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Psychiatry · Formal thought disorder: perseveration
Sample itemA patient with a frontal lobe lesion keeps giving the answer 'pen' to every question after being first shown a pen, whatever the new object. This is:
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Perseveration
Perseveration is persistent, inappropriate repetition of a response after the stimulus has changed. It is seen in organic brain disease, especially frontal lobe lesions, and in schizophrenia.
Option by option
A. Neologism
A neologism is a newly coined word.
B. Perseveration (correct)
Correct. Repeating an earlier answer to new stimuli is perseveration.
C. Mutism
Mutism is absence of speech, not repetition.
D. Echolalia
Echolalia is repeating the examiner's words.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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