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PAEA Psych EOR 45 Practice Q&A
Session Summary
Avoidant personality disorders will avoid some medical treatments and interpersonal contact because they fear embarrassment or are not willing to take risks. Symptoms will resolve in time. Any anxiety or depression associated with avoidant personality disorders should be treated. Which of the following statements is true regarding vascular dementia? (A) Occurs more frequently in females (B) Those patients with a stroke are at increased risk (C) Chronic onset (D) The patient has a normal fundoscopic
(E) The cardiac chambers are normal size - โ โ (B) Those patients with a stroke are at increased risk Which one of the following are criteria used to diagnose depression?
(A) Increased concentration (B) Increased energy (C) Decreased guilt (D) Increased interest
(E) Suicidal ideation - โ โ (E) Suicidal ideation A 56-year-old man presents to your office stating he has no desire to have sex. He has recently gotten back into dating after being divorced for 10 years and is being pressured by his current girlfriend. The gentleman states he has no desire to be with his girlfriend or any other person. What would be the most likely diagnosis? (A) Sexual aversion disorder (B) Hypoactive sexual disorder (C) Hyperactive sexual disorder (D) Erectile disorder
(E) Sexual arousal disorder - โ โ (B) Hypoactive sexual disorder A misinterpretation of an external stimulus is (A) Delusions
(E) Factitious disorder - โ โ (D) Munchausen by proxy A patient present to the emergency room with alcohol withdrawal syndrome. What is the pharmacological agent of choice to be administered? (A) Clonidine (B) Phenobarbital (C) Neuroleptics (D) Benzodiazepines
(E) Methadone - โ โ (D) Benzodiazepines Which one of the following symptoms is related to delirium tremens? (A) Hypersomnolence (B) Normal temperature (C) Bradycardia (D) Hypotension
(E) Perceptual distortions - โ โ (E) Perceptual distortions
What type of pharmacological agent would be used as a first-line medication to treat obsessive-compulsive disorder? (A) Risperidone (B) Clonazepam (C) Fluoxetine (D) Trazadone
(E) Venlafaxine - โ โ (C) Fluoxetine
Fluvoxamine, Paroxetine, and Sertraline are all approved for the treatment of obsessive compulsive disorder. Use of an SSRI in combination with behavioral therapy is recommended. What type of schizophrenia is characterized by self- injury, harm to others, mutism, or rigidity? (A) Paranoid (B) Undifferentiated (C) Disorganized (D) Catatonic
she is numb and in a dazed, dreamlike state with poor concentration, and difficulty sleeping. She experienced a flashback of the event yesterday. What is the most likely diagnosis? (A) Posttraumatic stress disorder (B) Dissociative fugue (C) Psychosis (D) Acute stress disorder
(E) Depersonalization - โ โ (D) Acute stress disorder A patient presented to your office with multiple somatic complaints. During the mental status exam you notice that the patient loses the thread of conversation and discusses irrelevant topics based on external stimuli. The patient never gets back to the main point he or she was trying to express. What is the thought process called? (A) Tangentiality (B) Circumstantiality (C) Looseness of association (D) Word salad
(E) Neologisms - โ โ (A) Tangentiality
Tangentiality is a disturbance in thought causing the person to start a train of thought, but never getting to the point. Circumstantiality is seen in someone who eventually gets to the point after a delay in the thought process. Word salad is a mixture of words and phrases that are incoherent. Looseness of association is when the ideas shift between subjects that are totally unrelated to each other. Neologisms are the creation of new words. A patient that has depressive symptoms on more days than not for greater than 2 years would be diagnosed as (A) Major depressive disorder (B) Psychotic (C) Bipolar (D) Dysthymic
(E) Situational depression - โ โ (D) Dysthymic A patient who is intoxicated presents to the emergency department. On ocular exam, you notice mydriasis.
