Psychiatry. PreTest Self-Assessment and Review. Ninth Edition

264 Pages·2016·0.86 MB·English

by  Mancini-Mezzacappa G.

P
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Psychiatry
PreTest® Self-Assessment and Review
N
OTICE
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P
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Psychiatry
PreTest® Self-Assessment and Review
Ninth Edition
GIULIA MANCINI-MEZZACAPPA,M.D.
Assistant Professor
University of Massachusetts School of Medicine
Worcester, Massachusetts
STUDENTREVIEWERS:
JOHN P.BREINHOLT III
University of Utah School of Medicine
Salt Lake City, Utah
KEVIN RABEY
Ross University School of Medicine
New York, New York
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DOI: 10.1036/0071376364
C
ONTENTS
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .vii
EVALUATION,ASSESSMENT,AND DIAGNOSIS
Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1
Answers,Explanations,and References . . . . . . . . . . . . . . . . . . . . . .10
HUMAN BEHAVIOR:THEORIES OF PERSONALITYAND DEVELOPMENT
Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21
Answers,Explanations,and References . . . . . . . . . . . . . . . . . . . . . .30
HUMAN BEHAVIOR:BIOLOGICAND RELATED SCIENCES
Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43
Answers,Explanations,and References . . . . . . . . . . . . . . . . . . . . . .50
DISORDERS OF CHILDHOODANDADOLESCENCE
Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .59
Answers,Explanations,and References . . . . . . . . . . . . . . . . . . . . . .66
COGNITIVE DISORDERSAND CONSULTATION-LIAISON PSYCHIATRY
Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .73
Answers,Explanations,and References . . . . . . . . . . . . . . . . . . . . . .86
SCHIZOPHRENIAAND OTHER PSYCHOTIC DISORDERS
Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .101
Answers,Explanations,and References . . . . . . . . . . . . . . . . . . . . .111
MOOD DISORDERS
Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .119
Answers,Explanations,and References . . . . . . . . . . . . . . . . . . . . .129
v
vi Contents
ANXIETY,SOMATOFORM,AND DISSOCIATIVE DISORDERS
Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .139
Answers,Explanations,and References . . . . . . . . . . . . . . . . . . . . .146
PERSONALITY DISORDERS,HUMAN SEXUALITY,AND
MISCELLANEOUS SYNDROMES
Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .153
Answers,Explanations,and References . . . . . . . . . . . . . . . . . . . . .164
SUBSTANCE-RELATED DISORDERS
Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .173
Answers,Explanations,and References . . . . . . . . . . . . . . . . . . . . .181
PSYCHOTHERAPIES
Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .189
Answers,Explanations,and References . . . . . . . . . . . . . . . . . . . . .200
PSYCHOPHARMACOLOGYAND OTHER SOMATICTHERAPIES
Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .213
Answers,Explanations,and References . . . . . . . . . . . . . . . . . . . . .229
LAWAND ETHICS IN PSYCHIATRY
Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .243
Answers,Explanations,and References . . . . . . . . . . . . . . . . . . . . .249
Bibliography . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .255
I
NTRODUCTION
Psychiatry: PreTest®Self-Assessment and Review, Ninth Edition, has been de-
signed to provide medical students, psychiatric residents, psychiatrists,
mental health professionals, and international medical graduates with a
comprehensive and convenient instrument for self-assessment and review.
The 500 questions provided have been designed to parallel the topics, for-
mat, and degree of difficulty of the questions contained in the United States
Medical Licensing Examination (USMLE) Step 1.
Each question in the book is accompanied by an answer, a paragraph
explanation, and a specific page reference to a standard textbook or other
major resource. These books have been carefully selected for their educa-
tional excellence and ready availability in most libraries. A bibliography that
lists all the sources used in the book follows the last chapter. Diagnostic
nomenclature is that of the fourth edition of Diagnostic and Statistical Man-
ual of Mental Disorders (DSM-IV).
One effective way to use this book is to allow yourself one minute to
answer each question in a given chapter and to mark your answer beside
the question. By following this suggestion, you will be training yourself for
the time limits commonly imposed by examinations.
Since there are few absolutes in clinical practice, remember to simply
choose the best possible answer. There are no “trick” questions intended.
Rather, each question has been designed to address a significant topic. Some
important topics are deliberately duplicated in other sections of the book
when this is deemed helpful. All questions apply to the treatment of adults
unless otherwise indicated.
When you have finished answering the questions in a chapter, you
should then spend as much time as you need to verify your answers and to
absorb the explanations. Although you should pay special attention to the
explanations for the questions you answered incorrectly, you should read
every explanation. Each explanation is designed to reinforce and supple-
ment the information tested by the question. When you identify a gap in
your fund of knowledge, or if you simply need more information about a
topic, you should consult and study the references indicated.
vii
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E ,A ,
VALUATION SSESSMENT
D
AND IAGNOSIS
Questions
DIRECTIONS: Each item below contains a question or incomplete
statement followed by suggested responses. Select the one best response
to each question.
1. A 62-year-old female with a 2. A medical student finds it hard
chronic psychiatric disorder claims to follow a patient’s train of thought
that the comments of a well-known because he gives very long, compli-
news anchorman have a special cated explanations and many un-
meaning that only she understands. necessary details before finally an-
She is convinced that when he re- swering the original questions. In
ports on local events he is really try- his report, the medical student
ing to persuade her to start a “sinful writes that the patient displayed
relationship.” This is an example of
a. Loose associations
a. A visual hallucination b. Circumstantiality
b. An illusion c. Goal-oriented thought processes
c. A delusion of persecution d. Perseveration
d. A delusion of reference e. Flight of ideas
e. Concrete thinking
3. A delusion can best be defined as
a. A false belief that meets specific
psychological needs
b. A perceptual misrepresentation of a
sensory image
c. A perceptual representation of a
sound or an image not actually
present
d. A viewpoint able to be changed
when convincing evidence to the
contrary is presented
e. A dissociative reaction
1