Psychiatry Sec C – Mock Prelims

1st Lecture: Psych Interview

1. A specific interview technique wherein the doctor paraphrases to a patient; repeating what the patient had said

to ensure that the doctor understood the patient's answer.

A. Faciltation B. Content C. Reflection D. Process

2. In beginning of the interview, the psychiatrist should do the following except:

A. Establish rapport B. Put the patient at ease C. View one’s patient with stigma

D. Show respect E. A, B and D ONLY

3. A specific interview technique wherein the physician points out to a patient something to which the doctor

thinks the patient is not paying attention, missing or denying

A. Interpretation B. Reflection C. Self-revelation D. Confrontation

4. This specific technique allows patient to contemplate, to cry, just sit in an accepting comfortable environment.

A. Silence B. Clarification C. Reflection D. Facilitation

5. In this style of psychiatric interview, patient attempts to elicit unconscious conflicts, anxieties and defenses.

A. Descriptive B. Symptom-oriented C. Psychodynamic D. None of the above

6. This technique is given only after the patient is allowed to talk freely about their problems so that physicians

have an adequate information base from which to make suggestions.

A. Facilitation B. Silence C. Advice D. Reflection

7. This/These statement/s is/are true in ending an interview EXCEPT:

A. Doctors should give patients a chance to ask questions and should let patients know as much as possible about

future plans.

B. Any prescription of medication should be spelled out clearly and simply

C. Doctors should acknowledge the patients for sharing the necessary information

D. None of the above.

8. Thoughts are associated by the sounds of words rather than by their meaning

A. Circumstantiality B. Clang association C. Derailment D. Flight of ideas

9. This character or quality of a physician is described as the capacity to remain firm and deal with insecurity and

dissatisfaction.

A. Infinite Patience B. Composure C. Imperturbability D. Ability to Endure Frustration

10. A specific interview technique wherein the doctor attempts to get details from the patient about what they

have already said

A. positive reinforcement B. confrontation C. Summation D. clarification

11. During the interview, Mr. John Doe suddenly started threatening Dr. Alberto and made bad remarks about

him when the latter asked about his drug addiction and failed rehabilitations. However, Dr. Alberto remained

calm and stood firm despite the patient's violent reactions. What good quality of a physician was evident in the

situation?

A. Imperturbability B. Compassion C. Clear judgment D. Tenacity

12. In a psychiatric interview, this/these feature/s is true to a '' broad, open- ended'' type of question.

A. It may lead to non-reproducible answers. D. both A and B

B.The Interviewer selects the topic. E. All of the above

C.The intent of question is clear

13. The ability to handle stressul situation with an undisturbed, even temper.

A. Bravery B. Infinite patience C. Equanimity D. Composure

14. In this specific technique interview, doctor states something about a patient’s behavior or thinking of which

patient is not aware of. It also helps clarify interrelationships that the patient may not see.

A. Summation B. Explanation C. Interpretation D. silence

15. A psychiatrist saying, “I appreciate your telling me that you have stopped taking your medication. Can you

tell me what the problem was?" is applying what specific technique in interviewing a patient?

A. Facilitation B. Transition C. Reassurance D. Positive Reinforcement

16.Stresses in a psychiatric patient, EXCEPT:

A. Oddities of behavior B. Personal appearance C. Stigma D. None of the above

17. The ff. are false about special techniques in doing an interview except :

A. Silence is when the doctor repeats to a patient, in a supportive manner, something the patient had said

B. Confrontation allows the patient to contemplate and to cry

C. Clarification is when the doctor asks his patient about what they have previously said "You are feeling

depressed. When do you feel most depressed"?

D. All are true

18. All are common interview techniques except:

A. Let the patient talk freely enough to observe how tightly the thoughts are connected.

B. Ask about suicidal thoughts.

C. Determine the patients chief complaint.

D. Establish interview questions that can be answered by yes or no.

19. Which of the following statements bests use the technique of Interpretation?

A. “What you have done may not have killed you, but it's telling me that you are in serious trouble right now and

that you need help so that you don't try suicide again.”

