A 59-year-old Catholic male patient has been abusing alcohol for the past 18 years. His history revels that his wife recently asked him for a separation. Which of the following characteristics is this patient’s greatest risk factor for suicide?
A. Age
B. Religion
C. Male sex
D. Alcoholism
E. Marital Separation


Based on the previous case, analysis of nerurotransmitter availability in the brain of this patient is most likely to reveal:

A. decreased serotonin
B. increased dopamine
C. decreased acetylcholine
D. decreased histamine
E. increased acetylcholine


A 56-year-old woman whose husband died 8-months ago tells her physician that she believes killing herself would end her suffering. Physical examination is uremarkable. Which of following signs and symptoms, which is most likey to seen in this patient?
A. Weight gain
B. Poor grooming
C. Auditory hallucinations
D. Feelings better in the morning than in the evening
E. Flight of ideas


A person who had been experiencing (for the past 3 years) a mild form of a loss of interest in his or her usual activities, in addition to psychomotor agitation, increased appetite, insomnia, and thoughts of committing suicide, would be diagnosed as having:
A. Cyclothymic disorder
B. Biplolar II disorder.
C. Major depression.
D. Dysthymia
E. Double depression.


The most effective treatment for mania is
A. ECT
B. Lithium
C. A heterocyclic antidepressant
D. A monoamine oxidase inhibitor
E. Psychotherapy



Evaluation for a Suicidal patiant.
CASE summary:
A 65-year-old Catholic male patient has been abusing alcohol for the past 15 years. His history reveals that his wife recently asked him for a separation. Which of the following characteristics is this patient’s greatest risk factor for suicide
A. Male sex
B. Religion
C. Marital separation
D. Age
E. Alcoholism

MOOD DISORDERS
CASE STUDY
A person who alternates between episodes of hypomania and moderate depression chronically for at least 2 years would be diagnosed as having:
A. Bipolar I Disorder.
B. Bipolar II Disorder.
C. Cyclothymic disorder.
D. Rapid cycling bipolar disorder.
E. Dysthymic disorder

MOOD DISORDERS
CASE STUDY
The most effective long-term treatment for cyclothymic disorder is
A. lithium
B. psychotherapy
C. ECT
D. A heterocylic antidepressant
E. A monoamine oxidase inhibitor


A 25-year-old male patient who is slow moving and has a flat affect is put on fluoxetine (Prozac). Within 2 weeks, the patient is showing greatly increased activity level, flight of ideas, and pressured speech. In this patient, the medication has
A. precipitated a manic episode
B. had a toxic effect
C. had a delayed effect
D. increased depression
E. increased anxiety


A 50-year-old female high school teacher reports that she has been “feeling very low” for the past 3 months. She often misses work because she feels tires and hopeless and has trouble sleeping. When the physician interviews her she says, “Doctor, the Lord calls all his children home”. This patient is most likely to have
A. cyclothymic disorder
B. major depressive disorder
C. hypomania
D. hypochondriasis
E. bipolar disorder


A 32-year-old woman takes her 6-year-old son to a physician’s office. She says that the child often experiences episodes of breathing problems and abdominal pain. The child’s medical record shows many office visits and four abdominal surgical procedures, although no abnormalities were ever found. Physical examination and laboratory studies are unremarkable. When the doctor confront the mother with the suspicion that she is fabricating the illness in the child, the mother angrily grabs the child and leaves the office immediately. This is an example of
A. malingering
B. somotoform pain disorder
C. factitious disorder
D. conversion disorder
E. factitious disorder by proxy


A 59-year-old woman, who was diagnosed with advanced lung cancer 3-months ago, has lost 20 pounds, wakes frequently during the night, and has very little energy. Over the past month she has been preoccupied with feelings of guilt about “people I have hurt in my life” and expresses concern that she will die in pain. The sign or symptoms most likely to indicate that this patient is experiencing a major depressive episode rather than a normal reaction to serious illness is
A. weight loss
B. difficulty sleeping
C. decreased energy
D. concern about dying in pain
E. preoccupation with feelings of guilt


A 30-yeaer-old man is upset because he must take a client to dinner in a restaurant. Although he knows the client well, he is so afraid of making a mess while eating that he says he is not hungry and sips from a glass of water instead of ordering a meal. Which disorder best fits this clinical picture?
A. Conversion disorder
B. Social phobia
C. GAD
D. Specific phobia
E. Hypochondriasis


MCQ anxiety disorders
A 37-year-old man says that he has been “sickly” for the past 3 months. He fears that he has stomach cancer. The patient is unshaven and appears thin and slowed down. Physical examination including a gastrointestinal workup is unremarkable except that the patient has lost 15 pounds since his last visit 1 year ago. Which disorder best fits this clinical picture?
A. conversion disorder
B. body dismorphic disorder
C. masked depression
D. adjustment disorder
E. Hypochondriasis


A 28-year-old woman seeks facial reconstructive surgery for her “sagging” eyelids. She rarely goes out in the daytime because she believes that this characteristics makes her look “like a grandmother”. On physical examination, her eyelids appear completely normal. Which disorder best fits this clinical picture?
A. conversion disorder
B. body dismorphic disorder
C. GAD
D. OCD
E. Hypochondriasis

Anxiety Disorder
A 34-year-old man experience a sudden hemiparesis, but appears unconcerned. He reports that just before the onset of paralysis, he saw his girlfriend with another man. Physical examination fails to reveal evidence of a medical problem. Which disorder best fits this clinical picture?
A. conversion disorder
B. body dismorphic disorder
C. GAD
D. OCD
E. Hypochondriasis

