Professional Documents
Culture Documents
12. A 40-year-old student refuses to cut his shoulder-length hair for his
mental health class and his advisor threatens to dismiss him. The man
hesitantly admits to his advisor that he wears his long hair long to cover what
he considers are extremely prominent ears. The student believes that if his
ears were visible; his classmates would ridicule him. The student actually has
very mildly prominent ears that would not attract attention. Which of the
following is the most likely diagnosis?
a. Body dysmorphic disorder
b. Delusional disorder, somatic type
c. Hypochondriasis
d. Malingering
e. Somatization disorder
18. The 28-year-old woman presents with her spouse. The husband states
that his wife has a “glandular problem” because she has no desire for sex.
According to the husband, she agrees to intercourse reluctantly and
infrequently. Which of the following statements about the patient is most
likely accurate ?
a. The woman has a testosterone deficiency
b. The woman has a sexual dysfunction
c. The woman has unconscious conflicts about sexuality
d. The woman is having an affair
19. A 45-year-old man complains of inadequate erections. Since initial
episode few months ago, he has been constantly worrying about maintaining
an erection prior to insertion and can no longer enjoy sex. What is the most
likely diagnosis?
a. Male erectile dysfunction
b. Gender identity disorder
c. Male orgasmic disorder
d. The man is having an affair
20. A 57-year-old man states he “can no longer stand” himself and seeks
counseling. He says he has been secretly dressing in woman’s underwear for
years and has successfully concealed this from everyone, including his wife.
He hides underwear in his car and changes in public restrooms. He finds this
“behavior disgusting” and he tried to stop it, but ultimately he cannot resist
the sexual arousal associated with it. What is the most likely diagnosis?
a. Exhibitionism
b. Transvestic fetishism
c. Pedophilia
d. Sexual masochism
23. The patient’s daughter, who lives in another state, states that her mother
has become increasingly irritable and reclusive over the last 4 years, telling
the children that she believes that are plotting to steal her savings and
ultimately forbidding them to visit. Recently, the patient has been alluding to
speaking with friends and relatives who died years ago. According to the
daughter, the mother has no serious general medical conditions. The mother
also has no history of alcohol abuse or emotional difficulties. Which of the
following is the most likely etiology for the patient’s disturbance?
a. Alzheimer disease
b. Cerebrovascular disease
c. Delirium
d. Huntington chorea
28. C A 20-year-old student is very upset because his nose looks crooked,
though to others it appears normal
29. D After surviving the war in Bosnia 23-year-old refugee has recurrent
dreams and flashbacks about the camps and horror events. She stated “I am
trying to forget the times when I was pregnant without food for 2-3 days, I
am trying hard, but …”
30. A Characterized by persistent, irrational fear of humiliation or
embarrassment
c. Body dysmorphic disorder
d. Posttraumatic stress disorder
28. C A 20-year-old student is very upset because his nose looks crooked,
though to others it appears normal
29. D After surviving the war in Bosnia 23-year-old refugee has recurrent
dreams and flashbacks about the camps and horror events. She stated “I am
trying to forget the times when I was pregnant without food for 2-3 days, I
am trying hard, but …”
30. A Characterized by persistent, irrational fear of humiliation or
embarrassment
31. B A 37-year-old woman stated “I will like to attend your party, but I am
getting dizzy and anxious from your dog and cat and I don’t want to be
embarrassed from others.”
37. A 17-year-old high school senior, who is 168 cm (66 in ) and weighs 31.8
kg (70 lb), is admitted to the hospital. She talks a great deal about fears of
“losing control” and becoming fat. She diets rigorously and exercises faithfully
and though emaciated in appearance, she insist that her cheeks, abdomen,
hips, and thighs are too heavy. She is unconcerned that her menstrual
periods have ceased. The clinical stuff notes that she orders dietary food,
spreads it about her plate, and eats little. Her parents are concerned about
her weight but are note sure she should be hospitalized.
