Psychiatry Comprehensive Quiz
Test your knowledge on Psychiatry by answering the questions provided in this quiz.
1.
Which mood stabiliser, used as a first line for acute mania, is also associated with a decrease in suicide risk?
2.
Mr. S seems, during your consultation with him, to be aloof and cold. He works as a night security officer and has not had any close romantic/emotional ties with anyone though he reports to not long for one. What personality disorder might he have?
3.
A patient in the ward known to experience delusions confides in you that they believe that their mother has been replaced by an imposter. What is this delusion named?
4.
Features of dementia include:
5.
Which of the following is not part of the CAGE questionnaire for alcohol abuse?
6.
The experience of two years of hypomania symptoms that do not meet the criteria for a manic episode is known as:
7.
Mr. L has presented with an intense fear of swimming that has affected him his whole life though he does not know why. On questioning his parents, it is discovered that he suffered a near drowning incident as a young child. What defense mechanism has Mr. L adopted?
8.
Which of the following is false regarding Bipolar I with rapid cycling?
9.
Which medication is considered first-line treatment for major depressive disorder?
10.
Concrete thinking is a recognized symptom of:
11.
Which of the following describes involuntary repetition of words or phrases that have just been spoken by oneself , often faster, softer and several times?
12.
Which one of the following therapies would be suited to a bipolar patient in a manic episode during pregnancy?
13.
According to the DSM-5 diagnostic criteria for schizophrenia, which one of the following must be present to make a diagnosis of schizophrenia?
14.
Which is the least likely side-effect of tricyclic antidepressants
15.
Impaired consciousness, visual hallucinations, hyperactivity and fragmentary delusions are seen in:
16.
A patient believes that he is a walking corpse. This named delusion is:
17.
A young male has been recently diagnosed with schizophrenia and has been started on haloperidol. A week later he presents at the A&E department with complaints of fever, muscle rigidity and a confused state. What drugs will you administer to deal with this condition?
18.
The following are personality assessment tests except:
19.
Which is a characteristic feature of schizophrenia?
20.
A common cause of mood congruent delusions is:
21.
Which of the following is not a negative symptom experienced in schizophrenia?
22.
Which of the following is not a cluster B personality disorder?
23.
Delusions are a part of the clinical presentation of the following disorders except:
24.
A 54 year old woman with Bipolar disorder complains that the nurses are interfering with her ‘special mission’ to rid the city of sin. She demands to leave the ward to continue her good work. She says that she has been chosen to do this work since when she prays she feels ‘full of energy and love’. Her husband says that she attends church regularly but this is uncharacteristic of her. How would you characterize these beliefs?
26.
In Kenya, when the psychiatric admission is involuntary, which of the following forms is filled?
27.
What is psychomotor agitation characterised by?
28.
Electroconvulsive therapy is absolutely contraindicated in?
30.
Which personality disorder is characterized by a pervasive pattern of social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation?
32.
A 57 year old woman tells you that her husband has been replaced by a double. The double looks the same as her husband and shares the same mannerisms as him, but in her view it is not her husband. How would you describe her beliefs?
33.
Pheochromocytoma would be made as a diagnosis in which axis?
34.
Which of the following is false regarding mania and hypomania?
35.
SSRIs, especially when combined with MAOIs for management of depressive disorders can cause serotonin syndrome as a side effect. Which is not a feature of serotonin syndrome?
36.
A 28-year-old woman with a 5-year history of bipolar affective disorder, currently in remission, attends outpatient clinic to discuss a suitable medication that she can use during pregnancy. Which medication would be the least safe to prescribe to her since she is planning pregnancy?
37.
Which of the following is not a symptom in the Kurt Schneider’s first rank symptoms?
38.
Bipolar II ______: (select all that apply)
39.
A 7-year-old boy has persistent patterns of inattention and hyperactive behaviour that have been causing significant impairment in school and at home. What is the most likely diagnosis?
40.
What type of delusion is characterised by the belief that others are secretly in love with the patient?
41.
A 40-year-old man with treatment resistant schizophrenia was recently started on a typical antipsychotic. 7-days later, he presents with fever, motor rigidity, confusion and diaphoresis. What is the most likely diagnosis?
42.
A 21 year old university student has been admitted. He has been drinking regularly for several weeks. He develops sensation of insects crawling inside his skin. There is no evidence of insects there. What is the correct term for his symptoms?
43.
The most common psychiatric disturbance associated with Cushing’s disease is:
44.
Which of the following antipsychotic agents is least associated with weight gain
45.
A 30 year old woman with bipolar disorder is speaking very quickly and is difficult to interrupt. She rarely finishes a sentence before starting another one. She talks about a whole range of topics, but her words make sense and the topics are linked one another. What sign is she exhibiting?
46.
What term is used to describe a patient's ability to make safe and appropriate decisions?
48.
Suicide risk is increased with the following factors except?
49.
The eight-stage classification of human life is proposed by?
50.
A 22 year-old-man is started on a typical antipsychotic. He finds it difficult to sit still and has to move his legs constantly. How is this phenomenon best defined?
51.
A 24 year old man believes that the DCI is monitoring his through a microchip inserted in his head. The microchip is used to remove his thoughts and transfer them to a computer system. What first-rank symptom of schizophrenia is he describing?
53.
A 25-year-old woman presents with recurrent panic attacks characterized by sudden onset of intense fear, palpitations, sweating, and shortness of breath. She is worried about having future attacks and has begun avoiding places where she previously had attacks. Which of the following is the most appropriate treatment for her condition?