MRCPsych – Classification: Questions With Solutions
What is the difference between functional and reflex hallucinations? Right
Ans - Functional hallucinations occur in the same sensory modality while
reflex hallucinations occur in different sensory modalities.
What is a secondary delusion? Right Ans - A delusion that develops as a
consequence of a morbid/pathological experience.
Negativism (Gegenhalten) Right Ans - Patient resists the attempts of the
examiner to move parts of their body, the resistance offered against the
movement is meant to be equal to the force applied.
Mitmachen Right Ans - A form of automatic obedience - the patient's body
can be placed in any position even if the patient is told to resist the movement.
Once the force is removed the body part will return immediately to its original
position.
Mitgahen Right Ans - Extreme form of mitmachen - the examiner is able to
move the patients body with only very minor force
Ambitendency Right Ans - Patient alternates between resistance to and co-
operation with the examiners instructions
Obstruction Right Ans - Motor manifestation of thought block - patient will
stop suddenly in the middle of a movement and will not be able to give a
reason
Aversion Right Ans - Patient turns away when addressed
Mannerisms Right Ans - repetitive, goal-directed movements
Stereotypies Right Ans - Repetitive, regular movements that are not goal
directed
Logorrhoea Right Ans - incoherent talkativeness
Verbigeration Right Ans - Meaningless repetition of words or phrases
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