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Final module control special (nosology) psychiatry




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Final module control

SPECIAL (NOSOLOGY) PSYCHIATRY


1. The condition of dependence from toxic substances named:

A. Asthenic syndrome

B. Narcotic syndrome

C. Hypochondriac syndrome

D.* Abstinential syndrome

E. Depressive syndrome

2. What is cholinolitic of central action, which using with purpose toxicomania:

A. Phenobarbital

B.* Tincture of belladonna

C. Ephedrine

D. Heroine

E. Caffeine

3. What is purpose abusing of tranquilisers:

A. Stimulation

B. Hypnotic effect

C. Anti depressive effect

D.* Euphoria

E. General tonic effect

4. With purpose blocking of feel (inclination) to toxic substances using:

A. Sedatives

B. Antidepressants

C. General tonic remedies

D.* Psychotherapy

E. Nootropics

5. What is neurotic disoders, when patient constantly repeats complaints on somatic diseases, demands of medical examinations, distrasts medical diagnosis and demands to reveal any somatic disease:

A. Neurasthenic disoders

B. Dissociative (conversive) disoders

C. *Somatoform disoders

D. Panic disoders

E. Obsessive compulsive disoders

6. Select neurotic state with vegetative, somatic and emotional violation (variation arterial pressure, tachycardia, fever, dyspepsia, pain of muscles, violation of sleep, headache, giddiness, irritation, disable of weakening):

A.* Neurasthenic disoders

B. Dissociative (conversive) disoders

C. Obsessive compulsive disoders

D. Generalized anxiety disoders

E. Somatoform disoders

7. What is neurotic state with chronic excessive anxiety in unimportant negative situation?

A.* Generalized anxiety disoders

B. Panic disoders

C. Obsessive compulsive disoders

D. Dissociative (conversive) disoders

E. Somatoform disoders


8. Select neurotic state with repeating fits of heavy anxiety (panic), that does not limit specific situation:

A.* Panic disoders

B. Obsessive compulsive disoders

C. Dissociative (conversive) disoders

D. Somatoform disoders

E. Neurasthenic disoders

9. Select neurotic disoders with sudden temporary violation of function of consciousness, realizing of authenticity own “ego” or behaviour , result in certain part of these function are loss (patient losses ability to reproduce important intimate information):

A.* Dissociative (conversive) disoders

B. Generalized anxiety disoders

C. Panic disoders

D.Obsessive compulsive disoders

E. Neurasthenic disoders

10. In girl A. 19 years old after rope diagnosed stupor neurotic reactions: general constraint, inhibition of motions, indifference to herself and surrounding events. Speech is slowly and silent. Consciousness is narrowed. What medicine will you use?

A.* Solution of sibasoni 0,5 %, 2 ml

B. Solution of melipramini 1,25 %, 1 ml

C. Solution of caffeine 20 %, 1 ml

D. Solution of halloperidoli 0,5 %, 1 ml

E. Solution of sodium-barbitali 10%, 5 ml

11. Patient T., 26 years old after rope was hospitalized: she is crying in voice and demonstrative, banging ones fists on the table, stamping ones feet, tearing herself garment, thinking about suicide. Diagnosis?

A. Erotic excitement

B. *Hysterical excitement

C. Panic excitement

D. Epileptic excitement

E. Amential excitement

12. Patient B., 21 years old after traffic accident was hospitalized with next clinical picture: chaotic movements, tremor of hands, rapidity of speech, fear, anxiety. Orientation is present, disturbance of perception, delusion did not reveal. Diagnosis?

