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First Quiz (Psychiatry. Test Preparation & Review Manual)

Total questions: 15

Worksheet time: 11mins

Name
Class
Date
1.

Blocking the H1 receptor will lead to which of the following?

a)

Weight gain

b)

Dry mouth

c)

Orthostatic hypotension

d)

Elevated prolactin

e)

Urinary retention

2.

Needle electromyographic studies of muscles of patients with myasthenia gravis would be expected to reveal:

a)

Delayed F-responses

b)

Slow nerve conduction velocities

c)

Decrementing response to repetitive stimulation

d)

Incrementing response to repetitive stimulation

e)

Increased motor latencies

3.

While working in the emergency room you evaluate a patient with confusion, myoclonus, diarrhea, hypotension, tachycardia, and a normal creatine phosphokinase (CPK) level. The patient is not speaking. His family tells you that he was recently started on a new medication by his psychiatrist for treatment of bipolar disorder but they don't know what.

Between NMS and Serotonin syndrome, which diagnosis would you pick?

a)

NMS because the patient is confused

b)

NMS because rigidity is more commonly part of serotonin syndrome

c)

Serotonin syndrome because it commonly presents with hypotension

d)

NMS because it usually presents with normal CPK

e)

Serotonin syndrome because it more commonly presents with myoclonus and GI symptoms

4.

Which of the following magnetic resonance imaging (MRI) anomalies is most closely associated with patients diagnosed with Huntington’s disease?

a)

Caudate head atrophy

b)

Cerebellar atrophy

c)

Generalized cortical atrophy

d)

Putamen atrophy

e)

Communicating hydrocephalus

5.

Which of the following must be present to meet Diagnostic and Statistical Manual of Mental Disorders 5 (DSM 5) criteria for somatic symptom disorder?

a)

Preoccupation with acquiring a serious illness

b)

Two sexual symptoms

c)

Three pseudoneurological symptoms

d)

Maladaptive thoughts, feelings, or behaviors in response to the symptoms

e)

The illness must begin after age 30

6.

A 65-year-old woman is brought to the emergency room from a nursing home. She is noted to have cognitive impairment, delusions, masked facies, shuffling gait, cogwheel rigidity of the extremities, visual hallucinations, and agitation. She is medicated by the emergency room physician with 5 mg of intramuscular haloperidol but experiences acute worsening of her muscular rigidity. The most likely diagnosis is:

a)

Frontotemporal dementia

b)

Dementia with Lewy bodies

c)

Alzheimer’s dementia

d)

Normal-pressure hydrocephalus

e)

Vascular dementia

7.

Which one of the following is NOT an inhibitor of cytochrome P450 (CYP) 1A2?

a)

Amiodarone

b)

Tobacco

c)

Cimetidine

d)

Fluvoxamine

e)

Grapefruit juice

8.

Brain metastasis is most commonly due to which of the following?

a)

Lung carcinoma

b)

Breast carcinoma

c)

Melanoma

d)

Prostate carcinoma

e)

Colorectal carcinoma

9.

The metabolite of which one of the following tricyclic antidepressants has potent dopamine-blocking ability that can lead to antipsychotic-like side effects?

a)

Amoxapine

b)

Clomipramine

c)

Desipramine

d)

Trimipramine

e)

Imipramine

10.

The computed tomography (CT) scan of the brain shown here depicts which one of the following pathologies?

a)

Epidural hematoma

b)

Left middle cerebral artery infarction

c)

Subdural hematoma

d)

Sagittal sinus thrombosis

e)

Uncal herniation

11.

Which one of the following does not pertain to Wilson’s disease?

a)

Dementia

b)

Intention tremor, 4 to 6 Hz

c)

Kayser–Fleischer corneal rings

d)

Chronic hepatic dysfunction, cirrhosis

e)

Early onset, ages 15 to 45 years

12.

Which one of the following central nervous system (CNS) infections is most likely to produce ring-enhancing lesions on brain neuroimaging studies?

a)

Tuberculosis

b)

CNS HIV-related lymphoma

c)

Cryptococcal meningitis

d)

Progressive multifocal leukoencephalopathy

e)

e (AIDS)-related dementia complex

13.

Which one of the following would NOT correlate with the brain imaging finding of thin gyri, wide sulci, and enlarged ventricles (especially the third ventricle)?

a)

Alzheimer’s disease

b)

Chronic alcoholism or drug abuse

c)

A lacunar infarct of the subcortical white matter

d)

Schizophrenia

e)

Trisomy 21 (Down’s syndrome)

14.

A left-sided middle cerebral artery territory stroke is most likely to produce which of the following?

a)

Impaired naming and repetition

b)

Preserved language functioning

c)

Right hemiparesis with leg weakness worse than the face and arm

d)

Receptive, fluent aphasia

e)

Speech paraphasias

15.

You are studying two variables, a binary predictor variable and a continuous outcome variable. You want to know if the relationship between those two variables is due to chance alone. Which of the following tests would you use?

a)

Analysis of variance (ANOVA)

b)

χ2 test

c)

T test

d)

Negative predictive power

e)

Predictive validity