Rafi Psychiatry- Questions & Answers
100% Solved
A 5-year-old boy presented with symptoms similar to autism. His maternal uncle and his father
had very similar symptoms. Which ONE of the following is the most likely diagnosis?
A. Prader-Willi syndrome
B. Velo-cardio-facial syndrome
C. Down's syndrome
D. Fragile X syndrome
E. Rett's syndrome" Correct Ans-D. Fragile X syndrome
"
A 32-year-old man has a moderate intellectual disability. Which ONE of the following is most
accurate regarding individuals with moderate intellectual disabilities?
A. They cannot sustain employment
B. They can generally live independently
C. They have limited language and comprehension
skills
D. They tend to require full-time nursing care
E. They have intact self-care skills
" Correct Ans-C. They have limited language and comprehension skills
,"
5. A 22-year-old lady with a severe intellectual disability presents with marked behavioural
disturbance, including head-banging and aggression towards carers. Which ONE of the following
is TRUE regarding behavioural disturbances in people with intellectual disabilities?
A. Behavioural disturbances are usually related to psychiatric illness
B. Aetiology of the intellectual disability does not affect management
C. Psychotropic medication should be prescribed in the first instance
D. Simple psychosocial interventions usually have long-term benefits
E. Admission to a specialist unit is almost always required" Correct Ans-D. Simple
psychosocial interventions usually have long-term benefits
"
A 19-year-old gentleman has been charged with a serious assault. He appears incredibly
distracted and distressed, and is openly responding to auditory hallucinations. The forensic
psychiatrist does not feel that he is fit to plead. Which ONE of the following is TRUE regarding
the concept of being 'unfit to plead'?
A. Commonly found in those with mental illness
B. Is determined by the M'Naghten Rule
C. May result in transfer to a secure hospital
D. Is applicable if the accused cannot remember the
offence
,E. Is also known as 'not guilty by reason of
insanity'" Correct Ans-C. May result in transfer to a secure hospital
"
A 32-year-old woman with a psychotic illness is arrested and charged with stalking her
psychiatrist. Which ONE of the following types of delusion is most commonly seen among
stalkers with psychotic disorders?
A. Delusions of love
B. Delusions of infidelity
C. Delusions of reference
D. Delusions of control
E. Delusions of persecution" Correct Ans-A. Delusions of love
"
A 28-year-old man is charged with indecently exposing himself to a group of female university
students. Which ONE of the following is most accurate regarding indecent exposure?
A. It usually immediately precedes violent sexual assault
B. It is a crime more commonly committed by men over 55 years old
C. There is a high rate of re-offending in those who are convicted
D. It is not associated with intellectual disability
E. Exhibitionism is considered by ICD-10 to be a
, psychiatric disorder" Correct Ans-E. Exhibitionsm is considered by ICD-10 to be a
psychiatric disorder
"
A 24-year-old gentleman with a history of paranoid schizophrenia has been charged with
attempted murder after stabbing a female lawyer in an upmarket bar.
He reports that he had heard the voice of God commenting that she was the Devil, and that the
Pope had been in control of his bodily movements and mood at the time of the offence. Which
ONE of the following is TRUE?
A. People with psychotic disorders are twice as likely as members of the general public to
acquire convictions for violent offences
B. Comorbid substance misuse is not thought to increase risk of violent offending in patients
with schizophrenia
C. Command hallucinations are a specific risk factor for violence in patients with paranoid
schizophrenia
D. Patients with paranoid schizophrenia are more likely to evade detection by the authorities than
offenders without mental illness
E. There is a strong association between the presence of psychotic symptoms Correct Ans-C.
Common hallucinations are a specific risk factor for violence in patients with paranoid
schizophrenia
"
A 32-year-old man with substance misuse problems reports he is thinking of taking up mugging
to fund his habit. Which ONE of the following is the best predictor of future violence?
100% Solved
A 5-year-old boy presented with symptoms similar to autism. His maternal uncle and his father
had very similar symptoms. Which ONE of the following is the most likely diagnosis?
A. Prader-Willi syndrome
B. Velo-cardio-facial syndrome
C. Down's syndrome
D. Fragile X syndrome
E. Rett's syndrome" Correct Ans-D. Fragile X syndrome
"
A 32-year-old man has a moderate intellectual disability. Which ONE of the following is most
accurate regarding individuals with moderate intellectual disabilities?
A. They cannot sustain employment
B. They can generally live independently
C. They have limited language and comprehension
skills
D. They tend to require full-time nursing care
E. They have intact self-care skills
" Correct Ans-C. They have limited language and comprehension skills
,"
5. A 22-year-old lady with a severe intellectual disability presents with marked behavioural
disturbance, including head-banging and aggression towards carers. Which ONE of the following
is TRUE regarding behavioural disturbances in people with intellectual disabilities?
A. Behavioural disturbances are usually related to psychiatric illness
B. Aetiology of the intellectual disability does not affect management
C. Psychotropic medication should be prescribed in the first instance
D. Simple psychosocial interventions usually have long-term benefits
E. Admission to a specialist unit is almost always required" Correct Ans-D. Simple
psychosocial interventions usually have long-term benefits
"
A 19-year-old gentleman has been charged with a serious assault. He appears incredibly
distracted and distressed, and is openly responding to auditory hallucinations. The forensic
psychiatrist does not feel that he is fit to plead. Which ONE of the following is TRUE regarding
the concept of being 'unfit to plead'?
A. Commonly found in those with mental illness
B. Is determined by the M'Naghten Rule
C. May result in transfer to a secure hospital
D. Is applicable if the accused cannot remember the
offence
,E. Is also known as 'not guilty by reason of
insanity'" Correct Ans-C. May result in transfer to a secure hospital
"
A 32-year-old woman with a psychotic illness is arrested and charged with stalking her
psychiatrist. Which ONE of the following types of delusion is most commonly seen among
stalkers with psychotic disorders?
A. Delusions of love
B. Delusions of infidelity
C. Delusions of reference
D. Delusions of control
E. Delusions of persecution" Correct Ans-A. Delusions of love
"
A 28-year-old man is charged with indecently exposing himself to a group of female university
students. Which ONE of the following is most accurate regarding indecent exposure?
A. It usually immediately precedes violent sexual assault
B. It is a crime more commonly committed by men over 55 years old
C. There is a high rate of re-offending in those who are convicted
D. It is not associated with intellectual disability
E. Exhibitionism is considered by ICD-10 to be a
, psychiatric disorder" Correct Ans-E. Exhibitionsm is considered by ICD-10 to be a
psychiatric disorder
"
A 24-year-old gentleman with a history of paranoid schizophrenia has been charged with
attempted murder after stabbing a female lawyer in an upmarket bar.
He reports that he had heard the voice of God commenting that she was the Devil, and that the
Pope had been in control of his bodily movements and mood at the time of the offence. Which
ONE of the following is TRUE?
A. People with psychotic disorders are twice as likely as members of the general public to
acquire convictions for violent offences
B. Comorbid substance misuse is not thought to increase risk of violent offending in patients
with schizophrenia
C. Command hallucinations are a specific risk factor for violence in patients with paranoid
schizophrenia
D. Patients with paranoid schizophrenia are more likely to evade detection by the authorities than
offenders without mental illness
E. There is a strong association between the presence of psychotic symptoms Correct Ans-C.
Common hallucinations are a specific risk factor for violence in patients with paranoid
schizophrenia
"
A 32-year-old man with substance misuse problems reports he is thinking of taking up mugging
to fund his habit. Which ONE of the following is the best predictor of future violence?
