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


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    1. * Usually it arises up on 3 stages of alcoholism

    1. For alcoholism not characteristic

    1. Usually it arises up on a 1 stage of alcoholism

  1. What stage of motion of alcoholism is withdrawal syndrome?

    1. It is observed at all stages of motion of alcoholism

    1. * Usually it arises up on 2 stages of alcoholism

    1. Usually it arises up on 3 stages of alcoholism

    1. For alcoholism not characteristic

    1. Usually it arises up on a 1 stage of alcoholism

  1. What stage of motion of alcoholism is the use of substitutes of alcohol?

    1. It is observed at all stages of motion of alcoholism

    1. * Usually it arises up on 2 stages of alcoholism

    1. Usually it arises up on 3 stages of alcoholism

    1. For alcoholism not characteristic

    1. Usually it arises up on a 1 stage of alcoholism

  1. What symptoms are founding for establishment of the 3rd stage of chronic alcoholism?

    1. Letheral forms of intoxication

    1. Disorders on memory

    1. * Dystrophic processes of internals and mnestic-intelligent disorders

    1. Growth of tolerance is to the alcohol

    1. Intolerant of alcohol

  1. What symptoms do testify to the heavy unfavorable flowing of white fever (tromomania)?

    1. sharp psychomotor excitation

    1. complete absence of productive contact is with a patient

    1. hallucinations

    1. * physical weakness, excitation limited to the limits of bed

    1. social desadaptation

  1. What is typical symptomatology of acute canabis intoxication :

    1. dryness in a company

    1. turning of conjunctiva red

    1. increase of appetite

    1. excitation and laughter

    1. * all enumerated correct

  1. What is typical symptomatology of acute intoxication by tranquilizers and barbiturates :

    1. hyperemia face

    1. disartria

    1. * expansion of pupil

    1. hypotaxia of motions

    1. psychomotor excitation

  1. When depression and anxiety are prominent before detoxification, what of the following is true?

    1. Treatment with an antidepressant should be started.

    1. Their presence indicates the need for inpatient detoxification.

    1. Their presence predicts dropout from detoxification.

    1. * Symptoms usually disappear in about 3 to 4 weeks.

