High social economic status parents of a 16 year old who has met normal developmental milestones are worried that their child is using social media and texting to communicate with peers. They found text messages w/ romantic partners and visits to sexual health related websites. What is the most lik...
High social economic status parents of a 16 year old who has met normal developmental milestones
are worried that their child is using social media and texting to communicate with peers. They found
text messages w/ romantic partners and visits to sexual health related websites. What is the most
likely consequence of the adolescents reliance on electronic forms of communication? -
ANSWERContinued socialization within the current peer group
35 hospitalized w/ concussion following MVC with only minor lacerations and bruises. One week
later has generalized pain, dizziness, difficulty sleeping and recurrent nightmares. Now fears driving.
What is most likely explanation? - ANSWERAcute Stress Disorder
Which vitamin is effective as an adjunct to antidepressants for treating depression? - ANSWERD3
What is the easiest scale to use for initial assessment of delirium in geriatric patients? -
ANSWERConfusion Assessment Method
In a properly conducted randomized trial, why don't you include P-values in the baseline
characteristics table? - ANSWERAny differences at baseline must have arisen by chance given
randomization
What is the best predictor of healthy aging in elderly individuals? - ANSWERRemaining in contact
with friends
In which arterial area would a stroke resolve in inability to read but preserved ability to write? -
ANSWERPosterior Cerebral
Which gene is most associated with neurocognitive disorder due to alzheimers - ANSWERAPOE*E4
A cross sectional study shows less depressive disorders in people who use a natural pill. They then
observe people from the same population for a year and find that prevalence of depression is lower
in those who regularly used the pill. They then recruit a sample from the same population and
,randomly assign people to pill or placebo for one year. This didn't show any difference. Assuming no
major flaws in design or analysis, what is the most likely explanation for the discrepancies in results?
- ANSWERSome unknown variable confounded the non-random results
Med student is struggling with time management and peer to peer interactions on rotations. Has
gotten feedback that she spends too much time organizing and highlighting her notes. She also
violates duty hours due to inability to finish work during the day. If given a group assignment she
completes it on her own saying it's easier to do it myself. Which of the following personality
disorders does she likely have? - ANSWERObsessive-compulsive Personality Disorder
Which psychodynamic theory emphasizes individuals ability to understand their own and others
internal states as explanation for behavior? - ANSWERMentalization theory
What occurs when the central nervous system responds to an acute cortical insult? -
ANSWERMicroglia processes retract, and the cell body enlarges
What drug can reduce psychotic symptoms in parkinson's disease w/out worsening motor symptoms
- ANSWERPimavanserin
What diagnosis is associated high hypnotizability potential - ANSWERDissociative Disorder
What neurodevelopmental process predominately occurs during adolescence and young adulthood?
- ANSWERSynaptic pruning
How likely is escalation of benzodiazepine dose when prescribed for long term use? - ANSWERMost
patients will maintain a stable dose over time
A 72 year old develops sudden onset memory loss. She didn't know how she and spouse arrived at
supermarket. The spouse noted that she could drive without issues but appeared anxious. The
patient was able to appropriately answer questions but forgot the conversation and then returned to
baseline. What is the most likely diagnosis? - ANSWERTransient global amnesia
What is the best example of a second stage or "self conscious" emotion believed to develop towards
the end of 2 years old? - ANSWEREnvy
HIPPA limits disclosure of patient health information without patient's consent except for...? -
ANSWERPayment
, The validity scales of the Minnesota Multiphasic Personality Inventory II measures what? -
ANSWERTest-taking attitude of the patient
A patient with depression and epilepsy responded well to Bupropion SR. No seizures have occurred
while on bupropion SR.. Insurance wants to switch antidepressant because of buproprion's side
effect of reducing seizure threshold. What should the psychiatrist do? - ANSWERContinue Bupropion
SR
21 year old has episode of nausea, sweating and hematemesis. Pt reports having recent severe
headaches and numbness in extremities. CT shows generalized brain atrophy and labs show renal
tubular acidosis and CPK of 3120 mcg/L. This is likely due to chronic use of what? - ANSWERInhalants
What sensation is transmitted through the spinothalamic tract? - ANSWERPain
Pt's insurance refuses to pay for continued hospitalization for a depressed patient who is acutely
suicidal. The psychiatrist remains concerned about SI and does not discharge the patient. This best
illustrates the ethical principle in managed care of responsibility to (treat, appeal, disclose, respect
autonomy, cooperate with utilization review) - ANSWERTreat
What finding on a multiple sleep latency test (MSLT) confirms the diagnosis of narcolepsy? -
ANSWERDecreased REM latency
Why does the brain rapidly increase in size from birth to two years old? - ANSWERSynaptogenesis of
neurons
What is the most common reasons stop SSRIs early? - ANSWERGI distress
Which neurological disorder has the highest prevalence of pathological laughing and crying -
ANSWERAmyotrophic lateral sclerosis
Parents of a two year old girl are concerned because she's playing with trucks, likes to wear boys
clothes, and likes to play w/ boys. They've tried to change her but she has been resistant. When
asked by a physician, the child insists she's a girl. What is the most likely diagnosis? - ANSWERNormal
development
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