Which of the following factors has the most evidence to support its protective effect in
bereavement following the loss of a spouse?
A lntelligence of the bereaved
B Quality of the couple's relationship
C Length of the couple's relationship
D Quality of social support of the bereaved
E Capaci...
Which of the following factors has the most evidence to support its protective effect in
bereavement following the loss of a spouse?
A lntelligence of the bereaved
B Quality of the couple's relationship
C Length of the couple's relationship
D Quality of social support of the bereaved
E Capacity for psychological-mindedness of tné bereaved - ANSWERD
Clinical Psychiatry
Development & Maturation
Central nervous system responses to fear provoking stimuli are mediated chiefly through which of
the following structures?
A Substantia nigra
B Lateral hypothalamus
C Posterior hippocampus
D Periaqueductal gray matter
E Central nucleus of the amygdala - ANSWERE
Neurosciences
A 28-year-old female patient is referred to a psychiatrist by her prima.ry care physician due to a
recent onset of episodes of altered behavior which last about one to two minutes at most. The
patient's spouse notes that when these episodes occur while the patient is cooking, she will place all
the clean silverware back in the dishwasher. During the episodes the spouse has observed the
patient making chewing movements, and indicates that he is unable to interrupt the patient's
behavior. After the episode, the patient has no recollection of the events. A magnetic resonance
imaging scan is normal. Which of the following is the most likely diagnosis?
A Fugue states
B Dissociative states
C Peduncularhallucinosis
D Transient global amnesia
E Complex partial seizures - ANSWERE
Clinical neurology
,A psychiatrist meets a new patient for an intake. Early in the session the patient says, "You're going to
be just like the others - no doctors ever listen to me," Which of the following would be the best
statement for the psychiatrist to make next?
A "Are you always this accusatory with your treatment providers?"
B "l'm sorry you felt unheard in the past. Can you describe that experience?"
C "Tell me about your childhood. Did you feel misunderstood by your parents as well?"
D "We will come back to this, but first I need to know more about your psychiatric history."
E "l doubt that. I have been in practice for many years, so it shouldn't be a problem." - ANSWERB
Clinical Psychiatry
Treatment
Animal literature has established that maternal licking and grooming behavior has a profound effect
on the stress reactivity of offspring. Which of the following evidence exists regarding the mechanism
of this effect?
A ls due to heritable changes in oxytocin gene
B ls not reversible by environmental interventions
C ls heritable because the genetic code has been altered
D ls due to DNA methylation affecting glucocorticoid receptor expression
E ls due to female offspring being more susceptible to these changes than male offspring - ANSWERD
Neurosciences
A 23-year-old patient with severe borderline personality disorder and more than 20 past suicide
attempts presents for dialectical behavior therapy (DBT), The therapist asks the patient for a
commitment to refrain from self-harm behaviors for one year. The patient replies, "Oh, sure, that
won't be a problem at all, believe me," Which of the following responses by the therapist would be
most consistent with principles of DBT?
A lnsist that the patient endorse the agreement in writing
B Suggest that the patient increase the duration,of the commitment to two years
C Draw the patient's attention to the fact that this commitment would be extremely difficult to abide
by
D Inform the patient that treatment will be terminated if any acts of self-harm occur within the next
year
E Praise the patient for the decision and emphasize that the therapist does indeed believe that the
patient will refrain from self-harm " - ANSWERC
Clinical Psychiatry
Treatment
,Altered functional connectivity between the medial prefrontal cortex and the amygdala has been
implicated in the neurology of which of the following?
A Alcohol use disorder
B Autism spectrum disorder
C Major depressive disorder
D Obsessive-compulsive disorder
E Attention-deficit/hyperactivity disorder - ANSWERC, D
Neurosciences
Which of the following is a core characteristic of the "system of care" movement in community
mental health?
A Shifting more services to inpatient care
B Separating mental health care from other community services
C Empowering families to participate in treatment plan decisions
D Empowering the primary care practitioner as the primary decision maker
E lncreasing reliance on mental health professionals as opposed to paraprofessionals - ANSWERC
Clinical psychiatry
Administration & systems
During a neurological exam a patient is unable to see objects presented in the upper left quadrant
of each eye. This indicates a lesion in which of the following regions of the brain?
A Left optic nerve
B Left visual cortex
C Right parietal lobe
D Right temporal lobe
E Right optic radiation - ANSWERD, E
Clinical neurology
A patient with a history of bipolar disorder presenls with immobility, posturing, and echopraxia
Which of the following interventions is considered a first-line treatntent for these symptoms?
A Lithium
B Haloperidol
C Lorazepam
D Benztropine
, E Sodium valproate - ANSWERC
Clinical psychiatry
Treatment
Which of the following neurocognitive disorders is associated with a fluctuating rate of progression,
marked visuospatial impairment, and early unilateral resting tremor and increased muscle tone in
the arm?
A Alzheimer disease
B Cerebrovasculardisease
C Frontotemporal dementia
D Dementia with Lewy bodies
E Spongiform encephalopathy - ANSWERD
Clinical psychiatry
Psychopathology & associated conditions
Which of the following exam findings suggests'an L5 radiculopathy in a patient with back pain and
foot drop?
A Tenderness at the ankle
B Hyperreflexia at the knee
C Weakness of ankle inversion
D Loss of sensation in the groin
E lncreased pain with bending over - ANSWERC
Clinical neurology
A 47-year-old patient with epilepsy has seizures that are well-controlled on antiepileptic drug
monotherapy, but the patient develops nausea, ataxia and diplopia when treated with erythromycin
for a sinus infection. This patient is most likely taking which of the following antiepileptic
medícations?
A Valproate
B Gabapentin
C Topiramate
D Levetiracetam
E Carbamazepine - ANSWERE
Clinical neurology
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