NYU School of Medicine - Department of Psychiatry

NYU Psychiatry ITP Module 1

INSTRUCTIONS: Select your answer(s) to each question and choose the corresponding letter(s). Submit the completed test by pressing the "Submit Test" button. You will receive notification of your test results immediately.

DIRECTIONS: For questions 4-1 through 4-10, choose the single answer that best answers the question.

4-1. The most useful treatment for most chronic schizophrenic outpatients is a combination of antipsychotic medication and:

a. behavioral shaping
b. brief dynamic therapy
c. client-centered therapy
d. long-term supportive therapy
e. long-term uncovering therapy

4-2. In the evaluation of a depressed patient it is most important to:

a. be supportive by accepting his or her history at face value
b. avoid mentioning suicide as to not initiate the idea
c. explore any history of drug or alcohol abuse
d. honor the patient's request not to get his or her family involved
e. point out the positive aspects of his or her current situation

4-3. In order to make a diagnosis of major depression, symptoms (such as depressed mood, insomnia, poor appetite, loss of interest in usual activities, loss of energy) must be present nearly every day for a period of at least:

a. one week
b. two weeks
c. three weeks
d. one month
e. six months

4-4. Bipolar illness is best distinguished from schizophrenia on the basis of:

a. delusions
b. dissociative disorder
c. response to neuroleptics
d. course of illness
e. psychomotor activity

4-5. During their depressed phase, patients with seasonal affective disorder exhibit each of the following EXCEPT:

a. weight gain
b. insomnia
c. carbohydrate craving
d. improved mood when exposed to bright light
e. improved mood when traveling from north to south

4-6. Narcolepsy is NOT commonly associated with:

a. dreaming
b. cataplexy
c. sleep paralysis
d. hypnagogic phenomena
e. postictal drowsiness

4-7. An 11-year-old boy frequently leaves his bed and goes to the living room late at night. On several occasions, his parents have talked to the child at the time and found him acting as if he were in a dream and staring into space with his eyes open. The next morning the child denies having left his room. Which of the following would be most useful in treating this behavior:

a. diazepam
b. methylphenidate
c. phenelzine
d. imipramine
e. thioridazine

4-8. The sleep pattern of a patient who has major depression is likely to reveal:

a. a decreased amount of stage 2 sleep
b. an increased amount of stage 4 sleep
c. an increased amount of total sleep time
d. decreased REM latency
e. REM rebound

4-9. Regular complete blood counts are most important when using which of the following drugs:

a. clonazepam
b. carbamazepine
c. propranolol
d. dantrolene
e. valproate

4-10. The component of type A behavior that is the most reliable risk factor for development of coronary artery disease is:

a. hostility
b. time urgency
c. rapid speech
d. competitiveness
e. visible mannerisms

DIRECTIONS: For questions 4-11 through 4-21, one or more of the following alternatives given are correct. After deciding which alternatives are correct, click on the appropriate button according to the following key:

Mark "a" if alternatives l, 2 and 3 only are correct.
Mark "b" if alternatives 1 and 3 only are correct.
Mark "c" if alternatives 2 and 4 only are correct.
Mark "d" if alternative 4 only is correct.
Mark "e" if all four alternatives are correct.

SUMMARY OF DIRECTIONS

a b c d e
1, 2, 3 1, 3 2, 4 4 ALL only only only only correct

4-11. Several lines of evidence link the dopaminergic neurotransmitter system to schizophrenia. These include:
1. The antipsychotic action of neuroleptic drugs is correlated with the blockade of D2 dopamine receptors 2. amphetamines, which elevate synaptic dopamine levels, can exacerbate symptoms of schizophrenic patients 3. increased numbers of D2 dopamine receptors have been detected in post-mortem studies of the brain of schizophrenic patients 4. antipsychotic drugs decrease levels of dopamine metabolites

a. (1, 2, 3)
b. (1, 3)
c. (2, 4)
d. (4 only)
e. (ALL)

4-12. Which of the following are characteristic of sleep in normal geriatric subjects, when compared to normal younger subjects?
1. decreased nocturnal sleep duration 2. more frequent nocturnal arousals 3. advanced sleep phase 4. increased slow wave sleep

a. (1, 2, 3)
b. (1, 3)
c. (2, 4)
d. (4 only)
e. (ALL)

