Let's do some quizzes

Salam alayk...

While searching for some articles for my case write up, I found this interesting quiz. F2

Let's start:

Question 1

A 42-year-old man comes to the emergency room with the chief complaint that "the men are following me." He also complains of hearing a voice telling him to hurt others. He tells the examiner that the news anchorman gives him special messages about the state of the world every night through the TV. This last belief is an example of which of the following psychiatric findings?

a. Grandiose delusion

b. Illusion

c. Loose association

d. Idea of reference

e. Clouding of consciousness

Question 2

A 32-year-old woman is seen in an outpatient psychiatric clinic for the chief complaint of a depressed mood for four months. During the interview, she gives very long, complicated explanations and many unnecessary details before finally answering the original questions. This style of train of thought is an example of which of the following psychiatric findings?

a. Loose association

b. Circumstantiality

c. Neologism

d. Perseveration

e. Flight of ideas

Question 3

A 23-year-old man is brought to the emergency room after he walked up to a stranger in a grocery store and began hitting her, claiming that he "knew that she had been sent to spy on him." In the emergency room he was found to be alert and oriented to person, place, and time. He denied hearing voices. He continued to insist that there were "special agents" planted throughout the city to watch him. This symptom is an example of which of the following psychiatric findings?

a. Delusion

b. Illusion

c. Perceptual representation of a sound or an image not actually present

d. Egomania

e. Dissociative fugue

So, let see the answers:

Answer to Question 1

The answer is d, Idea of reference.

An idea of reference is the belief that an object, event, or person in one's environment (commonly the television or radio) has particular personal significance. A delusion is a fixed, false belief, and a grandiose delusion has a theme that attributes special powers or talents to the delusional person. An illusion is the misperception or misinterpretation of real external sensory stimuli. A loose association describes a disturbance in the continuity of thought in which ideas expressed do not seem to be logically related. Clouding of consciousness refers to an overall reduced awareness of the surrounding environment.

Answer to Question 2

The answer is b, Circumstantiality.

Circumstantiality indicates the loss of a goal-directed thought process: the patient brings in many irrelevant details and comments, but eventually will get back to the point. A neologism is a fabricated word made up by the patient, which is usually a combination of existing words. Perseveration, often associated with cognitive disorders, refers to a response that persists even after a new stimulus has been introduced—for example, a patient asked to repeat the phrase "no ifs, ands, or buts" responds by saying, "no ifs, ifs, ifs, ifs." Flight of ideas is a disorder of thinking in which the patient expresses thoughts very rapidly, with constant shifting from one idea to another, though the ideas are often connected.

Answer to Question 3

The answer is a, Delusion.

A delusion is a fixed, false belief that is not in keeping with a patient's cultural background. The perceptual misrepresentation of a real sensory image is an illusion. The perceptual representation of a sound or an image that is not actually present is a hallucination. A pathological self-preoccupation is the definition of egomania. A dissociative fugue is a state in which patients travel away from their homes or work and assume new identities or occupations while forgetting important aspects and details of their former lives.

So, that's for psychiatry. There are many more quizzes in other fields. Just visit:

USMLEasy from McGraw-Hill

Have a nice day~

Maido ari, jaa~