PSYCHIATRY BOARD EXAM QUESTIONS AND
CORRECT ANSWERS| LATEST UPDATE
Attachment theory was created by which person?
John Bowlby
What is attachment vs bonding?
Attachment: occurs when there is a warm, intimate, continuous relationship
between child and mother. Attachment gives the infant a feeling of security.
Bonding: Mother's feelings for her infant. The mother does not rely on her baby
for food and protection; therefore bonding does not involve resources and
security. Bonding occurs through skin-to-skin.
Orbitofrontal lesions cause patients to appear...
Profane, irritable, irresponsible
Medial frontal lesions cause patients to appear...
Apathy- limited spontaneous movement, gesture, and speech
Left frontal lesions cause patients to appear...
Depressed
,Right frontal lesions cause patients to appear...
Manic
Creutzfeldt-Jakob CSF findings
14-3-3 proteinase inhibitor proteins
Wilsons disease test for diagnosis:
Low Serum ceruloplasmin
Acute intermittent porphyria test for diagnosis:
Urine porphobilinogens and aminolaevulinic acid in excessive amounts
Wernicke's encephalopathy clinical triad
Mental confusion, ophthalmoplegia, gait ataxia
Wernicke's encephalopathy brain autopsy findings
Microhemorrhages in the periventricular gray matter, particularly around the
aqueduct and third and fourth ventricles
Pick's dementia brain autopsy findings
Frontal and temporal lobe atrophy
Parkinson's disease brain autopsy findings
,depigmentation of the pars compact of the substantial nigra in the midbrain
Multiple sclerosis brain autopsy findings
Subcortical white matter lesions perpendicular to the ventricles (aka Dawson's
fingers). Also callosal thinning and atrophy.
MAOI mechanism of action
Increase levels of biogenic amine neurotransmitters (serotonin, norepinephrine,
and dopamine) by preventing their degradation
2 types of MAO enzymes:
MAO-A: breaks down serotonin, norepinephrine, and dopamine.
MAO-B: breaks down dopamine
MAOI contraindication
Contraindicated to give meperidine with MAOI
Which MAOIs will not require tyramine-free diet at low doses
Selegiline patch, moclobemide
What is transference
Feelings a patient has towards a therapist
What is countertransference:
, Conscious and unconscious feelings the therapist has toward the patient
What is projection
Reacting to unacceptable inner impulses as if they were outside the self.
Perceiving one's own feelings in another and then acting on that perception.
Huntington’s Disease inheritance:
autosomal dominant; 50% likelihood child will get it
Huntington’s Disease chromosome affected:
chromosome 4
What is primary prevention
When clinician does something to prevent the onset of a disease. E.g., reducing
causative agents, reducing risk factors, increasing host resistance, or interfering
with the transmission of a disease.
What is secondary prevention
When one identifies a disease in its early stages and seeks prompt treatment.
What is tertiary prevention
Reducing deficits caused by an illness to obtain the highest possible level of
functioning.
CORRECT ANSWERS| LATEST UPDATE
Attachment theory was created by which person?
John Bowlby
What is attachment vs bonding?
Attachment: occurs when there is a warm, intimate, continuous relationship
between child and mother. Attachment gives the infant a feeling of security.
Bonding: Mother's feelings for her infant. The mother does not rely on her baby
for food and protection; therefore bonding does not involve resources and
security. Bonding occurs through skin-to-skin.
Orbitofrontal lesions cause patients to appear...
Profane, irritable, irresponsible
Medial frontal lesions cause patients to appear...
Apathy- limited spontaneous movement, gesture, and speech
Left frontal lesions cause patients to appear...
Depressed
,Right frontal lesions cause patients to appear...
Manic
Creutzfeldt-Jakob CSF findings
14-3-3 proteinase inhibitor proteins
Wilsons disease test for diagnosis:
Low Serum ceruloplasmin
Acute intermittent porphyria test for diagnosis:
Urine porphobilinogens and aminolaevulinic acid in excessive amounts
Wernicke's encephalopathy clinical triad
Mental confusion, ophthalmoplegia, gait ataxia
Wernicke's encephalopathy brain autopsy findings
Microhemorrhages in the periventricular gray matter, particularly around the
aqueduct and third and fourth ventricles
Pick's dementia brain autopsy findings
Frontal and temporal lobe atrophy
Parkinson's disease brain autopsy findings
,depigmentation of the pars compact of the substantial nigra in the midbrain
Multiple sclerosis brain autopsy findings
Subcortical white matter lesions perpendicular to the ventricles (aka Dawson's
fingers). Also callosal thinning and atrophy.
MAOI mechanism of action
Increase levels of biogenic amine neurotransmitters (serotonin, norepinephrine,
and dopamine) by preventing their degradation
2 types of MAO enzymes:
MAO-A: breaks down serotonin, norepinephrine, and dopamine.
MAO-B: breaks down dopamine
MAOI contraindication
Contraindicated to give meperidine with MAOI
Which MAOIs will not require tyramine-free diet at low doses
Selegiline patch, moclobemide
What is transference
Feelings a patient has towards a therapist
What is countertransference:
, Conscious and unconscious feelings the therapist has toward the patient
What is projection
Reacting to unacceptable inner impulses as if they were outside the self.
Perceiving one's own feelings in another and then acting on that perception.
Huntington’s Disease inheritance:
autosomal dominant; 50% likelihood child will get it
Huntington’s Disease chromosome affected:
chromosome 4
What is primary prevention
When clinician does something to prevent the onset of a disease. E.g., reducing
causative agents, reducing risk factors, increasing host resistance, or interfering
with the transmission of a disease.
What is secondary prevention
When one identifies a disease in its early stages and seeks prompt treatment.
What is tertiary prevention
Reducing deficits caused by an illness to obtain the highest possible level of
functioning.
