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;QUESTIONS FOR OF BEHAVIOURAL SCIENCE FOR REMEDIAL EXERCISE

1.

learning disorders is most accurate? understood to be: achievement testing and intelligence testing
2.Which of the following statements regarding diagnostic criteria for///[]]*]reflect different profiles
among individuals with these disorder

3. Which of the following is false regarding the diagnosis of intellectual disability(Mental Retardation)
according to the DSM-IV-TR?

4. The symptoms of ADHD fall into all of the following categories except: defiance

5. Which one of the following approaches of psychotherapy is the most effective for clearly delineated,
circumscribed maladaptive behavior (e.g., phobias, compulsions, overeating, etc)?

6. Which one of the following approaches to psychotherapy is has been most successfully applied in the
treatment of mild to moderate non psychotic depression and is also effective as an adjunctive treatment
in substance abuse and in increasing compliance with medication and recently in schizophrenia.

7. A 7-year-old boy is brought to a child psychiatrist by his parents on a referral by the school where the
child is in the second grade. The boy does not have a discipline problem, but he frequently answers
questions without being called on and is often out of his seat without permission. His schoolwork is
adequate, but the teacher believes he is capable of better. He has difficulty completing tasks and
appears to spend much of the class time daydreaming.The most likely diagnosis is: attention deficit
hyperactivity disorder [ADHD]

8. A diagnosis of fetishism involves which of the following? , intense sexually arousing fantasies and
urges involving non- animate objects. this cause these personal distress or affects social .occupational
functioning

9. In disorders of sexuality and sexual functioning, the term paraphilias refers to: sexual urges or
fantasies involving unusal source of gratification problem

10. In disorders of sexuality and sexual functioning, the term gender identity disorder refers to: an
individual is dissatisfied with their own biological sex have a strong desire to be member of opposite
sex

11. Sexual aversion disorder is associated with which of the following? All of the above [ anxiety ,
disgust , fear]

12. People with depersonalization disorder: People with Depersonalization Disorder (DPD) have
persistent or recurrent feelings of feeling disconnected from their own thoughts or body. Feel like their
thoughts and actions are not their own. May even disbelieve their own reflection is theirs.
13. A young man found wandering the streets of his hometown claimed that he did not know his name
or where he lived. He was taken to a hospital for examination, but no physical injuries were found. After
several days in the hospital, he awoke and remembered that he had had an argument with his parents
that included threats of physical violence on both sides. In order to escape this stressful situation, the
young man developed _dissassociative amnesia___________________.

14. A middle-aged woman did not return from a shopping trip one day and was not found until the
police located her in another city three months later. Formerly a restaurant owner, she was working as a
server in a restaurant and had just been promoted to a supervisory role. She had rented an apartment
and was engaged to be married. This behavior is an example of _dissassociative
fugue___________________.

15. A 54 yr old woman with PMH of hypothyroidism is admitted with a septic right knee. The surgery
team asks you to evaluate the patient because they found that the fluid aspirate that the found in the
knee was growing a pathogen found primarily in the mouth. They suspect that the patient was injecting
saliva into her knee. You evaluate the patient and find her to be pleasant and cooperative. She tells you
that she has had a very tough time lately because her husband has recently been sick. Fortunately she is
a nurse and is able to care for him at home. Lately she admits to feeling overwhelmed and
unappreciated. She has no idea what caused the problem with her knee. After a while she admits to
injecting her knee and tells you she did this because she wanted time off from caring for her husband.
What is the diagnosis? Factitious Disorder

16. An 85 year old mathematics professor is brought in by her son for a routine visit to the physician. He
reports that she is progressively more forgetful and is now somewhat paranoid, accusing him of stealing
her money and planning to send her away to a nursing home. She has no prior history of
cerebrovascular or cardio-vascular illness. There is a family history of dementia in an older sibling. On
examination, the patient is alert and pleasant. She does not know anything about current politics but
can recite names of leaders and events of 20 years back. Neurological exam is non focal. Head CT scan
with and without contrast shows mild cortical atrophy. HIV test is negative. Thiamine, folate, vitamin
B12, and niacin levels are normal. Serum RPR is negative. The most likely diagnosis is: alzhemer,s
dementia

