ASSIGNMENT FOR PSYCHIATRIC COURSE 30%
Name Date / /
PART ONE MULTIPLE CHOICES (15marks)
1. What is a mood?
A) A physical state
B) A description of one’s internal emotional state
C) A type of disorder
D) A treatment method
2. What characterizes mood disorders?
A) Abnormal range of moods and loss of control over them
B) Consistent happiness
C) Physical illness
D) Improved social functioning
3. What is a mood episode?
A) A period of time with a stable mood
B) A distinct period of abnormal mood
C) A treatment phase
D) A type of therapy
4. Which of the following is NOT a type of mood episode?
A) Major depressive episode
B) Manic episode
C) Hypomanic episode
D) Anxiety episode
5. How long must symptoms last to be considered a major depressive episode?
A) 1 week
Instructor : by abdirizak duraan
B) 2 weeks
C) 1 month
D) 6 months
6. Which symptom is NOT included in the criteria for a major depressive episode?
A) Depressed mood
B) Anhedonia
C) Increased need for sleep
D) Recurrent thoughts of suicide
7. What must a manic episode include?
A) Elevated, expansive, or irritable mood
B) Loss of appetite
C) Insomnia
D) Hallucinations
8. How long must a manic episode last to meet DSM-IV criteria?
A) At least 1 day
B) At least 3 days
C) At least 1 week
D) At least 1 month
9. Which symptom is NOT typical of a manic episode?
A) Distractibility
B) Grandiosity
C) Fatigue
D) Increased goal-directed activity
10. What is a mixed episode?
A) A period with only depressive symptoms
B) A period with only manic symptoms
Instructor : by abdirizak duraan
C) A period with both manic and major depressive symptoms
D) A period with normal mood
11. What distinguishes hypomania from mania?
A) Longer duration
B) Severe impairment in social or occupational functioning
C) No marked impairment in functioning
D) Presence of psychotic features
12. Which is a main mood disorder?
A) Generalized anxiety disorder
B) Major depressive disorder
C) Obsessive-compulsive disorder
D) Post-traumatic stress disorder
13. What is the main feature of major depressive disorder (MDD)?
A) Periods of severe anxiety
B) Episodes of depressed mood and loss of interest
C) Episodes of mania
D) Alternating periods of happiness and sadness
14. Which medication class is NOT typically used to treat major depressive disorder?
A) SSRIs
B) Antipsychotics
C) Tricyclic antidepressants (TCAs)
D) Antibiotics
15. What is the lifetime prevalence of major depressive disorder (MDD)?
A) 1%
B) 5%
C) 15%
Instructor : by abdirizak duraan
D) 25%
16. At what age is the average onset of major depressive disorder?
A) 20 years
B) 30 years
C) 40 years
D) 50 years
17. Which disorder is characterized by episodes of severe mania and severe
depression?
A) Bipolar I disorder
B) Bipolar II disorder
C) Dysthymic disorder
D) Cyclothymic disorder
18. Which disorder involves episodes of hypomania and severe depression?
A) Bipolar I disorder
B) Bipolar II disorder
C) Major depressive disorder
D) Generalized anxiety disorder
19. What is the lifetime prevalence of bipolar I disorder?
A) 0.5%
B) 1%
C) 5%
D) 10%
20. Which disorder is also known as manic-depressive psychosis?
A) Major depressive disorder
B) Bipolar I disorder
C) Bipolar II disorder
D) Cyclothymic disorder
Instructor : by abdirizak duraan
21. What characterizes dysthymic disorder?
A) Chronic mild depression most of the time
B) Alternating periods of hypomania and depression
C) Severe manic episodes
D) Severe depressive episodes
22. What is the typical onset age for dysthymic disorder?
A) Before age 25
B) After age 30
C) Before age 50
D) After age 60
23. Which disorder involves alternating periods of hypomania and mild to moderate
depressive symptoms?
