignant syndrome
Hypertensive crisis
Adjustment disorder
Delusion of control
Euphoric mood
Fuge
Catalepsy
Vaginismus
Trichotilomania
Reflex hallucination

5. 20 MCQs :
1. Risk of suicide increase in the following except : age >45 , male>female ,
numbibg and dissociative symptoms, suicide note, psychosis
2. (Note ,incidence of suicide is higher in female ,,however ,because males succeed
more than females in suicide , this is considered a high risk ,,so it is not the
answer ).
3. The following drug is the most teratogenic : lithium , diazepam , imipramine ,
flouxetine,?,
4. In hypochondriasis all true except : maladaptive reaction , male>female ,
doctors shopping , physical complications occur because of repeated diagnostic
testing , ?,
5. In DSM 4 , the following contains dissociative symptoms : PTSD , acute stress
disorder , dissociative disorder , conversion disorder , all of the above
6. The following is sexual dysfunction disorders except : desire disorder , sadism ,
sexual pain disorder ,,,
7. The patient is aware in the following disorder ???: factitious disorder with
physical symptoms , conversion , somataization , hypochondriasis,,,,
8. Q about ecstasy
9. In anorexia nervosa all true except : loss of control
10. The following are S.E of classical antipsychotics except : increased seizure
threshold
11. Main defense mechanism in borderline personality disorder is : (I think splitting)
12. Q about histrionic personality , all true except : (may be the answer is , suicide
but I am not sure )
13. Q about factors causing recurrence in schizophrenia
14. Q about GAF
15. Q about dissociative amnesia all true except..( one of the choices was ,,
Presence of antegrade and retrograde amnesia,,, I think it is the answer because
in dissociative amnesia ,,the problem is inability to recall important
info.,(retrograde amnesia only ),,but I am not sure whether it is the correct
answer or not..because other choices were doubtful as well,, but I dont
remember them)
How would you act if the interview was with a paranoid patient ..friendly, explain every
action to him,,,,,


insight
Senseless repetition of gall directed movement
Q about "narcolepsy"
Q about "ecstasy"
Which drug is most teratogenic?
Depression : effect on REM, REM latency & DEEP SLEEP
Defense mechanism in borderline PD
Your act with patient complaining of psychotic features
Q about anorexia nervosa
Q about antipsychotic " effect on seizure threshold"
Q about psychogenic amnesia
Which one causes dissociative symptoms
Good luck

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