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Question 1
Incorrect
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A 10-year-old girl has been referred to your clinic for assessment in relation to difficulties with attention at school and challenging behaviour on interaction with peers.
She describes struggling to maintain attention and to complete her assigned work in a timely manner. She often reaches the correct answer but some time after her peers have done so. This leads to frustration and at times she struggles to express her feelings and will lash out at her peers.
At home she manages her own dressing and chores unaided, although sometimes she requires occasional prompting to maintain on task.
Based on a full clinical history and previous meeting with her mother you suspect a degree of learning disability and request full scale IQ assessment.
What FSIQ value will most likely be returned?Your Answer: 100
Correct Answer: 65
Explanation:This boy may need some assistance with tasks, but he is able to complete them on his own. He may take longer to reach the correct answer compared to his peers, which is indicative of a mild learning disability. Individuals with more severe learning disabilities may require more support in their daily lives, and may also experience motor deficits. IQ levels can be described as follows: profound (below 20), severe (20-34), moderate (35-49), mild (50-70), and normal range (above 70).
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This question is part of the following fields:
- Description And Measurement
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Question 2
Incorrect
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What is considered a 'neurological soft sign' in children?
Your Answer: Positive Stroop test
Correct Answer: Impaired fist-edge-palm test
Explanation:Subtle impairments of motor or sensory function that are not specific to a particular neurological condition and are referred to as neurological ‘soft’ signs. These signs are prevalent in individuals with schizophrenia and may serve as a potential endophenotype.
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This question is part of the following fields:
- Description And Measurement
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Question 3
Incorrect
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What is the estimated number of alcohol units consumed by a 40-year-old man who drinks a 10-glass (70 cl) bottle of 37.5% ABV vodka every day, on a weekly basis?
Your Answer:
Correct Answer: 190
Explanation:To calculate the units of alcohol in a drink, multiply the volume in litres by the percentage alcohol by volume (ABV). For example, a 70 cl (0.7 L) bottle of vodka with a 37.5% ABV contains 26 units. Consuming a bottle of this vodka every day for a week would result in approximately 190 units of alcohol (26 units x 7 days).
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This question is part of the following fields:
- Description And Measurement
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Question 4
Incorrect
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What instruments can be utilized to assess psychotic symptoms?
Your Answer:
Correct Answer: BPRS (brief psychiatric rating scale)
Explanation:Assessment Tools for Schizophrenia
There are several assessment tools available for use in patients with schizophrenia. The Brief Psychiatric Rating Scale (BPRS) is a semi-structured interview that covers 18 items, including positive symptoms, general psychopathology, and affective symptoms. Another tool that can be used to assess psychotic symptoms in schizophrenia is the Positive and Negative Symptom Scale (PANSS).
The Beck Depression Inventory is a self-report questionnaire that consists of 21 items. However, it does not include any questions about psychotic symptoms. The General Health Questionnaire is a screening tool for mental illness, but the 12-item version does not contain any questions about psychosis.
The Liverpool University Neuroleptic Side Effect Rating Scale (LUNSERS) is a tool that asks about the side effects of neuroleptics, including extrapyramidal, hyperprolactinemia, and autonomic effects. Finally, the Wechsler Adult Intelligence Scale (WAIS) is an intelligence test that is specifically designed for use in adults.
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This question is part of the following fields:
- Description And Measurement
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Question 5
Incorrect
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A toy company is assessing a new product for children's cognitive development. What scale would be the most effective in evaluating the impact of the new educational toy?
Your Answer:
Correct Answer: Scale for assessment of positive (SAPS) and assessment of negative symptoms (SANS)
Explanation:Several scales are utilized to assess the positive and negative symptoms of schizophrenia, including the assessment of positive symptoms (SAPS) and assessment of negative symptoms (SANS). These scales are commonly used in research to evaluate the effectiveness of new medications. The global assessment of functioning scale is used by clinicians to determine a patient’s overall level of functioning. The Hamilton rating scale for depression (HAM-D) is a useful tool for monitoring the severity of depression and measuring the impact of treatment. Additionally, the schedule for affective disorders and schizophrenia (SADS) was created to standardize the diagnostic evaluation of psychiatric symptoms and reduce variability in information.
