SUMMARY QUESTIONS ON STUDY AID FOR STUDENTS ON PSYCHIATRIC POSTING NEW HAVEN FROM

CHAPTER 1 -13-BY CHAIRMAN SIR ESUT NURSING DEPARTMENTAL PRESIDENT

PHONE NUMBER:07068652798

NOTE:IT IS NEVER 100% ASSURANCE THAT ALL THE QUESTIONS HERE ARE GOING TO COME OUT IN THE
FORTH COMING PSYCHIATRIC EXAMS,BUT IT MIGHT..THANKS AND SUCCESS TO ALL OF US..AMEN✓

CHAPTER 1PAGE 1

1. Physical and mental health care are like two sides of a coin and both are
interdependence...TRUE/FALSE
2. The study and treatment of mental illness is called....PSYCHIATRIC..
3. A branch of Nursing concerned with the prevention,care and cure of mental disorders and their
sequel and uses theories of human behaviour asits scientifications is called .....PSYCHIATRIC
NURSING..
4. Importance/ essential of psychiatric training to a nurse are:(a)It makes a RN to know what she is
doing to a patient psychologically (b)Educates her on how to observe her patient (C)It equips her
with appropriate techniques to meet the patient's psychological needs (D) Helps in managing
RN-PT relationship (E)Helps her to manage the severelymental ill patient's in the Psychiatric
ward (F) To manage Psychiatric patient in the family& community (G)Management of Psychiatric
department in the general hospital
5. The history of Psychiatric is as old as the ...HUMANRACE ....
6. In early Christian times,mental illness was considered to be the result of possession
by .....DEMONS or EVIL SPIRIT...and treatment then wasto EXORCISE the demons by PRAYER or
MAGIC
7. Nebuchadnezzar ate grassess like horse & Neglected his personal hygiene because...HE
BELIEVED HE WAS PURNISHED BY GOD FOR .....BOASTING.....
8. Saul became depressed because ....HE WAS REJECTED AS KING OFISREAL BY GOD FOR HIS
DISOBEDIENCE and ISREAL praised.... DAVID MORE THAN HIM...
9. The history of psychiatry could be considered separately in 4 forms namely:{DPHS}
(1)DEMONOLOGICAL (2)POLITICAL (3)HUMANITARIAN (4)SCIENTIFIC
10. The periods that is the earliest,found in biblical legends,ascribtion ofcauses of mental illness to
evil spirits or demons,witchcraft ,adultery,taboo,commited against gods of the land,aftermath of
strong charm,treatment is in hands of priest for exorcism,punishment by flogging,burning &
stoning to death is called..........DEMONOLOGICAL PERIODS...
11. Who REJECTED the idea of demonology and maintained that mental disorders were the results
of a disturbance in the balance of body fluid and brain and he made the 1st progress in
understanding mental disorders ........HIPPOCRATES(460-377BC)....
12. HIPPOCRATES and other physicians such as...ASCLEPICIADES,CELSIUS,RUFUSADIOO and
OROBASIUS s tressed importance of(a)Pleasant surroundings (b)exercise (C)properdiet
(d)Massage (E)soothing bath s(f)Occupational therapy (g)less desirable methods like
bleeding,purging and mechanical restraints
13. A physicians that observed that while frenzied patient's have hallucinations,maniacal patient's
have delusions and discouraged the idea of keeping patient in the dark,recommended
Occupational therapy in promoting memory and fixing attention,music and wine to promote
sleep,was a pioneer in humane treatment of mental disorder is
called.........ASCLEPIADES(124BC)...
14. ..........RUFUS(110AD)....is the physician that recommended use of Occupational and
Recreational therapy to distract their thoughts while ...OROBASIUS( AD300)..recommended
early treatment of mental disorders before it gets into chronicity
15. Both RUFUS and ASCLEPIADES recommended Occupational therapy..TRUE/FALSE
16. The innovations made by the DEMONOLOGICAL physicians were lossed during MEDIEVAL
WARS/ MIDDLE AGES
17. How were mentally ill treated when innovations of the DEMONOLOGICAL physicians were
lossed in MEDIEVAL WARS?(a) Beaten(b)Thrown INTO jail (c)Nail to wood (d)plugged into rivers
and ponds for some days(e)
18. In political periods the insane gained 1st official recognition in .(..15ThC)(1400)..during the reign
of ...EDWARD 11 who passed a Law to PROTECT THE PROPERTIES OF THE INSANE
19. The first place set aside for care of insane was...BEDLAM which is a convet found by....ST.MARY
OF BETHLEHEM in1247 in 1403.
20. Bedlam provided accomodation for only ...6...Patients followed by ...HOSPITAL...
21. The political motive was to..........TO PREVENT THE INSANE FROM TROUBLING OTHERS IN THE
SOCIETY
22. In ...18TH century after the foundation of ST.LUKE HOSPITAL in London and exposition of
inmates to the publicstopped and visitor were only admitted by use of.....ADMIT
BEARER/TICKET...
23. In humanitarian period...SYMPATHY AND GENTLENESS were used in the care of Patients
TRUE/FALSE
24. The 1st person tomake move towards mere humane treatment of the mentally ill ...1791...is
PHILIP PINNEL, he also ordered the release from chain of lunatic in ....BECATRE HOSPITAL
france.
25. JEAN BAPTIZEPUSSIN... Played a roll in prevention of CRUELTY TO PATIENT
26. who laid the basis for the understanding of mental illness as a malfunction of the mini and
environmental factors are ....SIGMUND FREUD and FOLLOWERS...
27. ....lVAN PAVLOV ...made a great impact in modifying abnormal behaviour
28. In early 1930 insulin coma therapy was discovered TRUE/FALSE
29. ECT was first used by CERLETTI and BINI in 1938 TRUE/FALSE
30. Drugs likebromide,chloral hydrate and barbiturates were discovered in early ...1950...
31. 1st Tranquilizing drugs named .....LARGACTIL/CHLORPROMAZINE was discovered and had the
effect of calming the PATIENT ...WITHOUT MAKING HIM SLEEP..
32. The first American psychiatric nurse is.....LINDA RICHARD and graduated in ...1873...
33. LINDA RICHARD developed better nursing care in psychiatric HOSPITAL and organized nursing
services and educational programs in State mental hospitals in iIunois with the help
of ..FLORENCE NIGHTINGALE...
34. while the mother of modern nursing is.....FLORENCE NIGHTINGALE,The mother of modern
psychiatric is.....LINDER RICHARD...
35. List out all the militant personalities that have contributed to development of mental healthy
and psychiatric lnternationally are:(1)LINDA RICHARD(1873) (2)PHILIPPINNEL(1791)
(3)BENJAMIN RUSH(1745-1813)(4)NIGHTINGALE(1820-1910)(5)DOROTHEA DIX(1802-1887)
36. List out all the militant personalities that have contributed to development of mental healthy
and psychiatricNationally:(1)THOMAS ADEOYE LAMBO O.DE(1923-2004) (2)DR.G.E.A.IZUORA
(3)MR.D.A BABAYODE
37. The 1st to advocate for unchaining of mental illness PATIENT is......PHILIP PINNEL(1791) and also
admitting PATIENT according to degree of mental disturbance ,he was also assisted in his
reforms by JEANBAPTISE PUSSIN
38. The father of American psychiatry is called .....BENJAMIN RUSH(1745-1813)... and classified
mental illness into groups'He Published first book of psychiatry in USA in...1812.
39. proper Patients care by proper hygiene ,better foodi,light and ventilation and use of drugs to
chemically restrain violent and aggressive Patients was idea of...FLORENCE NIGHTINGALE...
40. A reformer ,opened 32states asylum,led the crusade for unchaining, improved treatment .These
describes ......DOROTHEA DIX(1802-1887)
41. An African Psychiatrist among to discover schizophrenia is called ..THOMAS ADEOLE LAMBO
42. The first Psychiatrist in eastern Nigeria is called.......DR.GEA IZUORA and deid in ..1984
43. Who advocated for the establishment of psychiatric School of nursing Enugu in ..1972..DR.GEA
IZUORA
44. The 1st lndigenous principal of School of psychiatric nursing Aro is....MR.DA BABAYODE
45. At birth the brain weighs <400g but by begining of 2ndyr of life it has more Than doubled in
weight to 900g..TRUE/FALSE
46. Adult brain weighs between 1,250 and 1450gTRUE/FAL SE
47. The brain constitute ..ONE FIFTH ofbody weight and weighs more in male Than female TR
UE/FALSE
48. 1.8 cmthick&45cmlong describes ..SPINAL CORD
49. The SPINAL CORD is divided into(1)CERVICAL (2)THORACIC (3)LUMBER (4)SACRAL REGIONS
50. The 3 principal functions of SPINAL CORD are{CLR} (1)CONDUCTION (2)LOCOMOTION
(3)REFLEXES
51. The simple repetitive muscle contraction that put one foot infront of another over and over are
coordinated by groups of neurons called...CENTRAL PATTERN GENERATOR..:

CHAPTER 2 PAGE-9-DIVISIONS OF NERVOUS SYSTEM(CNS&PNS)

