Psychopath. & Assoc. Conditions
Which of the following is the most common pattern of obsessions in patients with obsessive-compulsive disorder?
a) Hoarding
b) Counting
c) Aggression
d) Contamination
e) Need for symmetry
d) Contamination
Which of the following is the most highly heritable of all mental disorders?
a) Bipolar disorder
b) Autism spectrum disorder
c) Major depressive disorder
d) Generalized anxiety disorder
e) Obsessive-compulsive disorder
b) Autism spectrum disorder
A set of feelings that a patient reenacts in the therapeutic relationship is referred to as:
a) transference.
b) resistance.
c) rediscovery of trauma.
d) projective identification.
e) rapprochment.
a) transference.
A 21-year old patient is hospitalized for excessive bleeding following an induced first trimester abortion. The obstetrician requests psychiatric consultation to evaluate the patient for depression. The patient reports some anxiety about the bleeding, but says she is relieved about the abortion itself. She indicates that her relationship with the man she has been involved with is abusive, yet she is not in a position emotionally or economically to raise a child by herself. In evaluating this patient, it is most important for the psychiatrist to be aware of which of the following?
a) The patient's partner should be involved in post-abortion counseling.
b) The patient's reported lack of ambivalence about the abortion predicts greater risk of depression.
c) The strongest predictor of depression after elective abortion is a history of pre-pregnancy depression.
d) Though many women deny it, close investigation reveals that most women have post-abortion depression.
e) Unless the pregnancy was the result of rape, the abusiveness of the patient's partner has no bearing on her psychological reactions to the abortion.
c) The strongest predictor of depression after elective abortion is a history of pre-pregnancy depression.
Which of the following is a mandate of the 2010 Affordable Care Act designed, in part, to increase access to mental health services?
a) Inclusion of rehabilitation services as an essential benefit
b) Prohibition on preexisting condition denials due to a history of a mental disorder
c) Requirement that each state ensure federally specified essential mental health benefits
d) Requirement that psychiatrists be included as part of the patient-centered medical home
e) Incorporation of depression and several other mental health conditions among Accountable Care Organization's quality indicators
b) Prohibition on preexisting condition denials due to a history of a mental disorder
A patient with major depressive disorder and generalized anxiety disorder expresses concerns that treatment with an antidepressant will cause sexual side effects. Which of the following medications is least likely to cause treatment-emergent, medication-induced sexual dysfunction?
a) Duloxetine
b) Escitalopram
c) Paroxetine
d) Sertraline
e) Venlafaxine
b) Escitalopram
A teacher notices that an eight-year-old pupil seems to stare often into space and then blink for a few seconds. The teacher brings this to the attention of the child's parents who obtain a neurological consult. The electroencephalogram for this child is likely to show which of the following?
a) Polyspikes
b) Hypsarrhythmia
c) Biphasic frontal transients
d) Periodic lateralized epileptiform discharges
e) Three cycles per second spike-and-wave activity
e) Three cycles per second spike-and-wave activity
A psychiatrist is asked to interview an agitated and potentially violent patient. Which of the following actions is most appropriate?
a) Use whatever tactics are necessary to elicit cooperation.
b) Refuse to interview the patient until he has been sedated.
c) Be aware of own body position as well as that of the patient.
d) Explain to the patient the potential consequences of his becoming violent.
e) Place the chairs in such a way that the psychiatrist is between the patient the the door in order to facilitate exit if necessary.
c) Be aware of own body position as well as that of the patient.
In an integrated setting with primary care and mental health, which of the following would be a great population-based technique used to provide collaborative care?
a) Tracking clinic patients in a registry
b) Having a care plan for each patient in the clinic
c) Using evidence-based mental health treatments
d) Ensuring good communication between primary care and mental health
e) Having the mental health providers see patient when they are symptomatic
a) Tracking clinic patients in a registry
Neurogenesis in the adult brain is largely restricted to what region of the brain?
a) Olfactory bulb
b) Dentate gyrus
c) Third ventricle
d) Prefrontal cortex
e) Entorhinal cortex
b) Dentate gyrus
Which of the following patient characteristics best differentiates bulimia nervosa from binge eating disorder?
a) Normal BMI
b) Duration of symptoms
c) History of laxative abuse
d) Degree of control over food intake
e) History of non-suicidal self-injurious behavior
c) History of laxative abuse
Which of the following areas of the brain is most likely to be active when trying to remember a phone number long enough to make a phone call?
