What physiological change produces the symptoms of hyperventilation syndrome?
QUESTION 42
A bereaved person repeatedly experiences vivid mental images and dreams of the deceased and idealizes the deceased. What is the characteristic emotional quality of these preoccupations in grief?
QUESTION 43
Which presentation of conversion-type hysteria is more common in children?
QUESTION 44
What is the usual duration of a panic attack?
QUESTION 45
Which pairing correctly matches the temporal pattern of anxiety with its diagnostic category?
QUESTION 46
In generalized anxiety disorder, continual worry and anticipation that something bad will happen to oneself belong to which symptom domain?
QUESTION 47
A patient experiences recurrent, unpredictable episodes of sudden intense fear accompanied by a feeling of impending doom. Which diagnosis best matches this presentation?
QUESTION 48
A patient with generalized anxiety disorder reports muscle aches, trembling and inability to relax. Under which symptom domain are these features classified?
QUESTION 49
What minimum duration of generalized, persistent anxiety is specified in the description of generalized anxiety disorder?
QUESTION 50
Which statement about organic aetiology characterizes neurotic and stress-related disorders?
QUESTION 51
Which statement correctly describes buspirone?
QUESTION 52
Injection of which substance is stated to produce panic attacks?
QUESTION 53
How do learning theories explain anxiety developing in response to a stimulus that is not normally anxiety provoking?
QUESTION 54
Which associated problems are described as common in post traumatic neurosis?
QUESTION 55
What concordance rates for anxiety neurosis were reported in monozygotic and dizygotic twin pairs, respectively?
QUESTION 56
Which drug is described as having anxiolytic, antipanic, antiphobic and antidepressant effects?
QUESTION 57
A patient has periodic attacks of respiratory distress, giddiness, perioral tingling, fingertip numbness and occasional tetany. Which syndrome best explains this symptom cluster?
QUESTION 58
During cognitive behaviour therapy for panic attacks, what is the purpose of cognitive restructuring?
QUESTION 59
Which combination of physiological changes is associated with hyperventilation syndrome?
QUESTION 60
What frequency of anxiety states is reported among relatives of patients with anxiety?
QUESTION 61
A patient has intense, persistent fear of a specific place and a compelling desire to avoid it. Which appraisal of the fear is characteristic of phobic disorders?
QUESTION 62
Which sex distribution is described for illness phobia (nosophobia)?
QUESTION 63
What proportion of psychiatric inpatients and outpatients is constituted by obsessive compulsive disorder in the supplied epidemiological description?
QUESTION 64
Which behavioural therapy involves supervised maximum exposure to a feared stimulus until anxiety reduction or exhaustion?
QUESTION 65
A patient with social phobia seeks medication for acute use before a performance. Which drug is specifically described as effective in this setting?
QUESTION 66
A patient with a phobia receives relaxation training followed by gradual exposure to feared situations in a hierarchy of increasing intensity. Which behavioural therapy is being used?
QUESTION 67
Which description defines compulsions in obsessive compulsive disorder?
QUESTION 68
When does obsessive compulsive disorder usually begin?
QUESTION 69
A patient observes the therapist engaging in non-avoidance behaviour with the patient's feared stimulus. Which behavioural technique does this illustrate?
QUESTION 70
What does the description of obsessions as ego-dystonic mean?
QUESTION 71
Which tricyclic antidepressant is described as an effective blocker of spontaneous panic attacks?
QUESTION 72
Which approach is characteristic of supportive psychotherapy?
QUESTION 73
A patient turns a light switch on and then off, believing that the second act reverses the first. Which defense mechanism is illustrated?
QUESTION 74
What role may pregnancy, delivery, illness, death of a close relative, frustration and overwork play in the early-experience account of obsessional illness?
QUESTION 75
A behavioral intervention for OCD is intended to decrease the frequency of rituals or obsessive thoughts. Which technique matches this aim?
QUESTION 76
Which pair correctly describes twin concordance rates for obsessional illness?
QUESTION 77
A patient describes a gruesome fantasy but denies any associated anxiety or disgust. Which psychoanalytic defense mechanism does this illustrate?
QUESTION 78
What is the stated aim of exposure procedures in the behavioral treatment of OCD?
QUESTION 79
A patient behaves in a passive or masochistic manner that opposes his impulses. Which psychoanalytic defense mechanism explains this behavior?
QUESTION 80
Which neurotransmitter is implicated in mediating impulsivity, suicidality, aggression, anxiety, social dominance and learning in the biochemical account of OCD?