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Worksheetsطب نفسي 2
Total questions: 98
Worksheet time: 49mins
Schizophrenia is widely accepted as:
A disorder of the liver
A brain disorder with structural and functional abnormalities
A cardiovascular condition
A purely environmental illness
Which of the following is NOT a characteristic of schizophrenia?
Disturbances in cognition
Disturbances in perception
Stable mood without disruption
Disturbances in social behavior
Twin studies in schizophrenia primarily demonstrate:
No genetic link
A strong genetic component
Purely environmental causes
A psychosocial origin only
Lifetime prevalence of schizophrenia is approximately:
0.1%
1%
5%
10%
Worldwide, new cases of schizophrenia appear each year in the order of:
20,000
200,000
2 million
10 million
Peak age of onset for schizophrenia is:
Before age 10
Between 15 and 35
After age 60
Between 40 and 50
Which group is less affected by schizophrenia?
Catholics
Jews
Protestants
Non-white populations
The leading cause of death among patients with schizophrenia is:
Cancer
Suicide
Heart disease
Infection
Substance abuse is common in schizophrenia. Approximately what percentage abuse alcohol or drugs?
10%
20%
30%
>40%
First-degree relatives of schizophrenia patients have what risk of developing the disorder?
1%
5%
10%
50%
The dopamine hypothesis in schizophrenia suggests:
Increased limbic dopamine → positive symptoms
Decreased limbic dopamine → positive symptoms
Increased serotonin → positive symptoms only
Excess norepinephrine → negative symptoms only
For schizophrenia diagnosis, how many DSM-5 symptoms must be present for at least 1 month?
One
Two
Three
Four
DSM-5 requires symptoms of schizophrenia to persist for at least:
1 month
3 months
6 months
12 months
Which of the following is NOT a core DSM-5 symptom of schizophrenia?
Hallucinations
Delusions
Disorganized speech
Manic episodes
Negative symptoms of schizophrenia include:
Hallucinations
Delusions
Flat affect
Disorganized speech
Thought disorder includes all EXCEPT:
Loosening of associations
Neologisms
Echolalia
Hypertension
The most common type of hallucination in schizophrenia is:
Visual
Olfactory
Tactile
Auditory
The schizoid personality phase of schizophrenia is characterized by:
Social withdrawal and cold aloofness
Hallucinations and delusions
Aggression and incoherence
Full recovery
Which phase of schizophrenia involves bizarre ideas, neglect of hygiene, and blunted affect?
Prodromal phase
Active phase
Residual phase
Relapse phase
Hallucinations, delusions, and aggression are typical of which phase of schizophrenia?
Prodromal
Active
Residual
Schizoid personality
Residual phase symptoms of schizophrenia resemble:
Prodromal phase
Active phase
Relapse phase
Full recovery
Relapse phase of schizophrenia indicates:
Full remission
Return of severe symptoms
Stable functioning
End of disease
Paranoid type of schizophrenia is characterized by:
Delusions of persecution or grandeur
Waxy flexibility
Gross disorganization
Social withdrawal without psychosis
Disorganized type (hebephrenia) of schizophrenia includes all EXCEPT:
Incoherence
Flat or inappropriate affect
Well-preserved intelligence
Grinning and grimacing
The hallmark of catatonic type of schizophrenia is:
Paranoid delusions
Waxy flexibility
Social withdrawal
Bizarre ideas
Features of residual type of schizophrenia include:
Prominent hallucinations
Active delusions
Emotional blunting and withdrawal
Catatonia
Prognosis of schizophrenia is better when:
Early age of onset
Acute onset and good premorbid function
Strong family history
Prominent negative symptoms
Later onset schizophrenia is associated with:
Poorer prognosis
Better prognosis
No difference
Catatonic features
Antipsychotic medications act primarily on:
Serotonin and dopamine receptors
GABA exclusively
Acetylcholine only
Norepinephrine only
Clozapine is reserved for:
First-line treatment
Treatment-resistant cases
Mild cases only
Patients with hypertension
ECT in treatment of schizophrenia is most effective for:
Paranoid type
Catatonic subtype
Residual phase
Schizoid personality
Family therapy for schizophrenia reduces:
Relapse rates
Hallucinations only
Social skills
Suicide rates
One of the most common comorbidities with somatoform disorders is:
Schizophrenia
Major depression
Parkinson’s disease
Epilepsy
In somatoform disorders, reassurance from physicians usually:
Cures the symptoms
Provides temporary relief
Eliminates anxiety permanently
Prevents recurrence
Somatoform disorders specify "with predominant pain" was formerly known as:
Pain disorder
Hypochondriasis
Somatization disorder
Hysteria
Illness anxiety disorder prevalence is higher among:
Elderly
Adolescents
Middle-aged adults
Children under 10
The duration of symptoms in illness anxiety disorder must be at least:
1 week
1 month
3 months
6 months
Which is NOT typical of conversion disorder?
