Thursday, 16 June 2011

Affective disorders

Affective disorders

1. Patient with maniac-depressive psychosis a new depressive phase has developed, as a result he was hospitalized to psychiatric clinic. What is the most dangerous period of psychotic phase meaning suicide action in psychiatric clinic?
A. On the top of depressive phase
B. In the condition of depressive stupor
C. During increasing of motional activity
D. After relatives’ visits
E. Before discharge from the clinic

2. What kind of delirium usually develops in depressive phase of MDP?
A. Self-blame
B. Hypochondriac
C. Cotar’s delirium
D. Of famous origin
E. Nihilistic

3. The most often masks of maniac conditions of teenagers is:
A. Increasing of body weight
B. Low susceptibility to somatic and infectious diseases
C. Behavior (psychopathic) disorders
D. Idea obsessions
E. Agripia

4. What is not a typical feature of endogen depression?
A. Mood changes during the day
B. Protopopov’s triade
C. Sleep disorders
D. Changes of expressivity of disorders depending on psychogenic factors
E. Vital

5. Patient has an excitation which is manifested by overwhelming will to activity with unmotivated transfers from one type of activity to another, with incompleteness, accompanied by increased good mood, speeding up of thinking and speech, ideas of self-overvaluing. What form of excitation is this?
A. Hebephrenic excitation
B. Hysterical excitation
C. Morio-alike excitation
D. Maniac excitation
E. Catatonic excitation

6. Suicidal tendencies reach the highest expression in patients with vital depression during the day:
A. At noon
B. In the evening
C. In the first half of night
D. In the second half of night
E. Early in the morning

7.    Determine delirious ideas which the most often occur in case of endogen depression of:
A.   Influence
B.    Correlation
C.    Self-humiliation
D.   Following
E.    Wondering

8.    Which of the following symptoms usually occurs in patient with depressive episode of MDP?
A.   Motional retardness
B.    Bad appetite
C.    Bad sleep
D.   Low self-evaluation
E.    All of the above

9.    “Jumping of ideas” (fuga idearum) in patients with MDP (maniac phase) – is a thinking disorder characterized by:
A.   Extreme level of thinking speeding up
B.   Delirious ideas of megalomania]
C.   Presence of neologisms
D.   Overvaluing of own abilities
E.    Stereotypy of speech

10.                       Patients with endogen depression the most often feel worsening:
A.   While falling asleep
B.    During the middle of the day
C.    In the morning
D.   During sleep
E.    All the time

11.                       during prophylactic treatment with lithium preparations it’s level in blood should be:
A.   0-0.3 mmol/l
B.   0.6-1.2 mmol/l
C.   2.0-4.0 mmol/l
D.   4.0-5.0 mmol/l
E.    0.3-0.5 mmol/l

12.                       Classical type of affective disorder float is:
A.   Monopolar depressive
B.    Monopolar maniac
C.    Bipolar
D.   Recurrent
E.    Chronic affective disorder

13.                       The following is typical for cyclothymia:
A.   Low intensiveness of affective disorders during phases
B.    Absence of progradience
C.    Great quantity of masked affected conditions
D.   Delirious ideas of loss
E.    Breakless attraction

14.                       Diagnostics of laurated (???) depression  may be based on:
A.   Presence of positive effect due to antidepressants administering
B.   Pessimistic attitude to possible recovery from “somatic illness”
C.   Day variations of intensiveness of “somatic” disorders
D.   Presence of symptoms of minimal brain dysfunction
E.    Presence of EEG-symptoms of diencephalons structures interest

15.                       Which of the following symptoms more often occurs in patients with depressive episode of bipolar affective disorder?
A.   Anxiety
B.    Bad appetite
C.    Bad sleep
D.   Low self-evaluation
E.    Motional retardness

16.                       For what condition psychomotor excitation is most typical?
A.   Depressive episode of bipolar affective disorder
B.   Maniac episode of bipolar affective disorder
C.   Obsessive neurosis
D.   Syndrome of premenstrual tension
E.    Paranoid schizophrenia



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