The impaired physician who fails to obtain or benefit from treatment may require the services of an administrative psychiatrist skilled in performing fitness-for-duty evaluations. In these situations, the administrative psychiatrist:
A serves as a patient advocate
B has the authority to administe...
The impaired physician who fails to obtain or benefit from treatment may require the services of an
administrative psychiatrist skilled in performing fitness-for-duty evaluations. In these situations, the
administrative psychiatrist:
A serves as a patient advocate
B has the authority to administer necessary treatment
C may assist the physician with professional obligations
D is not bound by the usual parameters of confidentiality
E may not respond to the physician's questions concerning diagnosis or treatment - ANSWERD
Contralateral leg weakness with sparing of the face and arm associated with urinary incontinence
and abulia are typical for stroke in the territory of which of the following arteries?
A Basilar
B Carotid
C Middle cerebral
D Anterior cerebral
E Posterior cerebral - ANSWERD
Which of the following is the most common comorbidity in a pt with an anxiety disorder?
A a mood disorder
B a personality disorder
C another anxiety disorder
D a substance use disorder
E an impulse control disorder - ANSWERC
A 55-year-old woman undergoes gastric bypass surgery and, several weeks later, develops gait
imbalance and numbness in the feet. Neurological exam is remarkable for hyperreflexia, spasticity in
the legs and absent vibration sensation at the toes. Serum B12 level is normal. Deficiency of which of
the following is most likely to cause these symptoms.
A Iron
B Folate
C Copper
D Thiamine
E Pyridoxine - ANSWERC
,Which of the following statistics measures the magnitude of difference between two intervention
groups?
A p-value
B odds ratio
C effect size
D power analysis
E number needed to treat - ANSWERC
A 24-year-old is seen on the consult service for worsening disorientation and suspected delirium. The
patient's initial presentation was notable for the development of severe headaches after starting on
a high protein, low carbohydrate diet. There is no prior psychiatric history, but the patient reports
slow growth as a child. Which of the following is the most definitive way to establish the diagnosis in
this individual?
A Muscle biopsy
B chromosome microarray
C MECP2 gene sequencing
D Plasma amino acid analysis
E Ornithine transcarbamylase sequencing - ANSWERE
A consulting psychiatrist suspects schizotypal personality disorder in a pt with odd speech patterns,
eccentric appearance and constricted affect. Which of the following additional features would
support this diagnosis?
A Anhedonia
B Paranoid ideation
C Lack of social anxiety
D Auditory hallucinations
E Delusions of reference - ANSWERB
Which of the following distinguishes empathy from identification?
A Establishing rapport
B Retaining objectivity in the relationship
C Experiencing what the patient is feeling
D Understanding what the patient is feeling
E Being able to put oneself in the patient's place - ANSWERB
Which of the following neuropsychological tests examines both executive and visuospatial
functioning?
A Clock drawing
,B Facial recognition
C Verbal fluency test
D Digit span backward
E Wisconsin card sorting test - ANSWERA
The number of new events in proportion to the population at risk for the event is referred to as:
A Point prevalence
B Incidence density
C Period prevalence
D Lifetime prevelance
E Cumulative incidence - ANSWERE
Which of the following is a feature of the Medicare system?
A Part A covers outpatient
B Part B covers subsidy payments for prescription drugs
C Part B is an optional purchasable benefit for senior citizens
D Medicare also provides healthcare coverage to indigent children
E Medicare covers costs of long-term institutional care in nursing homes - ANSWERC
Which of the following immunomodulators is associated with increased risk of significant depression
in patients with cancer?
A Mitoxantrone
B Natalizumab
C Glatiramer
D Interferon
E Fingolimod - ANSWERD
Which of the following antipsychotic medications carries the lowest risk of QT prolongation on ECG?
A Quetiapine
B Haliperidol
C Ziprasidone
D Aripiprazole
E Thioridazine - ANSWERD
SKIP - ANSWER
, Parents meet with a psychiatrist to discuss concerns about their teenager, who has expressed
confusion about gender and identity. The adolescent has refused to come to the appointment.
Which of the following questions is most appropriate to ask parents?
A "Does the child identify as boy or girl?"
B "Is the child more attracted to boys or girls?"
C "What gender do you want your child to identify as?"
D "Does your child want to be referred to as "he" or "she?""
E "What pronoun do you want me to use when referring to your child?" - ANSWERE
Personalized dosing according to CYP genotype is best established for which of the following classes
of medications?
A Opioods
B Mood stabalizers
C Typical antipsychotics
D Atypical antipsychotics
E Tricyclic antidepressants - ANSWERE
Which of the following physical health conditions has the highest risk of suicide?
A Epilepsy
B Back pain
C Brain injury
D COPD
E HIV infection - ANSWERC
A mother's capacity to understand her infant's internal states, which is communicated by mirroring is
called:
A Holding
B Internalization
C Rapprochment
D Identity confusion
E Projective identification - ANSWERA
A 32-year-old patient with schizoaffective disorder has a long history of non-compliance with
treatment and multiple hospitalizations. B/c of the pt's impulsive and violent behavior, family
members are extremely reluctant to care for the pt. Which of the following is the most appropriate
treatment modality at this time?
A Intensive family therapy
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