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Question 1
Incorrect
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A 28-year-old man with a recent onset of seizures and a family history of epilepsy is referred for an EEG. He is currently taking oral carbamazepine. His EEG reveals mild diffuse instability.
What is the most probable cause for this EEG finding?Your Answer: Artefact
Correct Answer: Antipsychotic medication
Explanation:EEG waveforms may be slightly disrupted by antipsychotic medication, while sporadic Creutzfeldt-Jakob disease (CJD) is linked to specific periodic sharp wave complexes (PSWC) during the middle and late stages of the illness. Generalized seizures would exhibit more pronounced irregularities, whereas temporal lobe epilepsy (TLE) would display anomalous activity originating from a single temporal lobe.
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This question is part of the following fields:
- Description And Measurement
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Question 2
Correct
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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: 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 3
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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: 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 4
Incorrect
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A 35-year-old male patient comes to your clinic with a recent history of substantial weight loss and absence of menstrual periods. What information do you require to determine his body mass index (BMI)?
Your Answer: Height in metres (squared)
Correct Answer: Height in metres and weight in kg
Explanation:The BMI of a person is determined by dividing their weight in kilograms by the square of their height in meters, expressed as kg/m2.
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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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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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Question 7
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:
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 8
Incorrect
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What is the correct diagnosis for autism spectrum disorder in the most recent edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5)?
Your Answer:
Correct Answer: There are no subtypes in schizophrenia
Explanation:The fifth edition of the DSM-5 no longer includes subtypes of schizophrenia due to their lack of usefulness to clinicians. The previous subtypes were based on the predominant symptom at the time of evaluation, but patients often exhibited overlapping symptoms that made it difficult to distinguish between subtypes. The DSM-5 now requires individuals to exhibit at least two specified symptoms, compared to the previous threshold of one, and symptoms must have been present for six months with at least one month of active symptoms for a diagnosis to be made.
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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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What is the commonly used scale in research studies to assess symptoms of schizophrenia?
Your Answer:
Correct Answer: PANSS
Explanation:The PANSS scale is a commonly utilized tool in schizophrenia research to assess both positive and negative symptoms. The BDI measures depression using the Beck inventory, while the Calgary scale is specifically designed to rate depression in individuals with schizophrenia. CIWA is a scale used to evaluate the severity of alcohol withdrawal, and LUNSER is a rating scale for neuroleptic side effects developed by Liverpool University.
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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 occurrence rate of a particular illness?
Your Answer:
Correct Answer: Number of new cases arising in a population in a year
Explanation:Understanding Disease Incidence and Prevalence
Disease incidence refers to the occurrence of new cases of a particular disease within a population over a specific period, usually a year. This is expressed as the number of cases per unit of population per year. On the other hand, disease prevalence refers to the total number of cases of a disease present in a defined population at a given time.
Both incidence and prevalence are important measures in understanding the burden of a disease in a population. Incidence helps to identify the risk of developing a disease, while prevalence provides an estimate of the overall disease burden. These measures are crucial in public health planning and resource allocation for disease prevention and control.
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This question is part of the following fields:
- Description And Measurement
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Question 11
Incorrect
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What is considered a 'neurological soft sign' in children?
Your Answer:
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 12
Incorrect
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What is the tool used to evaluate the intelligence of children?
Your Answer:
Correct Answer: WISC
Explanation:The WISC, a commonly utilized IQ assessment for children, consists of ten distinct evaluations that generate performance and verbal IQ scores, as well as an overall IQ score. NART, on the other hand, is a measure of premorbid IQ, while Rivermead assesses visual memory. WAIS is the adult version of the Wechsler intelligence scale, and the Wisconsin card sorting test evaluates executive function, specifically the frontal lobe.
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This question is part of the following fields:
- Description And Measurement
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Question 13
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 14
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 15
Incorrect
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A 25-year-old woman has been referred to the psychologist for a personality assessment. The psychologist presents her with a series of ten inkblots and asks for her interpretation of the patterns. What type of personality test is being administered?