1. The nervous system is primarily divided into....CNS &PNS....

2. The CNS is made up of ....BRAIN &SPINAL CORD....& Formed by neurons and supporting cells
called........NEUROGLIA
3. BRAIN & SPINAL CORD are arranged in two layers namely.....GREY MATTER &WHITE MATTER..
4. Both Greymatter and white matter are formed by.....NERVE CELL BODIES AND PROXIMAL PART
NERVE FIBERS ARISING FROM THE NERVE CELL BODY.......AND NERVE FIBERS RESPECTIVLEY
5. The different between BRAIN and SPINAL CORD arrangement are.......WHITE MATTER iS
CENTRALLY PLACED AND GREY MATTER OUTERLY PLACED IN BRAIN while WHITE MATTER IS
OUTERLY PLACED AND GREY MATTER IS IN THE INNER PART OF SPINAL CORD...
6. BRAIN that is situated at the SKULL and continued as spinal cord in the vertebral canal through
the FORAMEN MAGNUM of the SKULL bone
7. The 3 layers of meninges that surround the BRAIN and SPINAL CORD are {DAP}( 1)OUTER DURA
(2)MIDDLE ARACHNOID (3)INNER PIA
8. Space between arachnoid and PIA is called..........SUBARACHNOID... and filled with ...CSF...
9. BRAIN and SPINAL CORD is suspended in CSF TRUE /FALSE
10. The parts of the BRAIN are:(1)MESENCEPHALON (2)RHOMBENCEPHALON/FORE BRAIN
11. Rhombencephalon is further divided into 2 parts (1)TELENCEPHALON:(a)cerebral hemispheres
(b)Basal ganglia (c)Hippocampus and amygdaloid nucleus(2)DIENCEPHALON(midbrain):
(1)Thalamus (2)Hypothalamus (3)metathalamus( 3)subthalamus
12. The subdivision of rhombencephalon or hind brain are:(1)metencephalon formed by pons and
cerebellum (2)Myencephalon or medulla oblongata
13. All are together called brainstem:midbrain,pons and medulla oblongata TRUE/FALSE
14. The PNS consists of ..CRANIAL NERVE ARISING FROM brain& SPINAL NERVES ARISING FROM
SPINAL CORD
15. Subdivisions of PNS are ...SOMATIC concerned with somatic functions & AUTONOMIC...
16. (A)concerned with somatic functions (B)includes NERVE supplying the skeletal muscle are
characteristic features of somatic NERVE system TRUE/FALSE
17. Regulation of visceral vegetative functions ,has 2 subdivisions as sympathetic and Autonomic:
These are characteristics features of ANS TRUE/FALSE
18. Junction /gap where impulse are transmittedbetween neurons,It is a siteof functionalapposition
between nervous where impulse is transmitted from one to another usually by a chemical
neuro trans mitters released by axon terminal of PSN is known as............SYNAPSE......
19. The structural and functional unit of nervous system is called.......NEURONE/NERVES CELL
20. About 10,000neurons die every day,2% are lossed over our life time,we started out with
between 10& 100billionneurons ......TRUE/FALSE
21. The 2 ways by which NEURONE are different from other cells are:(1)lt has branches or processes
called axon and dendrites (2)NEURONE does not have centrosome
22. The inability of a neuron to divide or regenerate or multiply is due to absence
of ....CENTROSOME.....
23. Structurally neuron is made up of 3 parts namely{NDA}(1) NERVE CELL BODY (2)DENDRITE
(3)AXON
24. Forms processes of Neuron,both called nerve fibres are DENDRITE &AXON features
25. Dendrites are short processes while axons are long processes TRUE/FALSE
26. Another name for nervecell body is....SOMA/PERIKARYON...and its cytoplasm
called.....NEUROPLASM
27. The cytoplasm contains :(1)large nucleus (2)Nissle BODIES (3)Neurofibrils (4)Mltochondria
(5)Golgi aparatus
28. ..Nisslbodies..........&..Neurofibrils.......are found only in nerve cell& not in other cells{NN}
29. Nisslbodies are found throught soma except...AXONHILLOCK.......
30. Axon are distinguished from the dendrites under microscope by presence of .....NISSL
GARNULES/BODIES/TIGROID SUBSTANCES
31. Small basophilic granules found in cyto plasm and named after the discover is called......NISSL
GRANULES, it contains RIBOSOMES
32. Proteins formed in soma are transported to the axon by.... AXONALFLOW..
33. During fatigue or injury of nerve the Nisll BODIES dissapear by ...CHROMATOLYSIS but reappear
after regeneration of ..NERVE FIBRES..
34. Thread like structures presence in the form of network in the SOMA and nerve processes is
called.........NEUROFIBRILS...
35. Packaging & processing of proteins into GRANULES is done by.....GOLGI APPAR ATUS
36. DENDRITE is usually shorter Than axon.....TRUE/FALSE
37. The longest axon is about ...1m....
38. NEUROFIBRILS consists of.MICROFILAMENT &..MICRO TUBULES
39. ..MITOCHONDRIA.........is presence in both soma&axon TRUE/FALSE
40. Many axons forms.....FASCICULUS....manyfasciculi forms...NERVE
41. The whole nerve is covered by tubular sheath called EPINEURIUMformed by AREOLA
MEMBRANE
42. Each fasciculus is covered by PERINEURIUM then each NERVE fibreraxon is covered
by.....ENDONEURIUM
43. The axoplasm along with axolema is called....AXIS CYLINDER OF THE NERVE FIBRE.....
44. Axoplasm contains mitochondria,neuro fibrils,axoplasmic vesicle but NISSL BODIES are absent in
the AXON..TRUE/FALSE
45. The AXIS CYLINDER of the NERVE FIBRE is covered by a membrane called...NEURILEMMA
46. A thicklipoprotein sheath that lnsulates,Area lt is absent is called.....NODEOFRANVIER ,segments
ofnerve FIBRE between two nodes is called...iNTERNODE,it is responsible for white color of
NERVE FIBRE is called.......MYELIN SHEATH....
47. The lipids found in MYELIN SHEATH are (1)cholesterol (2)lecithin (3)cerebroside(Sphingomyelin
(4)
48. Formation of MYELIN SHEATH around AXON is called....Myelinogenesis and MYELIN is formed by
SCHWANN CELLS in ..NEURILEMMA
49. In PNS myelinogenesis starts at.... 4TH...month of IUL and completed only in the ..2ND ...year
after birth
50. Nucleus of SCHWANN CELLS are found between ...MYELIN SHEATH and NEURILEMMA
TRUE/FALSE
51. Functions of MYELIN SHEATH are :(1)Faster conduction (2)insulating capacity (3) conservation of
energy
52. The Type of transmission lmpulses jump from one node to another node is
called ......SALTATORY CONDUCTION................
53. In non myelinated NERVE FIBRE the NEURILEMMA continuosly surrounds axolemma while ln
myelinated NERVE FIBRE it covers the MYELIN SHEATH
54. At Node of ranvier the NEURILEMMA invaginates and runs up to axolemma in the form of a
finger like process ...TRUE /FALSE
55. As NEURILEMMA is absent in CNS, the neuroglia cells called.....OLIGODENDROGLIA..are
responsible for myelinogenesis in CNS
56. List the properties of NERVE FIBERS:(1)Excitability(2)conductivity(3)summation (4)infatiguability
(5)Refractory (6)All and null Law (7
57. The physiochemical change that occurs in a tissue when a stimulus is appled is
called....EXCITABILITY.... While an external agent whichproduces Excitability in the tissue is
called.....STIMULUS
58. Used to determine the conduction of the nerve,FIBERS ,to also determine damaged fiber,it is
also the minimum time required for excitation of neuronby a constant electric current of twice
the threshhold voltage is called...CHRONAXIE
59. The two types of response that occurs based on the strenght of stimulus are:(1)ACTION
POTENTIAL/NERVE IMPULSE (2)ELECTROTONIC POTENTIAL/LOCALRESPONSE
60. The adequate strenght of stimulus necessary for producing the ACTION POTENTIAL in a nerve
fiber is called.THRESHHOLD /MINIMAL STIMULUS ............
61. A subliminal stimulus strenght where EP develops but AP doesnt develop is
called........ELECTROTONIC POTENTIAL/LOCAL RESPONSE...........& Doesnot obey all or nulllaw
62. Differences between AP&EP:(1) AP is propagated while EP is not (2)EP develops at the anode
while AP develop from cathode
63. Ep alters the RMP and produces slight depolarization for 7mv,firing level is reached only if
depolarization occurs up to 15mv then AP can develop....TRUE/FALSE
64. Conduction of impulse through a myelinated nerve fiber is 50 times nonmyelinated....TRUE
/FALSE
65. Why is myelin sheath not permiable to ions?Entry of NA ions fromECF into nerve fiber occurs
only in the node of ranvier where myelin sheath is absent.This causes depolarization in the node
and not in the internode called saltatory conduction
66. Saltare means.......JUMPING
67. Two types of refractory period are:(1)ABSOLUTE (2) RELATIVE
68. Period from the time when firing level is reached till the time when1/3 of repolarizationis
completed is called....ARP...while period firing which the nerve fiber shows response of the
strenght of stimulus is increasedto maximum is called...RRP...
69. When two or more subliminal stimulus are applied within a short interval of about 0.5m sec or
when subliminal stimuli are summed up together to become strong enough to produce the
response is called.......SUMMATION......
70. When the nerve fiber excitability is greater in the beginning but decreases slowly and finally
doesnot show any response atoll is called....ADAPTATION/ACCOMODATION
71. The causes of adaptation:(1)When nerve fiber is stimulated continuosly,depolarization occurs
continuosly (2)Continous depolarization inactivates the NA -pump and increases the efflux of k+
72. Why is it that a nerve fiber cannot be fatigued?……NERVE FIBER ONLY CONDUCT ONE ACTION
POTENTIAL AT A TIME.
73. When a nerve give maximum response or does not give at all is called.......ALLOR NON LAW..
74. A physiological continuity between two nerves or site of functional apposition between
neuronswhere an impulse transmitted from one to another usually by a chemical
neurotransmitters released by the axon terminal of the presynaptic neuron is
called...SYNAPSE..........
75. Synapse is classified by 2 methods namely:(1)ANATOMICAL(2)FUNCTIONAL and of two types
namely:(1)EXCITATORY(2)INHIBITORY
76. A non-propagated electrical potential that develops during the process of synaptic transmission
as when the AP reaches the presynaptic axon terminal the voltage gated ca+ channels at the
presynaptic membrane are opened,the ca+enter the axon terminal from ECF,ca+causes
therelease ofneurotransmitters substance from the vesicles by means of exocytosis,the
EXCITATORY neuro transmitters passes through presynaptic membrane and synaptic cleft and
reaches the postsynaptic membrane,the neurotransmitters binds with the receptor protein
present in the postsynaptic membrane to form..NRC....the neuro transmitters -receptor complex
causes production of anon-propagated ....EPSP(EXCITATORY POSTSYNAPTIC POTENTIAL...
77. The most common excitatory neuro transmitters in a synapse is...ACETYLCHOLINE...ACH
78. Inhibition of synaptic transmission is classified into3:(1)PRESYNAPTIC
INHIBITION(2)POSTSYNAPTIC/DIRECTINHIBITION (3)RENSHAW CELL INHIBITION
79. The most common INHIBITORY transmitters is .…Gammaaminobutyric acid(GABA),
80. Other INHIBITORY neurotransmittersubstances are:....DOPAMIN&GLYCINE....
81. The electricalpotential in the form of hyperpolarization that develops firing postsynaptic
inhibition is called...IPSP..
82. Explain the development of IPSP by action of GABA?:GABA acts on postsynaptic membrane by
binding with receptor,transmitters -receptor complex opens the line forgated potassium
channels intead of sodium channels,the k+which areavailable in plenty in the CELLmembrane of
PSN move to ECF.simultaneously,cl-channelwill also open and chloride ions which are more in
the ECF movie inside the cell bodyofPSN.The exit of k+ and influx of chloride ions causes more -
vity inside leading to hyperpolarizationthat inhibits synaptic transmission.
83. The inhibition of synaptic transmission is actually causes by HYPERPOLARIZATION...TRUE/FALSE
84. The presynaptic inhibition or indirectinhibition -occurs because of failure ofpresynaptic axon
terminal to released the excitatory neurotransmitters substance likeACH...TRUE/FALSE
85. The stimulation of renshaw by collateralfibers that terminate on it ,which inturn sends
INHIBITORY impulses to a motor neurons so that the discharge from motor neurons is reduced is
called.....RENSHAW CELL INHIBITION....
86. Renshawcells are small neurons present in anterior gray horn cell of spinal cord...TRUE/FALSE
87. Mention the significance of synaptic inhibition:(1) in CNS it limits number of impulses going to
muscles (2)Enable the muscles to act properly and appropriately (3)Helps to select exact number
of impulses (4)It helps to omit or block the excess impulses
88. ..STRYCHNINE.... ..........destroys the INHIBITORY function at synaptic level resulting in
continuosly and convulsive contraction even with slight stimulation
89. The nervous system disorder where by the INHIBITORY system is impaired resulting in rigidity
is.......PARKINSONISM..............................
90. ...NEUROTRANSMITTER..............is chemical or type of hormone that act as a mediator that
transmits information from one neuron to another and it is made from.....AMINO ACIDS...........
91. Movement,emotional response,physical ability to experience pleasure and pain are all
functional of NEUROTRANSMITTER...TRUE/FALSE
92. Neuro transmitters was first discovered byAustrian scientist ..OTTOLOEWI..in ..1921..
93. In ottoloewi experiment he used 2frogs...A&..B..,A with .INTACT VAGUS........,B
withDENERVATED
94. What ottoloewi discovered was.........ACETYLCHOLINE which he called..''VAGUSSTOFF.''.....
95. For a substance to be considered as a NEUROTRANSMITTER it should fufill certain criteria:
(1)Must be found in a neuron(2)Must be produced by a neuron(3)Must be released by a neuron
(4)Must act on a target area after release and produce some biological effect(5) After the
action,it Must be inactivated
96. Depending on chemicalnature of neurotransmitter It is classified into:(1)AMINOACIDS
(2)AMINES (3)OTHERS
97. The NEUROTRANSMITTER with fast synaptic transmission,both inhibitoryand excitatory is
called.....AMINO ACIDS...............examples are.{.G3A}.(1)GLUTAMATE/GLUTAMIC ACID (2)GABA
(3)GLYCINE (4)ASPARTATE/ASPARTICACID
98. A modified aminoacidslow NEUROTRANSMITTER is called AMINES also INHIBITORY and
excitatory examples are {DANSH}(1)DOPAMINE (2)ADRENALINE (3)NORADRENALINE
(4)SEROTONING (5)HISTAMINE
99. The neuro transmitters that ade neither AMINOACIDS nor AMINES are:(1)ACETYCHOLINE (ACH)
(2)NITRIC OXIDE(NO)
100. ACH is formed from the ...CHOLINE......&ACETYLCOENZYME A........ In the presence of
enzyme called......CHOLINEACETYL TRANSFERASE..............
101Depending on function NEUROTRANSMITTER are classified into 2:
(1) EXCITATORY (2)INHIBITORY
102. The neuro transmitters release from the presynaptic axonterminal does not
cause development of action potential but changes in RMP causing slight depolarization
by the opening of sodium channels in the PSM and influx of Na+ dein ECF is
called ....EXCITATORY NEUROTRANSMITTERS....
103. The common excitatory neurotransmitters are...ACH& NORADRENALINE... While
common INHIBITORY are ....DOPAMINE.........&..GABA...........
104. Receptors at the POSTSYNAPTIC CELL are(1)G-PROTEINS (2)PROTEIN KINASE
(3)LIGAND-GATED RECEPTORs
105. 4 ways neurotransmitters can be inactivated after execution of action are:
(1)Reuptake into axonterminal (2)Engulfed and removed byastrocytes(macrophages
(3)Destroyed or disintegrated by specific enzyme (4)Diffusionout of synatic cleft to the
area where It has no ac tion
106. The sites of secretion of GABA are:cerebral
cortex,cerebellum,basalganglia,spinalcord,retina
107. Sites of secretion of Glycine are:forebrain,brainsterm,sc,retina
108. Both GABA&Glycine can be secreted in.SPINAL CORD &RETINA... ....TRUE/FALSE
109. ACH is hydrolyzed into...ACETATE....& CHOLINE..... by......ACETYLCHOLINETERASE
...........located in the basal lamina of the........SYNAPTIC CLEFT
110. The two types of RECEPTORs through which ACHacts on the tissues are:
(1)MUSCARINIC(2)NICOTINIC
111. Nicotinic RECEPTORs are present in:(1)Synapse between PRE-GN &POST-GN of
both SNS& PSNS (2)Neuromuscular junction on the membrane of skeletal
muscles ,MUSCARINIC RECEPTORs are found in(1)All organs innervated byPGFof PSNS
&SNS
112. The prolactin inhibitory hormones secretedby hypothalamus
is....DOPAMINE..........
113. 5-hydroxytryptamine(5-HT)& 90% found in enterochromatin cells of GI is
called..,SEROTONIN..................
114. Substance P is a polypeptide with......11...aminoacid residues
115. The Niitricoxide activate theenzyme ....GUANYLY...CYLASE which inturn causes
formation of......cGMP from....GMP
116. A smooth muscles relaxant and dilator of arterioles indirectly caused by NO is
called...........cGMP.........................
117. Examples of neurotransmitters that play significant role inour mental health
are:ACH,DOPAMINE,Norepinephrine,Epinephrine,SEROTONING,Gaba,Glutamate,HISTA
MINE,substance P,somatostatin,PEA
118. Too muchACH leads to DEPRESSION while shortage leads
toALZHEIMERS,DEMENTIA
119. Drugs that increases level of DOPAMINE in the brain:
(1)COCAIN(2)NICOTINIC(3)OPIATES (4)HEROIN
120. Too muchdopamine can cause:(1)MANIA(2)SHIZOPHRENIA
(3)HYPERACTIVITY(4)AUTISM(5)MOODSWINGs(6)PSYCHOSIS (7)ANXIETY
(8)AGGRESSION while low DOPAMINE causes:(1)PARKINSONS
121. Low levels of GABA causes:(1)EPILEPSY(2)SEIZUREDISORDERS(3)MANIA (4)BPD
CHAPTER 3 :TERMINOLOGIES USED IN PSYCHIATRy
1. An emotional release or discharge following recall of painful experience or becoming conscious
of repressed traumatic events is called.......ABREACTION........................
2. The lack of will or initiative or patient unable to act or make decision independently is
called..........ABULIA.............................
3. An inability to organic sensory information so as to recognise objects is
called...AGNOSIA............... ..
4. The loss of memory consequent to any cause is called...ANTEROGRADE............
5. An eating disorder where female&male are typically.....Have AMENORRHOEA &..,.LIBIDO... Is
called.ANOREXIA NERVOSA.............
6. Types of thinkingthat includes voluntary shifting one's mind set from special aspect of a
situation to a general aspect is called..ABSTRACT ATTITUDE/CATEGORICAL...............
7. The loss of pre-existing ability to express one'sselfthrough the act of writing is
called...AGRAPHIA..........
8. AKATHISlA.....is the complaints of restlessness accompanied by movement such as fidgeting of
the legs,rocking from foot to foot while .....AKINESIA...is a state of motorINHIBITION or reduced
voluntary movement
9. Alertness with eye movement but no speech or voluntary motor response is called.AKINETIC
MUTISM........,...
10. Loss of a previously intact ability to grasp the meaning of written or printed words and
sentences is called....ALEXIA..................while fear of pain is called...ALGOPHOBIA...,........
11. A subnormal development of the mindor severe mental retardation is
called....AMENTIA......................while a disorder of language characterized by inability to make
gestures or understand a significant gestures is called..AMIMIA.........
12. The episodes of sudden bilateral loss of muscles tone resulting in the individual collapsing ,often
in assocoation with laughter,anger,fear or surprise is called....CATAPLEXY ...while the
waxyflexibility-rigid maintenance of a body position over extended periodof TIME is
called......CATALEPSY
13. The pattern of speech that is indirectand delay in reaching its goal because of excessive or
irrelivant detail or parenthetical remarks is called....CIRCUMSTANTLITY..
14. A variability of mood over daysor weeks,cycling from +ve to -ve mood stages is
called.....CYCLOTHYMIA......
15. An acute organic brain syndrom secondary to physical causes in which consciousness is affected
and disorientation results often associated with illusions visual hallucinations and persecutory
ideation is called...........DELIRIUM......
16. A two-person relationship is called....DYAD..........,....
17. The therapeutic relationship between doctor and patient in individual psychotherapy is an
examples of ........DYAD....
18. Repitition by imitation of movement of another is called...ECHOPRAXIA while parrotlike is known
as ..ECHOIALIA......
19. An affect type that indicates the absence of affective expression is called....affective FLAT
EFFECT..............
20. The pulling out of one's own hair to the point that it is noticeable and causing significant distress
or impairment is called....TRICHOTILLOMANIA.................
21. Schizophrenic patients exhibit wordsalad.......TRUE/FALSE
22. A misperception or misinterpretation of a real external stimulus such as hearing the rustling of
leaves as the sound of voices is called...ILLUSION....while a sen sory perception that has the
compelling sen se of reality of a true perception but that occurs without external stimulation of
the relevant sensory organ is called.....HALLUCINATION............
23. An involuntary,sudden,rapid,recurrent,non-rhythmic,stereotyped motor movement or
vocalization is called........TIC.......................
24. A clinically significant behaviour or psychologically syndrome or pattern that occurs in an
individual and that is typically associated with either a painful symptom(distress) or impairment
in one or moreimportant areas of functioning(disability) is called.PSYCHIATRIC/....MENTAL
DISORDER.........,.........and can be considered as a disturbance of:(A)COGNITIVE(THOUGHT) (B)
CONATION(ACTION) (C)AFFECT(FEELING) (D)ANY INDIVIDUAL IMBALANCE BETWEEN THE THREE
{CCAA or TAF)
25. Classification of mental disorders are:(1) PERSONALITY DISORDER (2)MENTAL SUBNORMALITY
(2) PERSONALITY DISORDER (3)INSTINCTUAL ANOMALIES( 4)MENTAL ILLNESS (:a)PSYCHOSIS
CONDITION (b) NEUROTIC CONDITION
26. A major form of mental ILLNESS which can be functional or organic and characterized by
integration of PERSONALITY is called..........PSYCHOSIS........................
27. Mental ILLNESS is divided into .....PSYCHOSIS & NEUROSIS................
28. The difference between organic and functional PSYCHOSIS are:(A)There is detection of structural
changes in the brain in organic PSYCHOSIS while There is nostructural changes or detectable
lesions in the brain substances in functional PSYCHOSIS(B) organic PSYCHOSIS can be classified
into(ASC)..ACUTE.....,SUB-ACUTE &..CHRONIC organic brain syndrome........ While functional
psychosis is divided into(A)AFFECTIVE DISORDER:(a)MANIA (b)HYPOMANIA ....(C)depression
(d)bipolar affective disorder the (B)SCHIZOPHRENIA:(a)simpleschizophrenia (b)Hebephrenic
(c)catatonic (d)paranoid (e) undifferentiated (e)schizo-affactive disorders{SHCPuS or chspus}
29. A minor type of mental ILLNESS or an abnormal emotional reaction to a conflict between an
individual with personality disorder and his environment characterized by diturbances of
FEELING and doing leading to impairment of life is called...NEUROSIS.........& Classified
into(A)ANXIETY NEUROTICS(b).....HYSTERICAL (c)OCN (d)phobia (e)Reactive DEPRESSION
{AHOPR}
30. The sum total of both physical,social and mental make up of an individual is
called.........PERSONALITY................while theoutcome of variation of personality in one of its
trait as compare with a standard of norms is called..........PERSONALITY DISORDER............
31. Classification of personality are:(1)Depressive (2)psychopathic (3)schizoid (4)hyperthymic
(5)HYSTERICAL (6)Antisocial{DSPHHA)
32. An arrest or incomplete development of the mind and INTELLIGENT to such a degree that the
individual require a special attention is called.................................MENTAL SUBNORMALITY
examples:(1)idiot (2)imbecile (3)feeble (4)feeble minded (5) Mongol(downsyndrome)
33. As psych is to mind ,soma is to body,so examples of psychosomatic disorders are:(1)AURTICARIA
(2)ASTHMA (3)ECZEMA (4)PEPTIC ULCER
34. Essence or purpose of mental ILLNESS classification are:(1)To provide common language among
health care proffessionals (2)To identify groups of patient who are similar in their clinical
features outcome and response to treatment& Helps to distinguish one psychiatric diagnosis
from another (3)To Enable clinicians to communicate with one another about their pt
symptoms,prognosis and treatment (4)To explore the causes of many mental disorders that are
still unknown
35. 5TH century BC is When hippocrates introduced the terms ..MANIA &.....HYSTERIA....
36. The 2 most important classification system used today in PSYCHIATRy are..ICD11

