PRITE REVIEW

PSYCHOTALK

100

Which ONE of the following is the most consistently agreed upon characteristic of supportive psychotherapy? A. It is a form of psychodynamic psychotherapy B. It is based on the use of transference or other interpretation C. It is best for patients with Axis-II disorders D. Its practice requires only common sense, interpersonal skills, and a capacity for empathy E. It serves primarily to strengthen patient’s self-esteem

E. It serves primarily to strengthen patient’s self-esteem

200

Which of the following types of psychotherapy focuses on a patient’s current social functioning within one of four problem areas (reaction, interpersonal disputes, role transition, or interpersonal deficits? A. Supportive psychotherapy B. Interpersonal psychotherapy C. Cognitive therapy D. Psychodynamic psychotherapy E. Psychoanalytic psychotherapy

B. Interpersonal psychotherapy

300

Which of the following is the best established psychosocial intervention for the treatment of panic disorder? A. Dialectical behavioral therapy B. Interpersonal psychotherapy C. Psychodynamic psychotherapy D. Marital and family therapy E. Cognitive-behavioral therapy

E. Cognitive-behavioral therapy

400

CBT is an effective, specific treatment for GAD. Emerging evidence suggests that which ONE of the following is similarly effective in treatment for GAD? A. DBT B. IPT C. Psychoanalysis D. Short-term Psychodynamic psychotherapy E. Supportive psychotherapy

D. Short-term Psychodynamic psychotherapy

500

The treatment for BDD that has been shown to be most effective includes which of the following psychotherapeutic techniques? A. Mindfulness training B. Exposure and response prevention C. Group psychotherapy D. Social skills training E. Biofeedback

B. Exposure and response prevention

PSYCHOMEDS

100

Which of the following medications has shown the most evidence for reducing suicide risk in the long-term treatment of bipolar disorder? A. Carbamazepine B. Divalproex C. Gabapentin D. Lithium E. Olanzapine

D. Lithium

200

Increased risk of developing diabetes mellitus and dyslipidemia have most commonly been linked to: A. Perphenazine B. Quetiapine C. Risperidone D. Ziprasidone E. Olanzapine

E. Olanzapine

300

In partial responders, which of the following classes of medications are effective adjuncts to SSRI’s for the core symptoms of PTSD? A. TCA’s B. Lithium C. Anticonvulsants D. Benzodiazepines E. Atypical antipsychotics

E. Atypical antipsychotics

400

A 45-year-old patient requests a medication to treat symptoms consistent with GAD. The patient has a history of heavy drinking. Which of the following medications would be most appropriate to prescribe? A. Clonazepam B. Bupropion C. Quetiapine D. Diazepam E. Venlafaxine

E. Venlafaxine

500

A 34-year old woman, who has been treated with an antidepressant for the past month, complains that she no longer gets relief from her back pain when she takes codeine which has been prescribed by her orthopedist. Which one of the following antidepressants would be most likely to produce such an effect? A. Escitalopram B. Sertraline C. Paroxetine D. Mirtazapine E. Bupropion

C. Paroxetine

Diagnosis

100

A bus driver calls in sick whenever there is inclement weather such as rain or light snow. He has never had an accident while driving, nor does he know anyone personally who had an accident due to inclement weather. He also avoids driving his own car in poor weather and attempts to convince family members to do the same. He admits he is very cautious about many things, which interferes with his sleep, causes fatigue, and makes him irritable. Which of the following is the most likely diagnosis? A. Panic Disorder B. Social Phobia, situational. C. PTSD D. OCD E. GAD

E. GAD

200

Which of the following is a single locus(monogenic) disorder? A. Alzheimer’s Disease B. Bipolar Disorder C. Autism D. Huntington’s Disease E. OCD

D. Huntington’s Disease

300

65 year old man whose wife died 3 months ago, presents to clinic, accompanied by daughter. Daughter states that the couple had been married for 40 yrs and that he now feels utterly worthless without his wife. Since her death, he has stayed in the house, letting the newspapers pile up, and he doesn’t answer the phone. He stopped his weekly fishing trips with his neighbor, a pastime of his for 20 years. He denies SI, but stats that he wishes to join his wife. He has lost 30 pounds over the past 3 months and has stopped taking his HTN meds. What is the most likely diagnosis? A. Bereavement B. Adjustment Disorder with depressed mood C. MDD D. Depression NOS E. Dysthymic disorder