17. A 75 year old female with a history of mild Alzheimers dementia is evaluated in the psychiatric ward
for confusion. Her family reports that she was on her baseline until this morning when she became
increasingly disoriented, losing recognition of family members and repeatedly complaining of hearing
voices down the hall. On examination, she is initially alert. She is oriented to person but is convinced
that she is in an army barracks and you and the other medical staff is military police. She can spell the
word table forward but not backwards. Later in the interview she see seems distracted and doses off.
Laboratory results reveal normal findings except for a mild anemia, increased WBC with increased PMNs
and band forms. Urinalysis reveals no blood, 50-100 WBCs per HPF, gross bactiuria. The most likely
diagnosis is: delirium

18. The most common cause of dementia is Alzheimer,s dinsease


19. A disturbance of consciousness caused by a medical condition that develops over a very short period
of time and is characterized by a change in cognition (such as a memory deficit or disorientation) and a
reduction in the ability to focus, shift, or sustain attention, is known as delirium

20. A person who is preoccupied with an imagined defect in appearance and experiences significant
distress because of it may have body dysmorphic disorder

21. A symptom of somatization disorder is symptom of multiple illness and somatic complaints
developing before age 30 year old

22. In order to assume the sick role, Intentionally produced Physical or psychological symptoms are
known as? Factitious disorder

23. A 28-year-old woman, who has been experiencing stress from the demands of her three pre-school-
age children, suddenly develops paralysis of both lower extremities. Her neurologic examination is
negative. Which of the following somatization disorders do you suspect the woman may have?
Conversion disorder

24. A man persistently views his mild headaches as an indication he has a brain tumor despite lack of
evidence in support of his claim. This individual may be suffering from: hypochondriasis

25. Connie is relatively unconcerned about the fact that she has suddenly lost all sensation in her left
hand. This bizarre lack of concern is referred to as: La - belle indifference

26. A 35-year-old woman presents to your primary care practice saying that she believes she may have
suffered a stroke. She describes episodes lasting 5 to 10 minutes in which she swea0ts profusely,
becomes dizzy, and has difficulty swallowing. She says she is terrified by these episodes, which seem to
occur whenever she leaves her apartment at rush hour. She asked to be on the night shift at her job, but
she has recently stopped working altogether out of fear that she would have a stroke while driving.
Provided you find no other cause for her symptoms, which of the following would be the most likely
psychiatric diagnosis? Panic disorder with agoraphobia

27. A 65-year-old man says he has nightmares about seeing his friend killed in combat during his military
service many years ago. He is easily startled by loud noises. He is diagnosed with posttraumatic stress
disorder. How would his illness differ from an adjustment disorder? It persist long after the stress has
abated

28. A young teenage boy is brought to the psychiatrist by his roommate who says that his behavior has
been upsetting of late and he has been talking and acting strange. On examination he has auditory
hallucinations, agitation and rapid incoherent speech. The duration of symptoms is unknown. Substance
abuse history is also unknown. The diagnosis could be all of the following except: generalized anxiety
disorder
29. 20 yrs old female is nervous of being focus of attention in public or being caught in an embarassing
behaviour so she avoids parties & canteens. Develops palpitation, anxiety, tremors during social
engagements. Diagnosis is social phobia

30. Which of these statements describes the current understanding regarding the development of post-
traumatic stress disorder (PTSD)? The traumatic event must involve the threat of death or physical
injury

31. A 30 year old woman cannot stop worrying about whether she might have accidentally run over a
person when she last drove her car. She is temporarily reassured when she calls the local police
department to see if anyone was killed by a hit and run driver while she was on the road, but the next
time she drives the fear returns with greater intensity. What is the most likely diagnosis? PTSD

32. A 65-year-old woman reports being housebound despite feeling physically healthy. She reports
falling while shopping several years ago; although she sustained no injuries, the situation was so
distressing to her that she becomes extremely nervous when she has to leave her house
unaccompanied. She has no children and few friends. She is very distressed by the fact that she has few
opportunities to venture outside her home. Which of the following disorders best accounts for her
disability? agrophobia

33. A 38 year old woman is brought by her husband to see her physician. The husband reports that she
is getting hard to live with. Physical exam reveals rapid heartbeat and profuse sweating. In conversation
the woman has a hard time focusing and gets up from her seat repeatedly. After some time she reports
that she is tired and has had difficulty sleeping for a year now. She attributes this to her tendency to
worry about her children and checks them about 10times per night. She also states that she doesnt see
her friends anymore, which worries her. Her preliminary diagnosis is most likely

34. A major difference between acute stress disorder and posttraumatic stress disorder (PTSD) is that

The diagnosis for Acute stress Disorder can be given the first month after the traumatic experience.
PTSD Symptoms surface beyond a month later.

