Psychiatry Sec C Mock Prelims

1st Lecture: Psych Interview

1. A specific interview technique wherein the doctor paraphrases to a patient; repeating what the patient had said
to ensure that the doctor understood the patient's answer.
A. Faciltation B. Content
C. Reflection D. Process
2. In beginning of the interview, the psychiatrist should do the following except:
A. Establish rapport B. Put the patient at ease
C. View ones patient with stigma
D. Show respect
E. A, B and D ONLY
3. A specific interview technique wherein the physician points out to a patient something to which the doctor
thinks the patient is not paying attention, missing or denying
A. Interpretation
B. Reflection C. Self-revelation
D. Confrontation
4. This specific technique allows patient to contemplate, to cry, just sit in an accepting comfortable environment.
A. Silence
B. Clarification
C. Reflection D. Facilitation
5. In this style of psychiatric interview, patient attempts to elicit unconscious conflicts, anxieties and defenses.
A. Descriptive
B. Symptom-oriented
C. Psychodynamic
D. None of the above
6. This technique is given only after the patient is allowed to talk freely about their problems so that physicians
have an adequate information base from which to make suggestions.
A. Facilitation
B. Silence
C. Advice
D. Reflection
7. This/These statement/s is/are true in ending an interview EXCEPT:
A. Doctors should give patients a chance to ask questions and should let patients know as much as possible about
future plans.
B. Any prescription of medication should be spelled out clearly and simply
C. Doctors should acknowledge the patients for sharing the necessary information
D. None of the above.
8. Thoughts are associated by the sounds of words rather than by their meaning
A. Circumstantiality B. Clang association C. Derailment D. Flight of ideas
9. This character or quality of a physician is described as the capacity to remain firm and deal with insecurity and
dissatisfaction.
A. Infinite Patience B. Composure
C. Imperturbability D. Ability to Endure Frustration
10. A specific interview technique wherein the doctor attempts to get details from the patient about what they
have already said
A. positive reinforcement
B. confrontation
C. Summation
D. clarification

11. During the interview, Mr. John Doe suddenly started threatening Dr. Alberto and made bad remarks about
him when the latter asked about his drug addiction and failed rehabilitations. However, Dr. Alberto remained
calm and stood firm despite the patient's violent reactions. What good quality of a physician was evident in the
situation?
A. Imperturbability B. Compassion
C. Clear judgment
D. Tenacity

12. In a psychiatric interview, this/these feature/s is true to a '' broad, open- ended'' type of question.
A. It may lead to non-reproducible answers.
D. both A and B
B.The Interviewer selects the topic.
E. All of the above
C.The intent of question is clear
13. The ability to handle stressul situation with an undisturbed, even temper.
A. Bravery
B. Infinite patience C. Equanimity
D. Composure
14. In this specific technique interview, doctor states something about a patients behavior or thinking of which
patient is not aware of. It also helps clarify interrelationships that the patient may not see.
A. Summation
B. Explanation
C. Interpretation
D. silence
15. A psychiatrist saying, I appreciate your telling me that you have stopped taking your medication. Can you
tell me what the problem was?" is applying what specific technique in interviewing a patient?
A. Facilitation
B. Transition
C. Reassurance
D. Positive Reinforcement
16.Stresses in a psychiatric patient, EXCEPT:
A. Oddities of behavior
B. Personal appearance

C. Stigma

D. None of the above

17. The ff. are false about special techniques in doing an interview except :
A. Silence is when the doctor repeats to a patient, in a supportive manner, something the patient had said
B. Confrontation allows the patient to contemplate and to cry
C. Clarification is when the doctor asks his patient about what they have previously said "You are feeling
depressed. When do you feel most depressed"?
D. All are true
18. All are common interview techniques except:
A. Let the patient talk freely enough to observe how tightly the thoughts are connected.
B. Ask about suicidal thoughts.
C. Determine the patients chief complaint.
D. Establish interview questions that can be answered by yes or no.
19. Which of the following statements bests use the technique of Interpretation?
A. What you have done may not have killed you, but it's telling me that you are in serious trouble right now and
that you need help so that you don't try suicide again.
B. You are feeling depressed. When do you feel most depressed?
C. I appreciate your telling me that you have stopped taking your medication. Can you tell me what the problem
was?
D. When you talk about how angry you are that your family has not been supportive, I think you're also telling
me how worried you are that I won't be there for you either. What do you think?

