[MCQ] Mental Disorders- Part 2

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Mental Disorders- Part 2

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Congratulations - you have completed Mental Disorders- Part 2. You scored %%SCORE%% out of %%TOTAL%%. Your performance has been rated as %%RATING%%

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Question 1

Which of the following is an ideal antidepressant ?

A	SSRI
B	TCA
C	MAOI
D	None of the above

Question 1 Explanation:

There is no ideal antidepressant. No current compound combines rapid onset of action, moderate half-life, a meaningful relationship between dose & bloo

Question 2

Principal active metabolite of Fluoxetine is ?

A	Isofluoxetine
B	Parfluoxetine
C	Norfluoxetine
D	Metafluoxetine

Question 2 Explanation:

Principal active metabolite of Fluoxetine is Norfluoxetine.

Question 3

Which of the following is false about serotonin syndrome ?

A	Myoclonus
B	Abdominal cramping
C	Hyperpyrexia
D	Hypotension

Question 3 Explanation:

MAOIs used concomitantly with SSRIs can lead to serotonin syndrome that results from hyperstimulation of brainstem 5HT1A receptors and is characterized by myoclonus, agitation, abdominal cramping, hyperpyrexia, hypertension, and potentially death

Question 4

Which of the following is useful in managing treatment-resistant depression ?

A	Transcranial magnetic stimulation (TMS)
B	Vagus nerve stimulation (VNS)
C	Deep brain stimulation (DBS)
D	All of the above

Question 4 Explanation:

Electroconvulsive therapy, Transcranial magnetic stimulation (TMS), Vagus nerve stimulation (VNS) and Deep brain stimulation (DBS) are useful in managing treatment resistant depression.

Question 5

Response to treatment of depression should be evaluated after how many months ?

A	1 month
B	2 month
C	3 month
D	6 month

Question 5 Explanation:

Regardless of the modality of treatment for depression, response should be evaluated after 2 months.

Question 6

Which of the following distinguish bipolar I mania from bipolar II hypomania ?

A	Suicidal tendancy
B	Voluntarily produced physical symptoms of illness
C	Severity of elevated mood
D	Intentionally produced deficit symptoms

Question 6 Explanation:

The greater severity of elevated mood and associated functional disability distinguish bipolar I mania (which is characterized by psychosis, the need for urgent care or hospitalization, or marked impairment) from bipolar II hypomania.

Question 7

Montgomery and Åsberg Depression Rating Scale (MADRS) ranges from ?

A	0 to 20
B	0 to 40
C	0 to 60
D	0 to 80

Question 7 Explanation:

Montgomery and Åsberg Depression Rating Scale [MADRS] ranges from 0 to 60.

Question 8

Term rapid cycling is used for patients who have how many episodes of either depression or mania in a given year ?

A	One or more
B	Two or more
C	Three or more
D	Four or more

Question 8 Explanation:

Term rapid cycling is used for patients who have four or more episodes of either depression or mania in a given year.

Question 9

In bipolar disorders, which of the following is effective in the depressed phase ?

A	Lithium carbonate
B	Sodium valproate
C	Olanzapine
D	Lamotrigine

Question 9 Explanation:

Lithium carbonate is the mainstay of treatment in bipolar disorder. Sodium valproate & olanzapine are equally effective in acute mania, as is lamotrigine in the depressed phase.

Question 10

Which of the following is not a side effect of lithium therapy ?

A	Weight loss
B	Alopecia
C	Antithyroid effect
D	Polyuria

Question 10 Explanation:

Side effects of lithium include gastrointestinal discomfort, nausea, diarrhea, polyuria, weight gain, skin eruptions, alopecia, edema, and antithyroid effect.

Question 11

Therapeutic blood levels of lithium in the treatment of acute mania is ?

A	0.4 - 0.8 meq / L
B	0.8 - 1.2 meq / L
C	1.4 - 2.2 meq / L
D	2.5 - 3.2 meq / L

Question 11 Explanation:

In the treatment of acute mania, lithium is initiated at 300 mg bid or tid. Dose is titrated every 2 - 3 days to achieve blood levels of 0.8 - 1.2 meq/L.

Question 12

Therapeutic blood levels of valproic acid is ?

A	50 - 125 μg/mL
B	100 - 225 μg/mL
C	200 - 350 μg/mL
D	380 - 525 μg/mL

Question 13

Therapeutic blood levels of carbamazepine is ?

A	1 - 4 μg/mL
B	4 - 12 μg/mL
C	12 - 22 μg/mL
D	25 - 42 μg/mL

Question 14

Which of the following drugs is appropriate for patients who experience rapid cycling ?