35. A 31 year old politician has a sudden onset of extreme anxiety, tremulousness and diaphoresis0
immediately before his first scheduled appearance on national television, and he is unable to go on the
air. For the next week he is paralyzed with fear every time he faces an audience and he cancels all his
scheduled public appearances. Which of the following is the most likely diagnosis? Social phobia

36. A 23-year-old woman presents to her primary care physician with a 6-month history of anxiety
symptoms that started after she was promoted to a job requiring public speaking. Her new job requires
her to give presentations to colleagues and customers on a regular basis. She states that when she
begins a presentation, she has a panic attack. She describes symptoms of rapid heart rate, shortness
of breath, sweating, and tremor and reports being afraid of doing something stupid that will cause
embarrassment. She states the discomfort is so intense that she is unable to speak articulately during
presentations and that her job performance is significantly hampered by these attacks. When preparing
for a presentation, worry keeps her awake at night and interferes with her concentration during the day.
The patient reports that she does not worry excessively about anything other than the presentations.
She does not have unexpected attacks of anxiety, fear of open spaces, or a history of exposure to any
traumaticstressor. What is this patients most likely diagnosis? . Mild Anxiety Disorder.

37. Which of the following is not required for the diagnosis of Post traumatic stress disorder? Persistent
and uncontrollable worry

38. Which of the following statements is false about acute stress disorder? It must last longer than four
weeks

39. Which of these findings should lead you to suspect an elderly patient has pseudodementia, rather
than true dementia? Depressed mood

40. Frank checks light switches, water facets, the stove, and locks doors at least three times before going
to bed. This scenario describes which of the following anxiety disorders? Generalized anxiety disorder

41. Manic-depressive disorder is also called:

42. Mania involves: all of the above [ bundless ,frenzied ,energy feeling of euphoria ,ideas coming too
fast too many]

43. Depressed individuals exhibit which of the following symptoms? All of the above [ behavioral,
symptom

,physical symptom , cognitive symptom

44. Which of the following is a behavioural symptom exhibited by individuals suffering unipolar
depression? Stay in bed for long peroids

45. Which of the following is a chronic mood disturbance that can cause depressive symptoms, but does
not disrupt normal functioning? Dysthymic disorder

46. The experience of two years of hypomania symptoms that do not meet the criteria for a manic
episode is known cyclothymic disorder

47. In Bipolar II Disorder, major depressive episodes alternate with periods of: hypomania

48. Beck's Cognitive Theory proposes that individuals suffering from depression have developed:
negative schema

49. A 40-year-old man presents to a mental health center complaining that his neighbors have been
spying on him. He reports a complicated delusion: the Federal Reserve Bank is conspiring to take away
his home. He denies any hallucinations or mood changes, and he has been able to work as a truck
mechanic without loss of function. Which of the following diagnoses is most appropriate? Delusional
disorder
50. A 45-year-old woman with no psychiatric history presents with disheveled appearance, almost mute
speech, and thought blocking of several months duration. She also fears that her internal organs have
been stolen by a transplant surgeon to be used in a military robot. Which of the following diagnoses is
most appropriate? schizophrenia

51. Which statement about psychotic disorders criteria is TRUE?

52. Which of the following is NOT associated with schizophrenia?

53. For how long do the positive symptoms need to exist to make a diagnosis of schizophrenia? . A
month to a year

54. A 40-years-old Woman is arrested by the police after she is found crawling through the window of a
movie star's home. She States that the movie star invited her into his home because the two are secretly
married and "it just wouldn't be good for his career if everyone knew." The Movie star denies the two
have ever met, but notes that the woman has sent him hundreds of letters over the past two years. The
Woman has never been in trouble before and lives an otherwise isolated and unremarkable life. Which
of the following is the most likely diagnosis? Delusional disotder

