10.2010 psychiatry

A 7-year-old boy avoids sleepovers because he wets his bed 1 to 2 times per week and is afraid his friends would tease him. He has never achieved a year-long period of dryness throughout the night. A physiologic work-up shows no evidence of an organic cause for this problem, and there is no evidence of a psychiatric disorder in

Which of the following is common in the childhood history of patients with borderline personality disorder?

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?

A 35-year-old man tells his therapist that he has difficulty describing his emotions accurately.He says that he can’t find the words to describe how he is feeling. What is the phenomenon that is causing this inability?

Concerning selective mutism which is correct:

A 30 year-old woman begins to see a therapist because of loneliness and feelings of being unloved and unwanted with some mild depressive symptoms .she flirts constantly with the therapist and is hurt when the therapist douse not reciprocate. Which of the following disorders is she most likely to have?

A 4 year-old boy experiences episodes of waking up screaming in the middle of the night thrashing wildly with his eyes wild openining ,when his parents try to wake him up and secure him he pushes them away,2 min later he had suddenly fallen asleep .the next day he has no memory about the event. correct statement about his condition include:

A 57-year-old man with bipolar disorder, whom you have treated successfully for 20 years with lithium 300 mg tid, is admitted to the general hospital with chest pain. Which of the following findings would be most likely seen on his electrocardiogram (ECG)?

A 12-year-old boy is brought to the psychiatrist because his mother says the boy is driving her “nuts.” She reports that he constantly argues with her and his father, does not follow any of the house rules, and incessantly teases his sister. She says that he is spiteful and vindictive and loses his temper easily. Once he is mad, he stays that way for long periods of time. The mother notes that the boy started this behavior only about 1 year previously. While she states that this behavior started at home, it has now spread to school, where his grades are dropping because he refuses to participate. The patient maintains that none of this is his fault—his parents are simply being unreasonable. He denies feeling depressed and notes that he sleeps well through the night. Which of the following is the most likely diagnosis?

What’s right according to Anorexia Nervosa:

Which of the following statement concerning disorder is true associated with physical cruelty to animals?

Tourette’s disorder has been shown to possibly have a familial and genetic relationship with

Conduct disorder coexist often with:

Which of the following statements is true of suicide in adolescence?

Childhood schizophrenia :

A 23 year-old patient with schizophrenia Who was recently started on neuroleptic medication, complains that he cannot still and feels constantly restless. The nursing staff has noted that he often paces. This condition known as:

An 18-year-old girl comes to the psychiatrist because she pulls out her hair in patches when she is anxious or upset. She is taught to make a tight fist whenever she has this impulse rather than pull out her hair. Which of the following techniques is this?

If a patient receiving clozapine shows a white blood count (WBC) of 2,000 per cc, the clinician should:

A 24-year-old woman, 5 days after delivery of a normal, full-term infant, is brought to the obstetrician because she is so tearful. She states that her mood is quite labile, often changing within minutes. She has trouble sleeping, both falling asleep and awakening early. She notes anhedonia, stating she doesn’t enjoy “much of anything” right now. Which of this patient’s symptoms point preferentially to a postpartum depression as opposed to postpartum blues?

The most common cause of delirium within 3 days postoperatively in a 40-year-old man with a history of alcohol dependence is

A 35-year-old woman is seeing a psychiatrist for treatment of her major depression. After 4 weeks on fluoxetine at 40 mg/day, her psychiatrist decides to try augmentation. Which of the following is the most appropriate medication?

Mouth ulceration is associated with which of the following types of withdrawal?

A 37-year-old woman is admitted to an inpatient treatment program for withdrawal from heroin. Eighteen hours after her last injection of heroin, she becomes hypertensive, irritable, and restless. She also has nausea, vomiting, and diarrhea. Which medication would be best to treat some of the symptoms of opioid withdrawal?

All of the following statements regarding cyclothymic disorder are true except?

A 30-year-old woman is diagnosed as bipolar. At the same time that this illness is diagnosed, it is discovered that she is pregnant. Which of the following drugs has the highest risk to the fetus?

Dysthymic Disorder:

A 36-year-old woman is diagnosed with a paranoid delusional disorder after she repeatedly called police to her home, convinced the neighbors were about to harm her by electrocuting her in her sleep. She is started on olanzapine. Which of the following side effects is this patient at greater risk for while on this medication?

Hypothyroidism in the elderly may commonly present with all of the following except?

A 4-year-old girl is brought to her pediatrician because her parents think she does not seem to be “developing normally.” The girl’s mother states that her daughter seemed normal for at least the first 2 to 3 years of her life. She was walking and beginning to speak in sentences. She was able to play with her mother and older sister. The mother has been noticing that over the past 2 months her daughter has lost these previously acquired abilities. She will no longer play with anyone else and has stopped speaking entirely. She has lost all bowel control, when previously she had not needed a diaper for at least a year. Which of the following is the most likely diagnosis?

A 35-year-old woman is referred to a psychiatric outpatient clinic by a plastic surgeon. According to the referral letter, this person has consulted three cosmetic surgeons in the last 6 months about what she perceives to be a deformity in her upper lip. All the physicians have told her that there is no deformity and that there is no need for any surgery. But the woman firmly believes that there is

Which of the following has been considered common finding in the history of fire- letters Stuttering?

It is NOT prescribed for the express train of psychoanalytic psychotherapy: