PAEA Psych EOR Practice Questions.pdf file:///C:/Users/HP/Desktop/dddd/PAEA%20Psych%20EOR%20Pra
PSYCH EOR Practice Questions & Answers
1. 31M with MDD depression responding to venla 150 QD - acknowledges relationship
probs d/t poor labido - worsened with med but present prior, moodhas improved - Tx
strategy?
A) Decrease dose
B) Switch to norepi and dopamine reuptake inhibitor
D) Switch to SSRIs
C) Augment with sildenafil A) Decrease dose
B) Switch to norepi and dopamine reuptake inhibitor - Bupropion 75-150mg 1-2 max before
intercourse or skip SSRI or SNRI the day before intercourse- better toaugment rather stop what
is working
D) Switch to SSRIs
C) Augment with sildenafil - Augmenting is a good option, but rather with bupropion
- PCP can prescribe viagra with further workup
*Pharm decreasing dopaminergic fxn increases sexual dysfxn thus switching toSDRI improve do
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,PAEA Psych EOR Practice Questions.pdf file:///C:/Users/HP/Desktop/dddd/PAEA%20Psych%20EOR%20Pra
2. Which of the following sx is not consistent with persistent depressivedisorder?
A) Depressed Mood
B) Hopelessness
C) Insomnia
D) Poor appetite
E) Suicidal thoughts
Answer Suicidal thoughts - PDD is not as severe as MDD, this sxmakes more severe
3. Pt presents following a breakup with his girlfriend a month ago. He reportsthat for the
last 4 wks he has been experiencing low mood, psychomotor slowing, increased appetite,
and hypersomnolence. He also reports multipleepisodes of tearfulness when he perceives
rejection from his coworkers.Whatdiagnosis is most likely with these symptoms?
A) Bipolar disorder
B) Mdd with catatonic features
C) Mdd with atypical feature
D) Dependent personality disorder
E) Persistent dysthymic disorder
Answer MDD w atypical features -
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,PAEA Psych EOR Practice Questions.pdf file:///C:/Users/HP/Desktop/dddd/PAEA%20Psych%20EOR%20Pra
Low mood, psychomotor slowing, hypersomnolence - all typical sx of MDDincreased
appetite - less typical to MDD but still common
tearfulness when he perceives rejection - this is atypical to MDD and makes thecorrect dx MDD w
atypical features
4. 7yo boy brought by parents who are at wits end. pt has 10-15 tantrums qd sometime
2-3/h during some he punches walls and doors and sometimes
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bangs his head, has extremely low frustration tolerance and little things set him off, in
between tantrums he is cranky and irritable,. attends special school.had this behavior since
he was a toddler, gradually increasing in severity
A) bipolar disorder
B) adhd
C) disruptive mood dysregulation disorder
D) intermittent explosive disorder
E) oppositional defiant disorder
Answer C) disruptive mood dysregulation disorder
5. 66M brought to clinicl by wife, weepy, responds lowly to queries, poor hygreine,
AOx3, does not respond to other queries, wife denies past hx ofdepression.What is the
next clinical step?
A) complete medical work up
B) start paroxetine
C) start citalopram
D) monitor and follow up in 1 mo
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