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ROSH Psych EOR questions and answers rated A+ 2024/2025
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ROSH Psych EOR questions and answers rated A+ 2024/2025
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ROSH Psych EORXA 30-yr-old female provides to her number one care company with court cases of massive,
achy musculoskeletal ache, fatigue, and persistent headache for the past nine months which
have significantly interfered with her activities of each day residing. She states her pain is worse
in the morning and irritated by means of minor activities. She reports no acknowledged sick
contacts however states she seems like she has had the flu for nine months. Her beyond clinical
history is big for anxiety and depression. Physical examination is great for muscle tenderness
over the neck, shoulders, bilateral arms and legs, and upper and decrease back. Which of the
subsequent is most probable to be discovered inside the affected person's history? -
ANSInsomnia
A 28-year-vintage man presents to the health facility reporting episodes of both increased and
depressed moods over the last few years. He reports that a few days he is going with out
slumbering and continues to have immoderate thoughts and thoughts that race in his thoughts,
whilst different days, he is caught in bed with little to no choice to do whatever. Which of the
following is the maximum appropriate remedy for this affected person?
Fluoxetine
Lithium
Sertraline
Venlafaxine - ANSLithium
The patient has cyclothymic disorder.
-Dx: multiple hypomanic and depressive-like signs and symptoms that cause vast distress in
day-to-day life (path over 2 years & symptomatic for at least 1/2 the time & now not symptom
free for duration over 2 months) for which they do now not meet the standards for having a
first-rate depressive episode or bipolar disease or attributed to substance use.
- Tx for cyclothymic disorder is just like that of bipolar I. (temper stabilizer (lithium)/antipsychotic
(haloperidol)
A,C,&D: antidepressants which can be generally used to treat sufferers with fundamental
depressive sickness (anhedonia further to 5 or extra other associated depressive signs and
symptoms) (CIGCAPS)
A 32-year-vintage lady offers to the medical institution complaining of irritability, problem
concentrating, and fatigue for the beyond 8 months. She reports that she feels confused at
domestic and work and effortlessly will become tense in reaction to trivial stressors. She reviews
no anhedonia or a depressed temper. You determine to begin her on venlafaxine to deal with
the suspected diagnosis. How lengthy should remedy be persevered earlier than growing the
,dose or switching to every other medicinal drug if she isn't always experiencing development on
a therapeutic dose?
12 weeks
three weeks
6 weeks
nine weeks - ANS6 Weeks
A 22-year-vintage man provides to the emergency department due to headache, myalgia, and
chest pain. He is agitated, seems irritated, and is difficult to restrain. Vital signs and symptoms
imply blood strain one hundred eighty/a hundred mm Hg, pulse one hundred thirty beats in line
with minute, and temperature 100.1°F. Physical exam well-knownshows mydriasis, diaphoresis,
and diffuse muscular tenderness to palpation. Which of the subsequent is maximum in all
likelihood determined in this affected person's urine toxicology screening?
Cocaine
Lysergic acid diethylamide
Marijuana
Opiates - ANSCocaine
A three-12 months old boy provides to the pediatrician along with his mom. She reviews the
preschool he goes to is concerned approximately his conduct. She notes the affected person
has issue ultimate seated at some stage in instructions, is usually "on the cross," blurts out the
answers to questions with out elevating his hand, talks to his classmates in the course of lesson
instances even after correction, and can't wait his flip when required. Which of the following is
the recommended first-line treatment for this patient's suspected prognosis?
Behavioral interventions
Elimination weight loss program
Pharmacotherapy
Psychotherapy - ANSBehavioral Interventions
A fifty five-yr-old guy who takes medicines for hypertension, hyperlipidemia, and essential
depressive disorder presents to the health center to talk about sexual disorder. He also
mentions he has been experiencing nausea currently in addition to sedation. Which of the
subsequent medicines is likely accountable for his signs and symptoms?
Bupropion
Mirtazapine
Paroxetine
Venlafaxine - ANSParoxetine
(SSRIs): MC used to deal with important depressive sickness. Gastrointestinal disenchanted
and sleep disturbances are commonplace facet outcomes
Paroxetine is known to cause sexual dysfunction, nausea, sedation, and on occasion weight
benefit.
