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


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

    1. Child abuse

    1. Danger to self or others

    1. Intent to commit a crime

    1. * Communication with other physicians not involved in the care of the patient

    1. Competency procedures

  1. Physical changes in aging women are the following, except

    1. Shrinkage of the labia

    1. * Shorter period of sexual arousal

    1. Thinning of vaginal walls

    1. Vaginal dryness

    1. Dry skin

  1. Risk factors for development of depression in elderly are the following, except

    1. Physical illness

    1. Female sex

    1. History of depression

    1. Recent bereavement

    1. * Living alone

  1. The symptoms of premenstrual dysphoric disorder are the following, except

    1. Pelvic discomfort

    1. Irritability

    1. * Occurrence of the disorder soon after menstruation

    1. Carbohydrate craving

    1. Occurrence of the disorder for 2 consecutive months

  1. The symptoms of Wilson's disease are the following, except

    1. Cognitive impairment

    1. * Visual symptoms

    1. Epilepsy

    1. Changes in personality

    1. Rigidity and dystonia

  1. The following statements about porphyria are true, except

    1. Peripheral neuropathy may be seen.

    1. * The elevation of ceruloplasmin is detected.

    1. Benzodiazepines may be used.

    1. Symptoms may resemble schizophrenia.

    1. Acute intermittent porphyria is the most common form.

  1. The following statements regarding dementia are true, except

    1. * Alzheimer's is more common than vascular dementia in Asia.

    1. One-fifth of patients with Alzheimer's have cerebral vascular lesions.

    1. Following a stroke, about one in four patients develops dementia.

    1. Hypertension in early years is a risk factor for dementia.

    1. Cigarette smoking in early life is a risk factor for dementia.

  1. The following statements regarding first onset of depression in elderly are true, except

    1. Somatic delusions are common.

    1. The condition responds to treatment with antidepressants.

    1. Life expectancy is reduced.

    1. * The condition rarely results in suicide.

