Psychiatry : 1200 questions to help you pass the boards PDF
Preview Psychiatry : 1200 questions to help you pass the boards
4619_Mathews_FMppi-vi 11/12/04 10:32 AM Page i P S Y C H I AT RY : 1200 • • • • • • • • • • • • • • • • • • • • • • QUESTIONS TO HELP YOU PASS THE BOARDS • • • • • • • • • • • • • • • • • • • • • • 4619_Mathews_FMppi-vi 11/12/04 10:32 AM Page ii 4619_Mathews_FMppi-vi 11/30/04 2:09 PM Page iii P S Y C H I A T R Y : • • • • • • • • • • • • • • • • • • • • 1200 QUESTIONS TO HELP YOU PASS THE BOARDS • • • • • • • • • • • • • • • • • • • • MAJU MATHEWS, MD, MRCPsych, DipPsych Drexel University College of Medicine Philadelphia, Pennsylvania KUMAR BUDUR, MD, (DCP, IRELAND) (MRCPsych, UK) Cleveland Clinic Foundation Cleveland, Ohio BIJU BASIL, MD, DipPsych Drexel University College of Medicine Philadelphia, Pennsylvania MANU MATHEWS, MD Cleveland Clinic Foundation Cleveland, Ohio 4619_Mathews_FMppi-vi 11/12/04 10:32 AM Page iv Acquisitions Editor: Charles W. Mitchell Managing Editor: Stacey Sebring Project Manager: Fran Gunning Manufacturing Manager:Benjamin Rivera Marketing Manager: Adam Glazer Production Services: Nesbitt Graphics, Inc. Printer: Maple Press © 2005 by LIPPINCOTT WILLIAMS & WILKINS 530 Walnut Street Philadelphia, PA 19106 USA LWW.com All rights reserved. This book is protected by copyright. No part of this book may be repro- duced in any form by any means, including photocopying, or utilized by any information stor- age and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as U.S. government employees are not covered by the above-mentioned copyright. Printed in the USA Library of Congress Cataloging-in-Publication Data Psychiatry : 1200 questions to help you pass the boards / Maju Mathews [et al.]. p. ; cm. Includes index. ISBN 0-7817-6106-9 (alk. paper) 1. Psychiatry—Examinations, questions, etc. I. Mathews, Maju. [DNLM: 1. Mental Disorders—Examination Questions. 2. Psychiatry—Examination Questions. WM 18.2 P9745 2005] RC457.P7725 2005 616.89'0076—dc22 2004025670 Care has been taken to confirm the accuracy of the information presented and to describe gen- erally accepted practices. However, the authors, editors, and publisher are not responsible for errors or omissions or for any consequences from application of the information in this book and make no warranty, expressed or implied, with respect to the currency, completeness, or ac- curacy of the contents of the publication. Application of the information in particular situation remains the professional responsibility of the practitioner. The authors, editors, and publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accordance with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regu- lations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any change in indications and dosage and for added warnings and precautions. This is particularly important when the rec- ommended agent is a new or infrequently employed drug. Some drugs and medical devices presented in the publication have Food and Drug Administration (FDA) clearance for limited use in restricted research settings. It is the respon- sibility of the health care provider to ascertain the FDA status of each drug or device planned for use in their clinical practice. 10 9 8 7 6 5 4 3 2 1 4619_Mathews_FMppi-vi 11/12/04 10:32 AM Page v Contents Contents v ........................................................................... Preface vi ............................................................................. 1. Psychopathology 1 ..................................................... 2. Schizophrenia 19 ....................................................... 3. Mood Disorders 53 .................................................... 4. Anxiety Disorders 87 ................................................. 5. Geriatric Psychiatry 113 ............................................ 6. Child Psychiatry 123 .................................................. 7. Consultation Liaison Psychiatry 141 ........................... 8. Forensic Psychiatry 161 ............................................. 9. Substance Use 171 ..................................................... 10. Eating Disorders and Sexual Disorders 195 ................. 11. Mental Retardation 207 ............................................. 12. Sleep Disorders 217 ................................................... 13. Personality Disorders 223 .......................................... 14. Psychopharmacology 229 ........................................... 15. Psychotherapy 287 ..................................................... 16. Psychology 305 .......................................................... 17. Emergency Psychiatry 325 .......................................... 18. Neurology 335 ........................................................... 19. Miscellaneous Questions 401 ...................................... 