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 6-1 through 6-10, choose the single answer that best answers the question.

6-1. Each of the following disorders that present with psychiatric symptoms are significantly more prevalent in females EXCEPT:

a. hyperthyroidism
b. hypothyroidism
c. hyperparathyroidism
d. systemic lupus erythromatosus
e. pancreatic carcinoma


6-2. A patient with depression is found to have marginally abnormal routine thyroid test results. In order to determine if subclinical hypothyroidism is present as a cause of the depression, which of the following tests would prove most helpful:

a. testing for thyroxine (T4) by competitive protein binding
b. testing for thyroxine by radioimmunoassay
c. testing for total serum triiodothyronine (T3) by uptake
d. testing for total serum triiodothyronine (T3) by radioimmunoassay
e. testing response to thyrotropin-releasing hormone (TRH) stimulation


6-3. All of the following are characteristic of delusional disorders EXCEPT:

a. prominent hallucinations
b. mood congruent ideation
c. paranoid ideation
d. impaired impulse control
e. intact cognition


6-4. An intelligence quotient (IQ) of 100 corresponds to an intellectual ability for the general population in the:

a. 20th percentile
b. 25th percentile
c. 40th percentile
d. 50th percentile
e. 65th percentile


6-5. The best single indication of a cause-and-effect relationship between the type of mothering received and symptoms of infant abuse can be established:

a. if the child appears to be afraid
b. if the child shows evidence of skin injuries
c. if the child is undernourished
d. if significant recovery occurs in the infant when the mothering is altered
e. if the child is dressed inappropriately for weather conditions


6-6. The greatest fear of children with debilitation and terminal illness is:

a. pain
b. death
c. separation from parents
d. what will become of their pets
e. being anesthetized


6-7. Fatal cardiac arrhythmias have been reported among children treated with:

a. desipramine
b. fluoxetine
c. venlafaxine
d. sertraline
e. alprazolam


6-8. Evan, age 6 years 3 months, was referred for psychiatric evaluation. Developmental testing revealed that he was functioning at a mental age level of 4 years. For purposes of school placement, his IQ score should be reported as:

a. 64
b. 67
c. 72
d. 80
e. "normal range"


6-9. The most frequent complication of generalized social phobia is:

a. occupational impairment
b. suicide
c. social impairment
d. agoraphobia
e. alcohol use in feared situation


6-10. An increase in lithium concentrations is not likely to result from the use of:

a. indomethacin (Indocin)
b. caffeine
c. phenylbutazone (Azolid)
d. ibuprofen (Motrin)
e. naproxan (Naprosyn)


DIRECTIONS: For questions 6-11 through 6-23, 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


6-11. A normally developed 2-year-old can usually: 


 1.   build a tower of  6 or 7 cubes

 2.   refer to self by name

 3.   go up and down stairs alone

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


6-12. Boys with gender identity disorder of childhood: 


 1.   are much more likely to become homosexual than normals

 2.   become transsexuals at a rate of about 15%

 3.   usually start cross-dressing before age 4, if they cross-dress at all

 4.   generally do not assert that it would be better not to have a penis 

      or testes until adolescence or adulthood
a. (1, 2, 3)
b. (1, 3)
c. (2, 4)
d. (4 only)
e. (ALL)


6-13. Every night for the past month, a 4-year-old boy's sleep has been disturbed by episodes of piercing screams, crying and hypermotility. The parents have also noticed profuse perspiration, racing heartbeat, and very rapid breathing during these episodes. The child seems asleep and in fact is difficult to arouse. When he does awaken, he is confused for at least 10 minutes and is unable to say anything about what upset him. These attacks: 


 1.   invariably occur between the hours of 8:00 p.m. and  midnight

 2.   are associated with seizure activity

 3.   are not recalled in the morning

 4.   respond to treatment with phenytoin
a. (1, 2, 3)
b. (1, 3)
c. (2, 4)
d. (4 only)
e. (ALL)


6-14. Abused children are frequently found to have: 


 1.   premature birth

 2.   physical handicaps

 3.   mental retardation

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


6-15. Tourette's disorder: 


 1.   more common in boys than in girls

 2.   symptoms triggered or worsened by fatigue

 3.   obsessions and compulsions frequently present

 4.   symptoms precipitated by stimulant therapy
a. (1, 2, 3)
b. (1, 3)
c. (2, 4)
d. (4 only)
e. (ALL)