B. “You are feeling depressed. When do you feel most depressed?”

C. “I appreciate your telling me that you have stopped taking your medication. Can you tell me what the problem

was? “

D. “When you talk about how angry you are that your family has not been supportive, I think you're also telling

me how worried you are that I won't be there for you either. What do you think? “

20. it is defined as a pervasive and sustained emotion that the colors the person's perception of the world.

A. reflection B. confrontation C. positive reinforcement D. mood

21. A specific technique wherein the doctor increases the patient's confidence and increase in trust and

compliance

A. Advice B. Reassurance C. Positive reinforcement D. None

22. In ending the interview, one must:

A. Thank the patient for the necessary information given and let the patient know that all the information

aregelpful

B. Request for the presence of another person

C. Discuss the payment and fees of the patient

D. All of the above

23. The patient tells the doctor: "I've been feeling down very lately". The doctor replies: "Tell me more about

what you mean by feeling down?" This kind of specific technique is:

A. Advice B. Transition C. Summation D. Positive reinforcement

24. During the interview, Dr. Abad summarizes what the patient has said thus far and says "Ok, I just want to

make sure that I've got everything right up to this point." The specific technique done by the doctor is:

A. Transition B. Reassurance C. Summation D. Both a and c

25. To establish rapport with the patient:

A. Find the patients pain and express compassion

B. Balance the roles of being an empathic listener, expert and authority

C. Evaluate patients insights and become an ally

D. All of the above

2nd

lecture: DOCTOR PATIENT RELATIONSHIP

26. AMA principle section 1 states that physician shall deal honestly with patients and colleagues, and strive to

expose those physicians deficient in character or competence, or who engage in fraud or deception.

A. True B. False

27. True regarding informative Model Except:

A. patient is left to decide

B. establish no doctor-patient relationship

C. appropriate in one-time consultation

D. Doctor keeps the information to himself

28. This model of interaction involves the doctor presenting/discussing alternatives with patient's participation to

find the one that is best for that particular person.

A paternalistic model B informative model C interpretative model D deliberative

model

29. Which of the following is NOT a strategy to establish rapport between the clinician and patient?

A. Showing expertise B..Evaluating patient's insight C. Putting patient at ease D.Assuming the

patient's burden

30. All of the ff are strategies in establishing rapport except:

A. putting the patient at ease

B. finding patients pain and giving premature reassurance

C. evaluating patients insight anf becoming an ally

D. establishing authority as a physician and therapist

31. What role in the society ascribes to people when they are ill

A. ill role B. Sick role C. Depressed role D. all of the above

32. Spontaneous conscious feeling of harmonious responsiveness that promotes the development of constructive

therapeutic alliance

A. Empathy B. Rapport C. Trust D. Compassion

33. true regarding paternalistic model of interaction between doctors and patients except:

A. Autocratic model

B. Physician ask most of the questions and generally dominates the interview.

C. emergency situations

D. Patient may decide to withhold information when it is believed to be in the doctors best interests

34.One of six strategies in establishing rapport is showing experties?

A. True B. False

35. Interpretative model is when the physician acts as a friend or counselor to the patient, not just be presenting

information.

A. True B. False

36. these are all characteristic of difficult patients except:

A. Request for second opinion

B. With chronic cognitive disorders

C. Uncooperative

D. Recover in response to treatment

37. Sick role is which the society ascribes to people when they are ill such as excused from responsibility and

expectations by cultures

A. True B. False

38. A type of model interaction wherin the physician acts as a friend or counselor to the patient, not just by

presenting information, but in actively advocating a particular course of actionA.

A. Paternalistic Model B. Informative Model C. Interpretive Model D. Deliberative

Model

39. When doctors unconsciously ascribe motives it attributes to patients that come from the doctor's past

relationship

.A. Rapport B. Empathy C. Transference D. Counter

transference

40. All statements are true except,

A. A physician shall be dedicated to providing competent medical service with compassion and respect for human

rights

B. The psychiatrist shall ever be vigilant about the impact that his/her conduct has upon the boundaries of the

doctor-patient relationship and thus upon the well-being of the patient

C. A physician shall deal honestly with patients and colleagues, and strive to not expose those physicians

deficient in character or competence, or who engage in fraud or deception

D. Sexual activity with a current or former patient is unethical

41. A young female attempted to commit suicide several times because her boyfriend left her. This suicidal

female patient is resistant to open and stayed to be distant to her male psychiatrist. Which of the following can be

seen in the patient

A. Transference B. Countertranseference C. Both D. Neither

42 Transference is

A. Sets of expectations, beliefs, and emotional responses that a patient brings to the doctor-patient relationship

B. Based on repeated experiences that patient had with other important authority figures throughout life.

C. Both

D. Neither

43 A type of model interaction wherein the physician acts as a friend or counselor to the patient, not just by

presenting information, but in actively advocating a particular course of action.