20. it is defined as a pervasive and sustained emotion that the colors the person's perception of the world.
A. reflection
B. confrontation
C. positive reinforcement
D. mood
21. A specific technique wherein the doctor increases the patient's confidence and increase in trust and
compliance
A. Advice
B. Reassurance
C. Positive reinforcement
D. None
22. In ending the interview, one must:
A. Thank the patient for the necessary information given and let the patient know that all the information
aregelpful
B. Request for the presence of another person
C. Discuss the payment and fees of the patient
D. All of the above
23. The patient tells the doctor: "I've been feeling down very lately". The doctor replies: "Tell me more about
what you mean by feeling down?" This kind of specific technique is:
A. Advice
B. Transition
C. Summation
D. Positive reinforcement
24. During the interview, Dr. Abad summarizes what the patient has said thus far and says "Ok, I just want to
make sure that I've got everything right up to this point." The specific technique done by the doctor is:
A. Transition
B. Reassurance
C. Summation
D. Both a and c
25. To establish rapport with the patient:
A. Find the patients pain and express compassion
B. Balance the roles of being an empathic listener, expert and authority
C. Evaluate patients insights and become an ally
D. All of the above
2nd lecture: DOCTOR PATIENT RELATIONSHIP
26. AMA principle section 1 states that physician shall deal honestly with patients and colleagues, and strive to
expose those physicians deficient in character or competence, or who engage in fraud or deception.
A. True
B. False
27. True regarding informative Model Except:
A. patient is left to decide
B. establish no doctor-patient relationship
C. appropriate in one-time consultation
D. Doctor keeps the information to himself
28. This model of interaction involves the doctor presenting/discussing alternatives with patient's participation to
find the one that is best for that particular person.
A paternalistic model
B informative model
C interpretative model
D deliberative
model
29. Which of the following is NOT a strategy to establish rapport between the clinician and patient?
A. Showing expertise
B..Evaluating patient's insight
C. Putting patient at ease
D.Assuming the
patient's burden

30. All of the ff are strategies in establishing rapport except:

A. putting the patient at ease
B. finding patients pain and giving premature reassurance
C. evaluating patients insight anf becoming an ally
D. establishing authority as a physician and therapist
31. What role in the society ascribes to people when they are ill
A. ill role
B. Sick role
C. Depressed role

D. all of the above

32. Spontaneous conscious feeling of harmonious responsiveness that promotes the development of constructive
therapeutic alliance
A. Empathy
B. Rapport
C. Trust
D. Compassion

33. true regarding paternalistic model of interaction between doctors and patients except:
A. Autocratic model
B. Physician ask most of the questions and generally dominates the interview.
C. emergency situations
D. Patient may decide to withhold information when it is believed to be in the doctors best interests
34.One of six strategies in establishing rapport is showing experties?
A. True
B. False
35. Interpretative model is when the physician acts as a friend or counselor to the patient, not just be presenting
information.
A. True
B. False
36. these are all characteristic of difficult patients except:
A. Request for second opinion
B. With chronic cognitive disorders
C. Uncooperative
D. Recover in response to treatment

37. Sick role is which the society ascribes to people when they are ill such as excused from responsibility and
expectations by cultures
A. True
B. False
38. A type of model interaction wherin the physician acts as a friend or counselor to the patient, not just by
presenting information, but in actively advocating a particular course of actionA.
A. Paternalistic Model
B. Informative Model
C. Interpretive Model
D. Deliberative
Model