6-16. Features of the Fetal Alcohol Syndrome include: 


 l.   microcephaly

 2.   mental retardation

 3.   short stature

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


6-17. True statements concerning social and biological issues affecting adolescent development include: 
 1.   adolescence is an increasingly lengthened stage in  western cultures

 2.   the majority of adolescent girls are fully fertile by  the completion of high school

 3.   the age of onset for puberty is steadily declining in  western cultures

 4.   one-third of all abortions in the United States are  performed on adolescents
a. (1, 2, 3)
b. (1, 3)
c. (2, 4)
d. (4 only)
e. (ALL)


6-18. Premature ejaculation: 


 l.   may result from negative cultural conditioning 

 2.   is often exacerbated by a stressful marriage

 3.   is not caused exclusively by organic factors

 4.   is reported less frequently among college educated men  than

      among those with less education
a. (1, 2, 3)
b. (1, 3)
c. (2, 4)
d. (4 only)
e. (ALL)


6-19. The squeeze technique: 


 1.   is used in the treatment of secondary impotence

 2.   involves the use of dilators

 3.   decreases the threshold of ejaculatory inevitability

 4.   is applied at the moment of impending ejaculation
a. (1, 2, 3)
b. (1, 3)
c. (2, 4)
d. (4 only)
e. (ALL)


6-20. Schizoid personality disorder is diagnosed in patients: 


 1.   who display a lifelong pattern of social withdrawal

 2.   with eccentricities of communication, behavior and  thought

 3.   who display a cold, aloof, distant nature with an  absence 

      of tender feelings

 4.   who make up the less healthy end of the schizophrenic spectrum
a. (1, 2, 3)
b. (1, 3)
c. (2, 4)
d. (4 only)
e. (ALL)


6-21. The evaluation of a 50-year-old married male with an 18 month history of erectile dysfunction should include: 


 1.   blood chemistry

 2.   history of medication and alcohol use

 3.   mental status examination

 4.   nocturnal penile tumescence study
a. (1, 2, 3)
b. (1, 3)
c. (2, 4)
d. (4 only)
e. (ALL)


6-22. Obsessive-compulsive disorder is characterized by: 


 1.   avoidance

 2.   ego-dystonic rituals

 3.   fears of contamination

 4.   fears of performing sexual or violent acts
a. (1, 2, 3)
b. (1, 3)
c. (2, 4)
d. (4 only)
e. (ALL)


6-23. Patients with panic disorder who initially seek evaluation from primary care physicians commonly present with: 


 1.   cardiovascular symptoms

 2.   neurologic symptoms

 3.   gastrointestinal symptoms

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


DIRECTIONS FOR QUESTIONS 6-24 TO 6-30:

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)

QUESTIONS 6-24 TO 6-27 

 a.   Diazepam (Valium)

 b.   oxazepam (Serax)

 c.   Both

 d.   Neither

6-24. Metabolize with half-life of more than 100 hours

a.
b.
c.
d. 


 a.   Diazepam (Valium)

 b.   oxazepam (Serax)

 c.   Both

 d.   Neither

6-25. Main route of metabolism involves conjugation

a.
b.
c.
d. 


 a.   Diazepam (Valium)

 b.   oxazepam (Serax)

 c.   Both

 d.   Neither

6-26. Associated with tremor as side effect

a.
b.
c.
d. 


 a.   Diazepam (Valium)

 b.   oxazepam (Serax)

 c.   Both

 d.   Neither

6-27. Associated with amnesia as side effect

a.
b.
c.
d.


QUESTIONS 6-28 TO 6-30 

 a.   Panic Disorder

 b.   Generalized Anxiety Disorder

 c.   Both

 d.   Neither

6-28. Worsened by psychostimulants

a.
b.
c.
d. 


 a.   Panic Disorder

 b.   Generalized Anxiety Disorder

 c.   Both

 d.   Neither

6-29. Provoked by sodium lactate infusion

a.
b.
c.
d. 


 a.   Panic Disorder

 b.   Generalized Anxiety Disorder

 c.   Both

 d.   Neither

6-30. Provoked by hyperventilation

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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