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What test would be considered most useful to specifically evaluate concept formation, reasoning, and executive functioning? (6x)
Wisconsin Card Sorting Test (WCST)
12 yo disclosed to counselor hx of sexual abuse by relative. Report made to authorities. During eval, pt reports anxiety/inability to concentrate due to thinking about event/irritability/sleep problems/crying frequently. Grades fell significantly after abuse began & relationships suffered. Dx? (6x)
PTSD
Schneiderian first-rank symptom of schizophrenia: (4x)
Hearing voices and arguing about oneself
72 w/ recent behavior/memory problems. Disrobing, not sleeping, irritable. Waxing and waning consciousness. Dx? (8x)
Delirium
A state of general fatigue, hypersomnolence, and depression may be seen during withdrawal from: (4x)
Cocaine
What psychological tests measure test-taking attiudes at time of exam? (4x)
MMPI (MINNESOTA MULTIPHASIC PERSONALITY INVENTORY) VALIDITY SCALE
Which d/o is the most common among pts who complete suicide: (5x)
Mood disorder
Postpartum psychosis is often associated with which of the following disorders? (4x)
Bipolar disorder
52 yo pt w/ hx of depression & HTN hospitalized, being evaluated by a psych resident. His family reports he had severe HA & “has not been himself” for 10 days. On exam, pt has poor eye contact and is inattentive, muttering, picking at his clothes, occasionally dozing off although it is midday. Dx: (4x)
Delirium
22F heroin dependent pt discovers she is pregnant and wants to detox. What way would you recommend? (4x)
Methadone maintenance until delivery, then detox
Which is a limitation of the MMSE? (7x)
May fail to detect very mild cognitive impairment
32 yo cannot move the right leg. Exam does not find a cause. Dx is likely to be conversion d/o if which of the following is around? (6x)
Symptoms not intentionally produced
What has demonstrated efficacy for irritable bowel syndrome? (4x)
Hypnosis
Metabolic abnormality commonly found w anorexia nervosa/purging subtype? (4x)
Decreased serum potassium
Alcohol withdrawal symptoms peak in how long? (4x)
48 hours
Which is associated w/ worsened retrograde amnesia during ECT? (5x)
Bilateral electrode placement
Pt is nonsensical but is rhyming. What is this called? (5x)
Clang association
Developmental disability assoc. with unsteady triple repeat genetic abnormality: (6x)
Fragile X syndrome
During the acute initial refeeding phase of tx for pt w/ severe anorexia nervosa, which is the most helpful focus of psychotherapeutic interventions with the pt? (4x)
Coaching, support, and positive behavioral reinforcement
Alcoholic hallucinosis vs DTs: alcoholic hallucinosis includes what? (4x)
A clear sensorium
32 yo w/ no psychiatric history brought to ER with 2 days of memory loss, insomnia, poor appetite, and difficulty performing daily rouines. Subjective sense of numbing, detachment, and anxiety. One week earlier she witnessed her child being fatally injured in a motor vehicle accident. All labs and scans are normal. Dx? (4x)
Acute Stress Disorder
A person’s inability or difficulty to describe or be aware of emotions or mood is called: (4x)
Alexithymia
4 yo child that was hypotonic as an infant is now demonstrating developmental delays, foraging for food and having many temper tantrums. Dx? (4x)
Prader-Willi syndrome
In learned helplessness model, the behavioral deficits in animals exposed to uncontrollable stress is reversed by? (5x)
Antidepressants
50 yo w/ etoh dependence at ED for confusion, oculomotor disturbances, ataxia, and dysarthria. Give what first? (6x)
Thiamine