A) Major depressive disorder
B) Bipolar I disorder
C) Bipolar II disorder
D) Cyclothymic disorder
24. Which treatment is used for severe cases or when pharmacotherapy is
ineffective?
A) Psychotherapy
B) Antidepressants
C) Electroconvulsive therapy (ECT)
D) Antipsychotics
25. Which medication class is considered safer and better tolerated than others for
treating depression?
A) SSRIs
B) MAOIs
Instructor : by abdirizak duraan
C) TCAs
D) Benzodiazepines
26. Which disorder is characterized by mood swings that are not severe enough to
qualify as bipolar disorder?
A) Major depressive disorder
B) Bipolar I disorder
C) Cyclothymic disorder
D) Dysthymic disorder
27. What is the concordance rate for bipolar disorder among monozygotic twins?
A) 25%
B) 50%
C) 75%
D) 100%
28. Which medication is commonly used as a mood stabilizer for bipolar disorder?
A) Fluoxetine
B) Lithium
C) Sertraline
D) Citalopram
29. Which symptom is commonly seen in both depression and dysthymic disorder?
A) Elevated mood
B) Grandiosity
C) Hopelessness
D) Racing thoughts
30. What percentage of patients with major depressive disorder commit suicide?
A) 5%
B) 10%
C) 15%
Instructor : by abdirizak duraan
D) 20%
PART TWO : DEFINITIONS AND GENERAL CONCEPTS
1. Define psychosis.
2. What are the two main types of symptoms in schizophrenia?
3. Explain the "downward drift" hypothesis in schizophrenia?
4. What is the difference between positive and negative symptoms? Give two
examples of each?
5. List three phases of schizophrenia and describe the key characteristics of each
phase?
6. How does substance use relate to schizophrenia?
PART THREE : EPIDEMIOLOGY AND GENETICS
7. What is the lifetime prevalence of schizophrenia?
8. Compare the typical age of onset for schizophrenia in men and women?
9. Discuss the genetic predisposition for schizophrenia. What are the concordance
rates for monozygotic twins and the risk if both parents are affected?
10. What environmental factor has been associated with a higher incidence of
schizophrenia?
11. Describe the differences in disease course and severity between men and
women with schizophrenia.
12. What is postpsychotic depression, and how common is it among patients with
schizophrenia?
Instructor : by abdirizak duraan
PART FOUR: DIAGNOSIS AND CLINICAL FEATURES
13. According to the DSM-IV criteria, what are the necessary conditions for a
diagnosis of schizophrenia?
14. What are the "5 As" of negative symptoms in schizophrenia?
15. Describe the clinical presentation of paranoid type schizophrenia?
16. What are the main features of disorganized type schizophrenia?
17. What are the distinguishing characteristics of catatonic type schizophrenia?
18. Give an example of a case scenario that might be diagnosed as schizophrenia?
PART FIVE: TREATMENT AND MANAGEMENT
19. What are the primary pharmacologic treatments for schizophrenia?
20. How do typical neuroleptics differ from atypical neuroleptics in their
mechanism of action and side effects?
21. List and describe three side effects associated with high-potency traditional
antipsychotics?
22. What is neuroleptic malignant syndrome, and how is it treated?
23. Describe the role of behavioural therapy in the management of schizophrenia?
24. What are the prognostic factors associated with better outcomes in
schizophrenia?
PART SIX : RELATED PSYCHOTIC DISORDERS
25. How does schizophreniform disorder differ from schizophrenia in terms of
duration?
26. What is the prognosis for patients with schizophreniform disorder?
27. What are the DSM-IV criteria for diagnosing schizoaffective disorder?
28. Describe the typical treatment approach for schizoaffective disorder?
29. What is the recovery rate for brief psychotic disorder, and what percentage
may progress to other disorders?
30. Compare the time courses and prognoses of brief psychotic disorder,
schizophreniform disorder, and schizophrenia?
Instructor : by abdirizak duraan