A. Paternalistic Model B. Informative Model C Interpretive Model D. Deliberative

Mode

44 why is physician considered as notoriously poor patient?

A. because they are giving up the sense of control and feels like they are vulnerable

B. they feel dependent and a burden

C. they think they are ignorant and incompetent

D. A and B only

E. A, B, and C

45. Spontaneous, conscious feeling of harmonious responsiveness that promotes the development of a

constructive therapeutic alliance

A. Transference B. Rapport C. Countertransference D. All of the above

46 Self- reflection and understanding

A. Transference B. Sympathy C. Empathy D. Countertransference

47 Rapport is a spontaneous, conscious feeling of harmonious responsiveness that promotes the development of a

non- constructive therapeutic alliance

A. True B. False

48 Emotions breeds counter emotions

A. Empathy B. Sympathy C. Transference D. Countertransference

answer:D

49 All of these describes a difficult patient except, A. Uncooperative B. With chronic cognitive disorder C.

Recover in response to treatment D. Request for second opinion

50 This is defined as “ putting yourself in the patient’s shoes”

A. Transference B. Sympathy C. Empathy D. Countertransference

3rd

lectyre FACTITIOUS DISEASE

51 Which among the following is/are factitious disorders

A. Antisocial B. Histrionic pd C. Both D. Neither

52 The following are types of Factitious Disorder EXCEPT:

A. With predominantly psychological signs and symptoms

B. With predominantly physical signs and symptoms (Munchausen Syndrome)

C. With combined psychological and physical signs and symptoms

D. None of the above

53 Most commonly perpetrated by mothers against infants and young children?

A. Factitious disorder with psychological signs and symptoms

B. Munchaussen syndrome

C. Factitious disorder by proxy

D. None of the above

54 Voluntary production of factitious symptoms and the extreme course of multiple hospitalizations?

A. Personality disorders

B. Somatoform disorders

C. Factitious disorder by proxy

D. Munchausen syndrome

55 It is the willingness of the patient to undergo an extraordinary number of mutilating procedure.

A. Personality disorder B. Malingering C. Both D. Neither

56 Medical complaint without physiologic basis which is unconscious and unintentional?

A. Factitious disorder B. Somatoform disorder C. Somatoform disorder D. All

57. The following are the major goals of treatment for factitious disorders, except:

A. To reduce the risk of morbidity and mortality

B. To address the underlying emotional needs or psychiatric diagnosis underlying factitious illness behavior

C. To be mindful of legal and ethical issues

D. None of the above

58. Clinical indicators that may suggest factitious disorder by proxy except:

A. The mother welcome even invasive and painful test

B. The patient respond to appropriate treatments

C. The mother is the only witness to the onset of signs and symptoms

D. The symptoms and pattern of illness are extremely unusual , or inexplicable physiologically

59. Reasons of outcome as death for some patients with factitious disorder are the following, except:

A. Needless medication

B. Instrumentation

C. Surgery

D. Hospitalization

60. Somatoform disorders include which of the following:

A. Conversion disorder B. Somatization disorder C. Hypochondriasis D. All of

the above

61 Many of the patients with factitious disorder suffered childhood abuse or deprivation, resulting in frequent

hospitalizations during early development

A. True B. False

62. Somatoform disorders include extreme course of multiple hospitalizations

A. True B. False

63. Major goals for treating patients with factitious disorder

A. To reduce the risk of morbidity and mortality

B. To address underlying emotional needs or psychiatric diagnosis underlying factitious illness behavior

C. To be mindful of legal and ethical issues

D. All of the above

64. True about Factitious Disorder:

A. Are mostly men who outnumber women by 3 to 1

B. Usually 20 to 40 years of age with a history of employment or education in nursing or a health care occupation

C. Both

D. Neither

65. True about Munchausen Syndrome except:

