Saturday 3 November 2012

Usmle Step 1 MCQ's # 15

Title: Usmle Step 1 MCQ's # 15
Subject: Behavioral Science

Q NO 15: A 22-year-old college student sometimes experiences a yew vivid and detailed hallucination of her room upon waking. She has learned to recognize the experience as a hallucination because often some details will be inappropriate, such as summer clothes on the chair when she knows it is December. This is an example of which of the following types of hallucination?

A. Hypnagogic hallucination
B. Hypnopompic hallucination
C. Second person auditory hallucination
D. Tactile hallucination
E. Third person auditory hallucination

Explanation:
The correct answer is B. This hallucination occurs on waking, making it a hypnopompic hallucination; hypnagogic hallucinations occur on going to sleep. These hallucinations are most often brief and simple, such as hearing a bell ring ora name called. However, they can be complex and of long duration, such as the one in the question stem. They can be accompanied by sleep paralysis (episodes of paralysis on awakening) and can be difficult to get out of , even when recognized. There is also a known cluster of cataplexy (episodic paralysis), sleep paralysis, hypnagogic/hypnopompic hallucinations, and narcolepsy (extreme drowsiness with repeated episodes of falling asleep).
Hypnagogic hallucinations (choice A) occur in going to sleep.
In second person auditory hallucinations (choice C) 1the person is directly addressed by a voice.
Tactile hallucinations (choice D) involve touch.
In third person auditory hallucinations (choice E) voices talk about the person.

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