C. MDD

400

Which of the following Axis I diagnoses is the most common among individuals with bulimia nervosa? A. GAD B. OCD C. Alcohol Use Disorder D. MDD E. Intermittent explosive disorder

D. MDD

500

Which of the following disorders has been shown to have the greatest degree of heritability? A. Schizophrenia B. Autism C. Bipolar Disorder D. Alcoholism E. ADHD

E. ADHD

Addiction

100

A 58 year old man with a history of alcohol dependence and mild dementia presents to the hospital for a live biopsy due to suspected alcohol hepatitis. He complains of severe anxiety about having the procedure done and requests “something for my nerves.” Which of the following benzodiazepines is safest to administer? A. Alprazolam B. Chlordiazepoxide C. Diazepam D. Oxazepam E. Clonazepam

D. Oxazepam

200

A 20 year old female college student presents to the counseling center with concerns about her alcohol use. She describes two occasions in the past year when she attended parties and had “way too much to drink.” Following these occasions she feels “lousy”, postpones studying, and then must stay up late to study for tests. When she’s gone to most other parties she’s had four or five drink with no ill effects. There are no other substance related symptoms. She expresses some concern about her drinking and asks for recommendations. The best intervention at this point would be to: A. Provide a brief intervention B. Prescribe disulfiram C. Recommend attending AA D. Prescribe naltrexone E. Prescribe campral

A. Provide a brief intervention

300

A busy 33-year old female executive decides that she will end 10 years of smoking. She tried once before but was unsuccessful. She travel several times a month, and agrees to use a nicotine inhaler, along with brief telephone counseling appointments. When is she most likely to relapse? A. On the quite date B. During the first few days of the quit date C. One week after the quit date D. Two weeks after the quit date E. 3 months after the quit date

B. During the first few days of the quit date

400

9 year old boy is brought by his mother at the insistence of the school for the assessment of behavior problems. The diagnosis of ADHD is made and recommendation to start stimulant. Mom is concerned that stimulant medication might put son at risk for developing substance use problems. Regarding risk of developing substance use problems, what is known about stimulant treatment for ADHD? A. Increased risk of drug dependence only B. Increased risk of both alcohol and drug dependence C. Decreased risk of drug dependence only D. Decreased risk of both alcohol and drug dependence E. Unchanged risk for both alcohol and drug dependence

D. Decreased risk of both alcohol and drug dependence

500

Which of the following medications, commonly used in alcohol treatment to decrease craving, has been shown to be more effective if given after a period of sobriety? A. Acamprosate B. Disulfiram C. Gabapentin D. Naltrexone E. Topiramate

A. Acamprosate

?

100

Which of the following is one of the standards used to determine mental capacity in decision making? A. Absence of psychosis B. Agreement with the medical recommendations C. Severity of psychiatric illness D. Rational decision making E. Presence of abstract thought

D. Rational decision making

200

The highest level of decision making capacity is required for which of the following actions? A. Making a will B. Appointing a substitute decision maker C. Agreeing to participate in a research study D. Making a decision about treatment E. Consenting to phlebotomy

C. Agreeing to participate in a research study

300

A psychiatrist is asked to determine if a very ill, delirious, and possibly senile patient has the capacity to make a new will. Which of the following features must be present to determine that the patient has the capacity? A. Orientation to time and place B. Unimpaired attention span C. Awareness that she is making a will D. Choice of beneficiary that is not frivolous E. Ability to recognize family

C. Awareness that she is making a will

400

Which of the following reflects the APA’s position on psychiatrist’s participation in legally authorized executions? A. Sanctioning of participation is determined by state associations B. Psychiatrists should not participate in executions C. Participation is left up to the discretion of the psychiatrists D. Psychiatrists may only perform a mental status exam prior to the execution E. Psychiatrists may participate if they are only in a supervisory role

B. Psychiatrists should not participate in executions

500

DAILY DOUBLE!!!!!!!!!

Which of the following cultural groups is most likely to want to be informed of a terminal prognosis? A. Mexican Americans B. Korean Americans C. African Americans D. Japanese Americans E. Navajo Americans