Organic Psychiatric Disorders
Psychiatry · Topic 2
Source: NMC CBME Curriculum 2024 · Volume II · Psychiatry · Topic 2 · combined PDF page 352
Practice questions
- A proposed organic-psychiatry framework explains disorders as hypothetical pathogenetic processes. Which statement best captures the distinction between these processes and the symptoms patients display?
- A patient with an organic psychiatric process has an atypical presentation while also experiencing another disorder. According to the hypothetical pathogenetic-process framework, how should this be interpreted?
- Which of the following is one of the six basic hypothetical disorders in the organic-psychiatry classification described by Lindqvist and Malmgren?
- Which pair is correctly identified as two categories in the six-process organic-psychiatry framework?
- A patient in the early stage of suspected frontotemporal dementia has marked changes in social conduct but performs relatively well on cognitive tasks. Which interpretation is most consistent with the reviewed clinical pattern?
- Why may a routine dementia screening test fail to identify an early case of frontotemporal dementia?
- A patient has progressive personality change and altered social behavior, but a brief dementia test is unrevealing. Which assessment strategy is best supported for establishing suspected FTD?
- In a patient being assessed for frontotemporal dementia, which statement about EEG and functional brain imaging is most accurate?
- Which set of syndromes is associated with frontotemporal neurodegeneration in the reviewed clinical account?
- A patient with FTD has prominent neuropsychiatric symptoms. Which statement about treatment options is best supported by the clinical review?
- Compared with the caregiver problems described in Alzheimer disease, the FTD review characterizes the problems imposed on caregivers as:
- A person at risk for Huntington disease develops prominent psychiatric and behavioral changes before recognizable classic motor signs. Which interpretation is supported by the review?
- Which care goal is emphasized for a person living with incurable Huntington disease?
- A patient with Huntington disease has psychiatric manifestations that interfere with daily life. Which statement best reflects the clinical significance described in the review?
- A patient with dementia undergoes brain imaging to help distinguish vascular dementia from primary degenerative dementia. Which statement about CT and MRI is supported by the neuroradiology review?
- MRI demonstrates white-matter hyperintense lesions in a patient with late-onset psychiatric symptoms. Which interpretation is most appropriate?
- Which treatable organic psychiatric condition is specifically cited as one whose understanding has been enhanced by CT and MRI?
- A patient with an acute neuropsychiatric syndrome has both mental and motor abnormalities with marked behavioral disturbance. Which description best fits catatonia as characterized in the review?
- When catatonia is encountered, which diagnostic association is reported as most frequent in the review?
- A clinician suspects catatonia in a patient with an organic psychiatric disorder. Which statement is best supported regarding its recognition and treatment?
- During psychiatric assessment, a clinician identifies a hard neurological sign. Which interpretation is most consistent with the review of neurological symptoms in psychiatry?
- A patient receiving psychiatric treatment develops a new hard neurological sign. Which possibility should be considered based on the reviewed distinction between hard and soft signs?
- Which statement best summarizes the potential clinical role of a neurological examination in psychiatry, as described in the review?
- A patient with suspected dementia has a clinical pattern that does not fit neatly into a single typical symptom cluster and also has a second disorder. Which conceptual point from the organic-process framework is most useful?
- A patient with suspected FTD is being evaluated, but cognitive performance is relatively preserved and behavioral changes are prominent. Which diagnostic pitfall should the team anticipate?
- A clinician is counseling a family about the course of Huntington disease. Which statement about the timing of neuropsychiatric manifestations is most appropriate?
- Which imaging interpretation best reflects the limits of neuroanatomical assessment described in the neuroradiology review?
- A psychiatric inpatient is found to have catatonic symptoms. Which conclusion is most appropriate regarding whether an organic psychiatric disorder can be involved?
- A patient with psychiatric illness also has a neurological disease. According to the review, which statement about hard neurological symptoms is correct?
- A clinician uses a six-category organic-psychiatry framework and encounters a patient with an amnestic presentation. Which named category in that framework is most directly relevant?
- Which statement best integrates the diagnostic and functional implications of early FTD?