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Pysch Rosh Boost Exam Prep Questions and Answers (100% Pass)
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Pysch Rosh Boost Exam Prep Questions and Answers (100% Pass)
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©PREP4EXAMS@2024 [REAL EXAM DUMPS] Friday, July 19, 2024 6:13 AMPysch Rosh Boost Exam Prep Questions and
Answers (100% Pass)
Which of the following medications is FDA approved for the treatment of attention-
deficit/hyperactivity disorder and relies on selective norepinephrine reuptake inhibition for its
efficacy?
Atomoxetine
Bupropion
Dexmethylphenidate
Guanfacine - ✔️✔️Atomoxetine
selective norepinephrine reuptake inhibition
A 44-year-old man, previously diagnosed with panic disorder, presents to the clinic stating that
he is unwilling to continue taking medication for his panic disorder. He states he cannot tolerate
the side effects, does not want to take any more pills, and is very open to other methods of
treatment. Which of the following would be the best choice for initial, non-pharmacologic
treatment of his panic disorder?
Cognitive-behavioral therapy
Electroconvulsive therapy
Hypnotherapy
Repetitive transcranial magnetic stimulation - ✔️✔️Cognitive Behavioral therapy
A 26-year-old woman presents to the outpatient family practice office complaining of mood
swings. She reports that she often feels intensely sad for a few hours followed by significant
anxiety or irritability. During the interview, she frequently remarks that she feels she has lost
herself and thinks that all people will abandon her at some point in her life. She feels detached
from herself and sometimes is just "going through the motions" of her day. She reports that her
friendships are usually very intense, and she typically spends almost every day with a new
friend. She states she likes to get to know everything about them to try to avoid being left out
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when they make a new friend. At times, she will impulsively engage in risky behavior like
gambling or using substances to try to keep friends. However, she reports that most friendships
end in an angry outburst when she senses they are about to abandon the friendsh - ✔️✔️Borderline
personality disorder
Which one of the following helps establish the diagnosis of autism spectrum disorder?
Degree of intellectual disability
History of insufficient caregiving
Narrow range of interests
Short palpebral fissure length - ✔️✔️Narrow range of interests
A 26-year-old man presents to your office for evaluation. His substance use screening tool is
positive. Vital signs include a blood pressure reading of 90/71 mm Hg and respiratory rate of 10
breaths per minute. Physical exam reveals altered mental status and track marks on his arms.
Which of the following additional findings would suggest a diagnosis of opioid intoxication
rather than stimulant intoxication?
Elevated temperature
Miosis
Mydriasis
Tremor - ✔️✔️Miosis
After a thorough evaluation and physical exam, a 38-year-old woman is diagnosed with
cyclothymic disorder. Which of the following clinical characteristics must be present to make
this diagnosis?
Symptoms are concurrent with substance abuse
Symptoms are never gone for more than two consecutive months
Symptoms are present continually for two years
Symptoms do not cause serious psychosocial impairment - ✔️✔️Symptoms are never gone for
more than two consecutive months
A 20-year-old previously healthy woman with a body mass index of 20 kg/m2 presents to your
office for her annual exam. She tells you that she is very concerned about her weight and has
been weighing herself daily. Vital signs reveal a blood pressure of 92/65 mm Hg and pulse of
102 bpm. Physical exam findings include bilateral parotid gland enlargement, dental caries, and
abrasions on the knuckles of her right hand. Which of the following is the most likely diagnosis?
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Anorexia nervosa
Bulimia nervosa
Major depressive disorder
Obsessive-compulsive disorder - ✔️✔️Bulimia Nervosa
A 32-year-old woman presents for a complete physical examination. During the exam, she says
she has diminished interest in daily activities. Upon further questioning, she also reports feelings
of worthlessness, hypersomnia, fatigue, and the inability to concentrate at work. These symptoms
have been ongoing for the last month. She has never had symptoms like this in the past. Which
of the following would be the most appropriate pharmacologic treatment at this time?
Amitriptyline
Bupropion
Sertraline
Tranylcypromine - ✔️✔️Sertraline
A 23-year-old man presents to your clinic with concerns about low back pain and his medication
not working any more. He says that two years ago he had an injury at work that resulted in
ongoing back pain. Right after the accident, one of his medical providers gave him a prescription
for oxycodone, which helped at first, but then he noticed having to take more than the prescribed
amount in order to have the same relief of his pain symptoms. His medical provider declined to
continue prescribing oxycodone, so he started to buy it off the street. Recently a friend of his
offered him heroin, which he tried once. This scared him because he liked it so much that he
wanted to continue using it, but he knows that this can lead to serious problems. Which of the
following is the most appropriate therapy?
Buprenorphine/naloxone
Duloxetine
Extended release oxycodone
Gabapentin - ✔️✔️Buprenorphine/naloxone
1st line long-term treatment with opioid agonist
A 25-year-old woman presents to the emergency department with complaints of abdominal pain,
vomiting, and diarrhea that has been present for five years. She states that no one has been able
to help her up to this point. She has numerous allergies to a variety of medications. Physical
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exam reveals moist mucous membranes, multiple well-healed incisions on her abdomen, and
vital signs within normal limits. Which of the following is the most likely diagnosis?
Borderline personality disorder
Conversion disorder
Factitious disorder
Malingering - ✔️✔️Factitious Disorder
A 23-year-old man presents to the psychiatric emergency room involuntarily. The patient is
malodorous and disheveled. His affect is flat, and he is conversing with people who are not
present. Which of the following findings are most likely to be observed on brain MRI?
Enlarged ventricles
Gray matter gain
Hyperintense ring-enhancing lesions
Mass effect - ✔️✔️Enlarged ventricles
schizophrenia
A 20-year-old woman presents to the clinic complaining of stress. During the interview, she taps
her fingers repetitively on her leg in a specific pattern. When questioned, she states she taps them
because she has a "bad thought" about hurting someone, and each time she thinks it, she has to
tap her fingers in a specific manner to erase the thought. Which of the following questions, if
answered in the affirmative, would be most likely to aid in the diagnosis of obsessive-
compulsive disorder in this patient?
Do you feel the bad thought is put there by someone else?
Does the compulsive behavior cause you anxiety?
Does the compulsive behavior cause you social or occupational problems?
Does the thought of harming others bring you enjoyment? - ✔️✔️Does the compulsive behavior
cause you social or occupational problems?
A 28-year-old woman presents with symptoms of depression. She states that she has had mood
swings during the past 2 years. Upon eliciting a history, she describes multiple mild episodes of
hypomanic symptoms and mild depression that have caused her distress. She does not recall a
period of time over the last several years when these symptoms were not present. She reports no
substance use. Which of the following is the most likely diagnosis?
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