39. When doctors unconsciously ascribe motives it attributes to patients that come from the doctor's past
relationship
.A. Rapport
B. Empathy
C. Transference
D. Counter
transference
40. All statements are true except,
A. A physician shall be dedicated to providing competent medical service with compassion and respect for human
rights
B. The psychiatrist shall ever be vigilant about the impact that his/her conduct has upon the boundaries of the
doctor-patient relationship and thus upon the well-being of the patient
C. A physician shall deal honestly with patients and colleagues, and strive to not expose those physicians
deficient in character or competence, or who engage in fraud or deception
D. Sexual activity with a current or former patient is unethical
41. A young female attempted to commit suicide several times because her boyfriend left her. This suicidal
female patient is resistant to open and stayed to be distant to her male psychiatrist. Which of the following can be
seen in the patient
A. Transference
B. Countertranseference
C. Both
D. Neither
42 Transference is
A. Sets of expectations, beliefs, and emotional responses that a patient brings to the doctor-patient relationship
B. Based on repeated experiences that patient had with other important authority figures throughout life.
C. Both
D. Neither
43 A type of model interaction wherein the physician acts as a friend or counselor to the patient, not just by
presenting information, but in actively advocating a particular course of action.
A. Paternalistic Model
B. Informative Model
C Interpretive Model
D. Deliberative
Mode
44 why is physician considered as notoriously poor patient?
A. because they are giving up the sense of control and feels like they are vulnerable
B. they feel dependent and a burden
C. they think they are ignorant and incompetent
D. A and B only
E. A, B, and C
45. Spontaneous, conscious feeling of harmonious responsiveness that promotes the development of a
constructive therapeutic alliance
A. Transference
B. Rapport
C. Countertransference
D. All of the above

46 Self- reflection and understanding

A. Transference
B. Sympathy

C. Empathy

D. Countertransference

47 Rapport is a spontaneous, conscious feeling of harmonious responsiveness that promotes the development of a
non- constructive therapeutic alliance
A. True
B. False
48 Emotions breeds counter emotions
A. Empathy
B. Sympathy
answer:D

C. Transference

D. Countertransference

49 All of these describes a difficult patient except, A. Uncooperative B. With chronic cognitive disorder C.
Recover in response to treatment D. Request for second opinion
50 This is defined as putting yourself in the patients shoes
A. Transference
B. Sympathy
C. Empathy

3rd lectyre FACTITIOUS DISEASE

51 Which among the following is/are factitious disorders
A. Antisocial
B. Histrionic pd
C. Both

D. Countertransference

D. Neither

52 The following are types of Factitious Disorder EXCEPT:

A. With predominantly psychological signs and symptoms
B. With predominantly physical signs and symptoms (Munchausen Syndrome)
C. With combined psychological and physical signs and symptoms
D. None of the above
53 Most commonly perpetrated by mothers against infants and young children?
A. Factitious disorder with psychological signs and symptoms
B. Munchaussen syndrome
C. Factitious disorder by proxy
D. None of the above
54 Voluntary production of factitious symptoms and the extreme course of multiple hospitalizations?
A. Personality disorders
B. Somatoform disorders
C. Factitious disorder by proxy
D. Munchausen syndrome

55 It is the willingness of the patient to undergo an extraordinary number of mutilating procedure.

A. Personality disorder
B. Malingering
C. Both
D. Neither
56 Medical complaint without physiologic basis which is unconscious and unintentional?
A. Factitious disorder

B. Somatoform disorder

C. Somatoform disorder

D. All

57. The following are the major goals of treatment for factitious disorders, except:
A. To reduce the risk of morbidity and mortality
B. To address the underlying emotional needs or psychiatric diagnosis underlying factitious illness behavior
C. To be mindful of legal and ethical issues
D. None of the above
58. Clinical indicators that may suggest factitious disorder by proxy except:
A. The mother welcome even invasive and painful test
B. The patient respond to appropriate treatments
C. The mother is the only witness to the onset of signs and symptoms
D. The symptoms and pattern of illness are extremely unusual , or inexplicable physiologically
59. Reasons of outcome as death for some patients with factitious disorder are the following, except:
A. Needless medication
B. Instrumentation
C. Surgery
D. Hospitalization
60. Somatoform disorders include which of the following:
A. Conversion disorder
B. Somatization disorder
the above

C. Hypochondriasis

D. All of

61 Many of the patients with factitious disorder suffered childhood abuse or deprivation, resulting in frequent
hospitalizations during early development
A. True
B. False
62. Somatoform disorders include extreme course of multiple hospitalizations
A. True

B. False

63. Major goals for treating patients with factitious disorder

A. To reduce the risk of morbidity and mortality
B. To address underlying emotional needs or psychiatric diagnosis underlying factitious illness behavior
C. To be mindful of legal and ethical issues
D. All of the above
64. True about Factitious Disorder:
A. Are mostly men who outnumber women by 3 to 1
B. Usually 20 to 40 years of age with a history of employment or education in nursing or a health care occupation
C. Both
D. Neither