    1. There is less likely to be a genetic predisposition.

  1. The following statements regarding late-onset psychosis in women are true, except

    1. * Associated with deafness

    1. Characterized by visual hallucinations

    1. More prevalent in lower socioeconomic classes

    1. Family history of schizophrenia may be present

    1. Antipsychotic drugs are ineffective

  1. All of the following suggest a diagnosis of dementia, except

    1. Impaired memory

    1. * Fluctuating level of consciousness

    1. Difficulties with dressing

    1. Impaired digit span

    1. Difficulty in finding the way home

  1. Wernicke's syndrome can cause the following, except

    1. Ataxia

    1. Diplopia

    1. Peripheral neuropathy

    1. * Dysphasia

    1. Confusion

  1. What is the most common cause of hyperthyroidism?

    1. Hashimoto's thyroiditis

    1. Grave's disease

    1. Administration of exogenous thyroid

    1. TSH-secreting pituitary adenoma

    1. Hydatidiform mole

  1. What is the most common neuropsychiatric complication in hospitalized patients with AIDS?

    1. Depression

    1. Dementia

    1. Psychosis

    1. Mania

    1. * Delirium

  1. What is the most common psychiatric condition seen in patients with hyperparathyroidism?

    1. Mania

    1. * Depression

    1. Psychosis

    1. Anxiety

    1. Panic attacks

  1. What is the most commonly used neuroleptic agent in the intensive care unit?

    1. Risperidone

    1. * Haloperidol

    1. Olanzapine

    1. Chlorpromazine

    1. No correct answer

  1. What is the risk of completed suicide in a person who has made a previous suicide attempt?

    1. 2 times

    1. 25 times

    1. 50 times

    1. * 100 times

    1. 500 times

  1. Which of the following inborn errors of metabolism can not be treated by diet?

    1. Homocystinuria

    1. * Lesch-Nyhan syndrome

    1. Phenylketonuria

    1. Galactosemia

    1. Frucrosemia

  1. Which of the following is a definite risk factor for Alzheimer's disease?

    1. Head injury

    1. * Age

    1. Male sex

    1. Aluminum

    1. Cigarette smoking

  1. Which of the following is characteristic of depression associated with medical illness?

    1. Earlier age of onset

    1. Increased rate of family history of depression

    1. * Decreased rate of alcoholism in family members

    1. Greater likelihood of suicide

    1. Poor response to ЕСТ

  1. Which of the following is commonly seen in AIDS dementia complex?

    1. Psychosis

    1. Aphasia

    1. Agnosia

    1. * Word-finding difficulties

    1. No correct answer

  1. Which of the following is found with use of tricyclics in treatment of depression in the elderly?

    1. Decreased plasma half-life

    1. * Increased steady-state levels

    1. Reduced volume of distribution

    1. Reduced risk of postural hypotension

    1. Reduced sensitivity to antimuscuranic side effects

  1. Which of the following is not a psychiatric manifestation of hyperthyroidism?

    1. Depression

    1. Anxiety

    1. Schizophrenia-like symptoms

    1. * Opiate dependence

    1. Cognitive impairment

  1. Which of the following is not associated with suicide in the elderly?

    1. Living alone

    1. Bereavement

    1. Frequent suicidal thoughts

    1. * Financial worries

    1. Previous suicide attempts

  1. Which of the following is not the role of the psychiatry liaison consultant?

    1. Comprehensive assessment of the patient

    1. Accurate note keeping

    1. * Detailed psychodynamic formulation

    1. Documentation of plans for follow-up

    1. No correct answer

  1. Which of the following is not true about depression in the elderly?

    1. It may present as dementia.

    1. Treatment improves cognition.

    1. * Dementia is more common in those living in a community.

    1. Depression in the elderly may be due to cognitive deficits.

    1. Depression is more common in early than late dementia.

  1. Which of the following is not true regarding diabetes mellitus?

    1. * Dementia is less common.

    1. There is a negative correlation between depression and good diabetic control.

    1. In ketoacidotic coma, the level of consciousness correlates with plasma osmolality.

    1. MAOIs potentiate the effect of oral hypoglycemic drugs.

    1. No correct answer

  1. Which of the following is not true regarding the dexamethasone suppression test?

    1. May be positive in dementia

    1. May be positive in infection

    1. May be positive in diabetes

    1. * Is a specific test for depression

    1. May be affected by medication

  1. Which of the following is true about depression in the elderly?

    1. Depressed mood is essential for the diagnosis.

    1. * Depression may present with a physical symptom.

    1. The condition is usually reactive to social circumstances.

    1. The condition requires only readjustment of social circumstances.

    1. Depression is rarely comorbid with physical illness.

  1. Which of the following is true about prion diseases?

    1. * It is more common in men.

    1. Patients usually have a normal EEC

    1. There is a reduced risk with E4 apolipoprotein allele.

    1. It is encoded on chromosome 10.

    1. The familial form is autosomal recessive.

  1. Which of the following is true about suicide in medically ill patients?

    1. Most terminally ill patients develop a psychiatric disorder.

    1. Most terminally ill patients are at risk of suicide.

    1. * Anger is an important factor in suicide.

    1. Mental illness is not common in patients who commit suicide.

    1. No correct answer

  1. Which of the following is true about ЕСТ?

    1. * It can be administered to patients with epilepsy.

    1. It is contraindicated in patients with Parkinson's disease.

    1. Seizures are the most common cause of death in patients given ЕСТ.

    1. The use of bilateral electrodes reduces the risk of cognitive deficits.

    1. ЕСТ should be used after medication failure in catatonia.

  1. Which of the following is true concerning AIDS encephalitis?

    1. The EEG is normal in the early stages.

    1. Frank dysphoria is common.

    1. * Insight is preserved until late.

    1. Memory is usually preserved.

    1. Treatment does not alter course of disease.

  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.
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