&DSM5......
37. ICD is the official medical and psychiatric nosology used throughout most of the world
except ....JAPAN ...&US,DSM is official for ...USA
38. Mental disorders were not includes in the ICDuntil...6THED..produced by WHOin ....1948..
39. 1st USA classification was introduced in ...1869...
40. The former NAME of APA is ....America medico-psychological Association............................and
published1stDSM in...1952..
41. Dsm/ICD and date of
publication:DSM1(1952),DSM2(1968),DSM3(1980),DSM3R(1987)DSM1V(1994),DSM5(2013).ICD
1-11:....................?
42. Differentiate between ICD10&DSMIVare:(1) ICD is international while DSM is by APA(2)Dsm is a
single document while ICDhas different versions for clinical work,research and use in primary
fare (3)DSM has few language while ICD are available in All widelyspoken language (4)DSMover
All ICD frame work Multi axial,AXIs-1-5 while instructure is in part of single axis in
chapV:separate multi-axis systems available (5)in DSM diagnostic criteria usually includes
significant impairment on social,occupational or other areas of functional while in
ICDcontent:guidlines and criteria do not includes social consequences of disorder
43. Listthe 5DSM IV & their focuse:AXIS1-5 respectively(1)Clinicalsyndromes together with
conditions not attributable to mental disorder that are the focuse of attention and treatment
(2)Developmental disorders,personality disorders (3)physical disorder and CONDITION (4)
severity of psychosocial stressors (5)Global assessment of functioningGAF)
44. The creation of 5thED of DSM is a common goal of .12YRS process....TRUE/FALSE and was
created inMAY2013
45. Dsm-5 does not provide treatment guidlines for any given disorder..TRUE/FALSE
46. The primary purpose of DSM-5 are (1)As a guide in diagnosis of mental disorder(2)Assist trained
clinicians in diagnosis of mental disorder,clinical assessment,case formulations,Treatment
planning,Reference for courts and attorneys in assessing forensic consequences of MD
47. Definition of MD includes in DSM5 was developed to meet needs ofclinicians,public health
proffessionals &Research
48. DSM5 classifies MD into(A)Neurodevelopment disorder (B)SCHIZOPHRENIA spectrum and other
psychotic disorders (C)Depressive disorder (D)Anxiety Disorders (E)obsessive compulsive and
related disorder (F)Trauma and stressors related disorder (G)Dissociative disorder{NSDAOT)
49. An idea or plan intension or abstract ideas or General notions that occurs in the mind in speech
or those words ,terms and prepositions which Assist is in the Perception and description
purposes is called.....CONCEPT.................
50. A state of well -being in which an individual realizes his or her own abilities,cancopewith normal
stresses of life,can work productively and is able to make contribution to his or her
community ,it is also our COGNITIVE,behavioural and emotional well being,it is all about How we
feel ,behave and think is called...MENTAL HEALTH.....
51. List the components of MH:{BERFIEM}(1)Body regulation(2)Emotionalbalance (3)Response
flexibility(4)Fearmodulation (5)Insight (6)Empathy (7)Morality(8)selfacceptance (9)personal
growth(10)purpose in life(11)+ve relationship with others(12)Emotional
wellbeing(13)Psych&social wellbeing
52. Causes of mental ILLNESS are{BPE}(1)BIOLOGICAL:(a)Genetic/hereditary
(b)infections(c)braindefects or injury(2)PSYCHOLOGICAL (3)ENVIRONMENTAL
53. Pediatric autoimmune neuropsychiatric disorder(PANDAS)associated with streptococcus
bacteria has been linked to the development of...OCD......in children

