Psych (Dunphy)
Women are at the highest risk for developing peripartum depression for up to how long after childbirth? A. 1 to 3 weeks B. 1 month C. 3 to 6 months D. 7 months to 1 year
A. 1 to 3 weeks
A serious physical illness in any organ category is: A. An independent risk factor for geriatric suicide B. Likely to occur with body dysmorphic disorder C. Associated with mood disorders D. Likely to produce anxiety or panic disorders
A. An independent risk factor for geriatric suicide
Echolalia is sometimes demonstrated by people with which disorder? A. Autism B. Alcoholism C. ADHD D. Asperger's
A. Autism
The criteria for diagnosing generalized anxiety disorder in the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, 5th edition (text revision) state that excessive worry or apprehension must be present more days than not for at least: A. 1 month B. 3 months C. 6 months D. 12 months
C. 6 months
Which of the following symptoms is NOT part of the diagnostic criteria for post-traumatic stress disorder (PTSD)? A. Hypersomnolence B. Blunted feelings C. Loss of interest in significant activities D. Intrusive recurrent recollections of the event
A. Hypersomnolence
Which of the following is a laboratory finding commonly found in patients with anorexia nervosa? A. Hypophosphatemia B. Hypermagnesmia C. Leukocytosis D. Decreased TRH
A. Hypophosphatemia
The clinician is educating a patient about the effects of marijuana. The patient stated that she has been smoking for years and believes the use does not interfere with her life. What is the potential long-term sequelae of marijuana use that the clinician should educate this patient about? A. Memory impairment B. Sexual dysfunction C. Dry mouth D. There are no long-term consequences of marijuana use
A. Memory impairment
The stooped posture, motor slowness, and minor cognitive impairments of patients with major depressive disorders are similar to the signs of disorders of the basal ganglia, such as: A. Parkinson's disease B. Stevens-Johnson syndrome C. Neurological disease D. Huntington's disease
A. Parkinson's disease
All benzodiazepines are associated with: A. Potential anterograde amnesia B. Dopamine-related movement disorders C. Serotonin syndrome D. Xerostomia and agitation
A. Potential anterograde amnesia
Instead of reporting symptoms of body dysmorphic disorder (BDD) to the primary-care provider, patients often request which of the following? A. Referrals to plastic surgeons, orthodontists, or dermatologists B. Antidepressant medications C. Nutritional counseling services D. Unnecessary laboratory tests
A. Referrals to plastic surgeons, orthodontists, or dermatologists
The clinician has chosen to prescribe an SSRI instead of a tricyclic antidepressant (TCA) for a patient fitting the diagnostic criteria for depression. Which of the following is NOT true concerning SSRIs in comparison to tricyclic antidepressants? A. SSRIs are more effective than TCAs. B. SSRIs take less time to work than TCAs. C. SSRIs have a more favorable side-effect profile than TCAs. D. SSRIs are not lethal in overdose.