Anxiety Disorder
A 45-year-old woman claims that she injured her hand at work. She asserts that the pain caused by her injury prevents her from working. She has no further hand problems after she receives a $40,000 workmen’s compensation settlement. This clinical presentation is an example of
A. factitious disorder
B. factitious disorder by proxy
C. malingering
D. conversion disorder
E. masked depression


Anxiety disorder
A 45-year-old woman has a 20-year history of vague physical complaints including nausea, painful menses, and loss of feeling in her legs. Physical examination and laboratory workup are unremarkable. She says that she has always had physical problems but that her doctors never seem to identity their cause. Which disorder best fits this clinical picture?
A. OCD
B. GAD
C. Masked depression
D. Somatization disorder
E. Hypochondriasis


Anxiety Disorder
Which of the following is the most effective long-term treatment for the above case is
A. psychotherapy
B. propranolol
C. buspirone
D. diazepam
E. alprozolam


Anxiety Disorder
A 45-year-old woman says that she frequently feels “nervous” and often has an “upset stomach” which includes heartburn, indigestion and diarrhea. She has had this problem since she was 26 years of age and notes that other family members also are “tense and nervous”. Which of the following disorders best fits this clinical picture?
A. Panic disorder
B. Malingering
C. OCD
D. GAD
E. Acute stress disorder


Anxiety Disorder
Which will be the most effective long-term treatment for the previous case?
A. buspirone
B. a β-blocker
C. an antidepressant
D. a benzodiazepine
E. a support group


Of the following, the most effective treatment for the previous case?
A. buspirone
B. a β-blocker
C. an antidepressant
D. a benzodiazepine
E. a support group


Anxiety Disorder
A 26-year-old medical student comes to the emergency room with increased heart rate, sweating, and shortness of breath. The student is convinced that she is having an asthma attack and that she will suffocate. The symptoms started that she will suffocate. The symptoms started suddenly during a car ride to school. The student has had episodes such as this on at least three previous occasions over the past 2 weeks. She has no history of asthma and other than an increased pulse rate, physical findings are unremarkable. Which of the following disorder best fits this clinical picture?
A. Obsessive compulsive disorder (OCD)
B. Panic disorder
C. Acute stress disorder
D. Generalized anxiety disorder (GAD)
E. Hypochondriasis


Anxiety Disorder
Which of the following events is most likely to result in post-traumatic stress disorder?
A. Divorce
B. Bankruptcy
C. Diagnosis of diabetes mellitus
D. Changing residence
E. Robbery at knifepoint


Anxiety Disorders
Based on the previous case, what is the first thing the physician should do?

A. Notify the appropriate state social service agency to report the physician’s suspicions.
B. Call a pediatric pulmonologist to determine the cause of the dyspnea
C. Take the child aside and ask him how he feels
D. Wait until the child’s next visit before taking any action
E. Call a pediatric gastroenterologist to determine the cause of the abdominal pain


Anxiety Disorders
Three months after moving, a teenager who was formerly outgoing and a good student seems sad, loses interest in making friends, and begins to do poor work in school. His appetite in normal and there is no evidence of suicidal ideation. Which disorder best fits this clinical picture?
A. adjustment disorder
B. social phobia
C. specific phobia
D. generalized anxiety disorder
E. obsessive compulsive disorder


MCQ Anxiety Disorders
A 32-year-old woman takes her 6-year-old son to a physician’s office. She says that the child often experiences episodes of breathing problems and abdominal pain. The child’s medical record shows many office visits and four abdominal surgical procedures, although no abnormalities were ever found. Physical examination and laboratory studies are unremarkable. When the doctor confront the mother with the suspicion that she is fabricating the illness in the child, the mother angrily grabs the child and leaves the office immediately. This is an example of
A. malingering
B. somotoform pain disorder
C. factitious disorder
D. conversion disorder
E. factitious disorder by proxy



SOME NOTES>>>>>
We already seen that there are three divisions in psychological disorder based on the abnormality., i.e., organic, psychotic and neurotic. Now we can see what are the disorders are comes under these criteria.

1. Organic Mental Disorders
Do you have any idea about the psychological disorders? which are coming under organic mental disorders!!! These are deals with our cognitive parts. The disorder which are coming under this criteria are:
Delirium
Dementia
Alzheimer disease

2.Psychotic Mental Disorder
Psychotic means a pernson having a split brain disorder, that is a person will be not in touch with the reality. Here we can see the person is not oriented to time, place and person. So these person will be out of world and beeing their own world. The disorder which are comming under this criteria are:
Psychosis
Schizophrenia
Paranoid schizophrenia
Delusional disorder
Residual type
Undifferentiated type
Catatonic type and so on.

3. Neurotic Mental Disorder
In this case the person will have in touch with reality and also he or she will be oriented to time, place and person. The disorder which are under this criteria are:
anxeity disorder
post traumatic stress disorder (PTSD)
panic attach
Acute stress
Phobias and so on.



Psychological Disorders
Psychological disorders can be divide into three criteria.
They are:
1. Psychotic Mental Disorders
2. Neurotic Mental Disorders
3. Organic Mental Disorders

For classifying a psychological disorders, there are two diagnostic systems are available in world wide. They are:
1. DSM-IV-TR (Diagnostic and Statistical Manual for Mental disorders IVth Edition - Text
Revised)
2. ICD - 10 (International Classification for Disease)

Based on these diagnostic criteria we are assessing a Mental Disorder.

These mcq's have been taken from http://mcq4psychology.blogspot.com/2007_10_01_archive.html