A	Lithium carbonate
B	Sodium valproate
C	Olanzapine
D	Lamotrigine

Question 14 Explanation:

Valproic acid is better for patients who experience rapid cycling (> 4 episodes a year) or who present with a mixed or dysphoric mania.

Question 15

In somatization disorder, which of the following is true to fulfill the diagnostic criteria ?

A	2 pain, 2 GI, 2 sexual, & 2 pseudoneurologic symptom
B	3 pain, 2 GI, 2 sexual, & 1 pseudoneurologic symptom
C	3 pain, 2 GI, 1 sexual, & 2 pseudoneurologic symptom
D	4 pain, 2 GI, 1 sexual, & 1 pseudoneurologic symptom

Question 15 Explanation:

Formal diagnostic criteria for somatization disorder requires the recording of at least four pain, two gastrointestinal, one sexual, and one pseudoneurologic symptom.

Question 16

In conversion disorder, deficit symptoms involve ?

A	Motor
B	Sensory
C	Psychological
D	All of the above

Question 16 Explanation:

In conversion disorder, deficit symptoms are not intentionally produced or simulated and involve motor or sensory function & psychological factors that initiate or exacerbate medical presentation.

Question 17

Which of the following best relates to hypochondriasis ?

A	Voluntarily produced physical symptoms of illness
B	Belief of serious medical illness
C	Intentionally produced deficit symptoms
D	Simulated deficit symptoms

Question 17 Explanation:

In factitious disorder (malingering), patient consciously & voluntarily produces physical symptoms of illness. Essential feature in hypochondriasis is a belief of serious medical illness that persists despite reassurance & appropriate medical evaluation.

Question 18

Munchausen’s syndrome best relates to ?

A	Factitious disorder
B	Hypochondriasis
C	Conversion disorder
D	All of the above

Question 18 Explanation:

Munchausen’s syndrome is characterized by dramatic, chronic, or severe factitious illness for a desire for some external reward such as a narcotic medication or disability reimbursement

Question 19

Which of the following is required for the diagnosis of borderline personality disorder ?

A	Interpersonal hypersensitivity
B	Impulsivity
C	Affective dysregulation
D	All of the above

Question 20

Most distinctive characteristic of patients with BPD is ?

A	Excessive involvement in pleasurable activities
B	Decreased need for sleep
C	Hypersensitivity to rejection
D	Inflated self-esteem or grandiosity

Question 20 Explanation:

Most distinctive characteristics of patients with BPD are their hypersensitivity to rejection and their fearful preoccupation with expected abandonment.

Question 21

Which of the following is not a feature of personality disorders ?

A	Characteristic patterns of thinking & feeling
B	Relative flexibility
C	Significant functional impairment
D	Subjective distress

Question 21 Explanation:

Personality disorders are characteristic patterns of thinking, feeling & interpersonal behavior that are relatively inflexible & cause significant functional impairment or subjective distress.

Question 22

Obsessive-compulsive personality types is grouped in which personality cluster disorder ?

A	Cluster A
B	Cluster B
C	Cluster C
D	Any of the above

Question 23

Paranoid personality type is grouped in which personality cluster disorder ?

A	Cluster A
B	Cluster B
C	Cluster C
D	Any of the above

Question 24

Antisocial personality type is grouped in which personality cluster disorder ?

A	Cluster A
B	Cluster B
C	Cluster C
D	Any of the above

Question 24 Explanation:

Personality disorders are grouped into 3 overlapping clusters. Cluster A includes paranoid (unjustified pervasive mistrust & suspiciousness), schizoid, and schizotypal personality disorders. Cluster B disorders include antisocial, borderline, histrionic & narcissistic types (impulsive behavior, excessively emotional, erratic). Cluster C includes avoidant, dependent & obsessivecompulsive personality types.

Question 25

In Mini Mental Status Examination, scoring is done out of ?

A	20
B	30
C	40
D	50

Question 26

Depressive episodes that occur in conjunction with manic episodes are called ?

