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Psychiatry · Psychopathology
Sample itemA man with elevated mood speaks rapidly and jumps from topic to topic. Each shift is triggered by rhymes or by objects in the room, and the links remain understandable. What is this thought disorder?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Flight of ideas
Flight of ideas is a rapid stream of thought in which connections between topics, such as puns, rhymes or distractions, can still be followed. It is typical of mania. In loosening of associations there is no logical link between successive ideas.
Option by option
A. Loosening of associations
Loosening of associations has no comprehensible link between ideas and is typical of schizophrenia.
B. Flight of ideas (correct)
Correct. Rapid speech with understandable links is flight of ideas.
C. Thought blocking
Thought blocking is a sudden interruption of the flow of thought in mid-sentence.
D. Circumstantiality
Circumstantiality is excessive detail, but the speaker eventually reaches the point.
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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