65. True about Munchausen Syndrome except:

A. Patient fabricate symptoms to gain hospital admission
B. Females are commonly affected
C. They are able to present physical symptoms to gain admission
D. All are true
66. True of Manchausen syndrome:
A. Appox. 2/3 of the population commonly affected are young, married male persons with strong family
attachment
B. A factitious disorder of the patient that has the ability to present physical symptoms.
C. Both are correct
D. Both are incorrect
67. Who is most commonly involved or affected in Factitious Disorder?
A. Father
B. Mother
C. Child
D. All of the above
68. Factitious Disorder can be described as:
A. Unconscious, intentional B. Unconscious, unintentional
Conscious, unintentional
69. Patients with Factitious Disorders seek for:
A. Love and Care
B. Treatment

C. Conscious, intentional

C. Friends

D.

D. None of the above

70. Which of the following is/are indicators of FD by proxy:

A. Laboratory findings confirm the illness
B. The mother grows anxious if the child improves.
C. The patient responds to appropriate treatments.
D. None of the above
71. The motivation for Factitious Disorder is _____:
A. Assume the sick role
B. Stay away from home
D. All of the above

C. Make use of health insurance

22. In Factitious Disorder, the patient transforms the physicians and staff into ____:
A. Friends
B. Rejecting Parents
C. Caretakers
D. Strangers
23. The following are differential diagnosis for Factitious Disorder:
A. Schizophrenia
B. Substance Abuse C. Gansers Syndrome
above
74. The prognosis for Factitious Disorder.
A. Good
B. Poor
75. In treatment of FD, it is important to:
A. Address the emotional needs of the patient
B. Argue with facts to the patient

C. Unknown

C. Both
D. Niether

D. None of the Above

D. All of the

4th lecture PERSONALITY DISORDER

76 Patients directly express unconscious wishes or conflicts through actions to avoid being conscious of either
the accompanying idea or the affect.
A. Splitting
B. Fantasy
C. Projection
D. Acting-out
77. A type of defense mechanism wherein patients attribute their own unacknowledged feelings to others.
A. Isolation
B. Dissociation
C. Projection
D. Splitting
78. The following are Cluster C personality disorders (has anxious and fearful features) except:
A.) Avoidant
B.) Dependent
C.) Obsessive compulsive
D.) Schizoid
79. Understanding the patient's personality disorders will:
A. Improve relationship
B. Enhance compliance
C. Reduce stress

D. All of the above

80. A type of defense mechanism wherein the patients turn their anger against themselves
A. Splitting
B. Projection
C. Passive aggression
D. Denial
81. It is a type of personality disorder characterized by emotional constriction , orderliness, perseverance,
stubbornness and indecisiveness.
A. Obsessive-Compulsive Personality Disorder
B. Narcissistic Personality disorder
C. Histrionic Personality Disorder
D. Borderline Personality Disorder
82. Defense mechanism characterized by seeking solace and satisfaction within themselves by creating imaginary
lives, especially imaginary friends.
A. Projection
B. Fantasy
C. Splitting
D. Passive-Aggression
83. It is a type of personality disorder characterized by an inability to conform to the social norms that ordinarily
govern many aspects of a person's adolescent and adult behavior.
A. Obsessive-Compulsive Personality Disorder
B. Antisocial Personality DIsorder
C. Histrionic Personality Disorder
D. Borderline Personality Disorder
84. the followings are characteristics of a borderline personality disorder except:
A. twice as common in women as in men
B. have tumultuous interpersonal relationships
C. strikingly odd or strange
D. mood swings are common

85. Narcissistic Personality disorder is characterized by the following

A. heightened sense of self importance and grandiose feelings of uniqueness
B. Interpersonal exploitiveness
C. both A and B
D. Neither A nor B
86. what cluster are more common in the biological relatives of patients with schizophrenia than in control
groups?
A Cluster A
B. Cluster B
C. Cluster C
D Cluster D
87. All of the following are true for Dependent Personality Disorder. EXCEPT:
A Characterized by a pervasive pattern of dependent and submissive behaviour.
B Cannot make a decision without excessive amount of advice and reassurance from others.
C More common in men than women
D Pessimism, self-doubt, passivity, and fears of expressing sexual and aggressive feelings all typify the behaviour
88. Anancastic 'bossy' Personality Disorder
A. Obsessive-Compulsive P.D
B.Avoidant P.D
D.Antisocial P.D

