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Exceptions of confidentiality between psychiatrist and the patient are the following, except


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    1. Patient is commonly unarousable.

  1. Which of the following is true of hypoactive delirium?

    1. Psychotic symptoms are rare.

    1. It responds poorly to antipsychotics.

    1. * It is frequently missed in practice.

    1. It has a better prognosis than agitated delirium.

    1. Patient is commonly unarousable.

  1. Which of the following is true of Korsakoff syndrome?

    1. * It can be caused by continuous vomiting.

    1. Confabulation is always present.

    1. Disorientation is usually present.

    1. Clouding of consciousness is characteristic.

    1. Immediate memory is affected.

  1. Which of the following is true regarding competency?

    1. Most depressed patients are mentally incompetent.

    1. Cognitively impaired patients do not have the capacity to make decisions.

    1. Competency is a clinical determination.

    1. Capacity and competency are the same.

    1. * Capacity to consent is specific to the issue and the situation.

  1. Which of the following is true regarding denial in patients on renal dialysis?

    1. It is rarely present.

    1. * It may cause problems with compliance.

    1. It is always pathological.

    1. If denial is low, less mood dysfunction occurs.

    1. High denial results in rapid readjustment.

  1. Which of the following is true regarding geriatric depression?

    1. Minor depression rarely progresses to major depression.

    1. It always requires antidepressants.

    1. * It should not be treated until DSM-IV criteria are met.

    1. It may worsen physical illness.

    1. It is frequently overtreated.

  1. Which of the following is true regarding late-onset psychosis?

    1. First-rank symptoms must be present:

    1. There is no enlargement of the ventricles.

    1. * Delusions are more common than hallucinations.

    1. Twenty percent of cases have a family history of schizophrenia.

    1. Patients usually have a good premorbid personality.

  1. Which of the following is true regarding mental disorders in patients with epilepsy?

    1. Ictal psychosis is more common than interictal psychosis.

    1. Violence is common during a seizure.

    1. * Rates of attempted suicide are increased in people with epilepsy.

    1. Mood symptoms are more common than schizophrenia-like symptoms.

    1. No correct answer

  1. Which of the following is true regarding psychiatric illness in cancer patients?

    1. Twenty-five percent of patients with cancer develop a psychiatric illness.

    1. Depression is the most common psychiatric diagnosis.

    1. * Suicide is rare among patients with cancer.

    1. Patients with pancreatic cancer are at highest risk of suicide.

    1. No correct answer

  1. Which of the following is true regarding suicide in the elderly?

    1. Suicide is associated with depression in about 40% of patients.

    1. Substance abuse is as common as in the younger age groups.

    1. Attempts are associated with a low degree of intent.

    1. Hypochondriasis and insomnia are rare.

    1. * Attempts are a strong predictor of successful suicide.

  1. Which of the following is true regarding the management of delirium?

    1. Iatrogenic causes are rare.

    1. Involvement of the patient in management should be discouraged.

    1. Antipsychotics are effective due to their sedative actions.

    1. * Reduction of risk factors can prevent further episodes.

    1. No correct answer

  1. Which of the following is true regarding the treatment of depression in hepatic disease?

    1. Tricyclic antidepressants are safe in the presence of liver disease.

    1. * Lithium is the mood stabilizer of choice in the presence of liver disease.