55. A 53-year-old hospitalized patient with schizophrenia tells the physician that a newscaster was
talking about her when he said on television, A woman was found shoplifting today. This patients
statement is an example of an idea of reprence

56. A 20-year-old woman tells the physician that sometimes she becomes frightened when her room is
dark because her computer looks like a lion lurking in the corner. This is an example of an illussion

57. Norton hears disembodied voices all the time that give him strange commands. Yesterday he
finished building a concrete landing pad in his backyard for a UFO. The voices have told him that the
spacecraft will land over the weekend and take him to a more advanced civilization 27 light years from
earth. In this case, the voices that Norton hears are Auditory Hallucinations

58. Which of the following is a symptom of Schizoaffective disorder

59. Which of the following is a symptom of Delusional disorder

60. 50 yrs old female believes that her stomach is rotten and destroyed & therefore she has not been
eating adequately for 3 months. She has lost interest in everything & has reduced sleep. Her diagnosis is
schizophrenia from psychosis

61. A 66 yr old college professor is being seen for a regular check up. On examination, the patient noted
to demonstrate flat speech with no melodic intonation. In addition, although demonstrating proper
word choice and grammar, the patients answers are extensive with unnecessary detail but do not reach
a point. To describe the patients thought process in relation to the verbose, highly detailed answer,
that never reaches the point, which of the following terms should be used?
62. When an examiner asks a patient to count backward by 7, starting at 100 (referred to as serial
sevens), what is principally being tested? concentration

63. A 26year old police officer is brought to the ER by his colleagues, who are concerned about a recent
change in his behavior. For two weeks he has been accusing them of trying to frame him. He thinks that
they want to kick him off the force because they can read all his thoughts. His wife confirms this history
and says that he has been insisting on keeping the blinds on the windows closed. She also says that he
has been suspicious of his co-workers since having been passed up for a promotion less than a month
ago. On mental status exam, patient acts bizarre and answers question in a loose and disorganized
fashion. The most probable diagnosis in this case would be: brief psychotic disorder

64. A 41-year-old women worki ng as an executive director is convinced that the management has
denied her promotion by preparing false reports about her competence and has forged her signatures
on sensitive documents so as to convict her. She files a complaint in the police station and requests for
security. Despite all this she attends to her work and manages the house hold, she is suffering from:
persistent delusional disorder

65. A 45-year-old man with a 20-year history of severe depression and psychotic symptoms has held
different jobs, but none of them for more than 6 months. He is successfully treated for his severe
depressive symptoms, but he remains withdrawn and odd and expresses the belief that he has been
chosen for a special mission on earth. What is the most appropriate diagnosis for this patient?
Schizoaffective disorder

66. A 60-year-old woman whose husband believes (in the absence of any evidence) that their house is
filled with radioactive dust worries about her ability to clear the house of the dust when he is
hospitalized. What is the most appropriate diagnosis for this woman? Shared psychotic disorder

67. A person who believes that the television news anchor(heard by other members of his family) is
talking to him is suffering from Shared Psychotic Disorder

68. An 86 old woman in the intensive care unit awakes at night and mistakes her IV pole for a family
member coming for a visit. She calls the nurses to ask them to have the visitor leave until morning.
Which term best describes the perceptual problem? . Illusion

69. What is the peak onset of schizophrenia in men? 70 years

70. Associations between words that are based on the sounds of the words rather than the content are
known as: clangs

71. Made-up words that mean something only to the person speaking them are known as: neologism

72. Betty remarks frequently that she is extraordinarily wealthy, despite being housed in a psychiatric
hospital and having an empty bank account. When asked to explain this apparent contradiction, she
indicates that the hospital is keeping her money, but that it is part of a vast conspiracy because the
administrators fear her great power when she is not hospitalized. She has experienced symptoms such
as these since she graduated high school. These symptoms are sometimes collectively referred to as
grandiose delusions

