Pt with fear of driving and panic attacks and avoidance associated to it. No sxs
in any other settings. Diagnosis? Answer - Specific phobia
- Tx: Behavioral Therapy (exposure)
Central premise of object relations theory? Answer - The 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: Answer - Tangentiality
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?
Answer - Central pontine myelinolysis
Pretend play in pre-school children is dependent on the child's ability for:
Answer - Use of one object to represent another (symbolic representation)
SSRI with greatest potential for discontinuation syndrome?
(Options: fluoxetine, sertraline, citalopram, paroxetine, escitalopram) Answer -
Paroxetine
,Pt on fluoxetine 20mg daily for 3 wks reports med is not working and has mild
depressive sxs. Intervention? Answer - Continue fluoxetine 20 mg daily and
reassess in 2 wks
3 yo is expected to be able to? Answer - Have 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: Answer - MDD
Researcher studies daily cannabis use during adolescence in 200 adults w/
schizophrenia and 200 adults w/o psych dx. Study design? Answer - Case-
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? Answer - Periodic limb movement d/o
Pt w/ Parkinson dz develops frequent, compulsive gambling. Medication
contributing to this change in behavior? Answer - Pramipexole
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? Answer - Antisocial personality disorder
Example of retrograde neurotransmitter?
(options: GABA, glutamate, dopamine, NE, endocannabinoids) Answer -
Endocannabinoids
Role of the physician in recovery-oriented care? Answer - Collaborating in
partnership with the consumers to support their goals
Intervention with most robust evidence to prevent suicide? Answer -
Restricting 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? Answer - Intimacy vs isolation
Psych med that should be discontinued prior to ECT?
(options: olanzapine, fluoxetine, memantine, lorazepam, zolpidem) Answer -
Lorazepam
Outcome that best reflects efficacy of case management in tx of substance use
d/o? Answer - Retention in treatment
Small insertions, deletions and duplications within the DNA molec are referred
to as: Answer - Point mutations
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