Sudden onset
La belle indifférence
Symptoms always consistent with known neurological pathways
Symptom incompatibility
Common presentations of conversion disorder include all EXCEPT:
Paralysis
Blindness
Tinnitus
Seizure-like activity
Factitious disorder differs from malingering by:
Intentionality
Presence of secondary gain
Motivation to assume sick role
Absence of physical symptoms
Common behaviors in factitious disorder include:
Self-injury
Tampering with lab tests
Inconsistent medical history
All of the above
Factitious disorder prevalence is higher in:
Men
Women
Children only
Elderly
Body dysmorphic disorder is most commonly associated with:
Obsessional checking of mirrors
Neglecting self-care
Avoidance of food
Delirium
In body dysmorphic disorder, preoccupations cause:
Minimal distress
Significant distress and impairment
Only physical impairment
No functional problems
Body dysmorphic disorder is often comorbid with:
OCD
Social anxiety disorder
Depression
All of the above
Which is NOT a criterion of somatoform disorders?
Excessive health anxiety
Excessive time/energy devoted to symptoms
Disproportionate thoughts about illness
Intentional symptom fabrication
Typical onset of somatoform disorders:
Childhood
Adolescence/early adulthood
Middle age
Old age
Which gender is more affected by somatoform disorders?
Male
Female
Equal
None
The main psychological treatment for somatoform disorders is:
Psychoanalysis
CBT
ECT
Hypnosis
Which medication may be helpful in somatoform disorders with comorbid anxiety/depression?
SSRIs
Antipsychotics only
Lithium
Antiepileptics
Key feature of illness anxiety disorder:
Severe somatic symptoms
Preoccupation with serious illness despite minimal symptoms
Intentional production
Neurological deficits
Common comorbidity with illness anxiety disorder:
OCD
Bipolar disorder
Schizophrenia
Dementia
Which is TRUE about illness anxiety disorder?
Symptoms are fabricated
Patients are easily reassured
Preoccupation persists despite reassurance
No functional impairment
Conversion Disorder is also called:
Hysteria
Functional Neurological Symptom Disorder
Dissociation
Psychosis
Common features in Conversion include:
Inconsistent exam findings
Neurological deficits explained by lesions
Intentional malingering
Always seizure type
Factitious disorder motivation:
Secondary gain
External reward
To assume the sick role
Avoid work
Factitious disorder imposed on another is known as:
Somatization
Munchausen by proxy
Hypochondriasis
Simulation
Body Dysmorphic Disorder is classified under DSM-5 as:
Somatic symptom disorder
OCD and related disorders
Anxiety disorders
Psychotic disorders
Key feature of body dysmorphic disorder:
Preoccupation with an imagined defect in appearance
Fear of illness
Multiple vague somatic symptoms
Intentional deception
Which eating disorder has the highest mortality rate among psychiatric illnesses?
Bulimia nervosa
Anorexia nervosa
Binge eating disorder
ARFID
A key difference between bulimia nervosa and binge-eating disorder is:
Presence of low body weight
Compensatory behaviors after binges
Loss of control during eating
Age of onset
Which of the following is NOT a risk factor for eating disorders?
Perfectionism
Low self-esteem
Strong social support
Trauma history
Binge-eating disorder occurs at least:
Once a day for 3 months
Twice a week for 1 month
Once a week for 3 months
Every 2 weeks for 6 months
Which clinical sign is most specific to self-induced vomiting?
