Question: What substance use disorder is most commonly associated with panic
disorder? - Answer: Alcohol use disorder.
Question: What is an off-label use for bupropion? - ADHD
risk factors for poor bereavement outcomes (4) - death of a child, past history of mental
health issues, dependent relationship with the deceased, and poor social supports
You are seeing an 11-year-old girl for follow up of excessive handwashing and frequent
worrying. You referred her for psychotherapy and she has been receiving cognitive
behavioral therapy for 3 months with a child psychologist. However, her mother reports
minimal improvement of her symptoms. The patient remains preoccupied with the
thought of germs multiplying in her hands that may cause her to get sick. Her
compulsion with handwashing is evident both at home and in school, causing
impairment in school functioning as well as skin peeling and erythema of her hands.
You decide that pharmacotherapy, in addition to cognitive behavioral therapy is the next
best course of action. Which of the following is the most appropriate medication therapy
to start?
AAlprazolam
BParoxetine
CRisperidone
DSertraline - sertraline
Which of the following historical findings will most likely lead to a diagnosis of panic
disorder?
AChest pain
BFlashbacks
CHyperarousal
DLoss of interest - chest pain
What is the most common form of child abuse in the United States? - neglect
What are the components of the "female athlete triad"? - Low bone density, menstrual
dysfunction, low energy availability isordered eating, amenorrhea and osteoporosis
You suspect bipolar I disorder in a 17-year-old student. Which of the following tools is
most appropriate for screening for this diagnosis? - Mood disorder questionnaire
Question: Which two common medical conditions need to be evaluated in a patient with
a new diagnosis of depression? - Answer: Diabetes and lipid disorders.
, Question: What is the disorder called which patients deliberately impose harm on self
for the principal purpose of assuming the sick role? - Answer: Factitious disorder
(previously referred to as Munchausen syndrome).
Question: According to the adult DSM-5 criteria, what is the minimum age that a patient
may be diagnosed with posttraumatic stress disorder? - 6 years old
A 46-year-old man with a history of depression presents with a self inflicted laceration to
the left arm. The wound is superficial and the patient states that he didn't want to hurt
himself. He reports that he is recently divorced, lives alone, and has increased stress at
work. These stressors have worsened his depression. Which of the following is the next
best step in management of this patient? - emergency psych evaluation
Question: What serum test should be obtained in all patients with an overdose
regardless of agent? - acetaminophen
Question: What tool is commonly used at 18 months of age to screen for an autism
spectrum disorder? - Answer: M-CHAT questionnaire.
A 53-year-old woman with a history of poorly controlled schizophrenia presented to the
Emergency Department two weeks ago with altered mental status, auditory
hallucinations, and agitation. During her inpatient psychiatry admission, she stabilized
on clozapine. Which of the following laboratory tests should be performed at baseline
and then weekly during treatment with clozapine? - WBC count (risk of agranulocytosis..
neutropenia)
Question: Can clozapine cause significant weight gain? - yes
best type of therapy for borderline personality - dialectal behavioral therapy
DBT primarily helps clients regulate intense emotions and improve interpersonal
relationships through validation, acceptance and behavior change.
Question: What is the reason for amenorrhea when using first generation anti-
psychotics? - hyperprolactinemia
Which of the following clinical scenarios in a patient with chronic ethanol use should
prompt admission to the hospital?
AFever, tachycardia, hypertension
BIntoxication with vomiting
CMild tachycardia, tongue fasciculations
DNormal vital signs, one seizure six hours ago - AFever, tachycardia, hypertension
Question: What is the time frame in which delirium tremens typically develops? - over
72 hours
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