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Terms in this set (150)
Which of the following sources of pain is thought to have a primarily central (non-
nociceptive) mechanism?
A. Cancer pain
B. Fibromyalgia
B. Fibromyalgia
C. Osteoarthritis
D. Diabetic neuropathy
E. Postherpetic neuralgia
A patient presents with mild memory impairment, tearfulness, insomnia, and blurry
vision. The patient acts as if blind, cannot locate objects in the visual field, has left-
right disorientation and alexia, and misses objects when instructed to reach for them.
The patient only identifies a single object in a drawing of overlapping objects.
Despite requiring prompts to visually follow objects, cranial nerves, motor function,
reflexes, and movement and color detection are otherwise intact. Which of the
A. Cerebral infarct following is the most likely cause of the visual disturbance?
A. Cerebral infarct
B. Frontotemporal dementia
C. Progressive supranuclear palsy
D. Major depression with psychotic features
E. Functional neurological symptom disorder
Variable phenotypic expression of 15q13 deletion depends on whether the encoding
gene is derived from the father or the mother. This phenomenon is commonly
referred to as:
A. Genomic printing A. Genomic printing
B. Genomic expression
C. Linkage disequilibrium
D. Balanced translocation
E. Recombination frequency
1/19
, 4. A patient hospitalized for burns sustained in a house fire one week prior is
experiencing recurrent nightmares and frequent, intrusive memories about the fire
accompanied by palpitations, shortness of breath and feeling flushed. The patient's
nurse expresses concern that the patient seems depressed, is sleeping poorly and
startles when someone enters the room without knocking. On exam, the patient is
distracted, sometimes irritable, and has labile affect. Which of the following is the
C. Acute stress disorder most likely diagnosis?
A. Panic disorder
B. Adjustment disorder
C. Acute stress disorder
D. Major depressive disorder
E. Posttraumatic stress disorder
Which of the following is an example of epigenetic gene regulation?
A. Removal of amino acids from a protein after transition
B. Addition of a methyl group to a histone B. Addition of a methyl group to a histone around which DNA is coiled
around which DNA is coiled C. Binding of noncoding RNA to mRNA to prevent translation into a protein
D. Addition of a poly(A) tail to mature mRNA before it leaves the cell nucleus
E. Binding of a protein to a promoter region to modulate the transcription of a target
gene
Which of the following sex hormones is most responsible for sexual differentiation in
fetal brain development?
A. Prolactin
C. Testosterone
B. Estradiol
C. Testosterone
D. Progesterone
E. Luteinising hormone
What psychiatric disorder occurs most frequently with secondary enuresis?
A. Selective mutism
E. Attention-deficit/hyperactivity disorder B. Intellectual disability
C. Autism spectrum disorder
D. Separation anxiety disorder
E. Attention-deficit/hyperactivity disorder
The psychiatrist is concerned about a colleague's behavior and notifies the State's
physician health program, which conducts an intervention. The physician should be
referred for professional evaluation/treatment in which of the following scenarios?
E. Is observed to be aggressive toward A. Drinks a glass of wine with dinner several nights a week
patients on three different occasions B. Has experienced depression in the past and has been hospitalized
during shifts in the emergency department C. Has bipolar disorder and is euthymic and compliant with medications
D. Acknowledges using cocaine occasionally but not habitually on days off and has a
negative urine toxicology screen
E. Is observed to be aggressive toward patients on three different occasions during
shifts in the emergency department
2/19
, Abnormalities in which of the following components of the neurological examination
would indicate cerebellar dysfunction?
A. Visual acuity
E. Rapid alternating movements
B. Limb strength
C. Vibratory sensation
D. Deep tendon reflexes
E. Rapid alternating movements
Excessive activation of which of the following receptors is thought to contribute to
cell death in Alzheimer disease?
A. GABA
B. NMDA
B. NMDA
C. 5-HT2A
D. Nicotinic
E. Muscarinic
In behavior mastery training, which of the following techniques teaches individuals
with sexual addiction to identify factors that increase the likelihood of symptomatic
sexual behavior?
C. Risk Management A. Urge handling
B. Mindfulness skills
C. Risk management
D. Thought restructuring
E. Symptom containment
A patient has been prescribed a second-generation antipsychotic for just over a
year. Since starting the medication, her libido is markedly lower, and she ahs
experienced irregular menstrual cycles. Which of the following lab tests would have
the greatest diagnostic value at this point?
A. Prolactin
A. Prolactin
B. Estrogen
C. Luteinizing hormone
D. Thyroid stimulating hormone
E. Beta human chorionic gonadotropin
A 58 year old patient develops progressive weakness and tingling just two weeks
after receiving a vaccination. Examination reveals weakness and decreased sensation
in the legs, as well as absent deep tendon reflexes in arms and legs. Imaging of the
brain and spine is normal. Which of the following tests will confirm the most likely
diagnosis?
C. Nerve conduction studies
A. Electromyography
B. Electroencephalography
C. Nerve conduction studies
D. Repetitive nerve stimulation
E. Somatosensory evoked potentials
3/19
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