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 7-1 TO 7-21, choose the single answer that best answers the question. 7-1. When an incestuous relationship is reported by a child, the most important early intervention is: a. attempting to keep the family living together b. evaluating the accusation of incest carefully c. encouraging all family members to share the responsibility for the incestuous activity d. providing protection for the children from further incestuous activity e. an initial session with the entire family as a group 7-2. The drug implicated in causing growth retardation in children: a. amitriptyline b. clonazepam c. haloperidol d. diphenhydramine e. methylphenidate 7-3. A child with mild mental retardation can be expected to complete what level of school: a. kindergarten b. third grade c. fourth grade d. sixth grade e. eighth grade 7-4. There is a high correlation between learning disabilities in boys and subsequent adult: a. sociopathy b. schizophrenia c. temporal lobe epilepsy d. mental retardation e. depression 7-5. A navy lieutenant and his wife consulted the pediatrician at the base hospital. The officer, who had just returned from a 3 month tour of duty, was concerned that his 9-month-old son acted frightened and cried whenever he approached him. The most likely cause of the child's behavior is: a. transient regression b. separation anxiety c. stranger anxiety d. normal social phobia e. overanxious disorder of childhood 7-6. At risk during ECT are patients with: a. aneurysms b. neuroleptic malignant syndrome c. intractable seizure disorder d. hypopituitarism e. pregnancy 7-7. Soon after the start of the school year, teachers noticed that a 7-year-old girl had not spoken in any of her classes. Although her written work was excellent, she did not speak to either teachers or students when questioned. The student's parents reported that she appeared normally active at home and spoke normally. The most probable disorder in this student is: a. dyslalia b. elective mutism c. catatonic schizophrenia d. expressive aphasia e. stuttering 7-8. All of the following are features of narcissistic personality disorder EXCEPT: a. exaggerated concern about the motives of others b. exploitation of others c. lack of empathy d. a sense of entitlement e. feelings of emptiness 7-9. Each of the following traits is typically associated with obsessive compulsive personality disorder EXCEPT: a. indecision b. neatness c. attention-seeking d. stubbornness e. concern with detail 7-10. Panic disorder has been found to have the highest degree of co-morbidity with which one of the following disorders: a. obsessive-compulsive disorder b. mitral valve prolapse c. depression d. post-traumatic stress disorder e. simple phobia 7-11. Each of the following sexual dysfunctions may occur from time to time in normal, healthy, sexually active adults EXCEPT: a. vaginismus b. premature ejaculation c. inhibited sexual desire in the woman d. primary lack of sexual desire in the male e. secondary anorgasmia 7-12. In the battered child syndrome: a. the child usually lives with only one parent b. both parents actively participate c. the families tend to be prominent in their communities d. the abused child tends to come from a poor home e. the father is more often the perpetrator 7-13. Sex therapy is least effective for: a. premature ejaculation b. impotence c. lack of desire d . frequency e. lack of consummation 7-14. Which of the following procedures is the most helpful to differentiate organically caused impotence from functional impotence: a. measuring nocturnal penile tumescence b. measuring the glucose tolerance curve c. measuring follicle-stimulating hormone levels d. cystometric examination e. plasma testosterone level 7-15. The key features of a graded task assignment in cognitive therapy include all the following EXCEPT: a. problem definition b. formulation of a project c. immediate and direct observation by patients d. overgeneralizing e. ventilation of patient's doubts 7-16. A 37-year-old male business executive experiences almost incapacitating anxiety whenever he is about to make a public speech. "I'm afraid I'll make a fool of myself," he states. There is no comparable anxiety associated with any of his other activities. The executive is most likely to benefit from which of the following drugs taken 40 minutes before making a speech: a. tranylcypromine b. nortriptyline c. propranolol