Dunphy Mental Health Exam Questions with 100%
Correct Answers Latest 2024 Version
A 40-year-old male presents to the emergency department complaining of rapid, involuntary facial
movements. You observe the patient, who is poorly groomed, smacking his lips and making facial
grimaces. This patient is a "frequent flyer" at your emergency department and is homeless. He takes
haloperidol and has no allergies. What is the most likely diagnosis? - ✔✔Tardive dyskinesia
When first diagnosing depression in your primary care office, which test should be done to rule out
another medical diagnosis as a cause of the patient's symptoms? - ✔✔Thyroid-stimulating
hormone (TSH)
Which medication is considered first-line treatment for manic episodes associated with bipolar
disorder? - ✔✔Valproic acid
A 25-year-old female presents to your primary care clinic complaining of difficulty concentrating in
graduate school ever since she was in a car accident 18 days ago. She had to be hospitalized for 1 day
due to a concussion and broken ribs. Her car was totaled. She is fearful of driving. She also wakes up
in the middle of the night with night terrors that involve getting into a car accident. What is the
patient's diagnosis? - ✔✔Acute stress disorder (PTSD but within 30 days = acute)
Which statement best describes bipolar disorder type I? - ✔✔At least 1 manic episode preceded
or followed by a depressive or hypomanic episode.
Bipolar type II - ✔✔At least 1 hypomanic episode and 1 depressive episode in a patient's life
Cyclothymic disorder - ✔✔Multiple episodes of hypomania and depression that occur over a 2-
year period
Schizophrenia - ✔✔At least 2 characteristic symptoms, including 1 positive symptom
, What statement regarding schizophrenia is not true? - ✔✔Women have a worse prognosis than men
What statement regarding schizophrenia is true? - ✔✔People with schizophrenia are at higher risk
for suicide attempts.
Men are more likely than women to be diagnosed with schizophrenia and often experience
symptoms earlier in life.
At initial diagnosis, the earlier antipsychotic medication is initiated, the better the long-term prognosis
Which of the following is not a stage of grieving as defined by Elisabeth Kübler-Ross? - ✔✔Dejection
Which of the following is not a criterion for the diagnosis of gambling disorder? - ✔✔Gambling is
done occasionally for fun even though the patient spends large amounts of money when gambling.
Which of the following is a criterion for the diagnosis of gambling disorder? *must have 4/8
- ✔✔Increasing amounts of money are necessary to achieve the same level of satisfaction
Gambling is done for stress relief or when feeling distressed.
Attempts to stop or cut down on gambling are unsuccessful.
A 21-year-old female premedical (premed) student presents to your emergency department
complaining of shortness of breath and dizziness. She also expresses that she had a fear of dying when
she felt these symptoms. Her symptoms started 1 hour ago while she was in the library studying for her
college finals. She also states her boyfriend broke up with her recently and her parents are going
through a divorce. She feels better now after spending time in the emergency department. Her vital
signs showed an elevated blood pressure and pulse and normal pulse oximetry upon initial evaluation. A
recheck of her vitals shows they are normal. Her chest x-ray is negative, electrocardiogram (EKG) is
negative, and complete blood count (CBC), comprehensive metabolic panel (CMP), toxicology (tox)
screen, D-dimer, and urinalysis are normal. She has no past medical history. She takes an oral
contraceptive pill and has no allergies. Wha - ✔✔Panic attack
What medication is first-line medication treatment for the control of tic disorders and Tourette
syndrome? - ✔✔Clonidine
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