A	Anxiety disorders
B	Schizophrenic disorders
C	Bipolar disorders
D	Major depressive disorders

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See all quizzes of Mental Disorders- Part 2 here:

1 Which of the following is an ideal antidepressant ?
A. SSRI
B. TCA
C. MAOI
D. None of the above

2 Principal active metabolite of Fluoxetine is ?
A. Isofluoxetine
B. Parfluoxetine
C. Norfluoxetine
D. Metafluoxetine

3 Which of the following is false about serotonin syndrome ?
A. Myoclonus
B. Abdominal cramping
C. Hyperpyrexia
D. Hypotension

4 Which of the following is useful in managing treatment-resistant
depression ?
A. Transcranial magnetic stimulation (TMS)
B. Vagus nerve stimulation (VNS)
C. Deep brain stimulation (DBS)
D. All of the above

5 Response to treatment of depression should be evaluated after
how many months ?
A. 1 month
B. 2 month
C. 3 month
D. 6 month

6 Which of the following distinguish bipolar I mania from bipolar II
hypomania ?
A. Suicidal tendancy
B. Voluntarily produced physical symptoms of illness
C. Severity of elevated mood
D. Intentionally produced deficit symptoms

7 Montgomery and Åsberg Depression Rating Scale (MADRS) ranges
from ?
A. 0 to 20
B. 0 to 40
C. 0 to 60
D. 0 to 80

8 Term rapid cycling is used for patients who have how many
episodes of either depression or mania in a given year ?
A. One or more
B. Two or more
C. Three or more
D. Four or more

9 In bipolar disorders, which of the following is effective in the
depressed phase ?
A. Lithium carbonate
B. Sodium valproate
C. Olanzapine
D. Lamotrigine

10 Which of the following is not a side effect of lithium therapy ?
A. Weight loss
B. Alopecia
C. Antithyroid effect
D. Polyuria

111 Therapeutic blood levels of lithium in the treatment of acute
mania is ?
A. 0.4 – 0.8 meq / L
B. 0.8 – 1.2 meq / L
C. 1.4 – 2.2 meq / L
D. 2.5 – 3.2 meq / L

12 Therapeutic blood levels of valproic acid is ?
A. 50 – 125 μg/mL
B. 100 – 225 μg/mL
C. 200 – 350 μg/mL
D. 380 – 525 μg/mL
13 Therapeutic blood levels of carbamazepine is ?
A. 1 – 4 μg/mL
B. 4 – 12 μg/mL
C. 12 – 22 μg/mL
D. 25 – 42 μg/mL
14 Which of the following drugs is appropriate for patients who
experience rapid cycling ?
A. Lithium carbonate
B. Sodium valproate
C. Olanzapine
D. Lamotrigine

15 In somatization disorder, which of the following is true to fulfill
the diagnostic criteria ?
A. 2 pain, 2 GI, 2 sexual, & 2 pseudoneurologic symptom
B. 3 pain, 2 GI, 2 sexual, & 1 pseudoneurologic symptom
C. 3 pain, 2 GI, 1 sexual, & 2 pseudoneurologic symptom
D. 4 pain, 2 GI, 1 sexual, & 1 pseudoneurologic symptom

16 In conversion disorder, deficit symptoms involve ?
A. Motor
B. Sensory
C. Psychological
D. All of the above

17 Which of the following best relates to hypochondriasis ?
A. Voluntarily produced physical symptoms of illness
B. Belief of serious medical illness
C. Intentionally produced deficit symptoms
D. Simulated deficit symptoms

18 Munchausen’s syndrome best relates to ?
A. Factitious disorder
B. Hypochondriasis
C. Conversion disorder
D. All of the above

19 Which of the following is required for the diagnosis of borderline
personality disorder ?
A. Interpersonal hypersensitivity
B. Impulsivity
C. Affective dysregulation
D. All of the above
20 Most distinctive characteristic of patients with BPD is ?
A. Excessive involvement in pleasurable activities
B. Decreased need for sleep
C. Hypersensitivity to rejection
D. Inflated self-esteem or grandiosity

21 Which of the following is not a feature of personality disorders ?
A. Characteristic patterns of thinking & feeling
B. Relative flexibility
C. Significant functional impairment
D. Subjective distress

22 Obsessive-compulsive personality types is grouped in which
personality cluster disorder ?
A. Cluster A
B. Cluster B
C. Cluster C
D. Any of the above
23 Paranoid personality type is grouped in which personality cluster
disorder ?
A. Cluster A
B. Cluster B
C. Cluster C
D. Any of the above
24 Antisocial personality type is grouped in which personality cluster
disorder ?
A. Cluster A
B. Cluster B
C. Cluster C
D. Any of the above

25 In Mini Mental Status Examination, scoring is done out of ?
A. 20
B. 30
C. 40
D. 50
26 Depressive episodes that occur in conjunction with manic episodes
are called ?
A. Anxiety disorders
B. Schizophrenic disorders
C. Bipolar disorders
D. Major depressive disorders

Mental Disorders

[MCQ] Mental Disorders- Part 2

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Mental Disorders- Part 2

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