45-year-old man develops auditory hallucinations that are initially fragmented but later turns into second person derogatory.The most important aspect of personal history in this case is
A. Stimulant use
B. Alcohol use
C. Relationship difficulties
D. Psychosexual history
E. Employment history
A. Stimulant use
B. Alcohol use
C. Relationship difficulties
D. Psychosexual history
E. Employment history
Which of the following clinical feature of schizophrenia adds support to a neurodevelopmental hypothesis?
A. Age of onset
B. Stress-induced relapses
C. Increased incidence among migrants
D. Association with cannabis
E. Response to antipsychotics
A. Age of onset
B. Stress-induced relapses
C. Increased incidence among migrants
D. Association with cannabis
E. Response to antipsychotics
Risk of developing schizophrenia is increased in which of the following populations?
A. Learning disabled population
B. Female sex
C. Single parent families
D. Sexually abused children
E. Older mothers
A. Learning disabled population
B. Female sex
C. Single parent families
D. Sexually abused children
E. Older mothers
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33. Which of the following is an important difference between male and female schizophrenia?
A. Males have later onset and better prognosis
B. Males have earlier onset and better prognosis
C. Females have later onset and poor prognosis
D. Females have later onset and better prognosis
E. Females have earlier onset and poor prognosis
A. Males have later onset and better prognosis
B. Males have earlier onset and better prognosis
C. Females have later onset and poor prognosis
D. Females have later onset and better prognosis
E. Females have earlier onset and poor prognosis
What is the risk of developing schizophrenia in a concordant monozygotic twin?
A. Less than 35%
B. Around 45%
C. Around 70%
D. Around 12%
E. Around 90%
A. Less than 35%
B. Around 45%
C. Around 70%
D. Around 12%
E. Around 90%
19-year-old boy shows recent onset avolition, flat affect, preoccupation with religion and philosophy. He preferred being solitary most of his childhood. Most probable diagnosis include
A. Simple schizophrenia
B. Paranoid schizophrenia
C. Hebephrenic schizophrenia
D. Residual schizophrenia
E. Schizoaffective disorder
A. Simple schizophrenia
B. Paranoid schizophrenia
C. Hebephrenic schizophrenia
D. Residual schizophrenia
E. Schizoaffective disorder
38-year-old man had his most recent episode of schizophrenic relapse 6 months ago.Though he responded well to antipsychotics he still hears occasional voices. Currently he has lost sleep, appetite, and weight and complains of low energy and pervasive anhedonia with low mood.This description best fits which of the following diagnosis?
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A. Schizoaffective disorder
B. Psychotic depression
C. Postschizophrenic depression
D. Dysthymia
E. Unremitted schizophrenia
-
A. Schizoaffective disorder
B. Psychotic depression
C. Postschizophrenic depression
D. Dysthymia
E. Unremitted schizophrenia
A 32-year-old lady is incapacitated by recurrent panic attacks. She feels low and cannot leave her home, leading to loss of interest in leisure activities. She feels guilty for not being a good mother for her 12-year-old son as she finds routine housework extremely demanding.This description best fits which of the following diagnosis?
A. Depressive disorder
B. Agoraphobia
C. Panic disorder
D. Generalized anxiety disorder
E. Chronic fatigue syndrome
A. Depressive disorder
B. Agoraphobia
C. Panic disorder
D. Generalized anxiety disorder
E. Chronic fatigue syndrome
Which of the following is NOT a predictor of good outcome in schizophrenia?
A. Florid positive symptoms at onset
B. Prominent affective symptoms
C. Acute onset
D. Older age of onset
E. Long first episode
A. Florid positive symptoms at onset
B. Prominent affective symptoms
C. Acute onset
D. Older age of onset
E. Long first episode
Which of the following is NOT a characteristic feature of atypical depression?
A. Leaden paralysis
B. Reversed vegetative signs
C. Response to MAO inhibitors
D. Rejection sensitivity
E. Obsessional symptoms
A. Leaden paralysis
B. Reversed vegetative signs
C. Response to MAO inhibitors
D. Rejection sensitivity
E. Obsessional symptoms