40. A 36-year-old man stumbles into the emergency room. His pulse is 100
beats per minute, his blood pressure is 170/95 mmHg, and he is diaphoretic.
He is tremulous and has difficulty relating a history. He admits to insomnia
the past two nights and thinks a curtain is a ghost in the room. He also states
he has been drinking since age 19, but has not had a drink in 4 days. The
most likely diagnosis is
a. Haloperidol (Haldol)
b. Diazepam
c. Naloxone (Narcan)
d. Methadone (Dolophine)
40. A 36-year-old man stumbles into the emergency room. His pulse is 100
beats per minute, his blood pressure is 170/95 mmHg, and he is diaphoretic.
He is tremulous and has difficulty relating a history. He admits to insomnia
the past two nights and thinks a curtain is a ghost in the room. He also states
he has been drinking since age 19, but has not had a drink in 4 days. The
most likely diagnosis is
a. Adjustment disorder
b. Alcohol intoxication
c. Alcohol withdrawal delirium (delirium tremens)
d. Delusional disorder
41. The paramedics bring 45-year-old female to the emergency room. She is
very combative and aggressive. Eight security officers are called to assist
with the patient violent behavior. On physical examination patient present
with blood pressure 180/110, tachycardia and horizontal nystagmus and
agitation. Urine drug screen show which of the following?
a. Phencyclidine (PCP) intoxication
b. Heroin overdose
c. Cocaine intoxication
d. Barbiturate intoxication
48. Patient present with lip smacking, tongue movements and choreoathetoid
movements of fingers and hands. This condition is called
a. Tarditive dyskinesia due to long-term antipsychotic medication
b. Adverse effect from SSRI
c. Adverse effect from TCA
d. Adverse effect from MAO
49. The most common side effect associated with lithium include all of the
following except :
a. Hypothyroidism
b. Tremor
c. Nephrogenic diabetes insipidus
d. Extrapyramidal symptoms
51. The most appropriate treatment for a specific phobia (example from
dogs) is :
a. Flooding
b. Talking to the patient
c. Listening
d. Do nothing
62. Which of the following drugs has shown the greatest efficacy in the
treatment of obsessive-compulsive disorder ?
a. Alprazolam (Xanax)
b. Propranolol (Inderal)
c. Lithium
d. SSRI
64. Which of the following drugs has the most pronounced sedation effects;
a. Amitriptyline
b. Zoloft
c. Desipramine
d. Prozac
66. A 27-year-old male college student is studying for the final mental exam.
His girlfriend noted that he is more euphoric then usual and his pupil’s show
huge dilatation. He is studying continuously for 3 nights with very little sleep.
What is your diagnosis?
a. Heroin intoxication
b. Amphetamines Intoxication
c. Cocaine Intoxication
d. LSD Intoxication
68. The famous movie star died due to respiratory depression. No antidote is
available. She overdoses on?
a. Benzodiazepines
b. Barbiturates
c. Heroin
d. Cocaine
70. What stimulant can cause restlessness, muscle twitching, and cardiac
arrhythmias?
a. Caffeine Intoxication
b. Barbiturates intoxication
c. Benzodiazepines Intoxication
d. LSD Intoxication
72. Which one of the below listed medications is the most common cause of
delirium?
a. Anticholinergic medication (benztropine)
b. Antipsychotic medication
c. Antidepressant medication
d. Benzodiazepine
77. MSE is
a. Evaluate an individual’s current state of mental functioning
b. Describe psychophysiological symptoms
c. Describe the mood in-patient with psychiatric illness
76. Hypochondriasis is in the group of which disorders?
a. Mood disorders
b. Cognitive disorders
c. Eating disorders
d. Somatoform disorders
77. MSE is
a. Evaluate an individual’s current state of mental functioning
b. Describe psychophysiological symptoms
c. Describe the mood in-patient with psychiatric illness
d. All of the above
93. C Priapism
94. B Sexual dysfunction
95. A Hypertensive crisis
96. D Cardiac arrhythmias, convulsions and coma