A. Stuporous neurotic reaction

B. Psychogenic delirium

C. Psychogenic stupor

D. Anxiety neurotic reaction

E.* Fugiform excitement

13. Etiological factors of reac­tive psychosis are:

A. Biological

B. Psychological

C. Social

D.* All above mentioned

E. Phisical

14. Specific clinical signs of reac­tive psychosis are:

A.* Karl Jasper’s syndrome

B. Kandinski-Clerambault’s syndrome

C. Korsakoff’s syndrome

D. Paranoid syndrome

E. All mentioned


15. Acute reactive psychosis are:

A. Twilight state

B. Reactive stupor

C. Reactive confusion

D. Reactive paranoid

E.* All above mentioned

16. On the background of fear with panic flight does appear:

A.* Acute twilight state

B. Acute reactive stupor

C. Acute reactive confusion

D. Acute reactive paranoid

E. Acute hallucinosis

17. State from oligokinesia to total absence of movements with mutism are specific for:

A. Acute twilight state

B.* Acute reactive stupor

C. Acute reactive confusion

D. Acute reactive paranoid

E. Acute hallucinosis

18. Psychomotor excitement with fear, constantly verbal production are specific for:

A. Acute twilight state

B. Acute reactive stupor

C.* Acute reactive confusion

D. Acute reactive paranoid

E. Acute hallucinosis

19. Fear with anxiety, paranoid ideas of relation and persecution are specific for:

A. Acute twilight state

B. Acute reactive stupor

C. Acute reactive confusion

D.* Acute reactive paranoid

E. Acute hallucinosis

20. Subacute reactive psychosis are:

A. Twilight state

B. Pseudodementia

C. Ganser’s syndrome

D.* All above mentioned

E. Delirium

21. Clinical signs of pseudodementia are:

A. Wrong answers

B. Not right actions

C. Foolish

D.* All above mentioned

E. Hallucinatoins

22. Prolonged reactive psychosis are:

A. Paranoid depressive

B. Hysteric depressive

C. Asthenic depressive

D.* All above mentioned

E. Hallucinatoin paranoid


23. Post-traumatic stress disorder appears after:

A. Conflict in family

B.* Extreme situations

C. Drug abuse

D. Injury of head

E. All above mentioned

24. Specific clinical signs of post-traumatic stress disorder are:

A. Karl Jasper’s syndrome

B. Kandinski-Clerambault’s syndrome

C. Korsakoff’s syndrome

D. Paranoid syndrome

E.* Reexperiencing of the trauma

25. Diagnostic criteria of post-traumatic stress disorder are:

A. Inability to feel emotion

B. Intrusive imagery of the events

C. Insomnia

D.Trouble concentrating

E.* All above mentioned

26. During what period post-traumatic stress disorder does appear:

A. From few days to few weeks

B. From few months to few years

C.* From few weeks to half years

D. From few hours to few days

E. From few weeks to two years

27. For treatment of post-traumatic stress disorder used all except:

A. Anxiolytic

B. Soporific

C. Antidepressants

D.* Psychostimulants

E. Psychotherapy

28. What sign is specific for pshychogenic psychosis?

A. Euphoria

B.* Fear

C. Melancholy

D. Obsession

E. Compulsion

29. Clinical picture of post-traumatic stress disorder includes:

A. Vegetative disoders

B. Disoders of mood

C. Disoders of bechaviour

D.* All right

E. All wrong

30. Clinical symptoms of depressive syndrome include all signs, except:

A. Increased of movement

B. Retarded thinking

C.* Cloudiness of consciousness

D. Suicidal thinking

E. Delusion of being guilty and self-condemnation


31. What measures are most effective for treatment reactive depression?

A.* Psychotherapy and antidepressants

B. Psychotherapy and anxiolytic

C. Physiotherapy and psychotherapy

D. Antidepressants and neuroleptics

E. Tricycle antidepressants and inhibitors MAO

32. Clinical symptoms of affective-shock reactions include all next signs, except:

A. Appear during catastrophe

B. Presence cloudiness of consciousness

C.* Behaviour is infantile and foolish

D. Patients are dangerous for surrounding people

E. Prognosis – full recovery

33. What is most probably reason for beginnings of schizophrenia?

A.* Inheritance

B. External factors

C. Endocrine disoders

D. Infection-allergic factors

E. Products of decay of carbons metabolism

34. What syndrome is specific for schizophrenia?

A. Depressive state

B. Maniac state

C.* Kandinski-Clerambault’s syndrome

D. Dysphoric state

E. Amnestic disorientation

35. Next signs are specific of catatonic form of schizophrenia, except:

A. Dupre’s symptoms

B.* Maniac ideas

C. Waxen flexibility

D. Negativism

E. Autism

36. Next signs are specific of paranoid form of schizophrenia, except:

A. Persecutory delirium

B. Kandinski-Clerambault’s syndrome