73. Joyce believes that her heart is being eaten away by worms, a delusion that fits into the category
called somatic

74. A client is admitted to the psychiatric unit of a local hospital with chronic undifferentiated
schizophrenia. During the next several days, the client is seen laughing, yelling, and talking to herself.
This behavior is characteristic of: hallucinations

75. A false belief unexplained by reality, which is shared by a number of people is: Superstition

76. One of the following is a disorder of thought:

77. A 23-year-old man has a fight with a boy in his neighborhood. The next day he feels two policemen
are following him to arrest him. He is agitated and pales up and down him room. He feels that his
neighbors are controlling his mind by sending waves from an electric device. He is suffering from:
delusion of persecution delusion of persecution

78. Depersonalisation is a disorder of: . Disassociation

79. Which of the following is NOT associated with schizophrenia?

80. Family studies of the genetic basis for schizophrenia look at Rate of incidence in relatives

81. Carlos is a schizophrenic living with his parents. One of his symptoms is a difficulty initiating any
activity, and once started, he is unable to finish. This is an example of avolition Akesthesia

82. James suffers from schizophrenia and flails his limbs wildly with excitement. This is most
appropriately labeled as catatonia

83. The concordance rate of schizophrenia for fraternal twins is about 15%concordance 45-50%

84. When an individual with schizophrenia shows flat affect, that individual does not express emotions
that individual has little or no emotion

85. A 30-year-old single woman comes to medical attention. She had auditory and persecutory delusions
for two months, followed by a full major depressive episode with sad mood, anhedonia, and suicidal
ideation lasting three months. While the depressive episode resolved with pharmacotherapy and
psychotherapy, the psychotic symptoms persisted for another two months before resolving. What is the
most likely diagnosis for this patient? Schizoaffective disorder

86. Mr. C is a 27-year-old unmarried truck driver with a five-year history of active and residual symptoms
of schizophrenia. He developed symptoms of major depression, which lasted four months (treated)
including depressed mood and anhedonia. What is the diagnosis that best fits Mr. Cs clinical
presentation? schizophrenia
87. The etiology of schizophrenia is best described by: a combination of biological, psychologic and
environmental factors.

88. Positive symptoms of schizophrenia include which of the following? Hallucinations , delusions , and
disorganized thinking

89. A client is unable to get out of bed and get dressed unless the nurse prompts every step. This is an
example of which behavior? avolition

90.A client with schizophrenia tells the nurse, "My intestines are rotted from the worms chewing on
them." This statement indicates a: somatic delusion

91.Psychosis is characterized by all, except:

92.The goals of acute treatment for schizophrenia include all except: encouraging introspection and
reflection

93. Which of the following is most closely associated with a good prognosis in schizophrenia?

94. The phenomenon in Schizophrenia, known as 'downward drift' means which of the following?

95.An example of a negative reinforcement is when a teacher says

96. In classical conditioning, what is paired Neutral stimulus is paired with Unconditional Stimulus

97. According to operant conditioning Where a strength of a behavior is modified by its consequences.
98. The crying

98. When a child hears a loud noise, he cries. The family's dog often barks loudly. Each time the child
sees the dog, he cries. What is the conditioned response? The crying

99. An example of a negative reinforcement is when a teacher says

100. In classical conditioning, what is paired

101. According to operant conditioning

102. When a child hears a loud noise, he cries. The family's dog often barks loudly. Each time the child
sees the dog, he cries. What is the conditioned response?

103. Tamara normally feeds her cat canned cat food. She noticed that every time she uses her electric
can opener, her cat comes to the kitchen. What is the conditioned stimulus? The Machine is the
conditioned stimulus. (The food being the unconditioned Stimulus)

104. The classic bobo doll study, where a child punched a doll after seeing an adult do the same, was a
demonstration of Classical Conditioning
105. Which of the following is the best example of classical conditioning?

106. Mrs. Renir tells her second graders that once they complete their reading assignment, they may go
and play on the computers. In this scenario, Mrs. Renir is using: . The premack principle

107. Which personality structure did Freud believe was responsible for creating defense mechanisms?
Ego

108. When six-year-old Bobby saw his grandmother in church, he wanted to call out to her, but he knew
that he should wait until the service was over. What aspect of Bobby's personality was at work?
Superego

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