General MCQs for CT1 trainees composite neuropsychiatry and psychopathology MCQs John O’Donovan

MCQs History of psychiatry Pinel treated the marquis de sade Napoleon’s legal code stipulates that “no crime exist… if existed in a state of dementia” Pinel and Esquirol were empirical in outlook Morel is associated with the degeneration theory In 19 th century Germany there was an intellectual conflict between the mentalists and the somatists Griesinger was the original German neuropsychiatrist History of psychiatry Cullen=neurosis Bleuler developed the term schizophrenia Griesinger believed that psychoses were one disorder 1854 Falret described “folie circulaire” French psychiatrists particularly resented the concept of schizophrenia First ICD was 1855 ICD 8 was the first of relevance to psychiatry DSM 3 is “operationalized”

MCQs 2 Schizohprenia Delusions in schizophrenia are internally inconsistent Third person auditory hallucinations are the most specific sign for schizophrenia Over 70% of schizophrenic patients show at least one first rank symptom Second person auditory hallucinations are a first rank symptom Schizophrenic thought disorder shows metonyms Schizophrenia Schneider’s first rank sympoms are atheoretical Delusional mood is a first rank symptom Hebephrenic schizophrenia is characterised by absence of disorganisation Alogia is common in the early stages of schizophrenia Catatonia is most commonly due to schizophrenia

MCQs Capgras Syndrome Is one of the DMIS Also known as “illusion de sosies” Is most commonly seen in schizophrenia Is an example of a primary delusion May be associated with lesions of the fusiform gyrus The core belief is that an impostor has replaced someone close to the patient and looks identical or near identical DMIS The Fregoli syndrome is associated with a big red nose Is a belief one or more individuals have altered their appearances to resemble famillar people Can be associated with intermetamorphosis rather then hypermetamorphosis DMIS contain four different types including Capgras, Fregoli, intermetamorphosis and the syndrome of subjective doubles Has a prevalence of 1: million

MCQs Cotard’s syndrome Is the delusion of negation Exists in different forms Is always accompanied by depression May be a chronic state Is the most delusional of the delusions Schizophrenic thought disorder Does not occur in VLOSLP(very late onset schizophrenic like psychosis) Is easily distinguished from a perisylivan stroke Is associated with derailment Tangentiality Loss of goal Knight’s move thinking Prolixity

MCQs Valproate Causes tremor Commonly causes hirsuitism Is the drug of choice for JME Was discovered by chance as a solvent is particularly likely to cause a rash when used concurrently with topiramate Lithium Can cause hyperthyroidism Levels of 1.9mEq are therapeutic Levels should be taken just before dosing May cause cranial diabetes insipidus Is metabolised slowly in the liver

MCQs Causes of light-near dissociation Ventral midbrain syndrome Holmes-Adie Syndrome Balint Syndrome Optic neuritis Third nerve compressive palsy secondary to PICA aneurysm Syringobulbia May cause anosmia May cause opthalmoplegia May cause a pseudobulbar affect Classically causes slow wave jerks and rotatory nystagmus

MCQs A left frontal stroke Will classically cause a weak right leg more so then right arm May produce a fluent dysphasia May cause deviation of the eyes to the left visual field Will have a better prognosis then a right frontal stroke May cause agraphia Non dominant temporal lesions Are not good for a violinist Are not good for writers May cause strange smells Are the classical site for strokes causing a manic presentation May be silent neurologically Are associated with left hemianopsia