A. Patient fabricate symptoms to gain hospital admission

B. Females are commonly affected

C. They are able to present physical symptoms to gain admission

D. All are true

66. True of Manchausen syndrome:

A. Appox. 2/3 of the population commonly affected are young, married male persons with strong family

attachment

B. A factitious disorder of the patient that has the ability to present physical symptoms.

C. Both are correct

D. Both are incorrect

67. Who is most commonly involved or affected in Factitious Disorder?

A. Father B. Mother C. Child D. All of the above

68. Factitious Disorder can be described as:

A. Unconscious, intentional B. Unconscious, unintentional C. Conscious, intentional D.

Conscious, unintentional

69. Patients with Factitious Disorders seek for:

A. Love and Care B. Treatment C. Friends D. None of the above

70. Which of the following is/are indicators of FD by proxy:

A. Laboratory findings confirm the illness

B. The mother grows anxious if the child improves.

C. The patient responds to appropriate treatments.

D. None of the above

71. The motivation for Factitious Disorder is _____:

A. Assume the sick role B. Stay away from home C. Make use of health insurance

D. All of the above

22. In Factitious Disorder, the patient transforms the physicians and staff into ____:

A. Friends B. Rejecting Parents C. Caretakers D. Strangers

23. The following are differential diagnosis for Factitious Disorder:

A. Schizophrenia B. Substance Abuse C. Ganser’s Syndrome D. All of the

above

74. The prognosis for Factitious Disorder.

A. Good B. Poor C. Unknown D. None of the Above

75. In treatment of FD, it is important to:

A. Address the emotional needs of the patient C. Both

B. Argue with facts to the patient D. Niether

4th

lecture PERSONALITY DISORDER

76 Patients directly express unconscious wishes or conflicts through actions to avoid being conscious of either

the accompanying idea or the affect.

A. Splitting B. Fantasy C. Projection D. Acting-out

77. A type of defense mechanism wherein patients attribute their own unacknowledged feelings to others.

A. Isolation B. Dissociation C. Projection D. Splitting

78. The following are Cluster C personality disorders (has anxious and fearful features) except:

A.) Avoidant B.) Dependent C.) Obsessive –compulsive D.) Schizoid

79. Understanding the patient's personality disorders will:

A. Improve relationship B. Enhance compliance C. Reduce stress D. All of the above

80. A type of defense mechanism wherein the patients turn their anger against themselves

A. Splitting B. Projection C. Passive aggression D. Denial

81. It is a type of personality disorder characterized by emotional constriction , orderliness, perseverance,

stubbornness and indecisiveness.

A. Obsessive-Compulsive Personality Disorder

B. Narcissistic Personality disorder

C. Histrionic Personality Disorder

D. Borderline Personality Disorder

82. Defense mechanism characterized by seeking solace and satisfaction within themselves by creating imaginary

lives, especially imaginary friends.

A. Projection B. Fantasy C. Splitting D. Passive-Aggression

83. It is a type of personality disorder characterized by an inability to conform to the social norms that ordinarily

govern many aspects of a person's adolescent and adult behavior.

A. Obsessive-Compulsive Personality Disorder

B. Antisocial Personality DIsorder

C. Histrionic Personality Disorder

D. Borderline Personality Disorder

84. the followings are characteristics of a borderline personality disorder except:

A. twice as common in women as in men

B. have tumultuous interpersonal relationships

C. strikingly odd or strange

D. mood swings are common

85. Narcissistic Personality disorder is characterized by the following

A. heightened sense of self importance and grandiose feelings of uniqueness

B. Interpersonal exploitiveness

C. both A and B

D. Neither A nor B

86. what cluster are more common in the biological relatives of patients with schizophrenia than in control

groups?

A Cluster A B. Cluster B C. Cluster C D Cluster D

87. All of the following are true for Dependent Personality Disorder. EXCEPT:

A Characterized by a pervasive pattern of dependent and submissive behaviour.

