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Psychiatry Quiz

31 July 2009

Please mark True (T) or False (F):

  • The cerebral cortex consists of six layers.
  • Most cerebellar neurons are excitatory.
  • Purkinje cell output to the dentate nucleus is inhibitory.
  • Basal ganglia structures include insula.
  • The prefrontal circuit has been implicated in cognitive function.
  • The limbic system is implicated in aspects of memory and emotion.
  • The limbic system includes the globus pallidus.
  • In the frontal dementias, the basal ganglia are invariably involved.
  • Prefrontal cortex overactivity is present in severe depression.
  • Huntington's chorea invariably involves frontal symptoms.

15 July 2009

Please mark True or False:

  • The ancient Greeks described four conditions: phrenitis, mania, melancholia and paranoia.
  • Lunacy legislation in England dates from the 15th century.
  • A shift in thinking occurred at the beginning of the Middle Ages and psychiatric conditions began to be thought of as predominantly 'medical'.
  • Sydenham's textbook (1696) can be regarded as a turning point for modern diagnosis and classification.
  • hilippe Pinel is generally credited with popularizing treatments involving non-restraint.
  • In England, in 1808, a bill was passed for the purpose of providing 'better care and maintenance of lunatics being paupers or criminals'.
  • Krapelin was appointed to the first chair of Psychiatry and Neurology in Berlin in 1865.
  • Sakel introduced Insulin Coma Therapy in 1932.
  • Kuhn introduced Imipramine in 1958.
  • Moniz introduced Psychosurgery in 1935.

Answer


30 June 2009

Which of the following statements are FALSE?

  • Depressive disorders increase in frequency with increasing age in the general population.
  • Mood disorders among preschool-age children are extremely rare.
  • Mood disorders in children, adolescents, and adult patients tend to cluster in the same families.
  • Prepubertal children in an episode of depressive disorder secrete significantly more growth hormone during sleep than do normal children.
  • Polysomnography of depressed children and adolescents may show reduced REM latency and an increased number of REM periods.
  • Evidence indicates that boys whose fathers died before they were 13 years of age are at greater risk than controls to develop depression.
  • In the DSM-IV-TR, bereavement is not a mental disorder.
  • Common side effects of Fluoxetine include headache, gastrointestinal symptoms, sedation and insomnia.
  • Half life of Escitalopram is 27 – 32 hours.
  • Half life of Mirtazepine is grater in males than in females.

15 June 2009

Which of the following statements are False?

  • sychological defense mechanisms include Denial, Projection, Displacement, Materialism and Mobilisation.
  • Recognised personality traits include Suspisciousness, Obsessionality, Conscientiousness, Openness and Submissiveness.
  • Benzodiazepine withdrawal may produce Tremor, Insomnia, Anxiety, Convulsions and Muscle Fasciculation.
  • Clinical features of chronic opiate dependence include Dilated Pupils, Tremor, Constipation and Impotence.
  • Reversible causes of Dementia include Hypothyroidism, Wilson's Disease, Pick's Disease and Huntington's Chorea.
  • Causes of a reduction in libido or erectile dysfunction include Antihypertensive Drugs, Haemochromatosis, Diabetes Mellitus, Hypothyroidism and Hyperthyroidism.
  • Predictors for better outcome in Schizophrenia include Later Age of Onset, Short Duration of Illness, Good Premorbid Functioning and Confusion and Disorientation.
  • Carbamazepine's hematologic effects are not Dose Related.
  • In rare cases, Zolpidem can cause Hallucinations and Behavioural Changes.
  • Risperidone can be effective in Once Daily Dosing.

Answer



answer

15 July 2009

False:

  • 2. Lunacy legislation in England dates from the 15th century.
  • 3. A shift in thinking occurred at the beginning of the Middle Ages and psychiatric conditions began to be thought of as predominantly 'medical'.
  • 7. Krapelin was appointed to the first chair of Psychiatry and Neurology in Berlin in 1865.

15 June 2009

False:

  • 1. Psychological defense mechanisms include Denial, Projection, Displacement, Materialism and Mobilisation.
  • 4. Clinical features of chronic opiate dependence include Dilated Pupils, Tremor, Constipation and Impotence.
  • 5. Reversible causes of Dementia include Hypothyroidism, Wilson's Disease, Pick's Disease and Huntington's Chorea.