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CONTENTS
Introduction 1
1 Clinical skills
Questions 7
Answers 23
2 Core clinical psychiatry
Questions 39
Answers 59
3 Psychopathology
Questions 79
Answers 95
4 Psychology
Questions 113
Answers 127
5 Psychopharmacology
Questions 147
Answers 159
6 History, social psychiatry, and ethics
Questions 171
Answers 183
Index 193
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chapter CLINICAL SKILLS
1 QUESTIONS
1. Which of the following is NOT a facilitative message?
A. ‘Run on’ question
B. Self disclosure
C. ‘I want’ message
D. Silence
E. Interpretation
2. A psychiatrist at an early stage of his initial assessment interview asks the
patient, ‘Can you tell me about your depression?’ Which of the following
interview techniques is he utilizing?
A. Closed-ended questions
B. Open-ended questions
C. Reflecting
D. Facilitation
E. Put down question
3. Which of the following is an open-ended question?
A. Tell me about yourself?
B. Could you tell me the name of the prime minister?
C. It seems as if you feel people are against you?
D. What do you find stressful in your job?
E. Do you have trouble falling asleep?
4. During a clinical interview the following statement is made by the clinician:
‘So you have been anxious since these changes occurred at your work
place.’ Which of the following interview technique best describes the above
statement?
A. Facilitation
B. Open-ended question
C. Closed-ended question
D. Interpretation
E. Reflecting
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,8 CLINICAL SKILLS | QUESTIONS
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5. Which of the following interview techniques is least directive?
A. Limit setting
B. Summarizing
C. Re-direction
D. Repetitive questioning
E. Narrow-focused questions
6. Which of the following is a supportive intervention during a clinical
interview process?
A. Open-ended questions
B. Acknowledgement of affect
C. Confrontation
D. Taking a medical history
E. Summarization
7. Which of the following statements is true when enquiring about suicidal
ideation?
A. This should not be asked unless the patient volunteers information
B. Asking about suicidal ideation can instil suicidal ideas in a person
C. A person who intends to attempt suicide will never divulge
D. Passive suicidal ideas must be enquired further for any plans made
E. The aim of the assessment is to corner the patient into a disclosure
8. ‘Do you ever hear voices commenting on what you are doing?’ This question
is usually asked to ascertain the presence of which one of the following?
A. Bleuler’s primary symptoms
B. Schneider’s first-rank symptoms
C. Command hallucinations
D. Catatonic symptoms of schizophrenia
E. Negative symptoms of schizophrenia
9. Regarding the Mini Mental State Examination (MMSE), which of the
following statements is true?
A. The subject is asked to guess the answer if unsure
B. If a person scores 3 on serial sevens, and scores 4 on spelling WORLD backwards then
the score for attention is 3
C. On the reading test one point is scored if the patient reads ‘Close your eyes’ out loud
D. Education affects the rate of change of scores in normal and dementia subjects
E. MMSE scores are not affected by socioeconomic status of a subject
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, CLINICAL SKILLS | QUESTIONS 9
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10. Assessment of insight is an integral part of mental state examination in
psychiatric practice.Regarding insight, which of the following statements
is true?
A. Patients with schizophrenia will never have insight into their illness
B. OCD being a neurosis, insight is always intact
C. Intellectual insight is present when patients’ awareness and understanding of their
symptoms lead to a change in behaviour
D. Intellectual insight is the highest level of insight
E. Loss of insight is similar to the concept of anosognosia in neurological illness
11. A patient with schizophrenia vividly describes how Martians are ‘reverse
freezing’ earth to produce global warming. He stops to ask what you think
about this. Choose the best response.
A. This is a fantastic theory. But I want to know more about this. Tell me, have you ever
seen these Martians?
B. This seems possible but there is no proof for all this. Tell me, have you ever seen these
Martians?
C. This cannot be true. Martians do not exist. Tell me, have you ever seen these Martians?
D. Tell me, have you ever seen these Martians?
E. What I think is not so important. I want to know more about what you think of this. Tell
me, have you ever seen these Martians?
12. Which one of the following is NOT an advisable first response when a
patient discloses past sexual abuse at a clinical encounter?
A. Postpone discussing the issue
B. Ask if she wants to say anything more about this now
C. Ask if she has ever disclosed this to anyone
D. Ask if she sees a link between this and her current difficulties
E. None of the above
13. Closed questions are best avoided in which of the following scenarios?
A. A patient with suspected malingering
B. A guarded patient not answering spontaneously
C. A suggestible patient with learning difficulty
D. A psychotic patient who is actively hallucinating
E. All of the above
14. Which of the following is the single best question to discern premorbid
personality of a patient?