Your Answer:
Correct Answer: Rorschach test
Explanation:The projective approach to personality assessment utilizes ambiguous test stimuli to reveal information about an individual’s personality. The Rorschach test, which involves ten inkblot cards, is the most widely used and researched projective test. The Thematic Apperception Test (TAT) is another projective measure that uses 20 stimulus cards depicting ambiguous scenes. The Make a Picture Story (MAPS) test is similar to the TAT but allows the patient to manage the stimuli. In contrast, the Minnesota Multiphasic Personality Inventory (MMPI) and the Personality Assessment Inventory (PAI) are objective measures of personality in adults.
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This question is part of the following fields:
- Description And Measurement
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Question 16
Incorrect
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A 35-year-old man is experiencing anxiety and wants to rate his level of anxiety. Which rating scale would be most suitable for him to use?
Your Answer:
Correct Answer: Beck's depression inventory (BDI)
Explanation:The Beck depression inventory (BDI of BDI-II) was created by Dr. Aaron T. Beck to measure the severity of depression. It consists of 21 multiple choice questions, with each answer being assigned a score from 0-3. The total score ranges from 0-63, with scores of 0-9 indicating minimal depression, 10-18 indicating mild depression, 19-29 indicating moderate depression, and 30-63 indicating severe depression.
The Hamilton rating scale for depression (HAM-D) is a clinician-rated scale used to monitor the severity of depression and assess the effects of treatment.
The standard assessment of depressive disorders (SADD) is a semi-structured, clinician-rated instrument developed by the WHO for assessing depressive disorders.
The Montgomery-Asberg depression rating scale (MADRS) is a clinician-rated diagnostic questionnaire consisting of 10 items used to measure the severity of depressive episodes in patients with mood disorders. Each item can be scored from 0-6, with a maximum score of 60. There is also a self-rated version of MADRS called MADRS-S, which consists of 9 questions and has a maximum score of 54.
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This question is part of the following fields:
- Description And Measurement
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Question 17
Incorrect
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A pediatrician sees a young patient with complaints of anxiety in the office. Which scale would be the most suitable to assess the intensity of their anxiety?
Your Answer:
Correct Answer: Hamilton anxiety rating scale
Explanation:The Hamilton anxiety rating scale (HAM-A) is a clinician-rated scale that measures the severity of anxiety symptoms in adults, adolescents, and children. It takes about 10-15 minutes to administer and consists of 14 items that measure both mental and physical symptoms of anxiety. Each item is scored on a scale of 0-4, with a total score range of 0-56. The impact of events scale is used to measure stress reactions after traumatic events, while the state-trait anxiety inventory (STAI) is a self-report inventory that measures both state and trait anxiety. The Zung self-rated anxiety scale is a patient-rated scale that measures anxiety levels based on cognitive, autonomic, motor, and central nervous system symptoms.
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This question is part of the following fields:
- Description And Measurement
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Question 18
Incorrect
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A healthcare provider needed to document a patient's general level of functioning according to the DSM-IV. Which axis would they have used for this purpose?
Your Answer:
Correct Answer: Axis V
Explanation:DSM-IV used a multi-axial system of diagnosis, with Axis V coding the individual’s level of function. However, DSM-5, published in 2013, discarded this system and all diagnoses, including personality disorders, are now listed in section II. Axis V was completely eliminated from the diagnostic process.
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This question is part of the following fields:
- Description And Measurement
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Question 19
Incorrect
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A school psychologist wants to assess the cognitive abilities of a student with a suspected learning disability. She wants to determine the student's level of prior intelligence.
Which of the following assessments would be appropriate for this purpose?Your Answer:
Correct Answer: National adult reading test (NART)
Explanation:The NART, developed by Hazel Nelson in the 1980s and published in 1982, was originally believed to be independent of brain damage and measures premorbid intelligence by asking individuals to read out words. However, recent research has challenged this assumption, as severe dementia and brain damage can affect scores. The test is primarily used for English-speaking patients, but versions in Swedish and New Zealand are also available.
The MMPI is a self-report inventory consisting of 566 true/false items that provides a comprehensive range of data on various personality variables. It is an objective measure of personality in adults.
The TAT is a projective measure of personality that uses 20 stimulus cards depicting scenes of varying ambiguity.
The Weschler Adult Intelligence Scale is a widely used and standardized intelligence test designed for individuals between the ages of 16 and 89. It consists of 11 subtests, including six verbal and five performance subtests, which yield verbal IQ, performance IQ, and combined IQ scores.
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This question is part of the following fields:
- Description And Measurement
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Question 20
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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- Description And Measurement
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