4619_Mathews_FMppi-vi 11/12/04 10:32 AM Page vi Preface T here is a dearth of books aimed at candidates preparing for the Part I Examination of the American Board of Psychiatry and Neurology. A few ques- tion and answer textbooks are available, but most of them target a wider audi- ence comprised of medical students, those preparing for USMLE Steps 2 and 3, and residents. The authors hope to fill this void by publishing this book. This book contains approximately 1200 questions about psychiatry and neurology with detailed answers and explanations, making it one of the very few books in this format exclusively targeted at those preparing for Psychiatry Boards. However, the authors believe that it will also be helpful for psychiatry residents preparing for the PRITE and psychiatrists preparing for recertifica- tion exams, and to provide insight for practicing psychiatrists. This book is divided into 19 chapters, each focusing on a different topic, which makes preparation easier. Special emphasis has been placed on psycho- pharmacology and neurology, which are a significant part of the Boards. In addition to being a comprehensive learning tool, this book can be used to identify strengths and weaknesses and the candidate’s own command of the subject. This book should ideally be supplemented with readings from more detailed and established psychiatry textbooks. We wish to thank Charley Mitchell and Stacey Sebring of LWW for their unstinted support and the confidence they placed in us. The authors would also like to thank our spouses Joanne, Kiran, Sajitha, and Shiny for putting up with us during the long hours we spent on this painstaking work. MAJUMATHEWS KUMARBUDUR BIJUBASIL MANUMATHEWS 4619_Mathews_Ch01_p001-018 11/12/04 10:19 AM Page 1 1 Chapter PSYCHOPATHOLOGY Q UESTIONS 1. Disorientation to place is seen in A. Severe anxiety B. Wernicke’s encephalopathy C. Korsakoff’s psychosis D. Acute manic episode E. Depression 2. Somatic symptoms of severe anxiety include all of the following except A. Diarrhea B. Constipation C. Sighing D. Hypoventilation E. Impotence 3. All of the following are normal experiences except A. Déjà vu B. Jamais vu C. Derealization D. Hallucinations E. Delusional perception 4. Which of the following is true about a primary delusion? A. It is always grandiose. B. It can occur in normal people. C. It is frequently systematized to secondary delusions. D. It may be secondary to auditory hallucinations. E. It is rarely preceded by delusional mood. 1 4619_Mathews_Ch01_p001-018 11/12/04 10:19 AM Page 2 2 Chapter 1 Psychopathology 5. Which of the following is true about concrete thinking? A. It is usually seen in bipolar disorder. B. It is diagnostic of schizophrenia. C. It is diagnostic of organic brain disease. D. It is a defect of conceptual abstract thought. E. It is always seen in schizophrenia. 6. Psychotic depression is characterized by A. Circumstantiality B. Jamais vu C. Hypnagogic hallucinations D. Nihilistic delusions E. Flight of ideas 7. Which of the following is true about pseudohallucinations? A. They possess the vivid quality of normal perceptions. B. They are dependent on external stimuli. C. They cannot be overcome voluntarily. D. They arise in inner space. E. They do not appear spontaneously. 8. Obsessions can occur in the form of A. Cravings B. Delusions C. Panic attacks D. Sexual impulses E. Hallucinations 9. Pseudodementia is characterized by A. Abnormal EEG B. Chronic course C. Onset with depressive features D. Localized neurological signs E. Confabulation 10. Which of the following is true of tangentiality? A. It is pathognomonic of schizophrenia. B. It is characteristic of mania. C. It is a disorder of thought. D. It is a disorder of perception. E. It is the same as circumstantiality. 4619_Mathews_Ch01_p001-018 11/12/04 10:19 AM Page 3 CChhaapptteerr 11 PPssyycchhooppaatthhoollooggyy 33 11. Which of the following is true about Capgras syndrome? A. It is also called erotomania. B. It is also called delusion of doubles. C. It is usually associated with brain disease. D. It is the same as hysteria. E. It is seen in husbands of pregnant women. 12. First-rank symptoms of schizophrenia A. Include second-person and third-person hallucinations B. Include incongruity of affect C. Are diagnostic of schizophrenia D. Include passivity phenomena E. Are not seen in conditions other than schizophrenia 13. Which of the following is not a Schneider first-rank symptom? A. Thought withdrawal B. Somatic passivity C. Third-person auditory hallucinations D. Delusional perception E. Thought block 14. Which of the following is true about obsessional thoughts? A. They are rarely of a sexual nature. B. They are best treated by thought stopping. C. Desipramine is the drug of choice. D. They always give rise to compulsions. E. They are ego-dystonic. 15. Which of the following is true regarding passivity experiences? A. They include echo de la pense. B. They exclude thought broadcasting. C. They are common in bipolar disorder. D. They are also called made experiences. E. They occur in obsessional states. 4619_Mathews_Ch01_p001-018 11/12/04 10:19 AM Page 4 4 Chapter 1 Psychopathology 16. Frequent wrist cutting is seen in all of the following except A. Borderline personality disorder B. Schizophrenia C. Depression D. Obsessive-compulsive personality disorder E. High states of tension 17. Which of the following is not a disorder of thought process? A. Omission B. Substitution C. Blurring of conceptual boundaries D. Knight’s move thinking E. Paranoid delusions 18. The experience of seeing one’s own body projected into external space is called A. Reflex hallucination B. Autoscopic hallucination C. Hypnagogic hallucination D. Pseudohallucination 19. Which of the following is true about depersonalization? A. It is a psychotic experience. B. It is treated with phenobarbitone. C. It is usually pleasant. D. It is associated with depression. E. It is recognized as odd. 20. Which of the following is true about the reliability of psychiatric diagnosis? A. It is not increased by training psychiatrists. B. It is not important if validity is guaranteed. C. It is increased by semistructured interviews. D. It is not increased by operational definitions. E. It has not been tested internationally.
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