    1. SSRIs are contraindicated in liver disease.

    1. MAOIs are safe in hepatitis B.

    1. Half-lives of drugs are reduced in liver disease.

  1. Which type of dementia is typically seen in patients with HIV?

    1. Alzheimer's dementia

    1. * Subcortical dementia

    1. Lewy body dementia

    1. Infectious dementia

    1. Vascular dementia

  1. With which of the following is exogenous administration of steroids most commonly associated?

    1. * Mania

    1. Psychosis

    1. Depression

    1. Panic attacks

    1. Anxiety

  1. Basic function of psychological nocifensors :

    1. avoidance of fear

    1. * avoidance of alarm

    1. protecting is from a neurosis

    1. protecting is from a psychosis

    1. facilitation to social life

  1. Basic function of psychological nocifensors :

    1. avoidance of fear

    1. * avoidance of alarm

    1. protecting is from a neurosis

    1. protecting is from a psychosis

    1. facilitation to social life

  1. Circumstances capable to cause cramps :

    1. laughter

    1. deprivation

    1. overhydration

    1. reading

    1. *No correct answer

  1. A meal seems deprived to taste ("as grass").

    1. Paresthesia

    1. * Hypesthesia

    1. Senestopatia

    1. Pareydolia

    1. Pseudohallucinations

  1. A patient suffers from the unsettled family with a spiteful vindictive father which he however, loves.

    1. fixing

    1. dissociation

    1. resistance

    1. * change

    1. renewal

  1. A patient asks to close window shades, as daylight blinds his/her eyes. Set the diagnosis

    1. Paresthesias

    1. Derealization

    1. Depersonalisation

    1. Pareydolia

    1. * Hyperesthesia

  1. The Diagnostic and Statistical Manual of Mental Disorders (DSM) – III refers to:

    1. psyho-sexual violation

    1. * dissociative violation

    1. traumatic neuroses

    1. convertion violation

    1. violation of simulations (factitious disorders)

  1. The complication after a surgical operation is:

    1. young woman which yielded to cosmetic surgery

    1. * a patient`s depression

    1. a patient is with schizophrenia in a remission

    1. patient which did not have a pre-operative alarm

    1. a patient is with strong domestic copulas

  1. After a quarrel with a man a patient lost ability suddenly to move and talk. In an hour he began to move, but could not talk, pantomimed. Your conclusion:

    1. Depressed stupor

    1. * Hysterical stupor

    1. Catatonic stupor

    1. Normal state

    1. Not enough data for a diagnosis

  1. Patient complains that the linen irritates and scratches the body. Your diagnosis:

    1. * hyperesthesia

    1. Psyhosensoric disorders

    1. Pareydolia

    1. Pseudohallucinations

    1. No correct answer

  1. A patient suffers from permanent burdensome ideas about possible insolvency in a sexual sphere. Your diagnosis:

    1. perseveration

    1. nosomania

    1. overvalued ideas

    1. *obtrusiveness

    1. psychical automatisms

  1. Patients` eye stopped to distinguish colors. Possible reason:

    1. Senestopatia

    1. * Hysterical amaurosis

    1. Metamorfopsia

    1. Parejdolic illusions

    1. Pseudohallucinations

  1. A patient obtained great successes in psychotherapy, but then began to be late on sessions and seem displeased at it by an internist

    1. fixing

    1. * resistancy

    1. dissociation

    1. change

    1. renewal

  1. The therapeutic technique of free associations includes everything AFTER EXCEPTION:

    1. * a frequent task of direct questions is for the exposure of injuring material

    1. approval of utterance of any ideas which came

    1. permission to the patient to know sense of the producted material

    1. instruction to express opinions a patient in the that order, in what they come

    1. suggestion of not many direct interpretations

  1. Description of hysterical composition of face (of hysterical personality) includes:

    1. self - awareness

    1. psychological dependence is on those which surround

    1. * search of the realized attention

    1. dramatization and over-reaction

    1. No correct answer

  1. What types of impulses do generate a fobic reaction?

    1. * aggressive

    1. sexual

    1. acvisitive

    1. altruism

    1. No correct answer

  1. What types of impulses do generate a fobic reaction?

    1. * aggressive

    1. sexual

    1. acvisitive

    1. altruism

    1. No correct answer

  1. A term "suggestion of prestige"(prestige suggestion) can be certain as:

    1. suggestion the third person to the patient, that his doctor is a persondear in the medical world

    1. suggestion to the patient of the high qualification a doctor

    1. suggestion which caused a change to the face of patient

    1. * direct or indirect suggestion which a pathological symptom disappeared after

    1. nothing of above-stated

  1. According to classic principles of psychotherapy, at the grant of help unpsychotic, but the emotionally staggered patient, doctor, it follows:

    1. to give direct advices from the improvement of the interpersonal relations

    1. * to help a patient to choose the own plan of actions

    1. to go out on a direct contact with persons - participants of conflict

    1. to cause feeling of safety, brightly expressing liking
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