Lesson 1 “Psychopathological symptoms”
Variant 1
1. Patient, 23 years old, during the last 6 months became reserved, avoided contacts with others,
secluded, spoke with himself. In conversation with psychiatrist initially concealed his feelings, but then told
about the special, unreal voices, which are contained in him (“nest in the brain). Identify disorders of
perception?
A. Pseudohallucinations.
B. Illusions.
C. True hallucinations.
D. Metamorphopsiae.
E. Derealization.
2. A 23-year-old man admitted to the psychiatric hospital stated that he had been upset for at least a year
owing to the fact, that he had been hearning voices when he was no his own and when there were no obvious
causes. He would typically hear two male voices who would talk to each other about him and who would also
sometimes comment on his actions. He had “realized” that the voices were the result of his being spied on by
security agents, who were plotting to kill him. What is the leading psychopathological symptome?
A. Impirative hallucinations.
B. Comment hallucinations.
C. Antogonistic hallucinations.
D. Functional hallucinations.
E. Simple hallucinations.
3. A fragment of the patient’s speech: “Not knowing that I was ill, I made no attemp to understand what
was happening, but felt that there was some overwhelming significance in all of this, produced either by God
or Satan…”.The walk of a stranger on the street could be a “sign” to me which I must interpret. Every face in
the windows of a passing street car would be engraved on my mind, all of them concentrating on me and trying
to pass me some sort of message. What is the
leading psychopathological symptome?
A. Symbolic thinking.
B. Circumstantial thinking.
C. Flight of ideas.
D. Loosening of association.
E. Thought blocking.
4. The patient N., actor, has been treating in the mental hospital for 6 months. He told his doctor that he
came back from his tour yesterday, spoke with his wife (but his wife visited him two weeks ago). What is the
leading psychopathological symptome?
A. Amnesia.
B.Hypermnesia.
C. Pseudoremenescence.
D. Criptomnesia.
E. Confabulation.
5. The patient was a 28-year-old married worker. After learning that his wife was having an affair, he went
to the basement and hanged himself with the rope looped over a water pipe. He had been hanging by the neck
for about ten minutes. By the time patient was cut down, he had suffered pulmonary and cardiac arrest and
dilated pupils. The patient was resuscitated. Mental status examination revealed that patients was oriented to
self but disoriented as to place and time. Reading, writing, and spelling were not affected. His recent memory
was impaired, and he was unable to recall any three objects after 5 minutes. His distant memory was better,
in that he remembered his birthplace and some details of his early life, e.g., physical punishment by his
stepfather. What is the leading psychopathological symptome?
A. Anterograde amnesia.
B. Retrograde amnesia.
C. Pseudoremenescence.
D. Criptomnesia.
E. Hypermnesia.
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