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Exams 1 :NU665C/ NU 665C (NEW 2025/ 2026 Updates BUNDLE) 100% Correct- Regis
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Whichl factorl isl mostl predictivel ofl relapsel inl substancel usel disorder? a)l Agel atl firstl use b)l Previousl withdrawall symptoms c)l Lengthl ofl abstinence d)l Familyl historyl ofl substancel usel disorder Answer: Previousl withdrawall symptoms
Whichl ofl thel followingl isl al keyl featurel ofl deliriuml tremensl (DTs)? a)l Mildl anxietyl andl insomnia b)l Auditoryl andl visuall hallucinationsl withl autonomicl instability c)l Opioidl cravingsl andl nausea d)l Mildl withdrawall symptomsl resolvingl withinl 24 l hours Answer: b)l Auditoryl andl visuall hallucinationsl withl autonomicl instability
Whichl pharmacologicall treatmentl isl FDA-approvedl forl bothl opioidl usel disorderl andl alcoholl usel disorder? a)l Methadone b)l Disulfiram c)l Naltrexone d)l Acamprosate
Answer: c)l Naltrexone
Al 45 - year-oldl womanl withl alcoholl usel disorderl isl admittedl tol thel hospitall withl confusion,l ataxia,l andl ophthalmoplegia.l Whatl isl thel mostl likelyl diagnosis? a)l Deliriuml tremens b)l Wernicke'sl encephalopathy c)l Korsakoff'sl syndrome d)l Alcoholl withdrawall seizures Answer: (b)l Wernicke'sl encephalopathy
Al 22 - year-oldl malel withl severel opioidl usel disorderl isl startedl onl medication-assistedl treatmentl (MAT).l Whichl medicationl isl mostl appropriatel tol initiatel inl anl outpatientl setting? a)l Methadone b)l Buprenorphine/Naloxone c)l Naltrexone d)l Disulfiram Answer: b)l Buprenorphine/Naloxone
Al patientl undergoingl opioidl withdrawall isl mostl likelyl tol exhibitl whichl symptom? a)l Respiratoryl depression b)l Mydriasis,l piloerection,l andl diarrhea c)l Sedationl andl hypotension d)l Bradycardial andl pinpointl pupils Answer: (b)l Mydriasis,l piloerection,l andl diarrhea
Whichl therapyl approachl isl mostl effectivel inl helpingl individualsl withl insecurel attachmentl stylesl developl healthierl relationships? a)l Motivationall Interviewingl (MI) b)l Attachment-Basedl Therapyl (ABT) c)l Exposurel Therapy d)l Rationall Emotivel Behaviorall Therapyl (REBT) Answer: (b)l Attachment-Basedl Therapyl (ABT)
Whichl attachmentl stylel isl consideredl thel mostl protectivel againstl thel developmentl ofl mentall healthl disorders? a)l Avoidant b)l Anxious c)l Secure d)l Disorganized Answer: (c)l Secure
Whatl typel ofl attachmentl stylel isl mostl commonlyl seenl inl childrenl whol havel experiencedl chronicl neglect,l abuse,l orl trauma? a)l Securel attachment b)l Avoidantl attachment c)l Disorganizedl attachment d)l Anxious-ambivalentl attachment Answer: (c)l Disorganizedl attachment
Whichl ofl thel followingl earlyl childhoodl experiencesl isl mostl associatedl withl thel developmentl ofl anl avoidantl attachmentl style? a)l Parentsl whol arel consistentlyl responsivel andl nurturing b)l Unpredictablel caregivingl withl mixedl messagesl ofl comfortl andl rejection c)l Caregiversl whol minimizel orl rejectl thel child'sl emotionall needs
d)l Excessivel parentall involvementl andl overprotection Answer: (c)l Caregiversl whol minimizel orl rejectl thel child'sl emotionall needs
Al clinicianl isl treatingl al 28 - year-oldl patientl whol reportsl difficultyl trustingl others,l avoidingl closel relationships,l andl feelingl emotionallyl numbl inl interpersonall situations.l Thisl presentationl isl mostl consistentl withl whichl attachmentl style? a)l Secure b)l Avoidant c)l Disorganized d)l Anxious Answer: (b)l Avoidantl attachment
Whichl attachmentl stylel isl characterizedl byl al childl whol showsl distressl whenl separatedl froml al caregiverl butl isl easilyl comfortedl uponl theirl return? a)l Securel attachment b)l Avoidantl attachment c)l Disorganizedl attachment d)l Resistantl attachment Answer: (a)l Securel attachment