A. SSRIs are more effective than TCAs.
What is the presentation of a complex motor tic? A. Simultaneous shoulder shrugs and head turns B. Eye blinks and extension of extremities C. Throat clearing and finger raising D. Barking, screaming, and snorting
A. Simultaneous shoulder shrugs and head turns
What is a differential diagnosis of autism spectrum disorder? A. Speech sound disorder B. Duchenne muscular dystrophy C. Structural brain malformations D. Hypoxic ischemic brain injury
A. Speech sound disorder
What is the median reduction in life expectancy among those with mental illness? A. 15.4 years B. 10.1 years C. 5.7 years D. 9.2 years
B. 10.1 years
Which is the most prevalent psychiatric condition in the United States? A. Depression B. Anxiety C. Substance-related addictions D. Gambling addiction
B. Anxiety
It is important to educate patients with depression and their family members about reporting signs of increasing depression and suicidal thoughts. This is especially true during which time period? A. Prior to the antidepressant reaching therapeutic levels B. As the mood lifts in response to antidepressant treatment C. During dosage or medication adjustments D. After the patient reveals suicidal thoughts or plans
B. As the mood lifts in response to antidepressant treatment
What term describes random quick jerking movements that flow from joint to joint? A. Dystonia B. Chorea C. Myoclonus D. Compulsions
B. Chorea
Which of the following is the only drug used to treat bulimia that is approved by the U.S. Food and Drug Administration? A. Sertraline B. Fluoxetine C. Citalopram D. Imipramine
B. Fluoxetine
What is the essential feature of bipolar-I? A. Hyperactivity B. Mania C. Depression D. Anxiety
B. Mania
The effectiveness of benzodiazepines in treating anxiety disorders suggests that which of the following neurotransmitters plays a role in anxiety? A. Acetylcholine B. Gamma-aminobutyric acid (GABA) C. Dopamine D. Serotonin
B. Gamma-aminobutyric acid (GABA)
HITS is a validated instrument used to identifying intimate partner violence. What does HITS stand for? A. Hit, Injured, Threatened, Scared B. Hurt, Insult, Threaten, Scream C. Humiliated, Isolated, Tortured, Scarred D. Harm, Injury, Terror, Shame
B. Hurt, Insult, Threaten, Scream
Which of the following neuroendocrine abnormalities is implicated in depression? A. Decrease in adrenal size B. Hypersecretion of cortisol C. An exaggerated response of thyrotropin (TRH) to infusion of thyroid-releasing hormone D. Increased inhibitory response of glucocorticoids to dexamethasone
B. Hypersecretion of cortisol
What severity level of intellectual disability is demonstrated by a child whose language and academic skills markedly lagging behind peers, misperceive social cues, and have a simpler spoken language than their peers? A. Mild B. Moderate C. Severe D. Profound
B. Moderate
What is the likely result of the over-prescription, over-supply, and over-production of opioids? A. Opioid use B. Opioid abuse C. Opioid dependence D. Opioid resistance
B. Opioid abuse
What is a common adverse reaction for children prescribed Risperdal for autism-associated irritability? A. Gynecomastia B. Parkinsonian-like syndrome C. Bradycardia D. Rebound hypertension
B. Parkinsonian-like syndrome
Which intervention has been shown to diminish feelings of isolation, improve coping skills, and decrease the need for hospitalization in schizophrenia? A. Cognitive behavioral therapy B. Peer-delivered services C. Family-based therapy D. Assertive community treatment (ACT) model of care
B. Peer-delivered services
Suicide plans are assessed on all of the following, EXCEPT: A. Specificity B. Possibility C. Availability D. Lethality
B. Possibility
What prenatal factor could increase risk for ADHD? A. Exposure to lead B. Zinc deficiency C. Maternal allergies D. Central nervous system (CNS) infections
B. Zinc deficiency
Emotional dysregulation is common in: A. Children with obsessive-compulsive disorder B. Adults with schizophrenia C. Adults with attention deficit-hyperactivity disorder D. Children with tic disorders
C. Adults with attention deficit-hyperactivity disorder
Which medication is used as a first-line treatment in the management of bipolar disorder? A. Gabapentin B. Lamotrigine C. Carbamazepine D. Topiramate
C. Carbamazepine
Cocaine acts as a stimulant by blocking the reuptake of which neurotransmitter? A. GABA B. Acetylcholine C. Dopamine D. Serotonin
C. Dopamine
What is recorded as clinical category two of the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, 5th edition (text revision)? A. Clinical disorder or focus of clinical attention B. Personality or environmental problems C. Environmental and psychosocial stressors D. Global assessment of functioning
C. Environmental and psychosocial stressors
Rapid eye movement (REM) sleep occurs how frequently during non-REM sleep? A. Every 30 to 40 minutes B. Every 60 to 80 minutes C. Every 90 to 100 minutes D. Every 180 to 200 minutes
C. Every 90 to 100 minutes
Which of the following would be important to monitor in a child receiving methylphenidate for treatment of attention deficit-hyperactivity disorder (ADHD)? A. Liver function B. Vision C. Growth parameters D. Renal function
C. Growth parameters
What is the most prevalent psychiatric comorbidity of ADHD? A. Antisocial personality disorder B. Generalized anxiety disorder C. Oppositional defiant disorder D. Social phobias
C. Oppositional defiant disorder
Which of the following may be used to evaluate a person's suicide risk? A. CAGE B. SANE C. SAD PERSONAS D. DIGFAST
C. SAD PERSONAS
What is the leading preventable cause of death and disability? A. Opioid addiction B. Obesity C. Tobacco use D. Stress
C. Tobacco use
A patient is experiencing extrapyramidal side effects from his antipsychotic medications. The clinician would most likely take which of the following approaches to treating these side effects? A. Give the patient a "drug holiday" until the symptoms resolve and then restart the medication. B. Switch the patient to a different antipsychotic. C. Treat the patient with anticholinergics. D. Treat the patient with anticonvulsants.