C. Pseudo hallucination

D. Psychical automatism

E.* Mutism

37. Next signs are presence about emotional stupidity, except:

A. Indifference to myself and surrounding people

B. Emotional coolness to relatives

C. Decreasing of intensive activity

D. Decreasing of energetic potential

E.* Melancholic delusion

38. Specific signs are presence about abulia, except:

A. Lowering of libido

B. Loosing of impulse to action

C.* Agoraphobia

D. Loosing of physical and psychical activity

E. Lowering interest to environment


39. Next nuclear form of schizophrenia there are all, except alone:

A. Simple

B. Heboid

C.* Hypertoxic

D. Paranoid

E. Catatonic

40. Next disoders of psychical function are specific of schizophrenia, except:

A. Thinking

B. Emotion

C. Will

D.* Memory

E. Speech

41. Schizophrenia has next basic symptoms, except:

A. Emotional stupidity

B.* Euphoria

C. Paralogic thinking

D. Abulia

E. Intra psychical ataxia

42. What is basic syndrome of schizophrenia:

A. Senestopathia

B.* Intra psychical ataxia

C. Amentia

D. Metamorphopsia

E. Confabulation

43. Next signs are specific of paranoid form of schizophrenia, except alone:

A. Non systematized delusions

B. Kandinski-Clerambault’s syndrome

C. Psychical automatism

D. Atactic incoherence of speech

E.* Amential confusion

44. Terminal state of schizophrenia is characterized by:

A.*Apato-abulic syndrome

B. Paranoid delirium

C. Paraphrenic delirium

D. Confabulations

E. Obsessive states

45. Schizophrenia has next signs, except:

A. Progressing

B. Intra psychical ataxia

C. Estrangement from reality

D.* Paramnesia

E. Ambivalents of fillings

46. What is philosophizing judgement:

A. Rapidity of thought

B. Echo of thoughts

C.* Disposition to futile judgements

D. Symptom of “deja vu”

E. Echo mnesia


47. Heboid (hebephrenic) form of schizophrenia is characterized by:

A. Emotional lability

B. Mutism and negativism

C. Slowing of movements

D.* Frolicsome, incongruous behaviour

E. Amnesia

48. Next signs are specific of catatonic form of schizophrenia, except alone:

A. Mutism

B. Stupour

C. Waxen flexibility

D. Impulsive actions

E.* Imbecility

49. Next signs are specific of simple form of schizophrenia, except alone:

A. Improverishing of psychical life

B. Autism

C. Blunting of affect and loss of volition

D. Symbolic thinking

E.* Non-malignant flowing

50. Simple form of schizophrenia does begin?

A.* in 14-20 years

B. in 8-13 years

C. in 21-34 years

D. in 35-40 years

E. after 100 years

51. What is basic method of treatment of patients with schizophrenia?

A. Hormone therapy

B. Insulin comatose therapy

C. Convulsion therapy

D.* Psychopharmacologic therapy

E. Psychotherapy

52. What medicines are using in patients with paranoid form of schizophrenia?

A.* Haloperidol

B. Zoloft

C. Cipramil

D. Amitriptilin

E. Meliril

53. Next medicines are used in patients with schizophrenia, except:

A. Clopicsol

B. Risperidon

C. Zipreksa

D. Fluanksol

E.* Fluoksitin

54. All medicines are atypical anti psychotic means, except:

A. Zipreksa

B. Rispolept

C. Solian

D. Clopicsol

E.* Etaperasin


55. BAD begins in next age:

A. 10-15 years

B. 15-20 years

C.* after 25 years

D. after 55 years

E. after 75 years

56. What symptoms are specific for maniac episode:

A.Rapidity association

B.High spirit

C.High psychomotor activity (excitement)

D.Rapidity of thought

E.*All above mentioned

57. All signs are present about depressive episode, except:

A. Retarted thinking

B. Psychomotor retardation

C.* Cloudiness of consciousness

D. Suicidal ideas

E. Guilty thoughts and self-condemnation

58. What medicines are using at maniac excitement:

A. Antidepressants

B. Antipsychotic

C. Anticonvulsive

D.* Anxiolitics

E. Lithium

59. What medicines are using in remission with purpose prevent of bouts BAD:

A. Antidepressants

B. Anxiolitics

C.* Lithium

D. Antipsychotic

E. Soporific

60. What antidepressant is tricyclic drugs:

A. Zoloft

B.* Imipramine

C. Lithium

D. Floxetin

E. Lerivon

61. The patient is excited and restless, incessantly walks around the room, wrings her hands, weeps and groans. There is an expression of fear on her face. Asks the people around her to save her family, which is sure to be in great danger. Promises to give the people much money for rescuing her rela­tions. The personnel can’t dissuade her: the patient stays extremely anxious. Couldn't sleep for two nights, and hasn't eaten any food for three days, say­ing, “How can I eat, when my dear ones are dying?” Tried to commit sui­cide.