Al 5 - year-oldl childl exhibitsl inconsistentl responsesl tol theirl caregiver,l sometimesl clingingl excessivelyl andl otherl timesl appearingl fearfull orl avoidant.l Accordingl tol attachmentl theory,l thisl childl mostl likelyl has: a)l Securel attachment b)l Avoidantl attachment c)l Disorganizedl attachment d)l Anxious-ambivalentl attachment Answer:
Whatl isl thel primaryl functionl ofl thel prefrontall cortexl inl psychiatricl disorders?a)l Regulationl ofl fearl andl aggression b)l Coordinationl ofl movement c)l Executivel functioningl andl impulsel control d)l Regulationl ofl autonomicl functions Answer: (c)l Executivel functioningl andl impulsel control
Whichl neurotransmitterl abnormalityl isl mostl commonlyl implicatedl inl Majorl Depressivel Disorderl (MDD)? a)l Excessl dopaminel inl thel mesolimbicl pathway b)l Decreasedl serotoninl inl thel raphel nuclei c)l Increasedl norepinephrinel inl thel frontall cortex d)l Excessl glutamatel activityl inl thel hippocampus Answer: (b)l Decreasedl serotoninl inl thel raphel nuclei
Whatl isl thel primaryl characteristicl ofl mildl neurocognitivel disorderl (mildl cognitivel impairment)l inl DSM- 5 - TR? a)l Severel functionall impairment b)l Significantl memoryl lossl withl hallucinations c)l Cognitivel declinel thatl doesl notl interferel significantlyl withl dailyl activities d)l Disorientationl tol timel andl place Answer: (c)l Cognitivel declinel thatl doesl notl interferel significantlyl withl dailyl activities
Whichl ofl thel followingl cognitivel abilitiesl isl leastl likelyl tol declinel withl normall aging? a)l Processingl speed b)l Workingl memory c)l Verball knowledgel andl vocabulary d)l Episodicl memory
Answer: (c)l Verball knowledgel andl vocabulary
Whichl riskl factorl isl mostl associatedl withl thel earlyl onsetl ofl substancel usel inl adolescents? a)l Highl academicl achievement b)l Parentall supervision c)l Earlyl exposurel tol traumal andl adversity d)l Strongl religiousl beliefs Answer: c)l Earlyl exposurel tol traumal andl adversity
Whatl isl thel primaryl developmentall taskl ofl adolescencel accordingl tol Erikson?a)l Establishingl trustl inl caregivers b)l Developingl al sensel ofl industry c)l Formingl al stablel personall identity d)l Gainingl autonomyl froml parents Answer: (c)l Formingl al stablel personall identity
Whichl attachmentl stylel inl childhoodl isl mostl stronglyl associatedl withl thel developmentl ofl anxietyl disordersl inl adulthood? a)l Securel attachment b)l Avoidantl attachment c)l Disorganizedl attachment d)l Anxious-ambivalentl attachment Answer: (c)l Disorganizedl attachment
Answer: b)l Modelingl andl observationl influencel behavior
Inl majorl depressivel disorderl (MDD),l whichl symptoml isl consideredl atypical? a)l Earlyl morningl awakening b)l Psychomotorl agitation c)l Increasedl sleepl andl weightl gain d)l Lackl ofl appetite Answer: (c)l Increasedl sleepl andl weightl gain
Whichl ofl thel followingl isl al newlyl includedl diagnosisl inl thel DSM- 5 - TR? a)l Persistentl Depressivel Disorder b)l Prolongedl Griefl Disorder c)l Cyclothymicl Disorder d)l Schizoaffectivel Disorder Answer: (b)l Prolongedl Griefl Disorder
Al 25 - year-oldl femalel reportsl persistentl worry,l difficultyl concentrating,l musclel tension,l andl sleepl disturbancesl forl thel pastl eightl months.l Accordingl tol thel DSM- 5 - TR,l whichl ofl thel followingl isl requiredl forl al diagnosisl ofl Generalizedl Anxietyl Disorderl (GAD)? a)l Recurrentl panicl attacks b)l Obsessivel thoughtsl orl compulsions c)l Excessivel anxietyl aboutl multiplel eventsl forl atl leastl sixl months d)l Presencel ofl delusionsl orl hallucinations Answer: (c)l Excessivel anxietyl aboutl multiplel eventsl forl atl leastl sixl months
