Pt with fear of driving and panic attacks and avoidance associated to it. No sxs in any other settings. Diagnosis? - ANSWERSpecific phobia
- Tx: Behavioral Therapy (exposure)
Central premise of object relations theory? - ANSWERThe mind is inhabited by mental representations of the self and othe...
Pt with fear of driving and panic attacks and avoidance associated to it. No sxs in any other settings.
Diagnosis? - ANSWERSpecific phobia
- Tx: Behavioral Therapy (exposure)
Central premise of object relations theory? - ANSWERThe mind is inhabited by mental
representations of the self and others
Dr asks pt about manic sxs. Pt responds "that sounds just like my cousin" and goes off talking about
cousin never returning to answering the question. Example of: - ANSWERTangentiality
70 yo with confusion, lethargy and grand mal seizure. Na of 95 mEq/L. Most likely complication of
excessively rapid correction of the metabolic problem? - ANSWERCentral pontine myelinolysis
Pretend play in pre-school children is dependent on the child's ability for: - ANSWERUse of one
object to represent another (symbolic representation)
SSRI with greatest potential for discontinuation syndrome?
Pt on fluoxetine 20mg daily for 3 wks reports med is not working and has mild depressive sxs.
Intervention? - ANSWERContinue fluoxetine 20 mg daily and reassess in 2 wks
3 yo is expected to be able to? - ANSWERHave a sense of herself as a female
Children with tic d/o are less likely than adolescents or adults w/ tic d/o to have comorbid: -
ANSWERMDD
,Researcher studies daily cannabis use during adolescence in 200 adults w/ schizophrenia and 200
adults w/o psych dx. Study design? - ANSWERCase-control study
-Cases have Dz: Exposure/Non Exposed
-Controls don't have Dz: Exposure/Non Exposed
Pt w/ sleep problems and jerking movements of both legs during sleep. Polysomnography shows 5
sec-long bursts of energy on EEG every 20-40 sec. Diagnosis? - ANSWERPeriodic limb movement d/o
Pt w/ Parkinson dz develops frequent, compulsive gambling. Medication contributing to this change
in behavior? - ANSWERPramipexole
Interpersonal psychodynamic group w/ people of heterogeneous diagnoses and levels of functioning.
a pt with which diagnosis would be a relative contraindication for this group? - ANSWERAntisocial
personality disorder
Role of the physician in recovery-oriented care? - ANSWERCollaborating in partnership with the
consumers to support their goals
Intervention with most robust evidence to prevent suicide? - ANSWERRestricting access to lethal
methods
, Pt's partner has been offered a job in a different city and pt feels angry about the possibility of having
to move and feeling a loss of control. Pt is struggling to navigate which Eriksonian stage? -
ANSWERIntimacy vs isolation
Psych med that should be discontinued prior to ECT?
Outcome that best reflects efficacy of case management in tx of substance use d/o? -
ANSWERRetention in treatment
Small insertions, deletions and duplications within the DNA molec are referred to as: - ANSWERPoint
mutations
Hearing impairment is a feature of which chromosomal d/o? - ANSWERNF2:
2 ears - bilateral schwanoma (acoustic neuroma)
Characteristic of persons dx with REM sleep behavior disorder? - ANSWERPolysomnography is
notable for REM sleep without atonia
-acting out dreams: kicking, punching, yelling
Pt being evaluated for "worst HA of my life", CT brain is normal. Next step to eval for subarachnoid
hemorrhage? - ANSWERLumbar puncture: looking for blood
Appropriate therapy for pt with poor reality testing, primitive and inmature defenses, and poor affect
regulation/impulse control? - ANSWERSupportive
Pattern observed in pts w/ lesions involving one of the cerebellar hemispheres? - ANSWERSkilled
movements of the extremities ipsilateral to the lesion are disturbed.
Factors that would argue against a dx of female orgasmic disorder in a pt seeking tx? -
ANSWERIntimate partner violence in current relationship
Psych eval of a pt with "a lump i my throat", headache, bloating back pain, diarrhea, chest pain,
painful urination and sexual indiference.No objective findings on physical exam or dignostic work-up.
Recommendation to PCP? - ANSWERSchedule regular visits with a physical examination
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