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Psych EOR Practice Questions and answers rated A+ 2024/2025
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Psych EOR Practice Questions and answers rated A+ 2024/2025
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Psych EOR Practice Questions31M with MDD despair responding to venla a hundred and fifty QD - acknowledges courting
probs d/t terrible labido - worsened with med but gift earlier, mood has stepped forward - Tx
approach?
A) Decrease dose
B) Switch to norepi and dopamine reuptake inhibitor
D) Switch to SSRIs
C) Augment with sildenafil
A) Decrease dose
B) Switch to norepi and dopamine reuptake inhibitor - Bupropion 75-150mg 1-2 max before
intercourse or bypass SSRI or SNRI the day earlier than sex- higher to reinforce rather forestall
what is running
D) Switch to SSRIs
C) Augment with sildenafil - Augmenting is a great alternative, however alternatively with
bupropion - PCP can prescribe viagra with further workup
*Pharm reducing dopaminergic fxn increases sexual dysfxn as a result switching to SDRI
enhance do
Which of the following sx isn't always consistent with persistent depressive sickness?
A) Depressed Mood
B) Hopelessness
C) Insomnia
D) Poor urge for food
E) Suicidal thoughts
Suicidal thoughts – PDD isn't always as excessive as MDD, this sx makes more extreme
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Pt provides following a breakup together with his female friend a month ago. He reports that for
the remaining four wks he has been experiencing low mood, psychomotor slowing, extended
appetite, and hypersomnolence. He additionally reviews multiple episodes of tearfulness when
he perceives rejection from his coworkers. What analysis is most probably with these signs and
symptoms?
A) Bipolar disorder
B) Mdd with catatonic features
C) Mdd with abnormal feature
D) Dependent personality disease
E) Persistent dysthymic ailment
MDD w strange capabilities -
Low temper, psychomotor slowing, hypersomnolence - all typical sx of MDD
increased appetite - less common to MDD however still commonplace
tearfulness whilst he perceives rejection - that is extraordinary to MDD and makes the ideal dx
MDD w atypical functions
7yo boy added with the aid of dad and mom who are at wits stop. Pt has 10-15 tantrums q d
someday 2-three/h throughout a few he punches walls and doorways and once in a while bangs
his head, has extraordinarily low frustration tolerance and little things set him off, in among
tantrums he is cranky and irritable,. Attends unique school. Had this conduct considering he
became a toddler, progressively increasing in severity
A) bipolar ailment
B) adhd
C) disruptive temper dysregulation ailment
D) intermittent explosive ailment
E) oppositional defiant ailment
C) disruptive mood dysregulation sickness
66M brought to clinicl via wife, weepy, responds lowly to queries, terrible hygreine, AOx3, does
not reply to different queries, spouse denies beyond hx of despair. What is the following
scientific step?
,A) whole clinical work up
B) start paroxetine
C) begin citalopram
D) display and comply with up in 1 mo
E) refer for ECT eval
Complete medical work-up - so new - need to r/o natural motives be
26F added to clinic by way of BF notes a dramatic shift in mood over previous few days -
fidgety, dysphoric, cheerful, freely admits to suicidal thoughts and not using a plan, pmh for
clinical situations with meds that she has stopped taking, recent drug use however stopped.
What drug/med did she most in all likelihood stop using recently?
A) alcohol
B) amphetamine
C) interferon
D) prednisone
E) isotretinoin
amphetamine - stimulant withdrawal
22 yo f provides to ED with four days sustained low food anhedonia, low app, hypersomnolence,
Not suicidal, So tearful tough to get extra hx
Most probably dx primarily based on this constrained data?
A) Other distinctive depressive disease
B) Borderline Personality Disorder
C) Cyclothymia
D) Disruptive mood dysregulation sickness
E) Adjustment disorder with depressive capabilities
Other specific depressive disorder (depressive signs, motive clinically widespread distress
however doesn’t meet different criteria aka depressive sx with inadequate sx) - no longer
sufficient information for some thing else - modern quick depressive 2-15days, as soon as
consistent with month x one year, constantly less than 2 weeks - like melancholy but doesn't
fully meet criteria
Major depressive sickness maximum likely to be comorbid with?
A) Substance use disorders
B) Anxiety issues
C) Personality disorders
D) Impulse control disorders
E) Psychotic problems problems
Anxiety issues - Most not unusual however may be comorbid with any of these
, MDD has seventy two% lifetime comorbidity with some other psychiatric ailment
#1 Anxiety 60%
#2 SUD - 25%
#3 Impulse control - adhd, conduct disorder,explosive ailment
55 yo lady, crying spells, fatigue, unhappy disturbing temper, hx - fatigue, LH, muscle weak
point, F, WL, N, D, HA, sweating, joint pain, darkening of palmar creases - most probably dx?
A) Hypocortisol / addisons diease
B) Hyperadrenalcortisolism/Cushing
C) Cortical encephalopathy
D) Lymphocytic thyroiditis - hashimotos
E) SLE
Hyperadrenalcortisolism/Cushing --> darkish palmar creases key
26 F tx for MDD episode 8mo ago - 2mo into tx substantive sx enhance, remaining 5mo almost
sx free. According to standard fee which of the subsequent satisfactory describes her modern
MDD state
A - response
B - remission
C - recuperation
D - Relapse
E - recurrence
According to standard fee
A - reaction - improvement from initial onset of illness of as a minimum 50%
B - remission - sx significantly advanced for up to 6 months (almost completely progressed)
C - restoration - past 6 mo - absence of sx for at least four months following onset of remission
D - Relapse - complete return of depressive sx as soon as remission has took place but before
restoration has taken maintain
E - recurrence - sx return after a patient has been recovered for a time frame
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