PSYCHOPATHOLOGY AND CLASSIFICATION IN PSYCHIATRY
1. Disturbances of memory
A 79-year-old woman with a diagnosis of Alzheimer’s disease is causing concern as she is constantly
getting lost on the way back from the local shop to her home, which is only a short walk and one that she
has done nearly every day for 20 years.What sort of memory disturbance does this represent?
A. Autobiographical memory
B. Episodic memory.
C. Procedural memory
D. Semantic memory
E. Topographical memory
G
2. Disturbances of memory
A 72-year-old woman who suffers from Alzheimer’s disease is asked who the Prime Minister was during
the Second World War, to which she replies ‘Winston Churchill’. She is then asked where she lived during
IN
the war, to which she answers ‘Winston Churchill’. What phenomenon is being described here?
A. Confabulation
B. Déjà vu
R
C. Ganser’s syndrome
D. Jamais vu
E. Perseveration
U
3. Disturbances of perception
A young woman wakes from a nightmare and sees her dressing gown hanging from the door, which she
_N
mistakes as an assailant. What is being described here?
A. Affect illusion
B. Completion illusion
C. Pareidolic illusion
AL
D. Tactile hallucination
E. Visual hallucination
4. Disturbances of perception
A young man with schizophrenia describes how he can hear the secret service in their base in Finland
discussing their plans to assassinate him. What is this phenomenon known as?
IC
A. Extracampine hallucination
B. Functional hallucination
C. Hypnagogic hallucination
N
D. Hypnopompic hallucination
E. Reflex hallucination
LI
5. First-rank symptoms of schizophrenia
Which of the following is not a first-rank symptom of schizophrenia as described by Schneider?
A. Delusional perception
C
B. Persecutory delusions
C. Running commentary
@
D. Somatic passivity
E. Thought alienation
6. Disorders of speech
A 72-year-old man with Parkinson’s dementia is seen in clinic. He is asked how he is feeling, to which he
replies, ‘I feel fantastic...tic...tic...tic...tic...’. What is the name for this type of speech abnormality?
A. Alogia
B. Dysarthria
C. Echolalia
D. Logoclonia
, E. Neologism
7. Symptoms of depression
Which of the following is not a core symptom of depression as defined by ICD-10?
A. Anergia
B. Anhedonia
C. Anorexia
D. Hyperphagia
E. Insomnia
8. Psychopathology of catatonia
A 49-year-old woman with schizophrenia is admitted to the psychiatric unit in a mute state. She is staring
G
blankly ahead and not responding to any commands. She is not eating or drinking and looks dehydrated.
Which of the following is the least likely to be observed in catatonia?
A. Catalepsy
IN
B. Clanging
C. Echolalia
D. Negativism
R
E. Stupor
9. Classification systems in psychiatry
U
Which of the following statements regarding the two classification systems in psychiatry (ICD-10 and
DSM-IV) is false? Note this refers specifically to the section in ICD-10 related to psychiatry and mental
health.
_N A. Dementia cannot be classified in either of the two systems
B. DSM-IV uses a multiaxial system
C. Homosexuality is no longer a diagnostic category in the two systems
D. ICD-10 was developed by the World Health Organization (WHO)
AL
E. The first categories in ICD-10 are those related to organic disorders
10. Psychopathology of thought and speech
Which of the following would be the best definition of the term ‘loosening of associations’?
A. A decrease in the amount of words produced by a patient
IC
B. An incompleteness of the development of ideas or thoughts, leading to a lack of logical
relationship between them
C. Difficulty in verbalizing names of objects, despite being able to describe their function
N
D. Talking in a roundabout manner before finally answering a question
E. The creation of a new word with particular meaning to the patient
LI
ANSWER KEY
C
1. E 4. A 7. D 10. B
2. E 5. B 8. B
@
3. A 6. D 9. A
1. Disturbances of memory
A 79-year-old woman with a diagnosis of Alzheimer’s disease is causing concern as she is constantly
getting lost on the way back from the local shop to her home, which is only a short walk and one that she
has done nearly every day for 20 years.What sort of memory disturbance does this represent?
A. Autobiographical memory
B. Episodic memory.
C. Procedural memory
D. Semantic memory
E. Topographical memory
G
2. Disturbances of memory
A 72-year-old woman who suffers from Alzheimer’s disease is asked who the Prime Minister was during
the Second World War, to which she replies ‘Winston Churchill’. She is then asked where she lived during
IN
the war, to which she answers ‘Winston Churchill’. What phenomenon is being described here?
A. Confabulation
B. Déjà vu
R
C. Ganser’s syndrome
D. Jamais vu
E. Perseveration
U
3. Disturbances of perception
A young woman wakes from a nightmare and sees her dressing gown hanging from the door, which she
_N
mistakes as an assailant. What is being described here?
A. Affect illusion
B. Completion illusion
C. Pareidolic illusion
AL
D. Tactile hallucination
E. Visual hallucination
4. Disturbances of perception
A young man with schizophrenia describes how he can hear the secret service in their base in Finland
discussing their plans to assassinate him. What is this phenomenon known as?
IC
A. Extracampine hallucination
B. Functional hallucination
C. Hypnagogic hallucination
N
D. Hypnopompic hallucination
E. Reflex hallucination
LI
5. First-rank symptoms of schizophrenia
Which of the following is not a first-rank symptom of schizophrenia as described by Schneider?
A. Delusional perception
C
B. Persecutory delusions
C. Running commentary
@
D. Somatic passivity
E. Thought alienation
6. Disorders of speech
A 72-year-old man with Parkinson’s dementia is seen in clinic. He is asked how he is feeling, to which he
replies, ‘I feel fantastic...tic...tic...tic...tic...’. What is the name for this type of speech abnormality?
A. Alogia
B. Dysarthria
C. Echolalia
D. Logoclonia
, E. Neologism
7. Symptoms of depression
Which of the following is not a core symptom of depression as defined by ICD-10?
A. Anergia
B. Anhedonia
C. Anorexia
D. Hyperphagia
E. Insomnia
8. Psychopathology of catatonia
A 49-year-old woman with schizophrenia is admitted to the psychiatric unit in a mute state. She is staring
G
blankly ahead and not responding to any commands. She is not eating or drinking and looks dehydrated.
Which of the following is the least likely to be observed in catatonia?
A. Catalepsy
IN
B. Clanging
C. Echolalia
D. Negativism
R
E. Stupor
9. Classification systems in psychiatry
U
Which of the following statements regarding the two classification systems in psychiatry (ICD-10 and
DSM-IV) is false? Note this refers specifically to the section in ICD-10 related to psychiatry and mental
health.
_N A. Dementia cannot be classified in either of the two systems
B. DSM-IV uses a multiaxial system
C. Homosexuality is no longer a diagnostic category in the two systems
D. ICD-10 was developed by the World Health Organization (WHO)
AL
E. The first categories in ICD-10 are those related to organic disorders
10. Psychopathology of thought and speech
Which of the following would be the best definition of the term ‘loosening of associations’?
A. A decrease in the amount of words produced by a patient
IC
B. An incompleteness of the development of ideas or thoughts, leading to a lack of logical
relationship between them
C. Difficulty in verbalizing names of objects, despite being able to describe their function
N
D. Talking in a roundabout manner before finally answering a question
E. The creation of a new word with particular meaning to the patient
LI
ANSWER KEY
C
1. E 4. A 7. D 10. B
2. E 5. B 8. B
@
3. A 6. D 9. A
