Addiction
Dementia
Mood and Bipolar Disorders
Anxiety Disorers
Psychosis
100
This diagnostic criterion helps establish a diagnosis of substance dependence rather than substance abuse.
a. What is a failure to fulfill major role obligations?
b. What are recurrent physically hazardous situations?
c. What are recurrent social or interpersonal problems?
d. What are recurrent substance-related legal problems?
e. What are recurrent unsuccessful efforts to control use?
E: What are recurrent unsuccessful efforts to control use?
100
Dementia that affects this area of the brain is characterized by personality changes, impulsivity, effectual liability, indifference, perseveration, and the inability to plan and organize.
a. What is the frontal lobe?
b. What is the corpus collosum?
c. What is the nucleus accumbions?
d. What is the hypothalaus?
e. What is the medial temporal lobe?
A: What is the frontal lobe?
100
Being this is a risk factor for the rapid cycling form of bipolar disorder?
a. What is being female?
b. What is using of lithium?
c. What is having a family history of depression?
d. What is having late age of onset of bipolar illness?
e. What is having endogenous adrenocorticoid dysfunction?
A: What is being female?
100
This psychological phenomenon is used to treat OCD by gradually exposing the patient to a feared stimulus and preventing the ritualized response thus decreasing the patient's anxiety toward the stimulus over time.
a. What is habituation?
b. What is flooding?
c. What is punishment?
d. What is avoidance?
e. What is negative reinforcement?
A: What is habituation?
100
Which of the following statements characterizes late-onset schizophrenia?
A: Has a poor prognosis.
B: Is poorly responsive to treatment.
C: Occurs more frequently in women than in men.
D: Prodromal features occur after the age of 60.
What is C: occurs more frequently in women than in men?
200
A pack a day smoker who stops smoking and experiences the need for a cigarette after every meal is said to be experiencing this phenomenon.
a. What is oral dependence?
b. What is sublimation?
c. What is suppression?
d. What is displacement?
e. What is an environmental trigger?
E: What is an environmental trigger?
200
Early-onset Alzheimer’s appears at higher rates in families when there is a history of this syndrome.
a. What is Asperger’s syndrome?
b. What is Rett’s syndrome?
c. What is Hutingtons’ chorea?
d. What is Turner’s syndrome?
e. What is Down's syndrome?
E: What is Down's syndrome?
200
This aspect of bipolar disorder has been associated with the presence of adverse life events.
a. What is a manic episode?
b. What is a hypomanic episode?
c. What is a depressive episode?
d. What are delusional symptoms?
e. What are obsessive-compulsive symptoms?
C: What is a depressive episode?
200
A patient who was diagnosed with PTSD as caused by this type of action would have the most favorable prognosis in a cognitive-behavioral treatment program involving exposure therapy.
a. What is a combat veteran in a VA clinic?
b. What is a victim of a random assault?
c. What is a patient in therapy who as relapsed on alcohol?
d. What is a parent who was unable to save a drowning child?
e. What is a patient with complete amnesia for the traumatic event?
B: What is a victim of a random assault?
200
This medication has some evidence of effectiveness in both the psychotic and nonpsychotic subtypes of body dysmorphic disorder.
a. What is Naltexone?
b. What is Clonidine?
c. What is Valtrex?
d. What is Fluoxetine?
D: What is Fluoxetine?
300
Dopamine released in this structure represents a common final event associated with the reinforcing effects of opiates, cocaine, amphetamines, nicotine, PCP, and alcohol?
a. What are the basal ganglia?
b. What is the nucleus accumbens?
c. What is the amygdala?
d. What is the hippocampus?
e. What is the subgenual anterior cingulate?
B: What is the Nucleus Accumbens?
300
A 65-year-old patient complains of worsening forgetfulness in the context of treatment for life-long depression. Finding this additional symptom would strongly support a diagnosis of dementia over depression.
a. What is inattention?
b. What is a naming deficit?
c. What is impaired learning?
d. What is poor frustration tolerance?
e. What is impaired nonverbal intelligence?
B: What is a naming deficit?
300
This sub-type of bipolar disorder likely caused the following clinical report: A 42-year-old patient described frequent episodes of feeling "sad and down," accompanied by decreased energy and interest in activities. The patient estimates that these episodes have occurred at least 4 times in his life, usually lasting 2 or 3 weeks at a time. During these episodes, he spends most of the time in bed. The most recent episode of symptoms ended 1 week ago. Since that time, the patient reports feeling energetic and "on top of the world." He now sleeps only 1 to 2 hours a night and wakes feeling refreshed. Outside of occasional remarks from friends that he seems “flighty," the patient notes no deleterious effect of the mood change and finds that his productivity at work is the best it has ever been.
a. What is bipolar I disorder, mixed type?
b. What is bipolar I disorder, manic type?
c. What is bipolar I disorder with rapid cycling?
d. What is bipolar II disorder?
e. What is cyclothymic disorder?
D: What is bipolar II disorder?
300
This medication is most commonly used to treat social phobia associated with performance situations, shortly before exposure to a phobic stimulus.
a. What is diazepam?
b. What is clonazepam?
c. What is ativan?
d. What is atenolol?
e. What is pravastatin?
