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Neurology
Growth and development
Adult Psychopathology
Miscellaneous
Child Psychiatry
100
73 yr old woman seems unaware of her inability to use her left upper and lower extremities. When the psychiatrist lifts her left arm up and asks, " Whose arm is this?" she responds, "Yours." This type of behavior is most indicative of a lesion in the right:
Parietal Lobe
100
A 9 month old child bangs his hand on a soft toy, setting up a steady rhythm and smiling with pleasure and exuberance. Mother falls into his rhythm and says, "Kaa-bam, kaaa-bam," with the "bam" falling on the stroke and the "kaaa" accompanying the upswing of his arm.
accomodation
100
The natural course of an untreated manic episode lasts approximately what length of time?
3 months
100
Watson's experiment with " Little Albert" demonstrated that 11-month-old child, who has previously shown no phobic response to a stimulus, learned to fear the stimulus after it was repeatedly paired with a loud noise. This experiment would now be considered unethical because it violates which of the following principles
Nonmaleficence
100
8 yr old child described as "having lots of energy" and "acting without thinking about consequences" when at home, as well as having a "short fuse" when frustrated and frequent angry outbursts. The child makes careless mistakes in homework assignments, but is able to play video games at home without difficulty. Initial pharmacological treatment should include a trial of which of the following?
Methylphenidate
200
47 yr old patient develops new onset vertigo, diplopia, gait imbalance, and severe occipital pain during chiropractic manipulation of the neck. Which of the following is the most likely diagnosis
Vertebral artery dissection
200
A preschooler misses his long-term nanny who has recently moved away. To help this child, the parents should:
show the child pictures of the nanny
200
Dissociative amnesia is a disorder that involves difficulty in retrieving which of the following types of memory?
Episodic
200
The person who first used to term "schizophrenia" was:
Eugen Bleuler
200
3 yr old child and parents present for evaluation. The child is playing alone in the corner of the room, stacking and unstacking blocks. The child appears oblivious to the presence of the parents and physician. Parents report that the child has not yet begun to speak, and that an audiology evaluation was negative for hearing loss. Which of the following would be the most useful instrument for further assessment of this patient?
Autism Diagnostic Observation Schedule
300
19 yr old patient is evaluated for episodes of getting out of bed during the night and moving about the bedroom in a frenzied manner while asleep. The patient appears frightened during these episodes and has, on occasion, self injured. Which of the following is typical for this sleep phenomenon?
Onset in childhood
300
As children progress though the school-age period of development, they start to:
recognize racial and ethnic stereotypes
300
A 40 yr old patient has been unable to speak at all after having a screaming argument with the spouse. The patient writes, " I have been trying to speak, but cannot make a single sound." Physical examination, including examination of the throat, is unremarkable except for occasional loud cough. Which of the following is the most likely diagnosis for this patient?
Conversion disorder
300
The psychiatrist is treating a psychotherapy patient who discloses selling marijuana as a means of support. The patient is later arrested for this activity, and the psychiatrist receives a subpoena from court to release the patient's records. Which of the following actions would be the most ethical choice for the psychiatrist to make?
Oppose the subpeona on the grounds that the psychiatrist doesn't have the patient's consent to release the records
300
The Child-Adolescent Anxiety Multimodal Study (CAMS) compared sertraline, CBT and combination therapy in children and adolescents with moderate/severe generalized anxiety disorder, separation anxiety disorder and/or social phobia. Which of the following reflects the primary findings?
Combination treatment was superior to monotherapies
400
Which of the following tremors has frequency of around 3 Hz, irregular amplitude, and is most evident toward the end of reaching movements?
Cerebellar tremor
400
Transient homosexual and heterosexual experiences in heterosexual and homosexual adolescents respectively are best understood as which of the following?
Normal experimentation in sexual identity
400
An adult male patient presents to the methadone maintenance clinic with a broken hand. When asked how the hand was broken the patient reveals that he injured it in a domestic dispute when he hit his same-age spouse. The patient reports that his spouse has never hit or harmed him. Which of the following is the best response for the psychiatrist to make?
Tell the patient that violence is his responsibility and he needs to stop it
400
A patient with multiple sclerosis (MS) is participating in a study to evaluate a novel MS treatment. During a study visit, the research coordinator requests that the patient's spouse participate in the study as a healthy control. If the spouse agrees to participate in the study, which of the following features of informed consent is potentially being violated
Voluntarism
400
17 yr old adolescent is able to feed, bathe, and dress self but requires some supervision for these activities. The patient functions well living in a group home setting. The adolescent is currently employed as a grocery store greeter and typically works under the supervision of another employee. Caregivers report that the adolescent has the academic skills of a second grader. Which diagnostic classification best represents the patient's severity of intellectual disability?
Moderate
500
A patient with several days of fever and severe headaches is brought to the emergency department following a generalized seizure. The patient is confused, and tends to fall asleep easily. The family reports that the patient has been irritable and has complained of foul smells in the house. What is the most likely diagnosis
Temporal lobe epilepsy
500
According to Winnicott's theory of development of infants' assertiveness and sense of competence, which of the following best describes the critical function of the holding environment?
Encourages spontaneity while protecting the child from harm
500
24 yr old office worker presented to the primary care physician with a one-month history of increasing fatigue, difficulty falling asleep, poor motivation and trouble paying attention especially in night school. There was no personal or family history of depression. Mirtazapine 15mg daily at bedtime was prescribed. After two doses, the patient suddenly became euphoric, hyperactive, talkative and full of creative ideas. The patient stood on a chair at night school and offered hearty congratulations to the teacher for contributing to the patient's certain future success. Which of the following diagnoses is best supported by the available evidence?
Substance induced bipolar disorder
500
An adolescent with a recent suicide attempt is about to be discharged from the hospital. The psychiatrist requests that the adolescent's parent remove firearms from the house as a safety precaution. The parent insists, " I need firearms to protect my family and I will make sure that they are secure." The psychiatrist files a report with a child protective services. Which of the following is the ethical concept that conflicts with this decision?
autonomy
500
13 yr old patient is "sleepy" during the day, and often seems dazed and "out of it." Additionally, patient is often not hungry and sometimes complain of nausea. On examination, the patient has red eyes, a runny nose, and red sores around the mouth. Which of the following substances is most likely to be playing a role in this teenager's presentation?
Aerosol