Anxiety Disorders
PTSD
Eating Disorders
Anxiolytics- Benzos
Anxiolytics- Non-benzos
100
A hispanic man comes into the ED complaining of headache, insomnia, fear, anger, and despair. Your differential diagnosis is most likely to include which one of the following?
A. Schizophrenia
B. Schizoaffective do
C. Panic do
D. Ataque de nervios
E. Myoclonic sleep do
D. Ataque de nervios
Test 3, #41
100
A 32 y/o w/ no psychiatric history is brought to ER with 2 days of memory loss, insomnia, poor appetite, and difficulty performing daily routines. Subjective sense of numbing, detachment, and anxiety. One week earlier the pt witnessed her child being fatally injured in a motor vehicle accident. All labs and scans normal. What is the best diagnosis at this point?
A. PTSD
B. MDD, single episode, severe
C. Dissociative Fugue
D. Acute Stress d/o
D. Acute Stress d/o
Ninja PRITE
100
A young girl is brought to the pediatrician b/c she isn't eating well. She has a lack of interest in food. She has had significant weight loss and is not growing properly. She is not getting enough nutrition and is missing days of school because she feels physically ill. She has no disturbances in the way her weight or body is experienced. Which one of the following is the most appropriate diagnosis?
A. Avoidant/restrictive food intake d/o
B. Anorexia Nervosa
C. Bulimia Nervosa
D. Binge eating d/o
E. Atypical anorexia nervosa
A. Avoidant/restrictive food intake d/o
Test 1, #110
100
Alcohol, benzo, sedative hypnotic agents and barbituates predominately exert their clinical effects on the brain at which one of the following receptor sites?
A. Cholinergic nicotinic
B. NMDA
C. Glycine
D. GABA-A
E. GABA-B
D. GABA-A
Test 3, # 80
100
In older people this family of medications increases the risk of ________?
A. Nightmares
B. Incontinence
C. Fractures and Falls
D. Memory Loss
E. Delirium
C. Fractures and Falls
Irene
200
A diagnostic feature of panic disorder is:
A. Fear of isolation
B. Derealization
C. Bed-wetting
D. Hx of trauma
E. Insomnia
B. Derealization
Ninja PRITE
200
Pregnant women involved in a Domestic violence relationship get struck where most commonly?
A. Arms
B. Head
C. Stomach
D. Legs
E. Back
C. Stomach
Ninja PRITE
200
Metabolic abnormality commonly found w/ anorexia nervosa/purging subtype?
A. Increased serum Na+
B. Decreased serum K+
C. Normal serum K+
D. Reduced serum K+
D. Decreased serum K+
200
Which one of the following is a contraindication to buproprion?
A. Seizure
B. Anorexia
C. Use of an MAOI in the last 14 days
D. Head trauma
E. HTN
E. HTN
Test1, #58
200
What is the MOA of hydroxyzine?
Nonselectively antagonizes central and peripheral histamine H1 receptors
300
What is the best therapy for patient with illness anxiety disorder
A. Brief Psychodynamic therapy
B. CBT
C. DBT
D. Psychoanalysis
A. CBT
Ninja PRITE
300
A patient presents to the ED after witnessing a tragic MVA in which they witnessed a death. What symptom present immediately following the event increases the individual’s risk of developing PTSD?
A. Insomnia
B. Reduced appetite
C. Dissociation
D. Racing thoughts
E. Nightmares
C. Dissociation
Ninja PRITE
300
What electrolyte abnormality is most seen in bulimics?
A. Hyochloremic alkalosis with hypokalemia
B. Hyochloremic acidosis with hyperkalemia
C. Hyperchloremic alkalosis with hypokalemia
D. Hyperchloremic alkalosis with hyperkalemia
A. Hyochloremic alkalosis with hypokalemia
Ninja PRITE
300
Which benzo accumulates with repeated administration, should be avoided in chronic renal failure, and most likely to accumulate with repeated dosing?
A. Diazepam
B. Lorazepam
C. Alprazolam
D. Klonopin
A. Diazepam
Irene/Ninja PRITE
300
Buspirone is thought to exert anxiolytic effects primarily due to its actions at which receptor?
A. GABA-A
B. GABA-B
C. 5HT-1A
D. Dopamine
E. 5HT-2A
C. 5HT-1A
Ninja PRITE
400
Once it becomes effective, pharmacological tx of pts with panic d/o should generally continue for what length of time?
A. 1-2 months
B. 3-4 months
C. 6 months
D. 8-12 months
E. 12-16 months
D. 8-12 months
Ninja PRITE
400
The only FDA-approved drugs for the treatment of PTSD are all of the following except:
A. Zoloft
B. Paxil
C. Prozac
D. Effexor
E. Lexapro
E. Lexapro
Dr. McGuire
400
What complication of anorexia nervosa LEAST likely to resolve after restoring weight?
A. Abnormal heart rhythms
B. Osteoporosis
C. Anemia
D. Amenorrhea (females), testosterone levels (men)
B. Osteoporosis
Ninja PRITE
400
What is one disadvantage of using shorter half-life benzodiazepines in the treatment of alcohol withdrawal?
A. Increased likelihood of status epilepticus
B. Increased likelihood of grand mal seizures
C. Increased likelihood of partial seizures
D. Increased likelihood of petite mal seizures
B. Increased likelihood of grand mal seizures
Ninja PRITE
400
In support of this claim an analysis of data of clinical trials submitted to the Food and Drug Administration (FDA) concerning the drugs zolpidem, zaleplon, and eszopiclone found that these sedative hypnotic drugs more than _______ the risks of developing depression compared to those taking placebo pills.
A. Doubled
B. Tripled
C. Quadrupled
A. Doubled
Irene
500
The Diagnostic Criteria for Selective Mutism is true:
A. Consistent failure to speak in specific social situations in which there is an expectation for speaking (e.g., at school) despite speaking in other situations.
B. The disturbance interferes with educational or occupational achievement or with social communication.
C. The duration of the disturbance is at least 6 months
D. The failure to speak is not attributable to a lack of knowledge of, or comfort with, the spoken language required in the social situation.
E. The disturbance is not better explained by a communication disorder (e.g., childhood-onset fluency disorder) and does not occur exclusively during the course of autism spectrum disorder, schizophrenia, or another psychotic disorder.
C. The duration of the disturbance is at least 1 month (not limited to the first month of school).
- Irene
500
Child abuse results in smaller size of which area of the brain?
A. Amygdala
B. Hippocampus
C. Thalamus
D. Hypothalamus
E. Frontal Lobe
B. Hippocampus
Ninja PRITE
500
A 25yo female presents with abdominal pain, diarrhea, hypokalemia, weight loss, steatorrhea, skin pigmentation. Possible laxative abuse is suspected. What laxative ingredient would you measure?
Phenolphthalein
Irene/Nina PRITE
500
What psychotropic can cause a decrease in benzo plasma levels?
A. Carbamazepine
B. Clozaril
C. Seroquel
D. Lithium
E. Topamax
A. Carbamazepine
Ninja prite
500
What is the Black Box warning for Ambien?
The Food and Drug Administration (FDA) is advising that rare but serious injuries have happened with certain common prescription insomnia medicines because of sleep behaviors, including sleepwalking, sleep driving, and engaging in other activities while not fully awake. These complex sleep behaviors have also resulted in deaths.
Irene