C: What is Ativan?
300
Taking bupropion for psychotic disorders can cause an increased risk of psychosis by enhancing this neurotransmitter.
a. What is serotonin?
b. What is histamine?
c. What is dopamine?
d. What is acetylcholine?
e. What is norepinephrine?
C: What is dopamine?
400
A person who has this will exhibit rambling speech, psychomotor agitation, a flushed and excited appearance, and restless demeanor.
a. What is circadian rhythm sleep disorder, shift work type?
b. What is alcohol intoxication?
c. What is Caffeine intoxication?
d. What is anxiety disorder?
e. What is hypomania?
C: What is caffeine? (Caffeine intoxication)
400
Risk of Alzheimer’s disease is highest with this ApoE phenotype?
a. What is E2e2?
b. What is E2e3?
c. What is E3e3?
d. What is E3e4?
e. What is E4e4?
E: What is E4e4?
400
Insomnia secondary to depression will consistently affect REM sleep in this way.
a. What is suppression of REM sleep?
b. What is disruption of REM architecture?
c. What is increased latency to REM sleep?
d. What is reduced latency to REM sleep?
e. What is an increase in the total amount of REM sleep?
D: What is reduced latency to REM sleep?
400
A 29-year-old patient reports being robbed at knifepoint almost a month ago. The patient escaped unharmed, but has been experiencing a sense of unreality, detachment, and dampened emotions that is interspersed with periods of intense physiological arousal. These symptoms are causing difficulties at work. The patient is most likely suffering from this.
a. What is panic disorder?
b. What is acute stress disorder?
c. What is post-traumatic stress disorder (PTSD)?
d. What is obsessive-compulsive disorder?
e. What is an adjustment reaction with anxious mood?
B: What is acute stress disorder?
400
Many of the symptoms of schizophrenia have been linked to these three neurotransmitters.
a. What are Dopamine, glutamate, and GABA?
b. What are Serotonin, norepinephrine and Acetylcholine?
c. What are Glutamate, norepinephrine, and epinephrine?
d. What are Dopamine, Serotonin, and GABA?
A: What are Dopamine, glutamate, and GABA?
500
The cell bodies in this area of the brain have dopaminergic neurons projecting to the nucleus accumbens which makeup the reward pathways implicated in the neurobiology of addiction.
a. What is the amygdala?
b. What are the raphe nuclei?
c. What is the locus ceruleus?
d. What is the ventral tegmental area?
e. What is the medial dorsal thalamus?
D: What is the ventral tegmental area?
500
A 71-year-old nursing home resident experiences symptoms including Parkinsonian gait disturbance, prominent delusions, fluctuation in attention level, visual hallucinations, and sensitivity to the extrapyramidal effects of antipsychotic medications. This clinical presentation is most consistent with this diagnosis.
a. What is frontal dementia?
b. What is vascular dementia?
c. What is dementia with Lewy bodies?
d. What is normal pressure hydrocephalus?
e. What is Alzheimer’s disease?
C: What is dementia with Lewy bodies?
500
Company X develops a new medication for depression. Although the initial trials reveal only modest, statistically insignificant mood benefits, the research team decides to analyze the drug’s effects in subgroups. By separating the subject pool into 20 subgroups, the researchers found statistically significant (p < .05) mood benefits for men and women with birthdays in early fall. The study's finding is a result of this statistical phenomenon.
a. What is an artifact of multiple analyses?
b. What is an artifact of selection bias?
c. What is an artifact of measurement error?
d. What is likely the result of scientific misconduct?
e. What is valid and the medication should be used in the subgroup that responded?
A: What is an artifact of multiple analyses?
500
This is an element common to both cognitive behavioral therapy (CBT) and eye movement desensitization and reprocessing (EMDR) in the treatment of patients with post-traumatic stress disorder.
a. What is the establishment of the patient in the “sick role?”
b. What is controlled exposure to trauma-related triggers?
c. What is raising awareness of stress responses through measurement and real-time communication of physiologic processes?
d. What is a repeated sequence of dual attention and personal association utilizing external stimuli to reprocess traumatic memories?
e. What is a focus on the meaning of the trauma for the individual in terms of prior psychological conflicts and developmental experiences?
B: What is controlled exposure to trauma-related triggers?
500
A healthy 37-year-old female business executive learns that her brother is killed in a major motor vehicle collision and is decapitated. Three days after the funeral, she spots a man driving a car just like her brother’s and now is convinced he is not dead. She believes she is the victim of a conspiracy in which others are manipulating her into losing her mind in order to take over her business. She hears a buzzing noise on her phone at work and believes her line is tapped. At home, she thinks the light in her neighbor’s window is a sign that she is under surveillance. She calls the police and begs that action be taken. A month after treatment, her symptoms are gone, and within 3 months, she has returned to normal function. The most likely diagnosis of this patient is this psychological disorder.
a. What is post-traumatic stress disorder?
b. What is brief psychotic disorder?
c. What is adjustment disorder with mixed disturbance of emotions and conduct?
d. What is bipolar affective disorder?
e. What is schizophrenia, paranoid type?
B: What is brief psychotic disorder?
M
e
n
u