A. How would you describe yourself?
B. How would your friends describe you?
C. What were you like before you became unwell?
D. If we had met 10 years ago, what sort of person would I be talking to?
E. None of the above
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CONTENTS
Introduction 1
1 Clinical skills
Questions 7
Answers 23
2 Core clinical psychiatry
Questions 39
Answers 59
3 Psychopathology
Questions 79
Answers 95
4 Psychology
Questions 113
Answers 127
5 Psychopharmacology
Questions 147
Answers 159
6 History, social psychiatry, and ethics
Questions 171
Answers 183
Index 193
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chapter CLINICAL SKILLS
1 QUESTIONS
1. Which of the following is NOT a facilitative message?
A. ‘Run on’ question
B. Self disclosure
C. ‘I want’ message
D. Silence
E. Interpretation
2. A psychiatrist at an early stage of his initial assessment interview asks the
patient, ‘Can you tell me about your depression?’ Which of the following
interview techniques is he utilizing?
A. Closed-ended questions
B. Open-ended questions
C. Reflecting
D. Facilitation
E. Put down question
3. Which of the following is an open-ended question?
A. Tell me about yourself?
B. Could you tell me the name of the prime minister?
C. It seems as if you feel people are against you?
D. What do you find stressful in your job?
E. Do you have trouble falling asleep?
4. During a clinical interview the following statement is made by the clinician:
‘So you have been anxious since these changes occurred at your work
place.’ Which of the following interview technique best describes the above
statement?
A. Facilitation
B. Open-ended question
C. Closed-ended question
D. Interpretation
E. Reflecting
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5. Which of the following interview techniques is least directive?
A. Limit setting
B. Summarizing
C. Re-direction
D. Repetitive questioning
E. Narrow-focused questions
6. Which of the following is a supportive intervention during a clinical
interview process?
A. Open-ended questions
B. Acknowledgement of affect
C. Confrontation
D. Taking a medical history
E. Summarization
7. Which of the following statements is true when enquiring about suicidal
ideation?
A. This should not be asked unless the patient volunteers information
B. Asking about suicidal ideation can instil suicidal ideas in a person
C. A person who intends to attempt suicide will never divulge
D. Passive suicidal ideas must be enquired further for any plans made
E. The aim of the assessment is to corner the patient into a disclosure
8. ‘Do you ever hear voices commenting on what you are doing?’ This question
is usually asked to ascertain the presence of which one of the following?
A. Bleuler’s primary symptoms
B. Schneider’s first-rank symptoms
C. Command hallucinations
D. Catatonic symptoms of schizophrenia
E. Negative symptoms of schizophrenia
9. Regarding the Mini Mental State Examination (MMSE), which of the
following statements is true?
A. The subject is asked to guess the answer if unsure
B. If a person scores 3 on serial sevens, and scores 4 on spelling WORLD backwards then
the score for attention is 3
C. On the reading test one point is scored if the patient reads ‘Close your eyes’ out loud
D. Education affects the rate of change of scores in normal and dementia subjects
E. MMSE scores are not affected by socioeconomic status of a subject
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, CLINICAL SKILLS | QUESTIONS 9
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10. Assessment of insight is an integral part of mental state examination in
psychiatric practice.Regarding insight, which of the following statements
is true?
A. Patients with schizophrenia will never have insight into their illness
B. OCD being a neurosis, insight is always intact
C. Intellectual insight is present when patients’ awareness and understanding of their
symptoms lead to a change in behaviour
D. Intellectual insight is the highest level of insight
E. Loss of insight is similar to the concept of anosognosia in neurological illness
11. A patient with schizophrenia vividly describes how Martians are ‘reverse
freezing’ earth to produce global warming. He stops to ask what you think
about this. Choose the best response.
A. This is a fantastic theory. But I want to know more about this. Tell me, have you ever
seen these Martians?
B. This seems possible but there is no proof for all this. Tell me, have you ever seen these
Martians?
C. This cannot be true. Martians do not exist. Tell me, have you ever seen these Martians?
D. Tell me, have you ever seen these Martians?
E. What I think is not so important. I want to know more about what you think of this. Tell
me, have you ever seen these Martians?
12. Which one of the following is NOT an advisable first response when a
patient discloses past sexual abuse at a clinical encounter?
A. Postpone discussing the issue
B. Ask if she wants to say anything more about this now
C. Ask if she has ever disclosed this to anyone
D. Ask if she sees a link between this and her current difficulties
E. None of the above
13. Closed questions are best avoided in which of the following scenarios?
A. A patient with suspected malingering
B. A guarded patient not answering spontaneously
C. A suggestible patient with learning difficulty
D. A psychotic patient who is actively hallucinating
E. All of the above
14. Which of the following is the single best question to discern premorbid
personality of a patient?
A. How would you describe yourself?
B. How would your friends describe you?
C. What were you like before you became unwell?
D. If we had met 10 years ago, what sort of person would I be talking to?
E. None of the above
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