Table Of Content4619_Mathews_FMppi-vi 11/12/04 10:32 AM Page i
P S Y C H I AT RY :
1200 • • • • • • • • • • • • • • • • • • • • • •
QUESTIONS
TO HELP
YOU PASS
THE BOARDS
• • • • • • • • • • • • • • • • • • • • • •
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4619_Mathews_FMppi-vi 11/30/04 2:09 PM Page iii
P S Y C H I A T R Y :
• • • • • • • • • • • • • • • • • • • •
1200
QUESTIONS
TO HELP
YOU PASS
THE BOARDS
• • • • • • • • • • • • • • • • • • • •
MAJU MATHEWS, MD,
MRCPsych, DipPsych
Drexel University College of Medicine
Philadelphia, Pennsylvania
KUMAR BUDUR, MD,
(DCP, IRELAND) (MRCPsych, UK)
Cleveland Clinic Foundation
Cleveland, Ohio
BIJU BASIL, MD, DipPsych
Drexel University College of Medicine
Philadelphia, Pennsylvania
MANU MATHEWS, MD
Cleveland Clinic Foundation
Cleveland, Ohio
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Acquisitions Editor: Charles W. Mitchell
Managing Editor: Stacey Sebring
Project Manager: Fran Gunning
Manufacturing Manager:Benjamin Rivera
Marketing Manager: Adam Glazer
Production Services: Nesbitt Graphics, Inc.
Printer: Maple Press
© 2005 by LIPPINCOTT WILLIAMS & WILKINS
530 Walnut Street
Philadelphia, PA 19106 USA
LWW.com
All rights reserved. This book is protected by copyright. No part of this book may be repro-
duced in any form by any means, including photocopying, or utilized by any information stor-
age and retrieval system without written permission from the copyright owner, except for brief
quotations embodied in critical articles and reviews. Materials appearing in this book prepared
by individuals as part of their official duties as U.S. government employees are not covered by
the above-mentioned copyright.
Printed in the USA
Library of Congress Cataloging-in-Publication Data
Psychiatry : 1200 questions to help you pass the boards / Maju Mathews
[et al.].
p. ; cm.
Includes index.
ISBN 0-7817-6106-9 (alk. paper)
1. Psychiatry—Examinations, questions, etc. I. Mathews, Maju.
[DNLM: 1. Mental Disorders—Examination Questions. 2.
Psychiatry—Examination Questions. WM 18.2 P9745 2005]
RC457.P7725 2005
616.89'0076—dc22
2004025670
Care has been taken to confirm the accuracy of the information presented and to describe gen-
erally accepted practices. However, the authors, editors, and publisher are not responsible for
errors or omissions or for any consequences from application of the information in this book
and make no warranty, expressed or implied, with respect to the currency, completeness, or ac-
curacy of the contents of the publication. Application of the information in particular situation
remains the professional responsibility of the practitioner.
The authors, editors, and publisher have exerted every effort to ensure that drug selection
and dosage set forth in this text are in accordance with current recommendations and practice
at the time of publication. However, in view of ongoing research, changes in government regu-
lations, and the constant flow of information relating to drug therapy and drug reactions, the
reader is urged to check the package insert for each drug for any change in indications and
dosage and for added warnings and precautions. This is particularly important when the rec-
ommended agent is a new or infrequently employed drug.
Some drugs and medical devices presented in the publication have Food and Drug
Administration (FDA) clearance for limited use in restricted research settings. It is the respon-
sibility of the health care provider to ascertain the FDA status of each drug or device planned
for use in their clinical practice.
10 9 8 7 6 5 4 3 2 1
4619_Mathews_FMppi-vi 11/12/04 10:32 AM Page v
Contents
Contents v
...........................................................................
Preface vi
.............................................................................
1. Psychopathology 1
.....................................................
2. Schizophrenia 19
.......................................................
3. Mood Disorders 53
....................................................
4. Anxiety Disorders 87
.................................................
5. Geriatric Psychiatry 113
............................................
6. Child Psychiatry 123
..................................................
7. Consultation Liaison Psychiatry 141
...........................
8. Forensic Psychiatry 161
.............................................
9. Substance Use 171
.....................................................
10. Eating Disorders and Sexual Disorders 195
.................
11. Mental Retardation 207
.............................................
12. Sleep Disorders 217
...................................................
13. Personality Disorders 223
..........................................
14. Psychopharmacology 229
...........................................
15. Psychotherapy 287
.....................................................
16. Psychology 305
..........................................................
17. Emergency Psychiatry 325
..........................................
18. Neurology 335
...........................................................
19. Miscellaneous Questions 401
......................................
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Preface
T
here is a dearth of books aimed at candidates preparing for the Part I
Examination of the American Board of Psychiatry and Neurology. A few ques-
tion and answer textbooks are available, but most of them target a wider audi-
ence comprised of medical students, those preparing for USMLE Steps 2 and
3, and residents. The authors hope to fill this void by publishing this book.
This book contains approximately 1200 questions about psychiatry and
neurology with detailed answers and explanations, making it one of the very
few books in this format exclusively targeted at those preparing for Psychiatry
Boards. However, the authors believe that it will also be helpful for psychiatry
residents preparing for the PRITE and psychiatrists preparing for recertifica-
tion exams, and to provide insight for practicing psychiatrists.