,Bupropion (A) is a norepinephrine and dopamine reuptake inhibitor used to treat foremost
depressive disorder - recognized to cause gastrointestinal aspect consequences which includes
nausea, however it isn't recognized to reason sexual aspect effects. Mirtazapine (B) is a
tetracyclic antidepressant remedy that could cause sedation but does no longer purpose sexual
aspect effects. Mirtazapine also reasons weight gain, hypercholesterolemia, and constipation.
Venlafaxine (D) is a serotonin and norepinephrine reuptake inhibitor, and not unusual side
outcomes include gastrointestinal disenchanted, weight reduction, and sleep disturbance.
Sexual disorder isn't always a commonplace aspect effect of venlafaxine.
A 23-year-old woman affords to the hospital to speak about an episode of intense worry
following a demanding lifestyles event. She reviews that the episode became now not incited by
using a cause reminding her of a previous lifestyles event. Which of the following extra findings
helps the suspected purpose of her symptoms?
Absence of somatic signs and symptoms
Duration of 4 hours
Gradual onset
Peak intensity within minutes - ANSPeak Intensity within mins
Panic Attacks
An 18-month-vintage lady affords to the medical institution with parental worries for
extraordinary motor behaviors. They have noticed the patient flapping her fingers regularly. They
document she has common tantrums as nicely. Which of the following is an early sign of the
most probably prognosis?
Delay in spoken language
Frequent gesturing to signify desires
Interested in new sounds and sensations
Wanting to be with others all of the time - ANSDelay in spoken language
Autism Spectrum Disorder
A 35-year-antique lady affords to the medical institution with suicidal mind. She states she has
been an impulsive individual at some point of her entire lifestyles and has continually had
difficulties with interpersonal relationships. Which of the following persona disorders carries an
elevated risk of suicide?
Avoidant persona sickness
Borderline character sickness
Obsessive-compulsive personality disorder
Schizoid personality sickness - ANSBorderline Personality Disorder
A 30-yr-vintage lady who is overweight and has persistent hepatitis C offers to the health center
with episodes of deep melancholy followed by weeks of expansive mood, flight of thoughts,
threat-in search of conduct, and insomnia. Which of the following could need to be monitored
often if the patient is began at the maximum suitable remedy?
, Fasting plasma glucose
Liver enzymes
Thyroid function
Urine beta-human chorionic gonadotropin - ANSThyroid Function
Bipolar sickness
- tx: Lithium --> hypothyroidism
A four-12 months-vintage boy provides to the sanatorium for his annual bodily. His essential
symptoms are inside everyday limits, and the bodily exam is regular. He avoids eye contact with
the clinician and with his mom, speaks handiest in one- or -phrase sentences, and is
preoccupied with a toy automobile he has introduced to the workplace. His mom states he has
in no way favored to be hugged or touched, and he prefers to play by using himself. Which of
the subsequent is a threat factor for the most likely diagnosis?
Advanced paternal age
Infants born after forty two weeks gestation
Measles, mumps, and rubella vaccination
Slow fee of head boom all through infancy - ANSAdvanced Paternal Age
autism spectrum sickness
A 23-12 months-vintage lady gives to the clinic with reduced satisfaction in normally fun sports
for the beyond month. She also reports hypersomnia, weight gain, decreased concentration,
and immoderate guilt. Which of the following is the most likely analysis?
Bipolar ailment kind 2
Cyclothymic ailment
Major depressive disorder
Persistent depressive ailment - ANSMajor Depressive disease
Bipolar disease type 2 (A)-- criteria for a primary depressive episode and a hypomanic episode.
Cyclothymic disease (B) -- recurrent episodes of hypomanic or depressive signs that don't meet
the standards for bipolar disease type 2 or most important depressive disease, respectively.
Persistent depressive sickness (D)-- depressed mood for as a minimum 2 consecutive years
with at least of the subsequent signs and symptoms: decreased or increased urge for food,
insomnia or hypersomnia, low electricity or fatigue, low self-esteem, impaired awareness or
choice making, and hopelessness.
A 34-yr-old girl offers to the sanatorium for a mammogram. She reports that she is involved she
can broaden breast most cancers due to the fact one among her pals developed breast most
cancers at a younger age. She does no longer record any breast ache or lumps but does file
that she had a brief tingling sensation on her left breast that passed off as soon as and lasted 5
seconds. She has had 8 mammograms within the beyond yr and does self-breast examinations
two times daily. She reports that her situation about having breast most cancers has brought
about her spending immoderate money on health care usage and hours each day analyzing
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