CHAPTER 4 PAGE 59-66-LEGAL ASPECT OF MENTAL HEALTH/PSYCHIATRIC NURSING PRACTICE

1. A set of rules established by a governing power to guide actions,regulate conduct of the people
and impose sanctions for violation or non-compliance thereof is generally regarded
as....LAW.......
2. Mention the types of laws ....1.DEVINE LAW...,....2...HUMAN LAW......,3...GENERAL/PUBLIC
LAW...,4.INDIVIDUAL /PRIVATE LAW..,5.JURISPRUDENCE.....6.CONSTITUTIONAL LAW 7.
3. As devine law is promulgated by...GOD,..Human law is to ..MAN,General is to....INT'L &
Religious,individual or private law is made by INDIVIDUAL.. while jurisprudence denotes or
patains....JUDICIAL PRECEDENT OR COURSE OR ESTABLISHED DECISIONS OF THE SUPREME
COURT..........

Kinds of constitutions are....1.WRITTEN 2.UNWRITTEN

4. Rigid constitutions is amended by FORMAL&USUALLY

D3.RIGID....4.FLEXIBLE...5.....CUMULATIVE/EVOLVED..............
5. Customs,traditional,statutory enactments of a fundamental character,JUDICIAL decisions,certain
common lawprinciples are examples of........UNWRITTEN LAW...............
6. Cumulative constitutions originates from..CUSTOMS,COMMON LAW
PRINCIPLES.........,DECISION,COURTS..
7. The 3 organs of government are{LEJ} ...1..LEGISLATURE....,2.EXECUTIVE.....3.JUDICIARY.......rigid
is a D.IFFICULT PROCESS...while flexible constitutions is changed by ORDINARYLEGISLATION....
8. The two types of legislature are.1.UNICAMERA....2 BICAMERA
9. Unicamera legislature is used by....CHINA,GREECE,ISREAL while BICAMERA is to.....NIGERIA.......
10. As legislatures .MAKES LAW.....,Judiciary....INTERPRETE........then the executive .....ExECUTE THE
PROJECtS
11. A concept that Nurses seek to defend the dignity of those in their care,respond to the
vulnerability of pt in a way that provided dignifying care is called.......LEGAL CONCEPT..............
12. The study of philosophical beliefs about what is considered right or wrong in the Society is called
............ETHICS
13. The ethical questions arising in health care is called....BIOETHICS.......

15 Ethics that combines doing empirical—usually qualitative—(social) research with philosophical

(normative ethical) analysis and reflection is CALLED......EMPIRICAL ETHICS.........

16. outline the PRINCIPLES of bioethics :(1)Beneficience duty to act to benefit others(2)Autonomy
respecting rights of others to make decisions(3) fidelity maintaining loyalty and
commitment( 4)Veracity duty to communicate truthfully
17. A branch of law that pertains to the organisation of the family and the regulations of property is
called .CIVIL LAW..........
18. .....TORT...............is a legalwrongcommitted against a person or propertyindependent of a
contract which renders the person who commits it liable for damages in a civil ACTION and has
categories as.NEGLIGENCE...,INTENTIONAL& STANDARD.{NIS}..
19. The legal term of art used to describe a person's legal and mental Ability to make or alter a valid
will is called..TESTAMENTARY CAPACITY...........,...,...
20. Two types of defamation are(1)SLANDER (2)LIBEL
21. A spoken defamation is called...SLANDER... while a printed orbroadcast defamation is
called...LIBEL.....
22. When a testator has died,how do one determine will validity?..PROBATEPROCEEDING MAY
BE ..INITIATED IN THE COURT. ... & The process involved(1) IT IS WRITTEN (2)READABLE
(3)INTENDED TO BE A PERMANENT RECORD (4)SIGNED BY ATESTATOR (5)IT IS WITNESSED BY
TWO INDEPENDENCE WITHNESSES
23. An act or an omission to act that breaches the duty of due care and results in or is responsible
for a person's injuries is called...NEGLIGENCE/MALPRACTICE............and elements to prove
negligence are(1)DUTY (2)BREACH OF DUTY
24. List out the liabilities of Nursing(1)FOR INJURY TO PATIENT (2)FOR SPONGE OR PIN LEFT IN PT
ABDOMEN (3)FOR DEFECTIVE EQUIPMENT(4) FOR DEATH OF PT WHO JUMP FROM WINDOW OF
HIS ROOM
25. ANA code of ethics for Nurses assets duty of a Nurse to protect confidentiality of patient's
in.....2001........
26. Under legal considerationHIPPA,2003,Health information May not bereleased without patient's
consent,except to those people for whom it is necessary in order to implement the treatment
plan TRUE/FALSE
27. Nursing ethics shares..BENEFICIENCE......&....RESPECT OF AUTONOMY....…....... With the medical
ethics and emphasizes on.....RELATIONSHIPS,HUMAN DIGNITY &COLLABORATIVE
CARE..... ............
28. List out the patient's Bill rights:(1)Right to informed consent (2)Right to refuse treatment
(3)Right to treatment (4)Right to medical record confidentiality (5)Access to mail and a
telephone (6)Right to private conversation with others
29. The mental health law related to confinement/admission of patient's into Psychiatric institution
s are:(1)VOLUNTARY (2)INVOLUNTARY(3)EMERGENCY INVOLUNTARY (4)pT have right to
demand and obtain released (5)OBSERVATIONAL/TEMPORARY HOSPITALIZATION