Lanugo hair
Dental enamel erosion
Bradycardia
Osteoporosis
The female-to-male ratio of anorexia nervosa is approximately:
2:1
5:1
10:1
Equal
Anorexia nervosa usually starts in:
Adolescents
Middle age
Infancy
Old age
Which psychiatric comorbidity is common in eating disorders?
Depression
Anxiety
Substance use
All of the above
Eating disorders are best described as:
Simple problems with food choice
Physical illnesses without psychological basis
Complex psychiatric conditions with behavioral and medical consequences
Temporary dieting habits
Which age group is most vulnerable to developing eating disorders?
Elderly
Adolescents and young adults
Infants
Middle-aged only
Suicide is best defined as:
Self-harming behavior without intent to die
The act of intentionally causing one’s own death
A temporary state of sadness
A form of self-neglect
Which of the following is a warning sign of suicide?
Sudden improvement in mood after depression
Excessive happiness without reason
Lack of interest in TV shows
Sleeping more than 8 hours
According to DSM-5, suicidal behavior disorder can be diagnosed when:
History of suicide attempt within the last 24 months
Mild anxiety
History of substance use
Evidence of family conflict
Which age group is most at risk for suicide?
Children under 5
Adolescents and young adults
Adults over 80
Middle-aged women
Which gender is more likely to attempt suicide?
Men
Women
Equal
None
Which gender is more likely to die by suicide?
Men
Women
Equal
None
Hopelessness is considered:
A protective factor
A strong predictor of suicide
A minor symptom
Not relevant
Which of the following is NOT a risk factor for suicide?
Previous suicide attempt
Severe depression
Access to lethal means
Strong family support
Which neurotransmitter is most associated with suicide risk?
Dopamine
Serotonin
Acetylcholine
Histamine
Suicide is most strongly linked to which psychiatric disorder?
Schizophrenia
Depression
Phobia
Dementia
Which of the following is a protective factor against suicide?
Hopelessness
Family support
Substance abuse
Isolation
The most common method of suicide worldwide is:
Poisoning
Hanging
Drowning
Shooting
Suicide is classified under:
Mood disorders
Behavioral disorders
Self-inflicted injury
Personality disorders
A patient who says, “I can’t go on anymore, I want to end it,” is showing:
Hallucination
Direct suicidal ideation
Delusion
Avoidance
Suicide attempts are most common in:
Elderly men
Young women
Children under 10
Middle-aged women
Which of the following groups has the lowest suicide rate?
Adolescents
Married individuals
Divorced individuals
Elderly men
Which of the following can act as a complication of suicide attempt?
Neurological damage
Improved self-esteem
Better coping
Decreased depression
The highest suicide rates are found among:
Children under 10
Elderly men
Young women
Married couples
Which of the following is NOT a complication of failed suicide attempt?
Brain injury
Fractures
Increased self-confidence
Organ damage
Which of the following is a symptom of suicide?
Feeling hopeless
Persistent fever
Hallucinations
Phobias
A patient gives away all personal belongings and writes a will. This indicates:
Recovery
Suicide planning
Coping strategy
Social bonding
Which of the following is a biological factor in suicide?
Low serotonin
High dopamine
High histamine
Low acetylcholine
Which of the following is NOT a clinical feature of suicide?
Hopelessness
Suicidal ideation
Hyperactivity
Giving away possessions
Which of the following is true about suicide in adolescents?
It is rare
It is the second leading cause of death
It is more common in males than females
It is unrelated to bullying
Which of the following is NOT a warning sign of suicide?
Talking about death
Social withdrawal
Planning future goals
Giving away belongings
Non-suicidal self-injury (NSSI) differs from suicide because:
It is done without intent to die
It always leads to death
It is rare in adolescents
It is protective
Facial expression is very powerful tool in verbal therapeutic communication.
True
False
Therapeutic communication it is an interpersonal interaction between the nurse and the client which the nurse focuses on the client’s specific needs.
True
False
Communication it is not ongoing process of conveying information ideas, facts, opinions, thoughts and feelings.
True
False
