Psychiatry 20q Test Trial

20 Questions | Total Attempts: 1661

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Psychiatry Quizzes & Trivia

Questions and Answers
  • 1. 
    Which of the following antipsychotic medications has an associated risk of agranulocytosis of 1%?
    • A. 

      Risperidone

    • B. 

      Ziprasidone

    • C. 

      Aripiprazole

    • D. 

      Clozapine

    • E. 

      Olanzapine

  • 2. 
    Jon is a 24 year old male presenting to your office accompanied by his mother, with whom he is presently living. For the past five days his mood has been down and he has not been sleeping well, with multiple awakening throughout the night. He states that for the past 4 weeks he has noticed the police has been monitoring his house with surveillance equipment. He has also been persistently hearing two angels talking amongst themselves. This experience is not particularly disconcerting for him, but he has begun staying home. In fact, Jon confides in you that he has not been to work in the past 5 months. A urine toxicology screen is negative and Jon is adamant he does not use or abuse any recreational or other drugs. What is the most reasonable diagnosis at this time?
    • A. 

      Schizophrenia

    • B. 

      Schizophreniform Disorder

    • C. 

      Schizoaffective Disorder

    • D. 

      Brief Psychotic Disorder

    • E. 

      Delusion Disorder

  • 3. 
    What is the prevalence of schizophrenia in the general population?
    • A. 

      0.5 to 1.5%

    • B. 

      5 - 10%

    • C. 

      1 to 10%

    • D. 

      0.1 to 1%

    • E. 

      3 - 8%

  • 4. 
    Which of the following is not a subtype of schizophrenia?
    • A. 

      Paranoid Type

    • B. 

      Residual Type

    • C. 

      Cataleptic Type

    • D. 

      Undifferentiated Type

    • E. 

      Disorganized Type

  • 5. 
    Which of the following neuroanatomical pathways is responsible for the negative symptoms of schizophrenia?
    • A. 

      Mesolimbic pathway

    • B. 

      Optic radiations

    • C. 

      Tuberoinfundibular pathway

    • D. 

      Mesocortical pathway

    • E. 

      Nigrostriatal pathway

  • 6. 
    What is the concordance of schizophrenia if both of the patient¡¯s parents have schizophrenia?
    • A. 

      10%

    • B. 

      20%

    • C. 

      30%

    • D. 

      40%

    • E. 

      50%

  • 7. 
    Which statement about disease course of schizophrenia is most reasonable?
    • A. 

      Negative symptoms early, then positive symptoms during active phase of the disease, followed by prominence of negative symptoms later on in the disease

    • B. 

      Positive symptoms during active phase followed by negative symptoms

    • C. 

      Negative symptoms only

    • D. 

      Positive symptoms during an early active phase followed by recovery and then a second marked peak of positive symptoms followed by a ¡®fizzling out¡¯ of the disease

    • E. 

      Positive symptoms only

  • 8. 
    Which of the following is the best prognostic sign in schizophrenia?
    • A. 

      Male gender

    • B. 

      Living in a developed country

    • C. 

      Initial response to medication

    • D. 

      High emotive family dynamic

    • E. 

      Prominent negative symptoms

  • 9. 
    What is the minimum length of time for the active phase of schizophrenia?
    • A. 

      2 Months

    • B. 

      4 Months

    • C. 

      6 Months

    • D. 

      1 Month

    • E. 

      5 Weeks

  • 10. 
    Which of the following is not a positive symptom of schizophrenia?
    • A. 

      Delusions

    • B. 

      Disorganized speech

    • C. 

      Hallucinations

    • D. 

      Avolition

    • E. 

      Disorganized behaviour

  • 11. 
    Which receptors are antagonized by second generation antipsychotics?
    • A. 

      D2 and 5HT2

    • B. 

      D1 and Alpha 1

    • C. 

      Alpha 1 and Beta 2

    • D. 

      D2 and Beta 2

    • E. 

      5HT2 and Alpha 1

  • 12. 
    Which antipsychotic pair is associated with the greatest weight gain?
    • A. 

      Clozapine and Risperidone

    • B. 

      Olanzapine and Risperidone

    • C. 

      Clozapine and Olanzapine

    • D. 

      Olanzapine and Ziprasidone

    • E. 

      Clozapine and Aripiprazole

  • 13. 
    Which second generation antipsychotic has the lowest associated risk of inducing EPS?
    • A. 

      Olanzapine

    • B. 

      Ziprasidone

    • C. 

      Quetiapine

    • D. 

      Cloazpine

    • E. 

      Risperidone

  • 14. 
    Which of the following is not typically seen in Neuroleptic Malignant Syndrome (NMS)
    • A. 

      Lead pipe rigidity

    • B. 

      Autonomic instability

    • C. 

      High fever

    • D. 

      Dysphagia

    • E. 

      Leukopenia

  • 15. 
    Which of the following is not a medication used in the management of an acute dystonic reaction?
    • A. 

      Benztropine 1-2mg IM, repeat every 20 to 30 minutes

    • B. 

      Lorazepam 1mg IM

    • C. 

      Diphenhydramine 50mg IM

    • D. 

      Lorazepam 1mg SL

    • E. 

      Benztropine 1-2mg IV, repeat every 20 to 30 minutes

  • 16. 
    Which of the following antipsychotics is associated with retinal pigmentation?
    • A. 

      Thioridazine

    • B. 

      Chlorpromazine

    • C. 

      Haloperidol

    • D. 

      Fluphenazine

    • E. 

      Trifluoperazine

  • 17. 
    Which of the following antipsychotics is associated with deposits in the cornea and lens?
    • A. 

      Thioridazine

    • B. 

      Chlorpromazine

    • C. 

      Fluphenazine

    • D. 

      Trifluoperazine

    • E. 

      Thioridazine

  • 18. 
    Which of the following medications treats both positive and negative symptoms of schizophrenia?
    • A. 

      Thioridazine

    • B. 

      Chlorpromazine

    • C. 

      Clozapine

    • D. 

      Trifluoperazine

    • E. 

      Thioridazine

  • 19. 
    What is the mortality risk of untreated Neuroleptic Malignant Syndrome?
    • A. 

      10%

    • B. 

      20%

    • C. 

      30%

    • D. 

      40%

    • E. 

      80%

  • 20. 
    What percentage of patients with schizophreniform disorder go on to develop schizophrenia or schizoaffective disorder?
    • A. 

      10%

    • B. 

      20%

    • C. 

      33%

    • D. 

      50%

    • E. 

      66%

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