Rosh Review Mental Health Exam Practice
Questions and Answers (Graded A+)
Question: What substance use disorder is most commonly associated with panic disorder? -
✔️✔️Answer: Alcohol use disorder.
Question: What is an off-label use for bupropion? - ✔️✔️ADHD
risk factors for poor bereavement outcomes (4) - ✔️✔️death of a child, past history of mental
health issues, dependent relationship with the deceased, and poor social supports
You are seeing an 11-year-old girl for follow up of excessive handwashing and frequent
worrying. You referred her for psychotherapy and she has been receiving cognitive behavioral
therapy for 3 months with a child psychologist. However, her mother reports minimal
improvement of her symptoms. The patient remains preoccupied with the thought of germs
multiplying in her hands that may cause her to get sick. Her compulsion with handwashing is
evident both at home and in school, causing impairment in school functioning as well as skin
peeling and erythema of her hands. You decide that pharmacotherapy, in addition to cognitive
behavioral therapy is the next best course of action. Which of the following is the most
appropriate medication therapy to start?
AAlprazolam
BParoxetine
CRisperidone
DSertraline - ✔️✔️sertraline
Which of the following historical findings will most likely lead to a diagnosis of panic disorder?
AChest pain
BFlashbacks
CHyperarousal
DLoss of interest - ✔️✔️chest pain
What is the most common form of child abuse in the United States? - ✔️✔️neglect
What are the components of the "female athlete triad"? - ✔️✔️Low bone density, menstrual
dysfunction, low energy availability isordered eating, amenorrhea and osteoporosis
You suspect bipolar I disorder in a 17-year-old student. Which of the following tools is most
appropriate for screening for this diagnosis? - ✔️✔️Mood disorder questionnaire
Question: Which two common medical conditions need to be evaluated in a patient with a new
diagnosis of depression? - ✔️✔️Answer: Diabetes and lipid disorders.
Question: What is the disorder called which patients deliberately impose harm on self for the
principal purpose of assuming the sick role? - ✔️✔️Answer: Factitious disorder (previously
referred to as Munchausen syndrome).
Question: According to the adult DSM-5 criteria, what is the minimum age that a patient may be
diagnosed with posttraumatic stress disorder? - ✔️✔️6 years old
A 46-year-old man with a history of depression presents with a self inflicted laceration to the left
arm. The wound is superficial and the patient states that he didn't want to hurt himself. He
reports that he is recently divorced, lives alone, and has increased stress at work. These stressors
have worsened his depression. Which of the following is the next best step in management of
this patient? - ✔️✔️emergency psych evaluation
Question: What serum test should be obtained in all patients with an overdose regardless of
agent? - ✔️✔️acetaminophen
Question: What tool is commonly used at 18 months of age to screen for an autism spectrum
disorder? - ✔️✔️Answer: M-CHAT questionnaire.
A 53-year-old woman with a history of poorly controlled schizophrenia presented to the
Emergency Department two weeks ago with altered mental status, auditory hallucinations, and
agitation. During her inpatient psychiatry admission, she stabilized on clozapine. Which of the
following laboratory tests should be performed at baseline and then weekly during treatment
with clozapine? - ✔️✔️WBC count (risk of agranulocytosis.. neutropenia)
Question: Can clozapine cause significant weight gain? - ✔️✔️yes
best type of therapy for borderline personality - ✔️✔️dialectal behavioral therapy
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