^ Name the syndromal diagnosis.

A. Hypochondriac syndrome

B. Anxiety and depressive syndrome

C.* Agitated depression syndrome

D. Masked depression syndrome

E. Catatonic syndrome


62. A male patient 22 years old, a bank clerk, two weeks ago had flu, but didn't stay in bed and continued to work. Complains of constant pain in his throat, supposes that he “is ill with the larynx tuberculosis”, that his throat “has decomposed”, all his teeth have fallen out, and the brain “has dissolved”. Refuses to walk, because all his organs were "pasted together." Assured eve­rybody around that he has died, remaining "a living corps." His mood is gloomy and depressed. Refuses to communicate with people, because his “mouth is full of dangerous germs”.

^ What is the syndromal diagnosis?

A.* Cotard's syndrome

B. Paranoiac syndrome

C. Depressive-paranoid syndrome

D. Hypochondriac syndrome

E. Paranoid syndrome

63. Patient A., female, 30 years old, at the psychiatric inpatient department lies all the time in bed, without changing her posture. Manifests no reaction to the changes in the environment, presence of other people, and sounds. Is abso­lutely devoid of activity. Doesn’t eat on her own, has to be fed from the spoon. When a doctor or some other person speaks to her, the patient doesn't answer, but seems to listen and sometimes tears appear in her eyes. Her facial expression is constantly sad. Her muscular tonus is somewhat increased.

^ Name the syndromal diagnosis:

A. Psychogenic stupor

B. Catatonic stupor

C. Asthenic stupor

D. Apathetic and abulic stupor

E.* Depressive stupor

64. A 20-year-old patient is known as using to clash with teachers and classmates in school, to shout, to be able to throw with fists. He was detained several times for fighting and was convicted. He has changed several places of work due to conflicts and aggression. Psychiatric status: he is focused correctly, answers loudly, using obscene words. He demands "to leave him in rest "because "he does not control himself". In department he shows aggression for the most insignificant reasons. What is your preliminary diagnosis?

A. *Maniacal-depressive psychosis

B. Explosive psychopathy

C. Hysterical psychopathy

D. Hysterical neurosis

E. Schizophrenia

65. In mental status of a 22-year-old man there is a stable pathological depressed mood. The patient is sociable, replies briefly but to the point. The speech is laconic, tempo is slowed, and movements are constrained and inhibited. Speaks on the ideas of self-accusation and self-humiliation. Medications of what group are to be prescribed to this patient?

A. Tranquilizers

B. Hypnotics

C. *Antidepressants

D. Neuroleptics

E. Normotimics

66. A 32-year-old female complains of feeling too lazy, reduction of work capacity, and hopelessness of life. The suicide idea takes place. During 2 weeks before, the raised activity, uncontrollable fun and levity was observed. What is your diagnosis?

C. *Bipolar affective disorder

A. Recurrent depressive disorder

B. Schizoaffective disorder

D. Depressive episode

E. Maniacal episode

67. The mental status of a 22-year-old man is characterized by a stable pathological depressed mood. The patient is sociable, replies briefly but to the point. The speech is laconic, in slowed tempo, movements are constrained and inhibited. Speaks on the ideas of self-accusation and self-humiliation. Medications of what group are to be prescribed to this patient?

D. *Antidepressants

A. Tranquillisers

B. Neuroleptics

C. Hypnotics

E. Normotimics

68. A woman aged 35 has been suffering with pulmonary tuberculosis for 10 years. When in phthisiatric clinic, she started to act strangely: put on a gaudy make-up, gathered the other patients around her, was singing and dancing with them. Highly excited, passed all the time among males, flirted, started sexually-biased conversations. The whole night absented from the clinic ("was on a date"). What leading syndrome of mental disorders is observed?

D. *Maniacal

A. Morion-like

B. Psychopathy-like

C. Xenophobic

E. Hebephrenic

69. A 31 y.o. patient has had mental disorder for a long time. He suffers from insomnia for a long time. He has got fears, suicidal thoughts, tried to hang himself. His mood is depressed, he refuses from treatment. What measures are the most expedient for the prevention of suicide?

A. Out-patient treatment

B. Strict supervision at home

C. Psychotherapeutic conversation

D. *Admission to the mental hospital

E. Admission to the neurological department

70. A male patient, 37 years old, became too cheerful for no particular reason, he has a subjective feeling of high creative abilities, enthusiasm, elation and increased productivity, in spite of manifest disability to concentrate (impaired attention); his speed of thinking processes is too high. He is uncritical to his state, and finds it normal.