4-13. Sleep findings associated with depression include:
1. shortened REM latency 2. greater REM frequency during first half of sleep 3. early morning awakening 4. REM induction with cholinergic drugs

a. (1, 2, 3)
b. (1, 3)
c. (2, 4)
d. (4 only)
e. (ALL)

4-14. Amnesia for the episode most commonly occurs in:
1. night terrors 2. sleep paralysis 3. somnambulism 4. nightmares

a. (1, 2, 3)
b. (1, 3)
c. (2, 4)
d. (4 only)
e. (ALL)

4-15. Major depression
1. is more common in women than in men 2. has a mean age of onset around age 40 3. does not differ according to race 4. occurs more often in divorced or separated persons

a. (1, 2, 3)
b. (1, 3)
c. (2, 4)
d. (4 only)
e. (ALL)

4-16. Which of the following drugs can significantly increase plasma levels of carbamazepine:
1. Hydrochlorothiazide 2. Verapamil 3. Allopurinol 4. Erythromycin

a. (1, 2, 3)
b. (1, 3)
c. (2, 4)
d. (4 only)
e. (ALL)

4-17. Features of amnestic syndrome are:
1. an impairment of memory as the single or predominant cognitive defect 2. retrograde and anterograde amnesia 3. preservation of the ability for immediate recall 4. evidence of a specific etiological organic factor

a. (1, 2, 3)
b. (1, 3)
c. (2, 4)
d. (4 only)
e. (ALL)

4-18. Serotonin is:
1. metabolized to 5-hydroxyindoleacetic acid (5-HIAA) 2. a neurotransmitter 3. formed from 5-hydrotryptophan 4. increased in the synaptic cleft by tricyclic antidepressants (TCAs)

a. (1, 2, 3)
b. (1, 3)
c. (2, 4)
d. (4 only)
e. (ALL)

4-19. Studies of the epidemiology of schizophrenia indicate that:
1. about half of the beds assigned to psychiatric patients in hospitals are occupied by patients whose diagnosis is schizophrenia 2. reproductive rates in the schizophrenic population have more than doubled in the past 30 years 3. the incidence of schizophrenia is significantly increased in those born in the winter months (January, February, March) 4. the incidence of schizophrenia has nearly doubled in the past 100 years

a. (1, 2, 3)
b. (1, 3)
c. (2, 4)
d. (4 only)
e. (ALL)

4-20. Acute administration of which one or more of the following is known to precipitate panic attacks in patients with panic disorder:
1. sodium lactate 2. carbon dioxide (5%) 3. epinephrine 4. imipramine

a. (1, 2, 3)
b. (1, 3)
c. (2, 4)
d. (4 only)
e. (ALL)

4-21. Psychoneuroendocrine findings in schizophrenia include:
1. increased prolactin level 2. decreased luteinizing hormone level 3. increased release of thyroid hormone to thyrotropin-releasing hormone stimulation 4. decreased follicle stimulating hormone level

a. (1, 2, 3)
b. (1, 3)
c. (2, 4)
d. (4 only)
e. (ALL)

DIRECTIONS FOR QUESTIONS 4-22 TO 4-26:
Each group of questions consists of lettered headings, followed by a list of numbered words or statements (questions). For each numbered word or statements select the one lettered heading that is most closely associated with it.

a. Blockade of the alpha 1 adrenergic receptor b. Blockade of the muscarinic receptor c. Blockade of the dopamine D2 receptor d. Blockade of norepinephrine uptake e. Blockade of the histamine H1 receptor

4-22. Augmentation of presser effects of sympathomimetic amines

a.
b.
c.
d.
e.

a. Blockade of the alpha 1 adrenergic receptor b. Blockade of the muscarinic receptor c. Blockade of the dopamine D2 receptor d. Blockade of norepinephrine uptake e. Blockade of the histamine H1 receptor

4-23. Weight gain

a.
b.
c.
d.
e.

a. Blockade of the alpha 1 adrenergic receptor b. Blockade of the muscarinic receptor c. Blockade of the dopamine D2 receptor d. Blockade of norepinephrine uptake e. Blockade of the histamine H1 receptor

4-24. Prolactin elevation

a.
b.
c.
d.
e.

a. Blockade of the alpha 1 adrenergic receptor b. Blockade of the muscarinic receptor c. Blockade of the dopamine D2 receptor d. Blockade of norepinephrine uptake e. Blockade of the histamine H1 receptor

4-25. Postural hypotension

a.
b.
c.
d.
e.

a. Blockade of the alpha 1 adrenergic receptor b. Blockade of the muscarinic receptor c. Blockade of the dopamine D2 receptor d. Blockade of norepinephrine uptake e. Blockade of the histamine H1 receptor

4-26. Urinary retention

a.
b.
c.
d.
e.

