Kaplan and Sadock's Chapter 07 Exam
Questions and Correct Answers Graded
A+
7.1. Systematic errors are
A. the physician's fault B. caused by flaws in the hospital system C. attributed to a specific member of
the treatment team D. sending an email with patient information E. most common in solo fee-for-
service practices - Answer: B. caused by flaws in the hospital system
7.2. Which of the following substances has been implicated in mood disorders with a seasonal pattern?
A. Estrogen B. Gonadotropin-releasing hormone (GnRH) C. Luteotropic hormone (LTH) D. Melatonin E.
Testosterone - Answer: D. Melatonin
7.3. If a patient receiving clozapine shows a white blood count (WBC) of 2,000 per cc, the clinician
should
A. stop the administration of clozapine at once. B. increase the dosage of clozapine at once. C. monitor
the patient's WBC every 10 days. D. terminate any antibiotic therapy. E. institute weekly complete blood
count (CBC) tests with differential. - Answer: A. stop the administration of clozapine at once.
7.4. Somatizing patients can be difficult to treat because
A. they have difficulty speaking spontaneously B. they are violent C. they may initially idealize the doctor
D. they may be reluctant to engage in self-reflection and psychological exploration E. they complain of
pain - Answer: D. they may be reluctant to engage in self-reflection and psychological exploration
7.5. Common pretreatment lithium tests include
A. serum electrolytes B. serum BUN C. ECG D. pregnancy test E. all of the above - Answer: E. all of the
above
7.6. The medical record
A. cannot be used in malpractice litigation B. is accessible to patients C. is used only by the treating team
D. cannot be used by regulatory agencies E. is absolutely confidential - Answer: B. is accessible to
patients
, 7.7. In a psychiatric interview
A. delusions should be challenged directly B. the psychiatrist must not ask depressed patients if they
have suicidal thoughts C. the psychiatrist should have a seat higher than the patient's seat D. the
psychiatrist may have to medicate a violent patient before taking a history E. a violent patient should be
interviewed alone to establish a patient-dterm-10octor relationship - Answer: D. the psychiatrist may
have to medicate a violent patient before taking a history
7.8. True statements about diagnostic tests in psychiatric disorders include
A. increased serum calcium has been associated with depression B. serum bicarbonate may be elevated
in patients with bulimia nervosa C. serum amylase may be increased in patients with bulimia nervosa D.
serum bicarbonate may be decreased in patients with panic disorder E. all of the above - Answer: E. all
of the above
7.9. Polysomnography (sleep EEG) abnormalities include
A. an increase in REM sleep in dementia B. an increased sleep latency in schizophrenia C. a decrease in
the amount of REM sleep in major depressive disorder D. a lengthened REM latency in major depressive
disorder E. none of the above - Answer: B. an increased sleep latency in schizophrenia
7.10. The following thyroid function test changes are true in patients with hypothyroidism except
A. Serum protein-bound iodine (PBI) is decreased. B. Serum-free thyroxine is decreased. C. Serum T3
uptake is decreased. D. Serum T3-to-T4 ratio is decreased. E. Serum T3 concentration is decreased. -
Answer: D. Serum T3-to-T4 ratio is decreased.
7.11. The psychiatric history
A. has no formal structure B. does not address medical issues C. attends to the patient's anamnesis D.
focuses exclusively on information obtained from the patient E. focuses primarily on symptoms -
Answer: C. attends to the patient's anamnesis
7.12. Tests of concentration include all of the following except
A. calculations B. proverb interpretation C. spelling "world" backward D. repeating a series of random
numbers E. repeating three or four unrelated objects after 5 to 10 minutes - Answer: B. proverb
interpretation
Questions and Correct Answers Graded
A+
7.1. Systematic errors are
A. the physician's fault B. caused by flaws in the hospital system C. attributed to a specific member of
the treatment team D. sending an email with patient information E. most common in solo fee-for-
service practices - Answer: B. caused by flaws in the hospital system
7.2. Which of the following substances has been implicated in mood disorders with a seasonal pattern?
A. Estrogen B. Gonadotropin-releasing hormone (GnRH) C. Luteotropic hormone (LTH) D. Melatonin E.
Testosterone - Answer: D. Melatonin
7.3. If a patient receiving clozapine shows a white blood count (WBC) of 2,000 per cc, the clinician
should
A. stop the administration of clozapine at once. B. increase the dosage of clozapine at once. C. monitor
the patient's WBC every 10 days. D. terminate any antibiotic therapy. E. institute weekly complete blood
count (CBC) tests with differential. - Answer: A. stop the administration of clozapine at once.
7.4. Somatizing patients can be difficult to treat because
A. they have difficulty speaking spontaneously B. they are violent C. they may initially idealize the doctor
D. they may be reluctant to engage in self-reflection and psychological exploration E. they complain of
pain - Answer: D. they may be reluctant to engage in self-reflection and psychological exploration
7.5. Common pretreatment lithium tests include
A. serum electrolytes B. serum BUN C. ECG D. pregnancy test E. all of the above - Answer: E. all of the
above
7.6. The medical record
A. cannot be used in malpractice litigation B. is accessible to patients C. is used only by the treating team
D. cannot be used by regulatory agencies E. is absolutely confidential - Answer: B. is accessible to
patients
, 7.7. In a psychiatric interview
A. delusions should be challenged directly B. the psychiatrist must not ask depressed patients if they
have suicidal thoughts C. the psychiatrist should have a seat higher than the patient's seat D. the
psychiatrist may have to medicate a violent patient before taking a history E. a violent patient should be
interviewed alone to establish a patient-dterm-10octor relationship - Answer: D. the psychiatrist may
have to medicate a violent patient before taking a history
7.8. True statements about diagnostic tests in psychiatric disorders include
A. increased serum calcium has been associated with depression B. serum bicarbonate may be elevated
in patients with bulimia nervosa C. serum amylase may be increased in patients with bulimia nervosa D.
serum bicarbonate may be decreased in patients with panic disorder E. all of the above - Answer: E. all
of the above
7.9. Polysomnography (sleep EEG) abnormalities include
A. an increase in REM sleep in dementia B. an increased sleep latency in schizophrenia C. a decrease in
the amount of REM sleep in major depressive disorder D. a lengthened REM latency in major depressive
disorder E. none of the above - Answer: B. an increased sleep latency in schizophrenia
7.10. The following thyroid function test changes are true in patients with hypothyroidism except
A. Serum protein-bound iodine (PBI) is decreased. B. Serum-free thyroxine is decreased. C. Serum T3
uptake is decreased. D. Serum T3-to-T4 ratio is decreased. E. Serum T3 concentration is decreased. -
Answer: D. Serum T3-to-T4 ratio is decreased.
7.11. The psychiatric history
A. has no formal structure B. does not address medical issues C. attends to the patient's anamnesis D.
focuses exclusively on information obtained from the patient E. focuses primarily on symptoms -
Answer: C. attends to the patient's anamnesis
7.12. Tests of concentration include all of the following except
A. calculations B. proverb interpretation C. spelling "world" backward D. repeating a series of random
numbers E. repeating three or four unrelated objects after 5 to 10 minutes - Answer: B. proverb
interpretation