^ Name the syndrome:

A. Manic (non-psychotic) syndrome

B. Syndrome of dysphoria

C.* Hypomanic (non-psychotic) syndrome

D. Obsessive syndrome

E. Depersonalization syndrome

71. Determine emotional disorder, which very often is present in patients with epilepsy and has next signs: anxiety, depression and horror; attacks with feelings of anger combined with anguish; aggression.

A. Mania

B.* Dysphoria

C. Distimia

D. Depression

E. Pathological effect


72. Patient K, 23 old years, sufferings on epilepsy during 10 years. Objectively: he has repeated spasm fits every 2-3minits – clonic and tonic contraction of hands and legs; pupils are dilated; pupilliary, corneal and tendon reflex absent; cyanosis of integuments; red foam exudes from mouth; tachycardia (150 per minute); involuntary miction. Duration fit – 60 sec. Determine syndrome of disturbance of consciousness.

A.Obnubilation

B.Somnolention

C.*Comatose condition

D.Soporific state

E.Clouded mental state

73. Patient L, 32 old years, sufferings on epilepsy. He becomes excited suddenly without reason. Psychical status: patient has disorientation in own personality and surroundings, optic and acoustic hallucination, delusions of relation and persecution. His face expresses fear, angry. Patient’s behaviour is aggressive. Determine psychopathological syndrome.

A. Delirium syndrome

B. Maniac syndrome

C. Heboid syndrome

D.* Twilight syndrome

E. Paranoid syndrome

74. Patient C, 38 old years, sufferings on epilepsy. He used anticonvulsive drugs irregulary. He has status epileptic. Urgent help we shall begin from:

A.Prophylactic of traumas of head

B.Anticonvulsive therapy

C.Dehydratation therapy

D.*Restoring of permeability of airway

E.Lumbar puncture

75. Women A, 29 old years, sufferings on epilepsy from 9 old years. He used anticonvulsive drugs irregulary. She has status epileptic. Your tactic:

A.Hospitalization in neurology department

B. Hospitalization in mental department

C.* Hospitalization in reanimation department

D. Hospitalization in neurosurgery department

E. Call of psychiatrist or neurologist

76. Patient G, 40 old years, prisoner. He accused in homicide. He had serious trauma of head in 35 old years, after it he sufferings on grand mal seizures with loss of consciousness. Objectively: he is irritable, dissatisfied in all, has stiffness of thinking; criticism absent. Your tactic:

A.Discharge the prisoner at home

B.Put in prison

C.To treatment in out-patients clinic

D.*To treatment in specialised clinic of closed type

E. To treatment in mental clinic

77. Patient O, 42 old years. Objectively: he has spasm fits very often during day, consciousness is lost inter fits; pupils are dilated; pupilliary, corneal and tendon reflex absent; cyanosis of integuments; blood pressure – 80/65 mm hg, temperature of body 39,9. Determine psychopathological state.

A.Hypoglycemic coma

B. Catatonic stupor

C.Alcohol coma

D.*Epileptic status

E.Psychogenic stupor


78. Patient P, 20 old years, sufferings on epilepsy. He has status epileptic. Urgent help we shall begin from next medicines:

A.Carbamazepine

B.Hexenal

C. Phenobarbital

D.Pyracetam

E.*Diazepam

79. Women A, 30 old years, sufferings on epilepsy in long time. In time status epileptic next complications appear: breaking breathing, dampness of cardiac tones, extrasystoles, blood pressure – 90/60 mm hg. What medicine is forbidden in this case:

A.*Corasol

B.Caffeine

C.Corglycon

D.Lobelin

E.Strophantin

80. Patient M, 18 old years, sufferings on epilepsy in long time. He has dysphoria without reason. He becomes irritable, angry, aggressive to surrounding persons, dissatisfied in all. What medicine you will use with purpose prophylactic this state?

