A pt reports a fear of driving and experiences feelings of panic, SOB, palpitations, sweating, clamminess when anticipating a drive down a steep road. The pt acknowledges going out of the way to avoid this situation. They deny similar symptoms in other settings. Which is the most likely diagnosis?
...
A pt reports a fear of driving and experiences feelings of panic, SOB, palpitations, sweating,
clamminess when anticipating a drive down a steep road. The pt acknowledges going out of the way
to avoid this situation. They deny similar symptoms in other settings. Which is the most likely
diagnosis?
A Panic disorder
B Specific phobia
C GAD
D PTSD
E OCD - ANSWERB
Clinical psychiatry
Psychopathology & associated conditions
Which of the following is a premise of the objects relations theory?
A Everyone develops true and false selves
B Aggression and envy are central to psychopathology
C The "paranoid position" is representative of the first 6 months of life
D The mind is inhabited by mental representations of the self and others
E The pleasure principle is central to understanding unconscious conflicts - ANSWERD
Clinical psychiatry
Behavioral & social sciences
The psychiatrist is asking a patient questions describing symptoms of mania. The patient responds,
"that sounds exactly like my cousin," and proceeds to tell a long story about the cousin impulsively
traveling to Mexico and exhausting all savings, never actually answering the psychiatrist's request.
This is an example of:
A. tangentiality.
B. circumstantiality.
,C. flight of ideas.
D. pressured speech.
E. clang associations. - ANSWERA
Clinical psychiatry
Diagnostic procedures
A 70-year-old patient develops confusion, lethargy, and a generalized tonic-clonic seizure. Laboratory
testing reveals a serum sodium of 95 mEq/l. Which of the following is the most likely complication of
excessively rapid correction of this metabolic problem?
A. Basilar artery stroke
B. Dialysis encephalopathy
C. Central pontine myelinolysis
D. Portal-systemic encephalopathy
E. Non-convulsive status epilepticus - ANSWERC
Clinical neurology
Pretend play in preschool-age children depends upon children's increasing ability in which of the
following skills?
A. Emotion regulation
B. Language acquisition
C. Cooperation with peers
D. Ability to follow parental rules
E. Use of one object to represent another - ANSWERE
Clinical psychiatry
Development & maturation
Which of the following SSRIs has the greatest potential for discontinuation syndrome with missed
doses?
A. Fluoxetine
B. Sertraline
C. Citalopram
D. Paroxetine
,E. Escitalopram - ANSWERD
Clinical psychiatry
Treatment
A patient is prescribed fluoxetine 20 mg daily to treat a first depressive episode. After three weeks
the patient reports that the medication is "not working" and continues to endorse mild depressive
symptoms. Which of the following interventions is most appropriate?
A. Discontinue fluoxetine and start citalopram 20mg per day
B. Continue fluoxetine 20mg per day and reassess in two weeks
C. Continue fluoxetine 20mg per day and add buspirone 5mg twice daily
D. Increase the dose of fluoxetine to 40mg per day
E. Discontinue fluoxetine and start bupropion 150mg per day - ANSWERB
Clinical psychiatry
Treatment
A three-year-old girl presents for routine physical examination. Which of the following is the child
expected to be able to do?
A. Tie shoelaces
B. Copy a square
C. Copy a triangle
D. Have imaginary friends
E. Have a sense of herself as female - ANSWERE
Neurosciences
Children with a tic disorder are less likely than adolescents and adults with a tic disorder to
experience co-occurrence of:
A. specific learning disability.
B. major depressive disorder.
C. separation anxiety disorder.
D. social anxiety disorder (social phobia).
E. attention-deficit/hyperactivity disorder. - ANSWERB
Clinical psychiatry
, Psychopathology & associated conditions
A researcher Investigates whether heavy cannabis use in adolescence is associated with
schizophrenia. Daily cannabis use during adolescence in 200 adult participants with schizophrenia is
compared with use in 200 participants without a psychiatric diagnosis, Which of the following study
designs is the researcher using?
A. Cohort study
B. Ecological study
C. Case-control study
D. Cross-sectional study
E. Randomized control trial - ANSWERC
Clinical psychiatry
Research & scholarship literacy
A patient presents for evaluation of "sleep problems." Though the patient is not aware of any
physical discomfort, the bed partner notices that the patient experiences frequent "jerking"
movements in both legs. The patient is referred for a sleep study, which reveals brief bursts of
activity on electromyography lasting less than five seconds in duration and occurring every 20-40
seconds. Which of the following is the most likely diagnosis?
A. Narcolepsy
B. Sleep terror disorder
C. Restless leg syndrome
D. REM sleep behavior disorder
E. Periodic limb movement syndrome - ANSWERE
Clinical psychiatry
Diagnostic procedures
A patient with Parkinson disease develops a change in behavior characterized by frequent,
compulsive gambling. Which of the following medications is most likely contributing to this change in
the patient's behavior?
A. Levodopa
B. Selegiline
C. Pramipexole
D. Benztropine
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