CHAPTER 5 -DEFENCE MECHANISM PAGE67-77

1. The unconscious strategies that people use to deal with -ve emotions and are invoked
automatically as psychological measures which allow stressful situations to be coped with by
distorting reality and its inadequate use can lead to ...OVERTANXIETY.......or..DEPRESSION.........
Is called.DEFENSE MECHANISM......... ...
2. List all the 13 defense MECHANISM:(1)repression(2)displacement (3)rationalization
(4)projection (5)Denial (6)Reaction formation (7)sublimation (8)introduction (9)identification
(10)Compensation (11)Undoing (12)Regression (13)suppresion (14)Intellectualization (15)
Compensation (16)Insulation (17)FIxation(18)Fantasy(19)Assertiveness
3. Longlasting effect accumulated long term memory dealing with unbearable aspects of inner life
so that aggressive or sexual feelings,fantasies or desires are thrust into unconscious is
called...REPRESSION..........while a shortterm mechanismof putting away uncomfortable emotion
to reduce stressful moment that is conscious is called....... SUPPRESSION...
4. Repression is ..UNCONSCIOUS.............while suppresion is.....CONSCIOUS.........TRUE/FALSE
5. The transfer of aggression,affect,from one person SITUATION to another is
called.....DISPLACEMENT...........eg: A Pt criticizing a Nurse because his relations fails to visit
6. Act of providing logical and believable explanations for behaviour to persuadeself and others
that the irrational behaviour is justified and therefore should be criticized is
called....RATIONALIZATION.... ....
7. A SITUATION where by an individual unconsciously disowns an attitude or attribute of his own
and ascribes it to someone else is called...PROJECTION..
8. INVOLUNTARY and automatic distortion of an obvious aspect of external reality is
called..DENIAL...... . ..
9. The repressed wish warded off by its diametrical opposite is called..REACTION
FORMATION...... ..........
10. what happened when potentially dangerous urges are GIVEN a socially acceptable expression is
called...SUBLIMATION..............
11. When a victim takes in the blames and values of others to be his own making is
called...INTROJECTION......
12. As projection is to ANOTHER..Introjection is to SELF...TRUE/FALSE
13. When the people with inferiority complex identify themselves with successful people or
organisation with the hope that they will be perceived as worthwhile citizens is
called...IDENTIFICATION..........
14. Developingcertain +ve traits to make up for limitations is called..COMPENSATION................
15. Man that is rigid and moralisticbeliefs and repressed sexuality is driven to wash his hands when
around attractive woman is... UNDOING
16. Exhibition of awkward behaviour with the unconscious aim to reduce anxiety is
called ...REGRESSION..
17. What is common among regression and suppression is..FORGETFULNESS.. .....TRUE/FALSE.. .......
18. A non-specific responded of the body to any demand or a physical and psychological response to
harmful or potentially harmful circumstances or a state of severe physiological and
psychological tension is called ......STRESS.......................
19. List causes of stress :(1) Life crises (2) Transitional period (3)catastrophes (4)Frustrations and
conflict (5)uncertainty (6)physical and social environment (7)Type A personality (8)strained
interpersonal relationship
20. The responses to stress May be .....PSYCHOLOGICAL... ....or....PHYSIOLlOGICAL........
21. Inreased heartrate,respiration,pulserate,increase blood pressure,increased mental
activity,increased metabolism,increase CO,increased
perspiration,Hairloss,headache,decreasedkidney out put,constriction of blood
vessel,suppression of immuned system,malfunctioning of reproductive and sexual system are
manifestations of...PHYSIOLOGICAL RESPONSE...................,......
22. Denial mechanism engagement,excessdrug intake,self destructive life styles,difficult in
concentration,poormemory,inability to show TRUE feelings,suicidal
gesture,frustration,aggression,self neglect, (a)anxiety,(b)depression,(c)inhibited sexual
desires(anhedonia) are examples of.....PSYCHOLOGICAL RESPONSES.........................while a,b,c
are the Most dangerous psychological symptoms of stress.
23. ..CHRONIC.....STRESS...................exerts damaging effect on the Central nervous system
24. When stress occurs the limbic system which controls...EMOTION............stimulated
the ....HYPOTHALAMUS.............which inturn stimulates....HYPOTHALAMUS..............which inturn
stimulates ....PITUITARY.....GLAND...........which stimulates .ADRENAL GLAND.............which
mobilizes the body defenses.
25. Stressful conditions affects the (1)immuned system(2)biological responses (3)Ability to function
(4)susceptibility to DISEASE condition
26. Stress responses was viewedby.......HANS SELYE..1979 as parts of general adaptation to events
of life.
27. The 3 general adaptation syndrome that organism shows in response to stress are:{ARE}
(1)ALARM REACTION (2)RESISTANCE STAGE (3)EXHAUSTION STAGE
28. What actually happened when the body faces any type of stress:(1)Liver released extrasugar to
fuel muscles (2)Hormones are released to convert protein and fat to sugar (3)HR,BP,BR
increased and these physiological changed occurs due to activation of 2 systems controlled
by(1)HYPOTHALAMUS(AUTONOMIC) and (2)ADRENAL CORTICAL SYSTEM(HORMONE RELEASING
SYSTEM)
29. Physiological changed prepares the body for ....FIGHT &FLIGHT RESPONSE.................according
to HANS SELYE..........in 1979.
30. Ways to manage stress:(1)controlling the environment (2)Bodily control (3)Mental control
(4)problem focused (5)Emotion focused:(a)behavioural strategies (c)cognitive strategies
31. The active,constructive efforts undertaken to manage stressful situations is
called.....COPING............
32. The coping strategies are:(1)attacking the problem (2)rethinking the problem (3)living with the
problem (4)looking out ward
33. The harmful or hazardous use of psychoactive substances or when one takes drugs that are not
legal or prohibited or controldrugs is called.....SUBSTANCE ABUSE.................
34. Differentiate between substances abuse and dependence?DEPENDENCE OR ADDICTION IS A
DISEASE WHICH MEANS AN INDIVIDUAL CANNOT STOP USING IT EVEN WHEN ITS USE CAUSES
HARM while substances abuse THE INDIVIDUAL ARE ABLE TO QUITE OR CAN CHANGE THEIR
UNHEALTHY BEHAVIOUR
35. Both the legal and illegal drugs have chemical that change how the BODY and MIND works
TRUE/FALSE
36. List out the drugs commonly abused:(1)ALCOHOL (2)HEROIN
(3)COCAIN(4)MARIJUANA(IGBO)CANNABIS (5)CIGARETTES AND OTHER TOBACCO PRODUCTS
(6)INHALANTS (7)HALLUCINOGEN (8)PRESCRIPTION AND OCT AS DANGEROUS AND ADDITIVEor
DEPENDENCE AS ILLEGAL DRUG
37. One can abuse PRESCRIPTION drugs if one :(1) Takes drugs prescribed for some one else(2)Take
extra doses (3)Take drug for non-medical reason(4)
38. Names of drugs Most ofen abused are:(1)opiod,painkillers,pethidine(2)Anxiety drugs like
diazepam (3)Antidepressant like imipramine (4)cough and cold drugs that have
Dextromethorphan
39. A High dose of ......DEXTROMETHORPHAN ....can make one feel drunk or intoxicated....TRUE
/FALSE
40. Which illegal drug on first consumption you get addicted instantly,dependence,tolerance and
craving?.......COCAIN..................while rush of good feeling is to....HEROIN..........
41. ..CIGARETTES..AND ...OTHER TOBACCO PRODUCTS........has a chemical
called....NICOTINE..............that gives one a little rush of pleasure and energy
42. Examples of inhalants are:(1)Tyre (2)rubber(3)paint(4)Gum and can cause (a)impaired
judgement (b)dizziness (c)slurred speech (d)depressed reflexes (e)Tremor (f)Euphoria(g)stupor
or coma
43. The substances that distort individual perception of reality,alter sensory perception and induces
hallucinations is called....HALLUCINOGEN.......................,it is Also Refered to as..MIND
EXPANDING.......... And liken to psychotic symptoms
like....Hallucination.............&....Delusion.............it can Also cause tolerance and dependence and
example is ....METHAMPHETAMINE(MKPURUMMIRI)......................
44. How do we remedy drug abuse:(1)COUNSELLING (2)MEDICATIONS... .
45. Only Neuro andpsychiatric hospitals has the remedy for a mental illness...TRUE/FALSE

