1. A successful 48-year-old lawyer hospitalized after successful surgery for appendicitis, starts crying every time the nurse does not answer his call button immediately. What is the defense ,mechanism this man's mind is unconsciously using?
   1. Projection
   2. Splitting
   3. Acting out
   4. Denial
   5. Regression
   • Answer
2. For 3weeks after an automobile accident where her husband died in front of ,her a schoolteacher suffers from insomnia Poor concentration and tearfulness. She has nightmares and emotional outbursts when awake. Which of the following most likely diagnosis?
   1. Dysthymia
   2. post-traumatic stress disorder
   3. acute stress disorder
   4. adjustment disorder
   5. Depressive episode
   • Answer
3. Anticholinergic side effects include all of the following :EXCEPT
   1. Constipation
   2. Bradycardia
   3. Urinary retention
   4. Exacerbation of open-angle glaucoma
   5. Dry mouth
   • Answer
4. A 35-year-old man who lives in a group home Says that his roommates are spying on him by listening to him through the electrical outlets. For this reason he has changed roommates a number of times over the last years. He dresses strangely, is dirty with unkempt hair and seems distractible. He reports that he has trouble paying attention to the doctor's questions because “l am listening to my leader giving me instructions in my head”. What is the most appropriate diagnosis for this patient?
   1. Schizophreniform disorder
   2. Brief psychotic disorder
   3. Delusional disorder
   4. Schizoaffective disorder
   5. Schizophrenia
   • Answer
5. The following are parasomnia EXCEPT
   1. Narcolepsy
   2. Somnambulism
   3. Nightmare disorder
   4. Bruxism
   5. Night terror disorder
   • Answer
6. AII of the following factors are associated with increased compliance with medication EXCEPT
   1. Older physician
   2. Good physician-patient relationship
   3. Chronic illness
   4. Written diagnosis and instructions for treatment
   5. Simple treatment schedule
   • Answer
7. The patient's statement "l am listening to my leader giving me instructions in my head" reveals which of the following symptoms?
   1. Flight of ideas
   2. Hallucination
   3. Delusion
   4. Lack of insight
   5. Illusion
   • Answer
8. The following are psychological features of anxiety EXCEPT
   1. Apprehension
   2. lnsomnia
   3. lmpaired concentration
   4. Hypersomnia
   5. Irritability
   • Answer
9. Which of the following clinical features is NOT characteristic of post traurnatic stress disorder?
   1. Flashbacks
   2. vigilance
   3. Emotional numbing
   4. Psychomotor retardation
   5. Avoidance of reminders
   • Answer
10. Psychotic disorders include all of the following EXCEPT
    1. Schizophreniform disorder
    2. Shared psychotic disorder
    3. Body dysmorphic disorder
    4. Brief psychotic disorder
    5. Schizoaffective disorder
    • Answer
11. A 28-year-old man presents for the seventh time to a GP with abdominal pain. When confronted he admits to faking symptoms. He Says "l know this is Wrong but l don't know why l do this". Which of the following is the most likely diagnosis for this Patient
    1. malingering
    2. conversion disorder
    3. somatic symptom disorder
    4. factitious disorder
    5. illness anxiety disorder
    • Answer
12. AII of the following are risk factors for suicide EXCEPT
    1. female Sex
    2. serious prior suicide attempt
    3. history of rage and violent behavior
    4. alcohol dependence
    5. age older than 45 years
    • Answer
13. Which of the following psychotherapies is useful for who are experiencing a life crisis
    1. Family therapy
    2. lnterpersonal therapy
    3. Supportive therapy
    4. Group therapy
    5. Couple Therapy
    • answer
14. A 35 year-old woman presents complaining of falling asleep during the day. She says this problem has been ongoing for 3 months. lt has been interfering with her work as a telephone operator because she falls asleep two or three times a day while speaking with customers. The patient also reports that this disturbance has not improved even though she is sure she sleeps 8 hours each night. The most appropriate diagnosis for this case is which of the following?
15. "La belle indifference" is usually associated with which of the following disorders?
16. About Conversion disorder which is false?
17. Concerning Delirium which is true
18. AII of the following are organic causes of Anxiety ECXEPT
19. After 20 years of smoking a year-old-45 female patient has decided to quit. Of the following what physical effect is most likely to be seen as a result of this patient's withdrawal from nicotine?