DIRECTIONS FOR QUESTIONS 4-27 TO 4-30:
Each set of lettered headings below is followed by a list of numbered phrases. For each numbered phrase, click on the appropriate button according to the following key:

Mark "a" if the item is associated with (a) only

Mark "b" if the item is associated with (b) only

Mark "c" if the item is associated with both (a) and (b)

Mark "d" if the item is associated with neither (a) nor (b)

a. The dementia syndrome of depression b. Alzheimer's Disease c. Both d. Neither

4-27. Depression

a.
b.
c.
d.

a. The dementia syndrome of depression b. Alzheimer's Disease c. Both d. Neither

4-28. Memory Loss

a.
b.
c.
d.

a. The dementia syndrome of depression b. Alzheimer's Disease c. Both d. Neither

4-29. Improvement of memory and depression

a.
b.
c.
d.

a. The dementia syndrome of depression b. Alzheimer's Disease c. Both d. Neither

4-30. Improvement in memory with nortriptyline

a.
b.
c.
d.

REFERENCES:

Comprehensive Textbook of Psychiatry, 6th Edition, Harold Kaplan, M.D. and Benjamin Sadock, M.D., Williams&Wilkins, Baltimore, 1995

Synopsis of Psychiatry, 7th Edition, Harold Kaplan, M.D. and Benjamin Sadock, M.D., Williams&Wilkins, Baltimore, 1994

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© 1995, 1996 Interactive Testing in Psychiatry (ITP)

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New York University School of Medicine
Department of Psychiatry
© 2002 New York University
Ethics and Disclaimer

About the Department l For the Public \| For the Psychiatrist \| Reference Desk l Training Programs Research \| Faculty \| Seminars/Conferences l Psychiatry Home

New York University School of Medicine Department of Psychiatry © 2002 New York University Ethics and Disclaimer

INSTRUCTIONS: Select your answer(s) to each question and choose the corresponding letter(s). Submit the completed test by pressing the "Submit Test" button. You will receive notification of your test results immediately.

DIRECTIONS: For questions 4-1 through 4-10, choose the single answer that best answers the question.

4-1. The most useful treatment for most chronic schizophrenic outpatients is a combination of antipsychotic medication and:

4-2. In the evaluation of a depressed patient it is most important to:

4-3. In order to make a diagnosis of major depression, symptoms (such as depressed mood, insomnia, poor appetite, loss of interest in usual activities, loss of energy) must be present nearly every day for a period of at least:

4-4. Bipolar illness is best distinguished from schizophrenia on the basis of:

4-5. During their depressed phase, patients with seasonal affective disorder exhibit each of the following EXCEPT:

4-6. Narcolepsy is NOT commonly associated with:

4-8. The sleep pattern of a patient who has major depression is likely to reveal:

4-9. Regular complete blood counts are most important when using which of the following drugs:

4-10. The component of type A behavior that is the most reliable risk factor for development of coronary artery disease is:

DIRECTIONS: For questions 4-11 through 4-21, one or more of the following alternatives given are correct. After deciding which alternatives are correct, click on the appropriate button according to the following key:

SUMMARY OF DIRECTIONS

DIRECTIONS FOR QUESTIONS 4-22 TO 4-26: Each group of questions consists of lettered headings, followed by a list of numbered words or statements (questions). For each numbered word or statements select the one lettered heading that is most closely associated with it.

REFERENCES:

DIRECTIONS FOR QUESTIONS 4-22 TO 4-26:
Each group of questions consists of lettered headings, followed by a list of numbered words or statements (questions). For each numbered word or statements select the one lettered heading that is most closely associated with it.