CHAPTER 6-EPILEPSY pAGE78-88

1. The periodic attack of seizures(fits) and disturbance of Emotion arising from abnormal electrical
discharges from the brain leading to alteration or loss of consciousness is
called......EPILEPSY...........................or a malady (DISEASE) as well as symptoms characterizedby
seizures(fits) and loss from the brain to the peripheries.
2. EPILEPSY is both a DISEASE and a symptoms TRUE/FALSE
3. It is a DISEASE when so closely associated with ...........PATHOLOGICAL PROCESSES.....IN THE
BRAIN......and a symptoms when it signifies...A DISTURBANCE IN THE BRAIN RHYTHM........like
fits or convulsion you see during electrolectropexy
4. What is eletropexy...................................
5. Some of the Psychiatric symptoms of EPILEPSY are:(1)Aggression(2)destructiveness(3)twitching
statement (3)hypochondriasis(4)confusion (5)fugues(6)disorientation (7)delirium
(8)hallucination (9)Epilepticautomatism
6. The aetiology are(1)Heredity (2)Neoplasm (3)Trauma or injury to head(4)Diseases like cerebral
malaria,neurosyphilis,uraemia(5)Drug intoxication or withdraw(6)idiopathic
7. Certain factory precipitate attack in epileptics like:(1)Emotionalstress(2)Hypoglycemia(3)flashing
of lights(4)Noise(5)Heavy alcohol intake(6)Excessive fluid intake(7)overbreathing(8)Anoxia(9)
8. The brain has a continues spontaneous electrical activity and this electrical activity is recorded
by ...EEG...
9. When an epileptic fit occurs...........THERE IS AN EXCESSIVE ELECTRICAL ACTIVITY...........and extra
electrical activity is said to originate in the cells of the.....CEREBRAL CORTEX..........and some
times called...ELECTRICAL STORM IN THE BRAIN
10. The electrical STORM has two effects namely(1)CAUSES LOSS OF CONSCIOUSNESS..............
(2)OVERSTIMULATIONS OF SKELETAL MUSCLES TO CONTRACT INVOLUNTARILY GIVING RISE TO
CONVULSIONS
11. Types of epileptic attacks are:(1)GRAND MAL:divided into stages{ATCCR)
(a)Aura(b)Tonic(c)Clonic(d)comatose (e)Recovery(2)PETITMAL OR MINOR
(3)JACKSON(4)TEMPORAL LOBE (5)MYOCLONIC (6)STATUS{GPJTMS}
12. A familiar warning of individual of eminent CONVULSIONS,May consist of feeling of
numbness,tinglingextremities ,momentary dizziness,flashed of light,ear tingling,peculiar sense of
taste or smells,irritability,restlessness and un easy feeling is to.....AURA...STAGE........
13. All muscles of the body are rigidly contracted including,the respiratory forces air THROUGH the
larynx or glottis producing a typical loud sound known as epileptic cry is to...TONIC STAGE.........
14. Patient face become cynosed because of TEMPORARY interruptions of respiration,tongues May
be bitten either in this stage or Clonic,clenched jaws,dilated pupils,LOC for 10-45s is
to ...TONIC ...........
15. In Tonic stage loss of consciousness last for ....10-45s....TRUE/FALSE while Clonic last for ....1-
4minutes.........
16. In Clonic stage :(1)Already contracted muscles go into spasm (2)Twitching convulsively(3)Noisy
respiration(4)Tongues May be foaming or frothfrom the mouth(5)Blood strained saliva due to
air forced out of the lungs(6) Jerking died down gradually (7) This stage last for 1-4mins
17. In comatose:(1)when CONVULSION stops the person remains unconsciousness in a coma for
very lenghty of time but not more than an hour(2)Pt gradually regains consciousness(3)May be
irregularstruggling gestures(4)Fumbling with hands(5)Chewing movements of lips
18. In recovery stage pt:(1)Regains consciousness(2)awake from sleep(3)still confused (4)bewildered
and distressed(5) May be deluded,disoriented and May display automatism,(6)The patient May
act out but May not be able to account for what he has done like raping,homicide,indecent
exposure
19. A minor EPILEPSY that last for...5-20seconds and usually occurs without conspicous fit or
convulsions is called..........PETITMAL...........................
20. As Tonic last for...10-45sec.......petitmal last for 5-20sec....while clonic lasts for.1-
4mins..........TRUE/FALSE
21. An epileptic seizures which focused in motor contractions beginning in a localized area of the
body and spread in orderlysequence to involve the other muscles groups and consciousness is
usually not lossed is called...........JACKSON SEIZURE...................
22. Ist famous neurologist to describejackson seizures is called.......HUGHILINGS
JACKSON........................in ...1988.............
23. A type of epileptic attack that(a)originates from temporal line area only (b)Pt experience
hallucination involving sense of smell and taste or hearing of musical tunes(c)Dazes(d)DOES not
respond when addressed(e)May engage in automatic acts (f)Aggresive behaviour(g)social stigma
is called.................TEMPORAL LOBE SEIZURE and needs ......FAMILY suport.....
24. A seizures that idiopathic EPILEPSY some times May suffer from repeatedjerks which occurs
early in the morning and May stop on its own orfollowed bygrandma fit is
called.......MYOCLONIC.....................
25. A series of epileptic seizures of either grandmal or focal type following one ANOTHER on quick
succession without the patient regaining consciousness between fit is called .....STATUS
EPILEPTICUS/TERMINALSTAGE.........................
26. EPILEPSY can be investigated or diagnosed by(1)careful history taking(2)Full neurological
examination (3)EEG to measures wave potentials in the brain and locate brain tumour
27. Ways to manage EPILEPSY{ADPON}(1)Admission(2)Drugtherapy(3)Psychtherapy(4)Occupational
therapy(5)Neuro surgery
28. Some of the anti-convulsants giving during drug therapy of epileptic patient are:
(1)PHYNOBARBITONE (2)PHENYLTOIN SODIUM(3)PRIMIDONE (4)METHOIN
29. The 2 Most important eatingdisorders are:(1)ANOREXIA NERVOSA (2)BULIMIA NERVOSA and
can be primary if its doesnot originate from.....MEDICALL ILLNESS................
30. A condition of marked weight loss,loss due to reduction in food intake and vomitimg is
called...ANOREXIA NERVOSA..................and May be due
to.SCHIZOPHRENIA....,DEPRESSION....,ORGANIC ILLNESS.,ENDOCRINE DISORDERS.......and
common in FEMALE,ADOLESCENT GIRL,UPPER SOCIAL CLASS,UNHAPPY FAMILY
31. Precipitating/Causes of Anorexia NERVOSA:(1).separation(2)puberty (3)sexual
experience(4)threat of sex(5)Marriage(6)pregnant (7)responsibility and should be treated like a
Psychiatric emergency.
32. Clinical features of anorexia NERVOSA:(1)Amenorrhoea(2)constipation
(3)Hyperactivity(4)history of reduction in intake of High calorie food and
vomiting(3)lowBP(5)lowPR(6)subnormal temperature,calories,atrophy of breast ancilliary&
pubic hair(7)Anaemia(8)Raised cholesterol(9)Reduced based metabolic rate
33. When is admission necessary for further managementof anorexia NERVOSA:(1)severe weight
loss(2)methabolism disturbance (3)Anaemia(4)hypoglycemia(5)depression with suicidal ideation
34. Ways to treat anorexia NERVOSA:(1)HOSPITALIZATION(2) Administer iv fluids and insert NG tube
for feeding(3)in nutrition give High calorie diets(4) Behavioural therapy(5) weight regularly
(6)Monitor physiologic signs
35. Aneating disorders manifested by excessive hunger,resulting in compulsive or overeating is
called......BULIMIA NERVOSA................while loosing control over eating behaviour and consume
large quantities of calorie in food is called.......BULIMIA..................,..
36. List the DSMIV diagnostic criteria for BULIMIA NERVOSA:(D)Recurrent episode of binge eating
characterized by(iii)Eating in discrete period of time within2hrperiod,an amount of food that is
definitly larger than Most people would want during a similar period of time and under similar
circumstances (iv)A sense of lack of control over eating during episods,feeling that one cannot
stop eating or control what or how much one is eating)(E)self evaluation is undully influencer by
body shape and weight (f) Disturbance DOES not occur exclusively during episods of anorexia
NERVOSA
37. Mention some recurrentinapropriate compensatory behaviour that occurs in BULIMIA NERVOSA
to prevent weight gain:(1)self induced vomiting(2)Misuse of laxatives
(3)Diuretics(4)Enemas(5)Fasting(6) Excessive exercise(7)medications
38. Frequently consuming unusually large amounts of food in one sitting and feeling that eating
behaviour is out of control is called.....BINGE-EATING...................... .
39. BINGE-EATING and inappropriate compensatory behaviour both occur on average at leasttwice
a week for .......3MONTHS......
40. Specific types of BULIMIA NERVOSA are:(1)PURGING- which engaged on self -induced vomiting
or misuse of laxatives,diuretics or enemas(2)NON-PURGING-uses inappropriate compensatory
behaviours like fasting,Excessive excercise but has not regularly engaged in self-induced
vomitingor misuse of laxatives,diuretics or enemas
41. Causes os bulimia nervosa are:(1)idiopathic(2)predisposingfactors:mooddisoders,substances
abuse,personality disorders
42. Management of bulimia NERVOSA are:(1)Pt with uncomplicated bulimia do not require
HOSPITALIZATION(2)Psychotherapy(3)when associated with depressedmood and suicidal
ideation HOSPITALIZATION becomes necessary(4)treat with tricyclic Antidepressant like
imipramin
43. Bipolar disorder consists of...MANIA andDEPRESSION........TRUE/FALSE
44. When mania and depression occurs in cycles it is called...MANIA-DEPRESSIVE
PSYCHOSIS..............
45. A name GIVEN to the illness when the patient is excessively happy and energetic or is an
affective disorders or mood disorders is called ......MANIA.....
46. Mania can be .PRIMARY or SECONDARY.........as primary is to ...AFFECTIVEOR MOOD
DISORDER............,while secondary is to ...VARIETY OF ORGANIC DISORDER like..................
(a)drugintake(b)infection (c)Neoplasm(d)EPILEPSY(e)metabolic disturbance
47. Cause of mania are(1)Hereditary(2)Body constitution:pyknic &cyclothymic(3)Biochemical
factor(4)increased salt content above normal in the body(5)Excessive production of
hormones(6)psychological/physical stress(7)Drugs-psychostimulants(9)..idiopathic
48. Clinical manifestations of mania:(a)Talkativeness(b)Euphoria (c)Elation(d)increased physical and
mental activity(e)optimism(f)disturbance in sleep (G)lack insight (H)No time for food(h)marked
impairement in Occupational functioning(i)Hypermnesis(j)inappropriate DRESS with bright
colours that do not match(k)Excess make up and jewelry (l)He never finish a tank(k)inflated self
esteem or grandiosity (l) Easily distracted (m)Flight of ideas(n)
49. Forms of mania are:(1) HYPOMANIA(2)MANICEXCITEMENTS
50. If a patient is euphoric,elated,colourfullydressed,cracking jokes,talkative,hyperactive it refresh
to which form of mania.....HYPOMANIA....................but if patient is very irritable excited,violent
and a nuisance to the public,which forms of mania is he?.....MANIC EXCITEMENT...............
51. Management of mania:(1)HOSPITALIZATION(2) Nurse should use persuation for the
Pt(3)Emotional support despite the sarcastic and vulgar(4)careful observation of patient(5)Give
prescribed Occupational therapy if Pt has Excess energy(6)Remove all DANGEROUS objects from
Pt(7)Maintain theraupitic environment(8)Drug therapy
52. ECT May be used in MANICEXCITEMENTS...TRUE/FALSE
53. The Drug therapy for manic patient:(1)Largactil 100mg,TID,Haloperidol5mgBD
or(2)I.MHaloperidol 5-10mg 2hrly till patient is sedated or maximum of 5mg and change to
tablethaloperidol 1.5-mg TID or(3)I.M chlorpromazine 50-100mg to start with, followed by
tablet chlorpromazine 100-200mgTID and to be Reduced gradually (4)For relapse lithium is
antimanic& preventive Drug and mood stabilizer
54. Types of mania are(1)kleptomania(2)squandermania(3)pyromania
(4)Dipsomania(5)Maniaapota(7)Hypomania (8)Megalomania(9)Nymphomania
55. An incessant urge to set some places on fire is called....PYROMANIA.....while sustainance of
injury after Excessive drink is called...MANIA APOTU..........,a delusions ofgrandeur or self
importance is called...MEGALOMANIA,..........A less severe form of mania......like
Euphoria,Elation....is called......HYPOMANIA..........
56. In admission, the Best is to admit both manic and depressed patient side by
side.........TRUE/FALSE
57. Ways to treat mania:(1)Drugtreatment:Anti-psychoticslike Haloperidol 1.5
mgTID,Largactil/chlorpromazine50-100mgstart then tablets later 100-200mgTDS PLUS
carbamazipine,carbonate for frequent relapse(2) ECT for manic excitement
58. Nursing care for manic patient's(1) DIET(2)Emotional needs(3)Maintain therapeutic
environment(4)Give drugs as prescribed by the psychiatrist(5)proper supervision of the patient
to Avoid harm to others(6)use suggestion and persuasion(7)Remove all DANGEROUS
objects(8)free the ward with noise
59. An affectivedisorder in which There is Excessive psychomotor retardation characterized by
