03.2011 psychiatry
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Question 1 of 25
1. Question
Which of the following hormones is most commonly used in the adjuvant treatment of depression?CorrectIncorrect -
Question 2 of 25
2. Question
A 52-year-old woman who has been treated with medication for 3 years for a chronic mood disorder reports that although she feels well, she wonders if her medication is causing side effects. She complains of dry mouth, trouble urinating, and occasional dizziness when she gets out of bed. Which of the following medications is she most likely being prescribed?CorrectIncorrect -
Question 3 of 25
3. Question
A 72-year-old man with a long history of recurrent psychotic depression is hospitalized during a relapse. He has prostatic hypertrophy, coronary heart disease, and recurrent orthostatic hypotension. Which of the following is the most appropriate antipsychotic medication for this patient?CorrectIncorrect -
Question 4 of 25
4. Question
A 38-year-old woman presents to your clinic telling you that she has had disturbing, recurrent thoughts about harming her 7-month-old infant. She imagines using a knife to stab her child, but she has no desire to hurt her child. As a result of having these distressing thoughts, she has removed all sharp objects from her kitchen. Because of this, she has not been able to prepare meals at home and has chosen to buy fast food or take-out for the family meals. She feels very anxious regarding these, although she has not shared these thoughts with her husband.
Which of the following diagnoses would be the most accurate for this patient?CorrectIncorrect -
Question 5 of 25
5. Question
The BZD actino depend on her interaction with which of the following receptors:CorrectIncorrect -
Question 6 of 25
6. Question
A 36-year-old man is brought to the emergency department in respiratory arrest. On examination, he is bradycardic and unresponsive. He has constricted pupils bilaterally. The team has difficulty establishing IV access, but is able to do so temporarily in the foot. There are no other obvious injuries on the patient, but no one is immediately available to provide collateral history. There is suspicion that the patient’s condition may be the result of an overdose.
Which of the following drugs is most likely to cause this presentation?CorrectIncorrect -
Question 7 of 25
7. Question
Which of the following statements is true about fire setter?CorrectIncorrect -
Question 8 of 25
8. Question
A 60 year old man has a history of left middle cerebral stroke. Which of the following psychological disturbances is the most common following such a neurologic effect?CorrectIncorrect -
Question 9 of 25
9. Question
Alexithymia is:CorrectIncorrect -
Question 10 of 25
10. Question
Postmortem studies and CSF sampling from living patients have revealed a correlation between aggression, impulsiveness, and suicide, and a low level in the metabolism of which of the following neurotransmitters compared to control subjects?CorrectIncorrect -
Question 11 of 25
11. Question
Which of the following drugs is best used to treat acute delirium?CorrectIncorrect -
Question 12 of 25
12. Question
A 25-year-old man is brought into the emergency department lethargic and stuporous. He responds only to painful stimuli, wakes up briefly and yells, then goes back to sleep. Ambulance personnel report that they found him near a house known for drug trafficking. There is no evidence of physical injury. Which of the following medications should he receive first?CorrectIncorrect -
Question 13 of 25
13. Question
Which of the following is the most common symptom pattern associated with OCD?CorrectIncorrect -
Question 14 of 25
14. Question
A social worker makes a routine visit to a 3-year-old boy who has just been returned to his biological mother after spending 3 months in foster care as a result of severe neglect. The child initially appears very shy and clings fearfully to his mother. Later on, he starts playing in a very destructive and disorganized way. When the mother tries to stop him from throwing blocks at her, he starts kicking and biting. The mother becomes enraged and starts shouting. Which of the following is the most likely diagnosis for this child?CorrectIncorrect -
Question 15 of 25
15. Question
Medical complications of eating disorders related to weight loss include all of the following exceptCorrectIncorrect -
Question 16 of 25
16. Question
Anorexia nervosa has a mortality rate of up to approximatelyCorrectIncorrect -
Question 17 of 25
17. Question
The first symptom of ADHD to remit as usually:CorrectIncorrect -
Question 18 of 25
18. Question
When an examiner asks a patient to count backwards by 7 starting at 100…:CorrectIncorrect -
Question 19 of 25
19. Question
A 8 year old boy present for a routine visit, 1 mounth earlier you diagnosed tourette disease and prescribed him medications. He and his parents reported that the medication is being helpful. Which of the following is the most common initial symptom of tourette?CorrectIncorrect -
Question 20 of 25
20. Question
An 8-year-old child is referred to you for an evaluation of bed-wetting. Several behavioral interventions have been attempted, including eliminating fluid intake in the evening, scheduled awakenings at night to use the bathroom, and a urine alarm (a bell and pad). These techniques have been unsuccessful, and the child continues to urinate in bed every night.
Which of the following medications should you prescribe to treat this patient?CorrectIncorrect -
Question 21 of 25
21. Question
Which of the following is the most common side effect of mythylphenidate (Ritalin)?CorrectIncorrect -
Question 22 of 25
22. Question
A 72-year-old man develops acute urinary retention and blurred vision after taking an antidepressant for 3 days. Which of the following medications is most likely to cause such side effects?CorrectIncorrect -
Question 23 of 25
23. Question
A 15 years old is brought in to the pediatricians office by her mother, who is concerned about her lack of apparent appetite. The patient is wearing baggy clothes but her weight is in the 70-th percentile for her height. She admits that she “does not eat much”, but she claims to have a voracious appetite. She is active in school musical productions, and she is very worried about “getting fat” and not getting the lead part. Her medical history is unremarkable and although she started menustruating at age 13, she has not had her period for at least 5 mounths. Which of the following laboratory abnormalities would be the most likely found in patient?CorrectIncorrect -
Question 24 of 25
24. Question
An 8-year-old boy is brought to your office by his mother because of his “compulsions,” which have worsened over the past year. She first noticed them last year when several times a day he would repeatedly blink his eyes and frown while clearing his throat. He continues to do this despite trying not to, and, in addition, he often sticks out his tongue and smells his shirt while speaking with classmates. These behaviors have resulted in his being teased and losing friends at school. Which of the following agents would be the most effective to treat his disorder?CorrectIncorrect -
Question 25 of 25
25. Question
A 40-year-old man with chronic schizophrenia comes for his regular outpatient medication management appointments. During his last visit, he reports that over the last week his intestines and heart have been removed. He has subsequently withdrawn and been staying in his basement apartment, avoiding friends and family members. When asked about his lack of getting out in the world, he responds, “What world? There is no world!”
Which of the following terms best describes this symptom?CorrectIncorrect