    1. A DSM-IV Axis I diagnosis should be made immediately.

  1. When is vomitive reflex on the overdoses of alcohol is absent?

    1. * It is observed at all stages of motion of alcoholism

    1. Usually it arises up on 2 stages of alcoholism

    1. Usually it arises up on a 1 stage of alcoholism

    1. Usually it arises up on 3 stages of alcoholism

    1. For alcoholism not characteristic

  1. Which of the following does not predict a risk of suicide in patients with alcoholism?

    1. Comorbid depression

    1. * Severity of alcoholism

    1. Parental alcoholism

    1. Early age of onset of drinking

    1. Previous self-harm

  1. Which of the following is a characteristic feature of alcohol dependence?

    1. * Rapid, reinstatement after abstinence

    1. Absenteeism on Fridays

    1. Tendency to exaggerate drinking

    1. Drinking only in the company of others

    1. Ability to control drinking when interpersonal problems increase

  1. Which of the following is a good first-line drug for alcohol detoxification

    1. Chlorpromazine

    1. * Chlordiazepoxide

    1. Carbamazepine

    1. Clonidine

    1. Barbiturates

  1. Which of the following is a risk factor for alcoholism?

    1. Female sex

    1. * Identical twin with alcoholism

    1. Adoptive father with alcoholism

    1. Family history of schizophrenia

    1. Family history of ADHD

  1. Which of the following is a stage in the theory of change?

    1. Revision

    1. * Contemplation

    1. Realism

    1. Denial

    1. Shock

  1. Which of the following is an effect of alcohol during sleep?

    1. Increased sleep latency

    1. Decreased sleep fragmentation

    1. Decreased episodes of waking

    1. * Decreased REM sleep

    1. Increased stage IV sleep

  1. Which of the following is associated with withdrawal from alcohol?

    1. Elevated dopaminergic function

    1. * Reduced dopaminergic function

    1. Increased GABA activity

    1. Decreased glutaminergic activity

    1. Increased serotonin function

  1. Which of the following is caused by cocaine toxicity?

    1. Bradycardia

    1. Hypothermia

    1. Hypersomnia

    1. Hypotension

    1. * Intracranial hemorrhage

  1. Which of the following is most useful in differentiating between schizophrenia and alcohol withdrawal delirium?

    1. Agitation

    1. Hallucinations

    1. Affect

    1. * Level of consciousness

    1. Paranoid delusions

  1. Which of the following is not a cause of delirium and confusion in the elderly?

    1. * Depressive disorder

    1. Electrolyte imbalance

    1. Urinary retention

    1. Constipation

    1. Medication toxicity

  1. Which of the following is not a complication of alcohol abuse?

    1. Decreased serum testosterone

    1. Carcinoma esophagus

    1. Hypertension

    1. Cardiomyopathy

    1. * Parkinson's disease

  1. Which of the following is not a feature of fetal alcohol syndrome?

    1. Renal defects

    1. Cardiac defects

    1. * Severe mental retardation

    1. Growth retardation

    1. Facial dysmorphism

  1. Which of the following is not a feature of Korsakoff`s psychosis?

    1. Normal consciousness

    1. Disturbance of affect

    1. Disturbance of volition

    1. * Distress about memory impairment

    1. Abulia

  1. Which of the following is not seen in heroin withdrawal?

    1. Rhinorrhea

    1. Muscle cramps

    1. * Miosis

    1. Diarrhea

    1. No correct answer

  1. Which of the following is not true of delirium tremens?

    1. If untreated, it has a high mortality rate.

    1. Hallucinations may involve the patient's occupation.

    1. * Aphasia is common.

    1. Patients are highly suggestible.

    1. The delusions are fragmented and unsystematized.

  1. Which of the following is one of the diagnostic criteria for substance dependence?

    1. Absence from work

    1. Use of the substance in hazardous situations

    1. Substance-related legal problems

    1. * Withdrawal symptoms

    1. Neglect of children because of substance use

  1. Which of the following is the origin of motivation-enhancing techniques treating substance abuse?

    1. Cognitive-behavioral therapy

    1. Operant conditioning

    1. Psychodynamic theories

    1. Milan school of family therapy

    1. * Theory of change

  1. Which of the following is true about disulfiram?

    1. It is contraindicated in people on antidepressants.

    1. Treatment with it should not be started on an outpatient.

    1. * Its effects may persist for several days after it is discontinued.

    1. It should routinely be given to all alcoholics.

    1. It requires large quantities of alcohol to produce a reaction.

  1. Which of the following is true about heroin addiction?

    1. Inspection of the person's limbs reliably excludes intravenous use.

    1. HIV testing is mandatory.

    1. Endocarditis is a common complication.

    1. Urinary testing confirms the amount of drug consumed.

    1. * Withdrawal symptoms are rarely life threatening.

  1. Which of the following is true about LSD?

    1. It results in hypotension and falls.

    1. Pinpoint pupils are a reliable indicator of LSD use.

    1. * It can cause neuroleptic malignant syndrome.

    1. Hallucinations are usually tactile.

  1. Which of the following is true of caffeinism?

    1. Withdrawal symptoms start after 48 hours.

    1. * Withdrawal symptoms can last up to 1 week.

    1. Caffeine has a half-life of 12 hours.

    1. Withdrawal symptoms can be life threatening.

    1. Muscle relaxation occurs.

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

    1. Disorientation is usually present.

    1. Confabulation is essential for diagnosis.

    1. Immediate memory is affected.

    1. * It can be caused by continuous vomiting.

    1. Clouding of consciousness is a characteristic feature.

  1. Which of the following substances is the most commonly used by people with schizophrenia?

    1. Cocaine

    1. Marijuana

    1. Benzodiazepine

    1. Alcohol

    1. * Nicotine

  1. Which of the following symptoms favors a diagnosis of amphetamine induced psychotic disorder rather than schizophrenia?

    1. Predominance of auditory hallucinations

    1. Inappropriate affect

    1. * Little or no evidence of disordered thinking

    1. Marked affective flattening

    1. Alogia

  1. Which of the following triads of symptoms best describes Wernicke's encephalopathy?

    1. Hallucinations, ataxia, and peripheral neuropathy

    1. Hallucinations, confabulation, and peripheral neuropathy

    1. Hallucinations, ataxia, and tremors

    1. Ophthalmoplegia, seizures, and confusion

    1. * Ophthalmoplegia, ataxia, and global confusion

  1. Why is methadone used as a substitute for heroin in the treatment of heroin dependence?

    1. It reduces addiction to other drugs.

    1. It has less potential to cause dependence than heroin.

    1. It prevents psychotic symptoms.

    1. * It blocks mu opioid receptors in the brain.

    1. It suppresses opioid withdrawal symptoms for a longer time.

  1. Paraphrenic syndrome can be observed at the next abnormal psychology state:

    1. Tromomania

    1. Alcoholic hallucinosis

    1. Alcoholic paranoid

    1. All enumerated psychoses

    1. * None of the indicated psychoses

  1. Somato-vegetative disorders are one of obligatory displays :

    1. alcoholic syndrome of abstinentia

    1. depressed syndrome

    1. white fever

    1. nervous breakdowns

    1. * all disorders listed above
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