B Cannot make a decision without excessive amount of advice and reassurance from others.

C More common in men than women

D Pessimism, self-doubt, passivity, and fears of expressing sexual and aggressive feelings all typify the behaviour

88. Anancastic 'bossy' Personality Disorder

A. Obsessive-Compulsive P.D B.Avoidant P.D C.Paranoid P.D

D.Antisocial P.D

89. In dealing with a person who has obsessive-compulsive disorder one must

A. Value efficiency and punctuality

B. Minimize new and unfamiliar staff

C. Both

D. Neither

90. Patients who are engaged in illegal activities and demonstrating lack of remorse for their action. Identify the

personality disorder.

A. Antisocial B. Schozotypal C. Paranoid D. all of the above

91. The following are characteristics of Histrionic Personality disorder EXCEPT:

A. displays temper tantrums, tears and accusation when they are not the center of attention or are not receiving

praise or approval

B .shifts of allegiance from one person or group to another are frequent

C has a high degree of attention-seeking behavior

D seductive behavior is common

92. The following are true about Paranoid Personality Disorder except?

A. Psychotheraphy is the treatment of choice

B. Excessive and long-standing suspiciousness and mistrust

C. More common in women than in men

D. Often hostile, irritable and angry

93. A personality disorder characterized by anxiety, hypersensitivity to rejection by others, and timidity.

A Dependent personality disorder C Obsessive compulsive disorder

B. Avoidant personality disorder D Antisocial personality disorder

94. Persons with the following disorders may be characterized by their solitary behavior and inability to trust

persons, except:

A. Paranoid Personality disorder C. Antisocial Personality disorder

B. Schizoid Personality disorder D. Histrionic Personality disorder

95. Cluster includes dramatic, impulsive, and erratic features.

A. Cluster B B. Cluster C C. Cluster A D. NOTA

96. A 60-year old man has been reclusive, rarely leaving his home for the past 40 years. His family describes him

as an emotionally cold person with few friends. Growing up, he preferred solitary activities like reading to

engaging in activities with others. Members of his church have delivered groceries to his front door once a week

for the past 20 years, but he never opens the door to greet them. Which of the following is the most likely

diagnosis?

A. Avoidant personality disorder

B. Paranoid personality disorder

C. Schizoid personality disorder

D. Schizotypal personality disorder

E. Dependent personality disorder

97. What is/are the treatment of choice for Paranoid Personality Disorder?

A. Psychotherapy B. Pharmacotherapy C. Both D. Neither

98. In doing a psychological report of the patient in what axis does personality disorder fall?

A. Axis I B. Axis II C. Axis III D. Axis IV

99. show an extreme sensitivity to rejection and may lead to socially withdrawn life

A. Nacissistic PD B. Histrionic PD C. Avoidant PD D. Borderline PD

100. Which axis would you see the Global Assesment Functioning ( GAF )

A. Axis I B. Axis II C. Axis IV D. Axis V

Psychiatry Sec C – Mock Prelims

PSYCHIATRIC

INTERVIEW

1. C

2. C

3. D

4. A

5. C

6. C

7. D

8. B

9. D

10. D

11. A

12. A

13. C

14. C

15. D

16. B

17. C

18. D

19. D

20. D

21. B

22. A

23. A

24. C

25. D

DOCTOR PATIENT

RELATIONSHIP

26. D

27. D

28. C

29. D

30. B

31. B

32. B

33. D

34. A

35. B

36. D

37. A

38. D

39. D

40. C

41. A

42. C

43. D

44. E

45. B

46. C

47. B

48. D

49. C

50. C

FACTITIOUS

DISORDER

51. D

52. D

53. C

54. B

55. D

56. C

57. D

58. B

59. D

60. D

61. A

62. A

63. D

64. B

65. B

66. B

67. B

68. C

69. A

70. B

71. A

72. B

73. D

74. B

75. A

PERSONALITY

DISORDER

76. D

77. C

78. D

79. D

80. C

81. A

82. B

83. B

84. C

85. C

86. A

87. C

88. A

89. A

90. A

91. B

92. C

93. B

94. D

95. A

96. C

97. A

98. B

99. C

100. D