A. Phenozepam

B. Phenobarbital

C.*Carbamazepine

D.Valproic acid (Depakene)

E.Topamax

81.IQ of mild mental retardation is:

A. 70-81

B.* 50-69

C. 35-49

D. 34-20

E. below 20

82. IQ of moderate mental retardation is:

A. 70-81

B. 50-69

C.* 35-49

D. 34-20

E. below 20

83. IQ of severe mental retardation is:

A. 70-81

B. 50-69

C. 35-49

D.* 34-20

E. below 20

84. IQ of profound mental retardation is:

A. 70-81

B. 50-69

C. 35-49

D. 34-20

E.* below 20


85.What psychopathy (personality disoders) is characterized by next signs - stiffness and circumstantial of thinking, inertness of psychical processes:

A.*Epileptoid psychopathy

B. Paranoid psychopathy

C. Excitable psychopathy

D. Shisoid psychopathy

E. Hysteric psychopathy


86. What psychopathy (personality disoders) is characterized by next signs – emotionally cold, self-sufficient, detached, insensitiveness:

A.Epileptoid psychopathy

B. Hysteric psychopathy

C.* Shisoid psychopathy

D. Excitable psychopathy

E. Paranoic psychopathy


87. What psychopathy (personality disoders) is characterized by next signs – emotionality, brightness of behaviour, egocentrism, demonstrativeness:

A.Epileptoid psychopathy

B. Excitable psychopathy

C. Shisoid psychopathy

D.* Hysteric psychopathy

E. Paranoid psychopathy


88. What psychopathy (personality disoders) is characterized by next signs – inhibiting perfectionism, immersion in detail, indecisiveness:

A.Epileptoid psychopathy

B. Obsessional psychopathy

C. Shisoid psychopathy

D. Hysteric psychopathy

E.* Paranoid psychopathy


89. What psychopathy (personality disoders) is characterized by next signs – sensitiveness, suspiciousness, irritability, touchiness, stubborness:

A.Epileptoid psychopathy

B.* Obsessional psychopathy

C. Shisoid psychopathy

D. Hysteric psychopathy

E. Paranoid psychopathy


90. What psychopathy (personality disoders) is characterized by next signs – disregard for social obligations, low tolerance to frustration, a tendency to blame others:

A.Epileptoid psychopathy

B. Obsessional psychopathy

C. Shisoid psychopathy

D.* Dissocial psychopathy

E. Paranoid psychopathy


91. The hyperkinetic disorders display in:

A. 2-4 y.o.

B. 6-8 y.o.

C. 10-14 y.o.

D.* 14-15 y.o.

E. 15-18 y.o.


92. The hyperkinetic syndrome are present in next disease:

A. Epilepsy

B. Schisophrenia

C. Mental retardation

D. Personality disorders

E.* All mentioned

93. Who did describe autism syndrome for the first time:

A.* Kanner

B. Asperger

C. Jaspers

D. Blejcher

E. Korsakov

94. When does autism syndrome display:

A. 1-3 y.o.

B.* 2-4 y.o.

C. 5-6 y.o.

D. 8-10 y.o.

E. 10-12 y.o.

95. What signs does autism syndrome have:

A. Emotional idifference

B.Fear

C. Speek disoders

D.*All above mentioned

E. Hallucination

96. Normal or high level IQ is about next syndrome:

A. Kanner’s syndrome

B.* Asperger’s syndrome

C. Heboid syndrome

D. Korsakov’s syndrome

E. All above mentioned

97. The children don’t want to associate about next syndrome:

A.Hyperdynamic syndrome

B.*Autism syndrome

C. Fear syndrome

D. Pathologic fantasy syndrome

E. Paranoid syndrome

98. What syndrome is present in patient with motional anxiety, restlessness, impulsive actions:

A.*Hyperdynamic syndrome

B.Autism syndrome

C. Fear syndrome

D. Pathologic fantasy syndrome

E. Heboid syndrome


99. A patient, while making repairs at home, suddenly stood quite still with the painting brush in his hand, then dropped it. This state lasted for a few seconds. After that the patent was rather confused, for some moments he couldn't understand what was happening. He totally forgot the state he was in and the events around him, occurring while he was in that state.

Determine psychopathological syndrome.

E. *Petit mal, epilepsy

A. Disphoria, epilepsy

B. Jacksonian fit, epilepsy

C. Grand mal, epilepsy

D. Twilight state, epilepsy


100. After a head injury that the patient had 5 years ago he developed affective disturbances: suddenly and for no serious reason he feels anger. His mood during these periods is characterized by tension, depression combined with anger or even rage, high irritability with a tendency to aggressive actions.

Determine psychopathological syndrome.