extreme feeling of sadness,withdrawal and suicidal thought or an affective disorder with
retardation of mental,physical and social activities characterized by loss of interest ,lack of
energy and pessimism is called.......DEPRESSION..................
60. The clinical manifestation of depression:(a)loss of weight (b)Refusal of food(c)unkempt (d)loss of
libido (e)looks dad,miserable,wretched,Amenorrhoea in female,suicidal tendency,retardation of
activity,patient lacks initiative,thought is slow,laboured and repititive,impaired
concentration,insomnia
61. Types of depression are:(1)ENDOGENOUS DEPRESSION/MAJOR DEPRESSION (2)EXOGENOUS
DEPRESSION (3)REACTIVE/NEUROTIC/DYSTHMIC DISORDER (4)INVOLUTION/MELENCHOLIA
(5)SENILE DEPRESSION (6)BIPOLAR DEPRESSION
62. ENDOGENOUS DEPRESSION can be defined ase the presence of:(a)Depressed mood or
pleasure(b)loss of interest and pleasure(c)feeling of worthlessness (d)impaired concentration (e)
loss of energy and fatigue (f)Thought of suicide (g)loss or increase of appetite and weight
(H)Insomnia or Excessive sleep (i)retardation or agitation
63. Endogenousdepression May be characterized by by early.....INSOMNIA..............and must be
presence for atleast .......3wks... ...in absence of other primary diseases.....
64. Feeling of hoplessness,poor concentration,depressed mood for Most of the day for at least two
years is attributed to...REACTIVE DISORDER.................
65. Disorders characterized bymood swings,from profound depression to extreme
Euphoria(mania),with intervening period of normalcy is called....BIPOLAR
DEPRESSION............... ....
66. Three kinds of bipolar depression(1) MIXED(2)MANIC(3)
67. Emilekraepelin in..1887.....formally called schizophrenia......DEMENTIAPRAECOX..........and
schizophrenia wad coined out from Greek word: "schizo" means...SPLIT........&"phrenic"
means......MIND..............by swiss psychiatrist......EUGENE BLEULER.......................in ...1908....
68. A heterogenous DISEASE entity with a single cause ,results from a variable combination of
genetic predisposition,biochemical dysfunction,psychological and hysiologicalfactors is
called ........SCHIZOPHRENIA.......................
69. A group of mental disorder characterized by disorganisation of personality which manifest in
destruction of thought,emotional intability,deterioration f social functioning,loss of contact with
reality and evidenced of hallucination and delusions is called......SCHIZOPHRENIA.......................
70. No psychological disorder is more cripling than schizophrenia adi it affect...(a)THOUGH
PROCESS........,PERCEPTION,AFFECT,SEVERE DETERIORATION of social & Occupational
functioning
71. The 4 phases of pre-morbidpersonality of schizophrenia are:(1)SCHIZOID(2)PRODROMAL
(3)ACTIVE/SHIZOPHRENIA(4) RESIDUAL
72. Types of schizophrenia are(1) SIMPLE(2)PARANOID(3)CATATONIC:(a)stupor
(b)excitement(4)DISORGANIZED/HEBEPHRENIC(5)UNDIFFERENTIATED(6)RESIDUAL(7)
SCHIZIAFFECTIVE(8)
73. When an individual has(1)limited range of emotional expression(b)dont enjoy close relationship
(c)prefers BEING alone (d)appears cold and aloof ,all this features depicts that the individual are
in......SCHIZOID PERSONALITY PHASE of ..pre-morbid personality of schizophrenia.. .......
74. Social withdrawal impairement in role functioning behaviour that is perculiar,neglect of
personal hygiene&grooming,blunt or inappropriate affect ,disturbance in communication,bizarre
idea,unusuall perceptual experience and lack of initiative, interest and energy,this phases is
highly variable,May last for Many years before deteriorating to schizophrenic state is
called.......PRODROMAL STATE....
75. Delusions,hallucination,disorganized speech,frequent derailment,grosslydisorganised or
catatonic behaviour,-ve symptoms(flattening,alogia or Avolition is to......SCHIZOPHRENIA
/ACTIVE PHASE..................
76. Active schizophrenic features:(1)There is social and Occupational
dyfunctions(2)SCHIZOAFFECTIVE and MOOD DISORDER EXCLUSION(3)substances/general
medical condition(4)Relationship to a pervasive developmental disorder
77. A phase PERIODS characterized by:(1)PERIODS of remission and exacerbation(2)Follows an
active phase of illness (3)its similar to those of theprodromal phase with flat affect
(4)impairement in role functioning being prominent(5)its impairement often increased between
episods of active psychosis
78. Schizophreniform disorder is identical to schizophrenic except:(1)its duration including
prodromal,active,residual phases is at least1.MONTH but less than ..6MONTHS..........
(1MONTH<6MONTHS)
79. IF 1MONTH<6MONTHS =SCHIZOPHRENIFORM DISORDER but if .(1MONTH>6MONTHS
=SCHIZOPHRENIA........TRUE/FALSE
80. In ....SIMPLE SCHIZOPHRENIA............:(a)Pt shows progressive or insideous mental deterioration
occuring at the time of puberty with increased apathy (b)lack of initiative(c)Gradual ∆ individual
personality (d)inability to meet the Society demand (e)decline in totall
performance(f)dreamy,attention lacking,lack of concentration,shallow emotional
response,irritable,withdrawal from reality
81. In PARANOID SCHIZOPHRENIA (1)develops betweenages 30-40yrs(2) characterized by
suspicion,mistrust,feels insecure,often troubled by feeling of inferiority,paranoiddelusion,
grandeur delusions,delusions of persecution,frightened hallucination particularly of visual type
82. ..CATATONIC SCHIZOPHRENIA...................is characterized by(1)manifest in two
forms :stupor&excitement (b)marked abnormality in motor behaviour (3)occurs in people
between ages of 20-40 (d)history of calling out of interest (e)apathy(f) lacks consideration and
dreaminess
83. Catatonic stupor involved:(1)extreme motor retardation(2)mute,motionless,refuses to
eat,resistance to all instruction(3)waxyflexibility May be exhibited(Pt arrange& bizarre posture
(4)vacant facial expression(5) No apparent interest in his environment (6)long time holding of
urine&faeces(7)incontenence atimes (8)saliva May be retained often drops(9)-vism
ispresent(10)preoccupied withfantasies and delusions(11) May ∆ to catatonic excitement
84. CATATONIC EXCITEMENT is characterized by(1)Extreme psychomotor agitation(2)Pt is
restless,wild,talkative with incoherent speeches(3)delusional and hallucinatirt
experience(4)unpredictable behaviour(5)Pt May not only be homicidal butimpuldively
suicidal(6)mannerism,echolalia,echopraxia(7)Abnormality of gait and steryotyped are
manifested(8)Duration usually shirt but Pt often destructive and violet to others (9)Excitement
May cause them to injure themselves or collapse from complete EXHAUSTION
85. Disorganized or hebephrenic SCHIZOPHRENIA is characterized by(1)onset between 16-22yrs and
before 25yrs of age(2)course commonly chronic but Gradual onset(3)regressive&primitive
behaviour (4)contact with reality extremely poor(5)Affect is flat,shallow,grossly inappropriate
with PERIODS of silliness,hoards dirty with wandering tendency and incongruous
giggling(6)facial grimaces and bizarre mannerism are common(7)thought is
disorganized(8)communication is generally incoherent(9)unkempt appearance(10)poor
prognosis because of rapid development of negative symptoms particularly flattening of Affect
and loss of volition
86. Featuristic characteristic of undifferentiated SCHIZOPHRENIA are:(1)Pt DOES not meet criteria
for any of the subtype or they May meet the criteria for more than one type(2)Behaviour is
clearly psychotic(3)There is evidenced of delusions,hallucination,incoherence,bizarre
behaviour(4)Indufficient specific symptoms to permit a precise classifications
87. Characteristic of Residual SCHIZOPHRENIA:(1)it is a previous diagnosisbut no longer HAVING any
of the prominent psychotic symptoms(2)some remaining symptoms of the disorderlike
eccentruc behaviour,emotionalblunting,illogical thinking or socialwithdrawal(3) it is a diagnostic
category used when the individual has a history of at least onep revious episode of
SCHIZOPHRENIA(4)occurs in individual that has chronic form of DISEASE(4))this stage follows an
acute episode characterized by blunt or hinappropriate Emotion,social withdrawal,eccentruc
behaviour(5)continuing evidenced of the illness with no prominent psychotic symptoms like
delusions&hallucination
88. Characteristic of schizoaffective SCHIZOPHRENIA(1)it manifests with gestures of two different
conditions like SCHIZOPHRENIA&Affectivemooddisorder(depression&mania)(2)Pt May appear
depressed with psychomotor retardation,hopeless,sad,suicidalideation(3)Pt May present with
manic symptoms ofhyperactivity,Euphoria,grandiosity(4)with Also xters of schizophrenic
symptoms of delusions,hallucination,disorganized thinking,blunt/inappropriateaffect,incoherent
speech
89. Causes of SCHIZOPHRENIA{PCP}(1)predisposing factory:(a)Hereditary(b)Biological
(2)Cnstitutional:(a)physique(b)personality (c)intelligency(d)chromosomal
abnormalities(e)agefactor(3)Precipitating factor:
(a)infection(b)TraumaRTA(c)intoxication(d)Circulatoryfactors (e)Environmental factory
(f)Emotional/psychological stress/psychogenic factors(g)culturalfactors (h)personal experience
(i)social factors
90. Clinical +ve psychotic symptoms of SCHIZOPHRENIA are{HDI}
(1)Hallucination(2)Delusion(3)illusion
91. -ve symptoms are:1avolition(2)Alogia(3)Blunt Affect/Flattened Affect(4)Anhedonia(5)Apathy
(6)inattention
92. Disorganized symptoms of SCHIZOPHRENIA:(1)Association
losen/derailment(2)Mannerism(3)Disorganized speech(4)Echopraxia (5)steryotyped (6)-vism
(7)catatonic stupor&excitement
93. Other symptoms:(1)Insomnia(2)lack of insight (3)Ambivalence(4)incoherent speech(5)Neglect of
personal hygiene,Refusal to eat,disorientation,aggression,dejavu,jamaisvu,Neologism
94. Managements:(1)Assessment (2)Admission(3)RN-PT-Relationship(4)observation(5)psychological
care(6)physical care(7)DIet(8)Drugs:
(a)Typical:chlorpromazine,Haloperidol,Thioridazine,trifluoperazine
(b)Atypical:Risperidone,clozapine,olanzepine(9)physical
therapy:ECT(10)psychotherapy:Group,familypsychdrama,cognitive(11)Socialskill
training(12)Behaviouraltherapy (13)social worker service (14)Occupational therapy
(15)Rehabilitation(14)Advice on discharges
95. A severe form of mental illness occuring in womwn without previous experience of mental
illness but predisposed to mental and develops typically after child birth is
called.......PUERPERAL/POSTPARTUM/POSTNATAL PSYCHOSIS.........................
96. Postpartum psychosis isdivided into 3 categories namely{BPP}(1)BABY BLUES(2)POST PARTUM
DEPRESSION(3)POST PARTUM PSYCHOSIS
97. Normal symptoms of baby blues are(1st few wks after delivery:(1)depressed mood(2)confusions
(3)cryingspells (4)irritability(5)mood swing(6)feels sad(7)anxious(8)loss of appetite (9)sleep
disturbance
98. Those nonpsychotic moods that falls in the MIDDLE range of severity between the baby blues
and postpartum psychosis disorder is called....POSTPARTUM
DEPRESSION.....................symptoms invludes:(1)sadmood(2)tearfulness(3)loss of interest
(4)feeling of guilt(5)sleep disturbance(6)poor concentration(7)suicidal thought(8)thought of
hurting the baby (9)loss of interest in the baby
99. The Most severe form of postpartummental and a Psychiatric disorder related to care of a
woman after giving birth is called.......POST PARTUM PSYCHOSIS...............
100. Causes of pueperal psychosis:(1)Genetic link(2)sleep
disturbance(3)Neurotransmission(4)obstetric factory(5)Hormonal contributions(6)social factory
101. Clinical features of pueperal psychosis:(1)Insomnia(2)suicidal
tendency(3)paranoid(4)Trying to harm the baby(5)agitation,hallucination,highly irritable,Refusal
of food
102. Management:(1)Holistic multidisciplinery
approach(2)Assessment(3)Admission(4)psychological care(5)sleep chart check(6)Take child to
relatives if infanticide is involved(7)observation(8)physical care(9)Diet(10)physical
therapy :ECT(11)Advice on discharges(12)Medications:for postpartumdepression give prescribed
Antidepressant:Amitriptyline,sertraline,Fluoxetine acts on the brain to elevate moodand ensure
or takes his drugs to prevent hoarding it for suicidal intention.For post partum psychosis give
prescribed mood stabilizers such aslithium,sodiumvalporate and carbamazepine and
antypsychotics such as haloperidol,chlorpromazine,clozapine,olanzepine.Give prescribed
benzodiazepine:Lorazepam,diazepam,clonazepam to combany sleep disorder
103. The some Total of both physical ,social and mental make up of an individual is
called...PERSONALITY..............
104. The outcome of variation of personality in one of its trait as compare with a standard of
norms is called.....PERSONALITY DISORDER........ ....
105. The 6 classifications of personality are{PDSHHA}:(1)Psychopathic
personality(2)Depressive personality(3)SCHIZOID personality(4)Hyperthymic personality
(5)Hysterical personality(6)Antisocial