Al patientl withl chronicl schizophrenial isl inl thel maintenancel phasel ofl treatment.l Whatl isl thel primaryl goall duringl thisl stage? a)l Crisisl stabilization b)l Reductionl ofl acutel psychoticl symptoms c)l Functionall recoveryl andl preventionl ofl relapse d)l Discontinuationl ofl medications Answer: (c)l Functionall recoveryl andl preventionl ofl relapse
Whichl ofl thel followingl factorsl isl mostl predictivel ofl relapsel inl psychiatricl disorders? a)l Medicationl adherence b)l Socioeconomicl status c)l Numberl ofl pastl hospitalizations d)l Genderl andl age Answer: (a)l Medicationl adherence
Al psychiatricl patientl inl thel acutel stabilizationl phasel presentsl withl severel agitationl andl paranoidl delusions.l Whatl isl thel mostl appropriatel first-linel treatmentl approach? a)l Cognitive-behaviorall therapyl (CBT) b)l Immediatel hospitalizationl andl initiationl ofl anl antipsychotic c)l Psychoeducationl aboutl delusions d)l Motivationall interviewing Answer: (b)l Immediatel hospitalizationl andl initiationl ofl anl antipsychotic
Whichl ofl thel followingl describesl thel relationshipl betweenl stressl andl thel hypothalamic- pituitary-adrenall (HPA)l axis? a)l Stressl decreasesl cortisoll release b)l Chronicl stressl leadsl tol dysregulationl ofl thel HPAl axis c)l Thel HPAl axisl isl unaffectedl byl psychologicall stress d)l Cortisoll hasl nol impactl onl moodl orl anxietyl disorders
Whichl ofl thel followingl isl consideredl al normall cognitivel changel withl aging? a)l Suddenl lossl ofl short-terml memory b)l Impairedl abilityl tol recalll pastl events c)l Slowerl processingl speedl withl intactl overalll memory d)l Rapidl declinel inl executivel functioning Answer: (c)l Slowerl processingl speedl withl intactl overalll memory
Whichl ofl thel followingl isl al riskl factorl forl poorl adolescentl mentall healthl outcomes? a)l Securel attachmentl tol caregivers b)l Consistentl disciplinel andl guidance c)l Exposurel tol earlyl childhoodl trauma d)l Highl levelsl ofl sociall support Answer: (c)l Exposurel tol earlyl childhoodl trauma
Atl whatl stagel doesl Eriksonl proposel thatl childrenl developl al sensel ofl trustl vs.l mistrust? a)l Adolescence b)l Infancy c)l Earlyl childhood d)l Schooll age Answer: (b)l Infancy
Whichl ofl thel followingl isl al keyl principlel ofl childl development? a)l Developmentl occursl inl al fixedl andl identicall sequencel forl alll children b)l Earlyl experiencesl havel minimall impactl onl laterl development c)l Sociall interactionsl playl al cruciall rolel inl cognitivel andl emotionall growth d)l Emotionall developmentl isl independentl ofl cognitivel development Answer: (c)l Sociall interactionsl playl al cruciall rolel inl cognitivel andl emotionall growth
Whatl isl thel primaryl purposel ofl thel Psychiatricl Reviewl ofl Systems? a)l Tol assessl forl medicall conditionsl causingl psychiatricl symptoms b)l Tol developl rapportl withl thel patient c)l Tol determinel thel bestl pharmacologicall treatment d)l Tol focusl onlyl onl substancel usel history Answer: (a)l Tol assessl forl medicall conditionsl causingl psychiatricl symptoms
Whichl ofl thel followingl isl al keyl componentl ofl anl effectivel psychiatricl interview? a)l Rigidlyl followingl al structuredl questionnaire b)l Usingl open-endedl questionsl tol explorel symptoms c)l Avoidingl discussionl ofl thel patient'sl pastl experiences d)l Keepingl thel interviewl asl shortl asl possible Answer: (b)l Usingl open-endedl questionsl tol explorel symptoms
Whichl sleepl medicationl isl mostl associatedl withl complexl sleepl behaviorsl likel sleepwalking? Answer: Zolpideml (Ambien).