A. Manic (non-psychotic) syndrome

B.* Syndrome of dysphoria

C. Hypomanic (non-psychotic) syndrome

D. Obsessive syndrome

E. Depersonalization syndrome


101. A female, aged 20, after smoking notices a peculiar inebriation with the feeling of burst of energy, elation, unreality and changing of surroundings: the world gets full of bright colours, the objects change their dimensions, people's faces get cartoon features, loss of time and space judgment. What is the most likely diagnosis?

D. *Cannabism

A. Barbiturism

B. Nicotinism

C. Morphinism

E. Cocainism


102. A woman 26 years old has abused alcohol for 7 years. She has psychological dependence on alcohol, but no withdrawal syndrome. Drinks almost every day approximately 50 – 100 gr. of wine. Is at her 4-th week of pregnancy. Primary prevention of fetal alcohol syndrome requires:

A. * Treatment of alcoholism and full abstinance from alcohol during all the period of pregnancy

B. Medical abortion

C. Decrease of alcohol use

D. Participation in the A-ANON group

E. Gyneacological observation


103. Patient A., male, 27 years old came to consult a psychiatrist with the following complaints: after a bad car accident, the victim of which he was and in which his wife was killed, he suffered depression, anxiety, flash-backs of the event, sleep disorders and nightmares about the accident. He also had emotional numbness and fatigue. The cause of the disorder was:

  1. Endogenic factors

  2. *Severe stress

  3. Adjustment disorder

  4. Environmental factors

  5. Patient’s personality features



104. Patient Yu., male, 20 years old, for 1 year has systematically used synthetic opioid narcotic drugs. Decided to stop using them "with an effort of his will power." In two days he felt so bad, that had to consult a psychia­trist. On examination: the patient's skin and visible mucous membranes pale and damp. He is restless and worried, depressed and feels hopelessness. Some­times he sneezes, periodically has chills. Complains of pains in his abdomen and in the heart area, breathlessness, anorexia and sleeplessness. The pa­tient's blood pressure is 80/60 mm hg, pulse rate is 58 a minute.

^ What is the syndromal diagnosis?

A. Syndrome of physical dependence

B. Syndrome of psychological dependence

C. Syndrome of changed reactivity

D.* Abstinent syndrome

E. Delirious syndrome


105. Patient A., male, 66 years old, is a chronic patient of a psychiatric hospital. Isn't oriented in the environment, can't find his bed and lies down on somebody else's, is untidy when he eats. His mood changes frequently, often is angry and scolds people and grumbles, and sometimes is complacent and promises to "load everyone with money." Doesn't remember his doctors name, doesn't recognize his relatives who come to see him. Sometimes becomes anxious, looks for something under his bed, ties up his things in a bundle and sits on it. Explains these actions, telling that "there are thieves and robbers" around him. Directly after having had lunch says, that he didn't eat anything for three days and is starving, asked for a piece of bread. Name the syndromal diagnosis:

A.* Mental retardation syndrome

B. Amnestic syndrome

C. Organic brain syndrome

D. Dementia syndrome

E. Paranoid syndrome


106. Patient B., male, 18 years old, was sent to the psychiatric hospital for military psychiatric examination. The level of academic achievements is extremely low (doesn't know any names of countries, their capitals, is ignorant concerning the basic information about his own country). Grew up having no contacts with peers, spent almost all his childhood in an isolated house with his father, a forest guard. Attended school very irregularly, formally had six classes of education. At the psychological testing shows good abilities in the tasks on analysis and synthesis, and abstract thinking. Shows interest towards magazines and books at the department library.

What is the syndromal diagnosis?

A. Mental retardation syndrome

B. Dementia syndrome

C.* Isolated family and insufficient schooling

D. Organic brain syndrome

E. Amnestic syndrome


4.6. List of questions for final testing module control 2.


Topical Module 3.Organic (including symptomatic) mental disorders. Ecological psychiatry

  1. Mental disorders in patients with somatic illness.

  2. Mental disorders in pregnant and in lactation period.

  3. Mental disorder in patient with brain cancer.

  4. Mental disorder in patient with cancer of extra brain localization.

  5. Peculiarities of Mental disorders inpatients with pathology of endocrine system.

  6. Basic principles of treatment, rehabilitation and prophylaxis of mental disorders at endocrine and somatic illness.

  7. Classification of mental disorders at acute and chronic infections.

  8. Psychiatric disorders in Syphilis.

  9. Psychiatric disorders in AIDS.

  10. Principles of treatment of mental disorders at acute and chronic infections.

  11. Mental disorders at cranial-cerebral trauma.

  12. Psychic disorders at vascular diseases of a brain (an idiopathic hypertensia, a cerebral atherosclerosis).

  13. Mental infringements at traumatic defeats of a brain. Clinic of the initial and acute periods.

  14. Mental disorders cased by poisoning with industrial toxic substances.

  15. Mental disorders cased by bad ecology situation.

  16. Mental disorders cased by radiation.


Topical Module 4. Mental and behavioural disorders due to psychoactive substance use