C. Treat the patient with anticholinergics.
What blood alcohol level corresponds with the signs of stupor and confusion? A. 0.05 B. 0.1 C. 0.2 D. 0.3
D. 0.3
After discontinuing fluoxetine, how long must a person wait before starting a monoamine oxidase inhibitor? A. 2 weeks B. 3 weeks C. 4 weeks D. 5 weeks
D. 5 weeks
A patient presents to the clinician after experiencing four episodes in the last month of sweating, palpitations, chest pain, nausea, and shaking. Each episode lasted about 10 minutes. The patient is now becoming very fearful of future events and has been reluctant to leave the house. The clinician suspects panic disorder but wants to rule out any possible medical causes. Which of the following medical conditions can mimic the symptoms of a panic attack? A. Pheochromocytoma B. Hyperthyroidism C. Cardiac arrhythmias D. All of the above
D. All of the above
If stimulant drugs are not tolerated or contraindicated for the treatment of ADHD, what medication may produce a therapeutic effect? A. Daytrana B. Vyvanse C. Warfarin D. Atomoxetine
D. Atomoxetine
Which of the following is considered first-line treatment for panic disorders? A. Benzodiazepines B. Selective serotonin reuptake inhibitors (SSRIs) C. Tricyclic antidepressants D. Cognitive behavioral therapy
D. Cognitive behavioral therapy
According to Kübler-Ross, the stages of grief occur in which order? A. Anger, denial, depression, bargaining, acceptance B. Anger, denial, bargaining, acceptance, depression C. Denial, anger, depression, bargaining, acceptance D. Denial, anger, bargaining, depression, acceptance
D. Denial, anger, bargaining, depression, acceptance
What is the health impact of low-dose alcohol consumption? A. Increased risk of developing alcohol addiction B. Increased risk of coronary artery disease C. Increased excitation of critical ion channels D. Increased high-density lipoproteins
D. Increased high-density lipoproteins
What is the advantage of guanfacine (i.e., Tenex, Intuniv) over clonidine (i.e., Catapres, Kapvay) for the treatment of ADHD? A. Tapering off is not required on discontinuation B. Therapeutic effect is instantaneous C. Wider range of available dosages D. Less sedation and longer duration of action
D. Less sedation and longer duration of action
Which of the following is a potential adverse reaction to clozapine (Clozaril)? A. Prolonged QT interval B. Hyperprolactinemia C. Postural hypotension D. Myocarditis
D. Myocarditis
Bipolar disorder requires differential diagnosis from all of the following except? A. Substance abuse and medication effects B. Medical and neurological disorders C. Cluster B personality disorders and depression D. Obsessive-compulsive disorder
D. Obsessive-compulsive disorder
Each of the following antidepressants does NOT have significant liver CYP P450 interaction effects? A. Paroxetine B. Fluoxetine C. Fluvoxamine D. Olanzapine
D. Olanzapine
It is important for the clinician to discuss the long-term effects of sexual assault with survivors. Which of the following is the most common long-term effect of sexual assault? A. Depression B. Obsessive-compulsive disorder C. Substance abuse D. PTSD
D. PTSD