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This question is part of the following fields:
- Description And Measurement
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Question 6
Incorrect
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A young psychologist is interested in studying different types of anxiety disorders. They are looking for a classification system that can be used in both clinical and research settings.
What is the most suitable classification system for the psychologist to use?Your Answer:
Correct Answer: DSM IV
Explanation:The DSM IV is a single version used for both clinical and research purposes, and it includes subtypes of schizophrenia that have been removed from the newer DSM-5. The DSM IV TR is a revised version of the DSM IV, published by the American Psychiatric Association. However, the DSM-5, published in 2013, supersedes both versions and includes changes such as dropping Asperger syndrome as a distinct classification and revising the treatment of gender identity issues. The ICD-10, on the other hand, is a medical classification list by the World Health Organization that codes for diseases, signs and symptoms, abnormal findings, complaints, social circumstances, and external causes of injury of diseases. The WHO is currently revising the ICD towards the ICD-11, which is expected to be submitted for official endorsement by 2015.
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This question is part of the following fields:
- Description And Measurement
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Question 7
Incorrect
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What is the scale commonly utilized in pharmaceutical research to evaluate extrapyramidal side effects?
Your Answer:
Correct Answer: AIMS
Explanation:Assessment tools are commonly used in clinical research to diagnose and evaluate various conditions. The abnormal involuntary movement scale (AIMS) is one such tool that assesses the range of extrapyramidal side effects caused by neuroleptic medication. Another tool, Conors, is used to diagnose ADHD in children, while DIVA is used for the same purpose in adults. DISCO, on the other hand, is an assessment tool used to diagnose ASD at any age. Finally, the Hamilton depression rating scale, also known as HAM D-17, is used to evaluate the severity of depression in patients. Proper use of these assessment tools can aid in accurate diagnosis and effective treatment of various conditions.
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This question is part of the following fields:
- Description And Measurement
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Question 8
Incorrect
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A 30-year-old woman is evaluating her character traits. She is responding to a series of statements using a scale ranging from 'strongly disagree' to 'strongly agree'.
Which personality assessment tool is she utilizing?Your Answer:
Correct Answer: Personality assessment inventory (PAI)
Explanation:There are several different types of personality assessments available. The personality assessment inventory (PAI) is a self-report test with 344 items and 22 scales, using a Likert-type format. Likert items ask respondents to rate their level of agreement of disagreement with a statement. The 16 personality factor questionnaire (16 PF) is a self-report questionnaire with true/false format, measuring 16 different personality dimensions. The Minnesota multiphasic personality inventory (MMPI) is an objective measure of personality in adults, with 566 true/false items. The Beck depression inventory is a self-report inventory with 21 multiple choice questions, used to measure the severity of depression. Finally, the thematic apperception test (TAT) is a projective measure of personality, using 20 stimulus cards depicting scenes of varying ambiguity.
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This question is part of the following fields:
- Description And Measurement
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Question 9
Incorrect
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Which one of the following is a 10 item scale used as a screening tool for problematic alcohol consumption?
Your Answer:
Correct Answer: AUDIT
Explanation:The AUDIT is a screening tool consisting of 10 items that can quickly identify potential alcohol problems. Similarly, the AQ-10 is a 10 item scale used to measure autism quotient. The CAGE is a four item screening tool for alcohol problems, while the CIWA is a scale used to assess alcohol withdrawal. The PHQ-9, commonly used in general practice, is the personal health questionnaire.
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This question is part of the following fields:
- Description And Measurement
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Question 10
Incorrect
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What is the accurate statement about Thurstone's scale?
Your Answer:
Correct Answer: It is time consuming
Explanation:The Thurstone scale’s reliability is limited due to the process of constructing it. While a large number of statements are collected and edited for clarity and relevance, the final form of the scale only includes items that have high interjudge agreement and fall at equal intervals. This selective process may result in a scale that is not entirely reliable.
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This question is part of the following fields:
- Description And Measurement
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