Organic mental disorders Questions Questions 1. A patient is sleepy, looks a little inattentive. His gait is mildly unstable and has difficulties in focusing on the examiner. He does not fall asleep while unattended. What is the name of this kind of alteration of consciousness? o Drowsiness o Somnolence o Sopor o Coma 2. A patient with severe depression is engaged with his negative thoughts and he is difficult to distract from them. What is the name of this kind of alteration of attention? o Hyperprosexia o Hypoprosexia o Hypervigility-hipotenacy o Hypovigility-hipertenacy o Aprosexia 3. A patient is able to tell his personal data, is aware of the actual year and the season. However he is not able to tell the exact date and month. He is correct regarding the city and the street of the place of the examination, on the other hand, instead of recognising that he is in a hospital, he says that we are in the town hall. What is the most correct description of the patient’s symptoms? o Auto- and allopsychic disorientation o Autopsychic disorientation, preserved orientation in time and place o Preserved autopsychic orientation, partial orientation in time, disorientation in place, confabulation o Preserved autopsychic oriantation, disorientation in time and place o Partial auto-and allopsychic disorientation 4. Dementia can be diagnosed in the following condition: o Severe decline of one cognitive domain, with impairment of everyday functioning o Decline of multiple cognitive domains, with preserved everyday functioning o Decline of one cognitive domain, with preserved everyday functioning o Mild decline of multiple cognitive domains, with impairment of everyday functioning 5. Disconcertment is observed at a 60-year-old male patient under sick-ward conditions, he also has fever Possible diagnosis: o Organic hallucinosis o Dementia o Organic paranoid disorder o Delirium o Organic anxiety disorder Organic mental disorders Questions 6. A patient is not fully able to remember, what happened to him in the morning of the day of the examination. Possible diagnosis: o Amnestic disorder o Dementia o Delirium o Mental retardation o Drowsiness 7. In this form of mental retardation thr IQ is midly below normal, cognitive funtions can be improved, patients might live on their own with some help, might work at a protected workplace. o Autism o Severe mental retardation o Mild mental retardation o Moderate mental retardation o Down’s disease 8. Common symptom of Alzheimer’s disease: o Psychomotor retardation o Forgetfulness o Disorientation o Depression o Loss of insight o Cortical symptoms 9. Persecutory delusions of an old patient can be caused by: o schyzophrenia o delirium o organic paranoid disorder o organic anxiety disorder o Alzheimer’s disease 10. An 80-year old female patient without any history of psychiatric disorders is seen in the Emergency Unit by her relatives for sudden "disconcertment". In her case history COPD and high blood pressure are mentioned. Before coming to the hospital, the patient had fever. Possible diagnosis: o Schizophrenia o Delirium o Personality disorder o Depression o Organic anxiety disorder
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