d. oxazepam e. trazodone 7-17. While the etiology of antisocial personality disorder is not known with certainty, it is known that a major contributing factor is: a. a head injury in childhood b. encephalitis c. alcoholism d. loss of a parent e. inconsistent, impulsive parenting 7-18. Ebstein's anomaly of the heart is most often associated with prenatal exposure to: a. diazepam b. haloperidol c. desipramine d. chlorpromazine e. lithium carbonate 7-19. What is the best treatment approach for the patient with narcissistic personality disorder? a. administration of monoamine oxidase inhibitors b. group psychotherapy c. individual psychotherapy d. administration of tricyclic antidepressants e. hospitalization 7-20. The borderline personality is characterized by each of the following EXCEPT: a. dangerous impulsivity and unpredictability b. identity disturbance c. instability of affect d. seclusiveness and social withdrawal e. recurrent suicidal gestures and very brief periods of psychotic behavior 7-21. The mechanism of projection is most closely associated with: a. obsessive-compulsive personality b. paranoid personality c. passive-aggressive personality d. schizoid personality e. schizotypal personality DIRECTIONS: For questions 7-22 through 7-27, 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 7-22. True statements concerning patients with panic disorder include: 1. they are at increased risk for developing depression 2. their relatives are at increased risk for panic disorder 3. they are at increased risk for attempting suicide 4. they have an increased pain response to cold pressor tests compared to normal controls a. (1, 2, 3) b. (1, 3) c. (2, 4) d. (4 only) e. (ALL) 7-23. In cases of suspected child abuse and neglect, the physician should: 1. obtain permission from the parents to perform x-rays on the child 2. confer witch members of the hospital child abuse committee within 72 hours 3. obtain permission from the legal guardians to admit the child into the hospital 4. report the case to the appropriate department of social service or child protection unit a. (1, 2, 3) b. (1, 3) c. (2, 4) d. (4 only) e. (ALL) 7-24. Which of the following disorders in adults have the same diagnostic criteria as in children? 1. manic episode 2. cyclothymia 3. schizoaffective disorder 4. dysthymia a. (1, 2, 3) b. (1, 3) c. (2, 4) d. (4 only) e. (ALL) 7-25. Firstborn children as compared with their siblings: 1. perform better academically 2. receive the least amount of attention in the home 3. are more authoritarian 4. have the greatest need to develop strong peer relationships a. (1, 2, 3) b. (1, 3) c. (2, 4) d. (4 only) e. (ALL) 7-26. John Bowlby's stages of bereavement include: 1. protest 2. yearning 3. despair 4. reorganization a. (1, 2, 3) b. (1, 3) c. (2, 4) d. (4 only) e. (ALL) 7-27. Post-traumatic stress disorder may be caused by: l. child abuse 2. combat 3. rape 4. surgery a. (1, 2, 3) b. (1, 3) c. (2, 4) d. (4 only) e. (ALL) DIRECTIONS FOR QUESTIONS 7-28 TO 7-32: 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. Reactive Attachment Disorder b. Psychosocial Dwarfism c. Both d. Neither 7-28. No evidence of failure to thrive a. b. c. d. a. Reactive Attachment Disorder b. Psychosocial Dwarfism c. Both d. Neither 7-29. Irreversible regardless of treatment a. b. c. d. a. Reactive Attachment Disorder b. Psychosocial Dwarfism c. Both d. Neither 7-30. Abnormal hormonal functioning in over 50% a. b. c. d. a. Reactive Attachment Disorder b. Psychosocial Dwarfism c. Both d. Neither 7-31. Physical and developmental retardation due to non-organic etiology; i.e., due to severe problems in the mother-child relationship a. b. c. d. a. Reactive Attachment Disorder b. Psychosocial Dwarfism c. Both d. Neither 7-32. Onset before the age of 8 months 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 When you are sure of your answers, choose "Submit Test" You will receive notification of your test results immediately If your are applying for CME credit, please complete the following items and your test will be submitted to: NYU Department of Psychiatry Name: Title: Affiliation: Mailing Address: Street: City: State: Zip: Country: Phone Number: E-mail address: Other information or comments you would like to include: Please be sure to mail your Application & Evaluation forms and payment for CME credit. © 1995, 1996 Interactive Testing in Psychiatry (ITP)

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