C.Paranoid P.D

89. In dealing with a person who has obsessive-compulsive disorder one must
A. Value efficiency and punctuality
B. Minimize new and unfamiliar staff
C. Both
D. Neither
90. Patients who are engaged in illegal activities and demonstrating lack of remorse for their action. Identify the
personality disorder.
A. Antisocial
B. Schozotypal
C. Paranoid
D. all of the above
91. The following are characteristics of Histrionic Personality disorder EXCEPT:
A. displays temper tantrums, tears and accusation when they are not the center of attention or are not receiving
praise or approval
B .shifts of allegiance from one person or group to another are frequent
C has a high degree of attention-seeking behavior
D seductive behavior is common
92. The following are true about Paranoid Personality Disorder except?
A. Psychotheraphy is the treatment of choice
B. Excessive and long-standing suspiciousness and mistrust
C. More common in women than in men
D. Often hostile, irritable and angry

93. A personality disorder characterized by anxiety, hypersensitivity to rejection by others, and timidity.
A Dependent personality disorder
C Obsessive compulsive disorder
B. Avoidant personality disorder
D Antisocial personality disorder

94. Persons with the following disorders may be characterized by their solitary behavior and inability to trust
persons, except:
A. Paranoid Personality disorder
C. Antisocial Personality disorder
B. Schizoid Personality disorder
D. Histrionic Personality disorder

95. Cluster includes dramatic, impulsive, and erratic features.

A. Cluster B
B. Cluster C
C. Cluster A

D. NOTA

96. A 60-year old man has been reclusive, rarely leaving his home for the past 40 years. His family describes him
as an emotionally cold person with few friends. Growing up, he preferred solitary activities like reading to
engaging in activities with others. Members of his church have delivered groceries to his front door once a week
for the past 20 years, but he never opens the door to greet them. Which of the following is the most likely
diagnosis?
A. Avoidant personality disorder
B. Paranoid personality disorder
C. Schizoid personality disorder
D. Schizotypal personality disorder
E. Dependent personality disorder
97. What is/are the treatment of choice for Paranoid Personality Disorder?
A. Psychotherapy
B. Pharmacotherapy C. Both
D. Neither
98. In doing a psychological report of the patient in what axis does personality disorder fall?
A. Axis I
B. Axis II
C. Axis III
D. Axis IV
99. show an extreme sensitivity to rejection and may lead to socially withdrawn life
A. Nacissistic PD
B. Histrionic PD
C. Avoidant PD
100. Which axis would you see the Global Assesment Functioning ( GAF )
A. Axis I
B. Axis II
C. Axis IV
D. Axis V

D. Borderline PD

Psychiatry Sec C Mock Prelims

PSYCHIATRIC
INTERVIEW
1. C
2. C
3. D
4. A
5. C
6. C
7. D
8. B
9. D
10.D
11.A
12.A
13.C
14.C
15.D
16.B
17.C
18.D
19.D
20.D
21.B
22.A
23.A
24.C
25.D

DOCTOR PATIENT
RELATIONSHIP
26.D
27.D
28.C
29.D
30.B
31.B
32.B
33.D
34.A
35.B
36.D
37.A
38.D
39.D
40.C
41.A
42.C
43.D
44.E
45.B
46.C
47.B
48.D
49.C
50.C

FACTITIOUS
DISORDER
51.D
52.D
53.C
54.B
55.D
56.C
57.D
58.B
59.D
60.D
61.A
62.A
63.D
64.B
65.B
66.B
67.B
68.C
69.A
70.B
71.A
72.B
73.D
74.B
75.A

PERSONALITY
DISORDER
76.D
77.C
78.D
79.D
80.C
81.A
82.B
83.B
84.C
85.C
86.A
87.C
88.A
89.A
90.A
91.B
92.C
93.B
94.D
95.A
96.C
97.A
98.B
99.C
100.