This book is divided into 19 chapters, each focusing on a different topic,
which makes preparation easier. Special emphasis has been placed on psycho-
pharmacology and neurology, which are a significant part of the Boards.
In addition to being a comprehensive learning tool, this book can be used
to identify strengths and weaknesses and the candidate’s own command of the
subject. This book should ideally be supplemented with readings from more
detailed and established psychiatry textbooks.
We wish to thank Charley Mitchell and Stacey Sebring of LWW for their
unstinted support and the confidence they placed in us. The authors would
also like to thank our spouses Joanne, Kiran, Sajitha, and Shiny for putting up
with us during the long hours we spent on this painstaking work.
MAJUMATHEWS
KUMARBUDUR
BIJUBASIL
MANUMATHEWS
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1
Chapter
PSYCHOPATHOLOGY
Q
UESTIONS
1. Disorientation to place is seen in
A. Severe anxiety
B. Wernicke’s encephalopathy
C. Korsakoff’s psychosis
D. Acute manic episode
E. Depression
2. Somatic symptoms of severe anxiety include all of the following except
A. Diarrhea
B. Constipation
C. Sighing
D. Hypoventilation
E. Impotence
3. All of the following are normal experiences except
A. Déjà vu
B. Jamais vu
C. Derealization
D. Hallucinations
E. Delusional perception
4. Which of the following is true about a primary delusion?
A. It is always grandiose.
B. It can occur in normal people.
C. It is frequently systematized to secondary delusions.
D. It may be secondary to auditory hallucinations.
E. It is rarely preceded by delusional mood.
1
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2 Chapter 1 Psychopathology
5. Which of the following is true about concrete thinking?
A. It is usually seen in bipolar disorder.
B. It is diagnostic of schizophrenia.
C. It is diagnostic of organic brain disease.
D. It is a defect of conceptual abstract thought.
E. It is always seen in schizophrenia.
6. Psychotic depression is characterized by
A. Circumstantiality
B. Jamais vu
C. Hypnagogic hallucinations
D. Nihilistic delusions
E. Flight of ideas
7. Which of the following is true about pseudohallucinations?
A. They possess the vivid quality of normal perceptions.
B. They are dependent on external stimuli.
C. They cannot be overcome voluntarily.
D. They arise in inner space.
E. They do not appear spontaneously.
8. Obsessions can occur in the form of
A. Cravings
B. Delusions
C. Panic attacks
D. Sexual impulses
E. Hallucinations
9. Pseudodementia is characterized by
A. Abnormal EEG
B. Chronic course
C. Onset with depressive features
D. Localized neurological signs
E. Confabulation
10. Which of the following is true of tangentiality?
A. It is pathognomonic of schizophrenia.
B. It is characteristic of mania.
C. It is a disorder of thought.
D. It is a disorder of perception.
E. It is the same as circumstantiality.
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CChhaapptteerr 11 PPssyycchhooppaatthhoollooggyy 33
11. Which of the following is true about Capgras syndrome?
A. It is also called erotomania.
B. It is also called delusion of doubles.
C. It is usually associated with brain disease.
D. It is the same as hysteria.
E. It is seen in husbands of pregnant women.
12. First-rank symptoms of schizophrenia
A. Include second-person and third-person hallucinations
B. Include incongruity of affect
C. Are diagnostic of schizophrenia
D. Include passivity phenomena
E. Are not seen in conditions other than schizophrenia
13. Which of the following is not a Schneider first-rank symptom?
A. Thought withdrawal
B. Somatic passivity
C. Third-person auditory hallucinations
D. Delusional perception
E. Thought block
14. Which of the following is true about obsessional thoughts?
A. They are rarely of a sexual nature.
B. They are best treated by thought stopping.
C. Desipramine is the drug of choice.
D. They always give rise to compulsions.
E. They are ego-dystonic.
15. Which of the following is true regarding passivity experiences?
A. They include echo de la pense.
B. They exclude thought broadcasting.
C. They are common in bipolar disorder.
D. They are also called made experiences.
E. They occur in obsessional states.
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4 Chapter 1 Psychopathology
16. Frequent wrist cutting is seen in all of the following except
A. Borderline personality disorder
B. Schizophrenia
C. Depression
D. Obsessive-compulsive personality disorder
E. High states of tension
17. Which of the following is not a disorder of thought process?
A. Omission
B. Substitution
C. Blurring of conceptual boundaries
D. Knight’s move thinking
E. Paranoid delusions
18. The experience of seeing one’s own body projected into external space is
called
A. Reflex hallucination
B. Autoscopic hallucination
C. Hypnagogic hallucination
D. Pseudohallucination
19. Which of the following is true about depersonalization?
A. It is a psychotic experience.
B. It is treated with phenobarbitone.
C. It is usually pleasant.
D. It is associated with depression.
E. It is recognized as odd.
20. Which of the following is true about the reliability of psychiatric diagnosis?
A. It is not increased by training psychiatrists.
B. It is not important if validity is guaranteed.
C. It is increased by semistructured interviews.
D. It is not increased by operational definitions.
E. It has not been tested internationally.
