Archive Of Standardized Exam Questions: Tardive Dyskinesia


This page is dedicated to organizing various examples of standardized exam questions whose answer is tardive dyskinesia. While this may seem a odd practice, it is useful to see multiple examples of how tardive dyskinesia will be characterized on standardized exams (namely the boards and the shelf exams). This page is not meant to be used as a tradition question bank (as all of the answers will be the same), however seeing the classic “test” characterization for a disease is quite valuable.


Question # 1

A 55 year old woman comes to the clinic for routine exam. She has been receiving psychiatric treatment since the age of 25 for auditory hallucinations and beliefs that her thoughts and actions were controlled by a local radio station. Since she began taking haloperidol 20 years ago, these hallucinations and false beliefs have decreased significantly. Currently she lives in a supervised residence and is not working. During the physical exam she repeatedly smacks her lips and sticks out her tongue. Then the clinician injuries if she si chewing gum, she laughs and shows him that she has nothing in her mouth. She can hold her mouth and tongue still when asked to do so, but immediately beings lip smacking again when the clinician resumes the exam. What exactly is this patient experiencing?

Question # 2

A 67 year old woman comes to the clinic because she is having difficulty “controlling her movements”. The patient explains that her symptoms have become worse with emotional stress and fatigue. Her past medical history is notable for hypertension, hyperlipidemia, osteoarthritis, and schizophrenia. During the exam the physician notices that she exhibits facial grimacing, smacking of the lips, and twisting movements of her fingers. The patient feels self conscious going to the store because she feels others stare at her. She lives alone and feels isolated. She denies ahivng any delusions or hallucinations. What is the most likely diagnosis?



Page Updated: 09.18.2016