a) Amygdala
b) Hippocampus
c) Parahippocampal gyrus
d) Dorsolateral prefrontal cortex
e) Ventromedial cingulate cortex
d) Dorsolateral prefrontal cortex
The Food and Drug Administration requires that pharmaceutical companies demonstrate that a generic drug is not significantly different from the parent compound in which of the following ways?
a) Cost
b) Efficacy
c) Ingredients
d) Bioquivalence
e) Side effects
d) Bioquivalence
To be eligible for special education services a student must require specific interventions in order to make progress in school, and meet which of the following criteria?
a) Have failed at least one grade
b) Be under a psychiatrist's care
c) Have a documented disability
d) Require pharmacologic treatment
e) Have failed all other less restrictive alternatives
c) Have a documented disability
In Heinz Kohut's theories of self-psychology, what is meant by the term "self-objects"?
a) Personal belongings of significance used to help define the self
b) Different aspects of the self that emerge in different types of situations
c) Various components of the self that appear during different stages of life
d) Other people in the environment who perform particular functions for the self
d) Other people in the environment who perform particular functions for the self
Females of which of the following ethnic groups report experiencing the highest rates of lifetime intimate partner violence?
a) Asian American
b) Native American
c) African American
d) Hispanic American
e) Caucasian American
b) Native American
At what stage of development does the peak of dopamine receptor density occur in the striatum, possibly accounting for increased response to rewards for behavior during this stage?
a) Infancy
b) Childhood
c) Adolescence
d) Early adulthood
e) Late adulthood
c) Adolescence
Which of the following agents is likely to decrease lithium levels?
a) Caffeine
b) Lisinopril
c) Ibuprofen
d) Quetiapine
e) Hydrochlorothiazide
a) Caffeine
A 55-year-old patient has been repeatedly presenting to the emergency department (ED) for chest pain. The patient's electrocardiogram is normal, a troponin level done during an ED visit one month prior for similar symptoms was negative. The patient's brother died from a myocardial infarction. The patient reports significant chest pain over the past year, worse with exertion, and relieved by rest. In addition the patient becomes short of breath, with or without activity. The patient also reveals a history of depression currently successfully treated with sertraline. Which of the following aspects of the evaluation should the psychiatrist weigh as being most critical when formulating the assessment and recommended plan?
a) History of depression
b) Observed symptoms of anxiety
c) History of pain on exertion that is relieved by rest
d) History of dyspnea independent of physical exertion
e) Similarity between the patient's symptoms and that of his brother
c) History of pain on exertion that is relieved by rest
During which stage of development does the maximal number of axons and synapses exist?
a) Infancy
b) Toddlerhood
c) Preschool-age
d) School-age
e) Adolescence
a) Infancy
When compared to patients with somatic symptom disorder, patients with illness anxiety disorder are less likely to:
a) be female.
b) display la belle indifference
c) have multiple complaints.
d) develop a major depressive disorder.
c) have multiple complaints.
By which of the following mechanisms of action does phencyclidine induce psychosis?
a) Inhibition of D2 receptors
b) Inhibition of 5HT receptors
c) Inhibition of NMDA receptors
d) Stimulation of GABA-A receptors
e) Stimulation of GABA-B receptors
c) Inhibition of NMDA receptors
During a dialectical behavior therapy session, the patient tells the therapist about strong urges to cut that had occurred a few days earlier. A therapist using the behavioral analysis strategy would most likely respond by saying which of the following?
a) "Why would you want to inflict pain on yourself?"
b) "Have you thought about how cutting might cause permanent scars?"
c) "You were thinking about hurting yourself. Let us see where your mind goes with that."
d) "At what point during the day did you first notice that you were thinking about cutting?"
e) "I am glad you were able to use the techniques you learned here to modify those thoughts."
d) "At what point during the day did you first notice that you were thinking about cutting?"
A patient presents with a history of irresistible episodic sleepiness that is accompanied by a vivid, dreamlike state at the onset of an episode. Which of the following additional sleep symptoms are likely to be present?
a) Sleep walking
b) Sleep paralysis
c) Restless legs
d) Apneic episodes
b) Sleep paralysis
Which of the following does the Wisconsin Card Sorting Task most accurately measure?
a) Simple motor speed
b) Matching and discrimination of visual cues
c) Recognition, immediate and intermediate recall
d) The ability to reproduce sequence from memory
e) The ability to generate alternative strategies in response to feedback
e) The ability to generate alternative strategies in response to feedback