CHAPTER 8-ANXIETY DISORDER PAGE101-118

1. The feeling of uneasiness,apprehension,tension and INSECURITY and sometimes dread of

impending doom is called........ANXIETY DISORDER......... . {UATID}
2. The difference between fear and Anxiety is that while fear is ..COGNITIVE...........Anxiety
is ........AN EMOTIONAL PROCESS..............
3. Fear involved the ....INTELLECTUAL APPRAISAL OF ATHREATENED STIMULUS..............while
anxiety involved .....EMOTIONAL RESPONSE TO THAT APPRAISAL...........................
4. Who 1st described anxiety as..SOLDIERS
HEART/CARDIACNEUROSIS/IRRITABLEHEART/NEUROCIRCULATORY ASTHENIA./DACOSTA'S
SYNDROME.......is....DACOSTA.........while ..FREUD...........introduced the term anxiety neurosis
in...1895.........
5. Both fear and anxiety wad not clearly isolated as a separate entity by psychiatrist and
psychologists until the ....19TH &20TH century...
6. Anxiety was once solely identified by its physiological symptoms focusing largely
on........CARDIOVASCULAR SYMPTOMS................
7. The different between Normal andMorbid anxiety is that.....NORMAL ANXIETY RESOLVES
WITHOUT TREATMENT..............while morbid anxiety ....DOESNOT RESOLVE WITHOUT
TREATMENT...........
8. Characteristic features of Normal anxiety:(1)it prepares the individual for fright,fight orflight ase
an adaptive response(2)involves normalalertness and protection that arises as a result of threat
to the individual(3)its a fundamental model of response experienced by every one(4)serves ase
useful purpose(5)as a motivational force(6)it resolves without
treatment(7)Example:Examinations,Interview(8)
9. A maladaptive response and abnormal response arising from the individual unacceptable desires
or thought is .......MORBID ANXIETY....................(1) its pathological(2) Not experiencedby
everyone(3) it serves no purpose(4) It is the commonestsymptom of mental andphysical
illness(5) It DOES not resolve without treatment
10. The classifications of anxiety disorder are:(1)MILD(2)MODERATE(3)SEVERE(4)PANIC
11. In mild :(1)its seldom a problem for the individual(2)Associated with tension experiencedin
response to the events of the day to day living(3)It prepares people for action (4) it sharpens the
senzes(5)increased motivation for the productivity (6)it increased perceptual field and results in
a heightened awareness of the environment(7)learning is enhanced (8)individual is able to
function at his or her optimal level
12. In moderate anxiety :(1)level of anxiety increased(2)Extent of perceptual field diminishes(3)less
alert to event occuring in the environment
13. InSevere anxiety (1)perceptual field is so diminishes the concentration centers on one particular
details only to detailsin the individual(2)attention span highly finished (3)difficulty completing
even the Most simple task(4)headache,palpitation,insomnia are the physical
symptoms(5)Discomfort is experienced to the Degree that virtually all overt behaviour is aimed
at relieving the anxiety(6)(7)(8)
14. In panic :(1) Most intense state of anxiety(2)individual is unable to focus on even one detail in
the environment(3)Misperception is common(4)loss of contact with reality May
occure(5)Hallucination and delusions May be experienced by INDIVIDUAL(6)wild and desperate
actions or extreme withdrawal(6)Terror and individual May be convinced to have threatening
illness,going crazy,loosing control(7)prolonged panic anxiety can lead to physical and emotional
EXHAUSTION and can be a life threatening situation
15. Symptoms of panic disorder:(1)occurs in discrete period of intense fear or
discomfort(2)palpitation,sweating,trembling,shortness,of breath,feeling of choking are
symptoms(3)(4)(5)(6)(7)(8)
16. GAD cannot be diagnosed when the system occur exclusively during the cause of ANOTHER
illness such as .......MAJOR DEPRESSION or SCHIZOPHRENIA .......or PANIC
PANIC.DISORDER.,..SOCIAL PHOBIA,....OCD....................and criteria Also require 3 to 6
symptoms:(1)HAVING poor concentration(2)Bring irritable(3)HAVING muscles
tension(4)Experiencing poor sleep (5)Fearing opening up and the symptoms must appear for
days than months and causes significant distress
17. The treatment of CAD include:(1)Relaxation training(2)Behaviouraltherapy(3)individual therapy
18. The 6 theories in etiology of anxiety disorder are{BNPBEE}:
(1)Biology(2)Neurophysiological(3)Psychoanalytic (4)Behavioural(5)Environmental(6)Existential
19. What are the clinical manifestation of anxiety disorder......................................
20. Management of anxiety disorder:(1)Admission
(2)Observation(3)psychotherapy(4)medications(tranquilizers eh
chlorpromazine,Haloperidol(5)Diversional therapy(6)Abreaction(7)Recreational
therapy(8)Occupational therapy
21. A Recurrent and President thoughts,impulses or images that cause distressing emotional such as
anxiety or disgust is called.....OBSESSION............
22. Examples of Typical obsession:(1)Fear of being contaminated by people or
environment(2)Disturbing sexual thoughts or images(3)fear of blurring out obscenities or results
(3)Extreme concern with order,symmetry or precision(4)Recurrent intrusive thoughts of
sounds,images words (5)fear of losing or discarding something important
23. A repetitive behaviours or mental acts that a person feels driven to perform in response to an
obsession...COMPULSION..................and some typical compulsions are:(1)Repeated counting to
certain number (2)Constantly seeking approval or reassurance(3)Repeatedly checking
locks,switches (4)Ordering or arranging things in a particular way (5)Excessive or ritualized hand
washing
24. ..OCD ..is a mental disorder in which a person has certain thought Repeatedly(obsession) or
feels the need to perform certain routine Repeatedly(compulsions) to an Extent which generate
distress or impaired general functioning.
25. Obsession is to repeated thought as compulsion is to repeated performance of
routines ..TRUE/FALSE
26. Ocd is associated with...TICS,ANXIETY DISORDER,INREASE INRISK OF SUICIDE.....
27. Symptoms of ocd are:(1)feeling that there is need to check things repeatedly(2)performing
certain routine repeatedly(3)HAVING certain thoughts repeatedly
28. Risk factory of ocd
29. Ocd diagnosis
30. Usualonsetor incidence
31. Complications
32. Treatment of OCD
33. Cluster A personality disorder are made up of: {PSS}PARANOID,SCHIZOID,SCHIZOTYPAL
34. Cluster B personality disorder are made up of{HABN}:(1)HISTRIONIC(2)ANTISOCIAL(3) BORDER
LINE (4)NARCISSISTIC
35. Cluster Cpersinality disorder are made up of :{ADO}(1)AVOIDANT(2)DEPENDENT(3)OBSESSIVE-
COMPULSIVE
36.
Chapter 9 pg119

SEXUAL DEVIATION/SEXUAL DISORDERS

1. Another name for sexual disorders or deviation or perversion is called...............PARAPHILIA

2. Paraphilia came from two latin words:para meaning..........AN ABNORMALITY TO WHICH THE
PERSON IS ATTRACTED TO,and philia meaning:A VARIETY OF ABNORMAL OR UN USUALL SEXUAL
EXPRESSION
3. The word paraphilia came into use ín Nígèríá ín thè year.......1980
4. Thè 2 major things involved ín sexual disorder árè:(1)....THE USE OF NON HUMAN OBJECTS & (2)
ABUSE OF CHILDREN AND HUMILIATION
5. Thè American body that prepared DSM is called.....APA(American Psychiatric Association)..
6. What does thè DSM contain?...IT CONTAINS THE FIGURES OR NUMBER OF PEOPLE THAT
ENGAGE IN THIS SEXUAL DISORDER YEARLY....
7. Thè paraphilia is át its peak s between thè ages of ...15-25years...and more ín ..MEN..,
8. >..50% develops paraphilia before ...18years...
9. FOR a health practisioner to DXN that án individual is paraphilic,ít must take....6MONTHS...
10. Thè 4 categories of SEXUAL dysfunction or disorder árè:(1)DESIRE DISORDER (2)AROUSAL
DISORDER (3)ORGASM DISORDER 4.PAIN DISORDER {DAOP}
11. List all the SEXUAL disorder types {ETSVPFSF}:(1)EXHIBITIONISM (2)TRANSVESTICFETISHISM
3.SEXUAL SADISM 4.VOYEURISM 5.PAEDOPHILIA 6.FROTTERURISM 7.SEXUAL MASOCHOSISM
8FETISHISM
12. List all the unspecified types of SEXUAL deviationor disorder{ZINCUS):(1)ZOOPHILIA (2)INCEST
(3)NECHROPHILIA (4)CORPROPHILIA (5) UROPHILIA (6)SOMNOPHILIA
13. Define paraphilia according to DSMIV...............A GROUP of SEXUAL disorder of atleast 6months
duration which causes significant distress or impairement ín social occupational or other
important area of functioning and which árè characterized ny recurrent intense SEXUAL
arousing fantasies,SEXUAL urges and behaviour generally involving nọnhuman object(shoe
fetish):(1)Suffering or HUMILIATION of ones or ones's partner(SEXUAL sadism)(2) CHILDREN or
other non- consenting PERSON (paedophilia exhibitionist)
14.
15. DSM1V started that Paraphilic is not diagnosable ás a psychiatric disorder unless ít
causes....DISTRESS TO INDIVIDUAL OR HUMAN TO OTHERS
16. ABNORMAL feeling of behaviour and thought of SEXUAL nature that involves unusual situations
or OBJECTS which can be distressing to thè individual and interferes with work or day to day
functioning ,ít is also the experience of intense SEXUAL arousal to atypical object situations or
individual is called......PARAPHILIA
17. There is nó clear criteria for defining normal SEXUAL arousal or behaviour but some PARAPHILIA
árè clearly documented as abnormal....TRUE/FALSE
18. ....SEXUAL DISORDER..............occurs when onè has a problèm that prevents him or her
fromwanting or enjoying SEXUAL activity and increases ás onè ages.
19. Thè delay or absence oforgasm or climax is called.......ORGASM DISORDER
20. Lack of SEXUAL DESIRE or interest ín sex is called....DESIRE DISORDER
21. Inability to become physically aroused or excited during sex is called ....AROUSAL DISORDER
22. Pain durind intercourse is called...PAINDISORDER...
23. There árè ...8...specified types of Paraphilic listed ín DSMIV...TRUE/FALSE
24. A mental disorder characterized by a compulsion to display ones genitals to unexpecting
stranger to gain SEXUAL satisfaction is called...........EXHIBITIONISM
25. Thè exposure of ones genitals to a stranger usually with nó intention of further SEXUAL activity
with thè other PERSON ,what DSM described exhibition like this?(A) DSM V (B)DSMlV
26. Thè wearing of clothes of thè opposire sex principally to obtain SEXUAL excitement and to
creatw thè apoearance of a person of thè opposite sex is called.......TRANSV ESTIC FETISHISM
and was defined by DSMIV ás recurrent intense,sexually arousing fantasies,SEXUAL urge or
behaviours involving cross dressing and mayó be ..PERIODIC or ...MARGINAL
27. A condition of experiencing SEXUAL arousal ín response to the extreme pain ,Suffering or
humiliation of others is called ...SEXUAL SADISM...

28. Another name for voyeurism is called.....PEEPING TOM

29. A recurrent intense sexual urges,behaviours or sexual arousingfantasies of atleast 6months
duration,involving acts(real not stimulated) in which the psychological or physical suffering of
the victim is sexually exciting to the person is called ....SEXUAL SADISM....according to.. DSM IV..
30. The practice of gaining sexual pleasure from watchingothers when they are naked or engaged in
sexual activity is called.......VOYEURISM/PEEPING TOM and onset is usually before agw
of...15years..
31. Sexual feelings directed TOWARDS children or exclusive sexualattraction to prepubescent
children is called......PAEDOPHILIA
32.