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1) An illness of symptoms or deficits that affect voluntary motor or
sensory functions, which suggest another medical condition but that
is judged to be caused by psychological factors because the illness is
preceded by conflicts or other stressors, is known as which of the
following?
A. Illness anxiety disorder
B. Somatic symptom disorder
C. Functional neurological symptom disorder (conversion disorder)
D. Factitious disorder
Correct Answer: C
Rationale: Functional neurological symptom disorder (conversion
disorder) is characterized by symptoms or deficits affecting voluntary
motor or sensory function that suggest a neurological or other
medical condition. However, after appropriate investigation, the
symptoms are found to be incompatible with recognized neurological
or medical conditions and are judged to be caused by psychological
factors, often preceded by conflicts or stressors.
,2) A condition characterized by the person giving approximate
answers, with clouding of consciousness, frequently accompanied by
hallucinations or other dissociative, somatoform, or conversion
symptoms, is which of the following?
A. Factitious disorder
B. Ganser syndrome
C. Dissociative identity disorder
D. Brief psychotic disorder
Correct Answer: B
Rationale: Ganser syndrome is a rare dissociative disorder
characterized by the patient giving approximate or "near-miss"
answers to questions (vorbeireden), along with clouding of
consciousness, and often accompanied by hallucinations,
dissociative, somatoform, or conversion symptoms.
3) Which of the following can cause delirium? (Select all that apply)
A. Polypharmacy
B. Sleep deprivation
C. Infection
D. Metabolic disturbances
Correct Answers: A, B, C, D
,Rationale: Delirium is an acute, fluctuating disturbance in attention
and awareness that can be caused by a wide range of factors.
Polypharmacy (especially medications with anticholinergic
properties), sleep deprivation, infections (particularly urinary tract
infections in the elderly), and metabolic disturbances (e.g., electrolyte
imbalances, hepatic or renal failure) are all well-established causes of
delirium.
4) Acute withdrawal from alcohol represents which type of clinical
problem in psychosomatic medicine?
A. Psychiatric manifestations of medical conditions
B. Medical complications of psychiatric conditions or treatments
C. Somatic presentations of psychiatric disorders
D. Psychological factors affecting medical conditions
Correct Answer: B
Rationale: Acute alcohol withdrawal is considered a medical
complication arising from a psychiatric condition (alcohol use
disorder) or its treatment. It represents the physiologic consequences
of cessation of a substance after prolonged use and is managed as a
medical emergency.
5) The principal theoretician to bring psyche and soma together was
which of the following?
, A. Carl Jung
B. Sigmund Freud
C. Erik Erikson
D. B.F. Skinner
Correct Answer: B
Rationale: Sigmund Freud is credited as the principal theoretician
who integrated the psychological (psyche) and physical (soma)
aspects of human experience. His work on conversion disorders and
the concept of the unconscious mind forming the foundation for
psychosomatic medicine established the framework for
understanding how psychological conflicts can manifest as physical
symptoms.
6) Which of the following would NOT be included in the treatment
plan for a patient with illness anxiety disorder?
A. Cognitive-behavioral therapy
B. Regular scheduled visits with a primary care provider
C. Exploratory invasive procedures to obtain diagnosis
D. Psychopharmacological treatment for comorbid anxiety or
depression
Correct Answer: C
Rationale: Illness anxiety disorder is characterized by preoccupation
with having or acquiring a serious illness. Treatment should focus on