  1. Biological and psychological mechanisms of the addiction.

  2. The Alcoholism, the maintenance of concept.

  3. Epidemiology, an etiology and pathogenesis of Alcoholism.

  4. Alcoholic psychosis. Clinical stages, variants.

  5. Treatment of alcoholism.

  6. Treatment of Alcoholic psychosis.

  7. Prophylaxis of alcoholism.

  8. Mental and behavioural disorders due to psychoactive substance use.

  9. Mental and behavioural disorders due to use of opioids.

  10. Mental and behavioural disorders due to use of cannabinoids

  11. Mental and behavioural disorders due to use of sedatives or hypnotics.

  12. Mental and behavioural disorders due to use of cocaine.

  13. Mental and behavioural disorders due to use of other stimulants, including caffeine.

  14. Mental and behavioural disorders due to use of hallucinogens.

  15. Mental and behavioural disorders due to use of tobacco.

  16. Mental and behavioural disorders due to use of volatile solvents.

  17. Mental and behavioural disorders due to multiple drug use and use of other psychoactive substances.

  18. Peculiarities of Mental and behavioural disorders due to psychoactive substance use according to age.



Topical Module 5. Neurotic, stress-related and somatoform disorders

  1. Emotional stress and psychical trauma.

  2. Etiology and pathogenesis of psychical trauma.

  3. Classification of stress-related disorders.

  4. Clinical symptoms of neurasthenia.

  5. Clinical symptoms of anxiety disorders.

  6. Clinical symptoms of obsessive-compulsive disorders.

  7. Clinical symptoms of dissociation disorders.

  8. Neurotic depressive disorders.

  9. Classification and clinical picture of Somatoform disorders.

  10. Treatment of Somatoform disorders.

  11. Treatment and Prophylaxis of neurosis.

  12. Stress-related psychosis.

  13. Treatment of Stress-related psychosis.

  14. Clinical symptoms of Post-traumatic stress disorder.

  15. Treatment and Prophylaxis of Post-traumatic stress disorder.

Topical Module 6. Polyetiological mental disorders

  1. The Schizophrenia.

  2. Modern representations about an etiology and a pathogenesis of schizophrenia.

  3. Clinical forms of schizophrenia.

  4. Negative symptoms of schizophrenia.

  5. Positive symptoms of schizophrenia.

  6. The types of the development of schizophrenia.

  7. Factors Modifying the Clinical Features.

  8. Patterns of Outcome in schizophrenia.

  9. Effects of schizophrenia on the family.

  10. Treatment of schizophrenia.

  11. Classification of Depressive Disorders.

  12. Clinical symptoms of Bipolar affective disorder.

  13. Treatment of affective disorders.

  14. Suicidal behavior at mental diseases and at healthy persons.

  15. Antisuicidal therapy. Psychoprophylaxis of Suicidal behavior.

  16. Primary and secondary (symptomatic) epilepsy. Paroxysm, its clinical description.

  17. Classification of Paroxysms. Convulsive attack, aid for a patient.

  18. Epileptic status. Treatment.

  19. The principles of therapy of patients with epilepsy.

Topical Module 7. Disorders of adult personality and behaviour. Mental retardation. Disorders of psychological development. Behavioural and emotional disorders with onset usually occurring in childhood and adolescence

  1. Disorders of adult personality and behaviour, factors which assist their   development.

  2. Reasons of mental retardation and its classification after etiologic   factors.

  3. Clinical forms and somatic-neurological displays of mental retardation.

  4. Principles of therapy, correction, examination and rehabilitation of mental   retardation. Organization of educational-educate and labour processes.

  5. Infantilism. Boundary mental retardation.

  6. Clinical variants of psychopathies and accentuation of character. Basic   principles of therapy, rehabilitation and prophylaxis of disorders of adult personality and behaviour.

  7. Early child's and atypical autism. Clinical  displays. Diagnostics. Treatment. Principles of correction and rehabilitation.

  8. Attention-Deficit/Hyperactivity Disorder. Assessment and treatment.

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