Whatl arel thel threel hallmarkl symptomsl ofl serotoninl syndrome? Answer: Hyperreflexia,l clonus,l autonomicl instabilityl (fever,l sweating,l tachycardia).
Whatl isl thel mechanisml ofl actionl ofl atomoxetinel (Strattera)? Answer: Whatl isl thel mechanisml ofl actionl ofl atomoxetinel (Strattera)?
Whichl benzodiazepinel hasl thel longestl half-life,l makingl itl usefull forl alcoholl withdrawal? Answer: Diazepaml (longl half-life).
Whichl non-benzodiazepinel isl usedl forl generalizedl anxietyl disorderl (GAD)l butl takesl weeksl tol work? Answer: Buspironel (delayedl onset,l non-sedating).
Whichl medicationl isl thel first-linel treatmentl forl PTSD-relatedl nightmares? Answer: Prazosinl (alpha- 1 l blocker).
Whatl isl thel antidotel forl benzodiazepinel overdose? Answer: Flumazenill (benzodiazepinel receptorl antagonist).
Whichl hypnoticl sleepl medicationl hasl thel lowestl riskl ofl dependence?
Answer: Ramelteonl (melatoninl receptorl agonist).
Whichl moodl stabilizerl hasl al narrowl therapeuticl indexl andl requiresl regularl bloodl levell monitoring? Answer: Lithiuml (targetl level:l 0.6-1.2l mEq/L).
Whichl moodl stabilizerl isl contraindicatedl inl pregnancyl duel tol neurall tubel defects? Answer: Valproatel (teratogenic).
Whatl geneticl testl isl requiredl beforel startingl carbamazepinel inl Asianl patients? Answer: HLA-B*1502l (riskl ofl Stevens-Johnsonl Syndrome).
Whichl moodl stabilizerl isl mostl associatedl withl rashl andl Stevens-Johnsonl Syndrome? Answer: Lamotriginel (mustl bel titratedl slowly).
Whatl electrolytel abnormalityl increasesl thel riskl ofl lithiuml toxicity? Answer: Hyponatremial (lowl sodiuml increasesl lithiuml levels).
Answer: Fluoxetinel (longl half-life,l self-tapers).
Whichl antidepressantl isl contraindicatedl inl patientsl withl al historyl ofl seizuresl orl eatingl disorders? Answer: Bupropionl (lowersl seizurel threshold).
Whichl classl ofl antidepressantsl requiresl dietaryl restrictionsl duel tol riskl ofl hypertensivel crisis? Answer: MAOIsl (e.g.,l phenelzine,l tranylcypromine).
Whichl antidepressantl isl commonlyl usedl forl insomnial atl lowl doses? Answer: Trazodonel (causesl sedation).
Whichl antidepressantl increasesl appetitel andl isl goodl forl patientsl withl depressionl andl weightl loss? Answer: Mirtazapinel (causesl weightl gainl andl sedation).
Al 38 - year-oldl patientl withl heroinl addictionl hasl relapsedl multiplel times.l Whichl harml reductionl strategyl isl mostl appropriate? Answer:
Referringl thel patientl tol al supervisedl injectionl facility
Whichl medicationl isl first-linel forl alcoholl withdrawall tol preventl seizuresl andl deliriuml tremens? Answer: Diazepam
Whichl ofl thel followingl describesl thel mechanisml ofl actionl ofl disulfiraml (Antabuse)l inl alcoholl usel disorder? Answer: Inhibitsl aldehydel dehydrogenase,l leadingl tol anl aversivel reactionl whenl alcoholl isl consumed
Al 19 - year-oldl patientl withl cannabisl usel disorderl wantsl tol quitl butl isl ambivalentl aboutl stopping.l Whichl approachl isl mostl effectivel forl enhancingl motivationl tol change? Answer: Motivationall Interviewingl (MI)
Whatl isl thel primaryl focusl ofl cognitive-behaviorall therapyl (CBT)l accordingl tol sociall andl behaviorall sciences? a)l Identifyingl unconsciousl conflicts b)l Changingl maladaptivel thoughtl patterns c)l Strengtheningl interpersonall relationships d)l Reducingl externall environmentall stressors Answer: (b)l Changingl maladaptivel thoughtl patterns