(B) Reaction formation (C) Displacement (D) Repression
(E) Denial - โ โ (E) Denial Dissociative or psychogenic fugue is precipitated by a stressful event that causes the patient to develop amnesia, leave home, and assume another identity. Ms. Jones wakes up from a deep sleep after having a nightmare. The nightmare caused her to reexperience the time she received third degree burns on her arms. The next day at work, she was very jumpy and had difficulty concentrating. What diagnosis would be given to Ms. Jones? (A) Adjustment disorder (B) Posttraumatic stress disorder (C) Personality disorder (D) Anxiety
(E) Schizophrenia - โ โ (B) Posttraumatic stress disorder
Aculalia is defined as impaired comprehension and nonsensical speech. Bradylalia is slow speech. Dysprosody is loss of the melody in speech. Dysarthria is difficulty articulating, and cluttering is loss of rhythm in speech- erratic. These are all disorders of speech. Suicide victims have associated stressors depending on their age. The most common stressor of suicide victims over the age of 30 is (A) Separation (B) Illness (C) Rejection (D) Unemployment
(E) Legal problems - โ โ (B) Illness The diagnostic criteria for anorexia nervosa include: (A) Less than 85% of normal weight for their height (B) Patient feels lack of control overeating (C) Use of inappropriate compensatory behaviors (D) Two binge episodes a week for 3 months
(E) Insight and judgment - โ โ (C) Intelligence quotient Personality disorders would be listed on which axis? (A) Axis I (B) Axis II (C) Axis III (D) Axis IV
(E) Axis V - โ โ (B) Axis II DSM IV classifies disorders into five axes. What type of information should be provided on Axis IV? (A) Global assessment (B) Clinical disorders (C) Medical conditions (D) Psychosocial stressors
(E) Personality disorders - โ โ (D) Psychosocial stressors ECT is effective in several conditions. What condition would NOT be appropriate for treatment with ECT?
(A) Severe depression (B) Manic disorders (C) Psychosis during pregnancy (D) Obsessive-compulsive disorder
(E) Depression unresponsive to medication - โ โ (D) Obsessive compulsive disorder
ECT is used for treating severe depression or when patients do not respond to medication for depression, manic disorder, chronic schizophrenia, and psychoses during pregnancy, but not obsessive compulsive disorder. To achieve a quick response to relieve depressive symptoms, ECT can also be used. Generally, patients who are malingering (A) use illness to attain a goal (B) are perfectionists (C) are workaholics (D) have a history that agrees with their physical symptoms
(D) Dissociative identity disorder
(E) Depersonalization - โ โ (B) Fugue
Sensorium on mental status exam would include (A) Judgment (B) Insight (C) Thought (D) Concrete thinking
(E) Concentration - โ โ (E) Concentration
Sensorium includes alertness, orientation, concentration and calculation, memory, fund of knowledge, and abstract thinking. Severely impaired comprehension associated with a nonsensical speech is called (A) Bradylalia (B) Aculalia (C) Dysprosody
(D) Dysarthria
(E) Cluttering - โ โ (B) Aculalia
The histrionic personality disorder would be listed in what cluster? (A) Cluster A (B) Cluster B (C) Cluster C (D) Cluster D
(E) Cluster E - โ โ (B) Cluster B Treatment for a paranoid personality disorder would include: (A) Confirm paranoid beliefs (B) Challenging paranoid ideas (C) Confrontation of delusions (D) Do not empathize with the patient
(E) Outline a treatment plan in detail - โ โ (E) Outline a treatment plan in detail
divorce, or illness in their life? The stressor causes impairment in their job and relationships, but the symptoms resolve within 6 months. What is the most likely diagnosis? (A) Depression (B) Bereavement (C) Posttraumatic stress disorder (D) Personality disorder
(E) Adjustment disorder - โ โ (E) Adjustment disorder Which disorder is characterized by episodes of hypomania and depression for greater than 2 years? (A) Dysthymia (B) Major depressive disorder (C) Cyclothymia (D) Bipolar
(E) Mood disorder - โ โ (C) Cyclothymia
Which medication should be prescribed for generalized anxiety in a patient who has a history of alcohol dependence? (A) Lorazepam (B) Paroxetine (C) Venlafaxine (D) Buspirone
(E) Sertraline - โ โ (D) Buspirone
Buspirone is recommended in treating generalized anxiety disorders in a patient who has a history of drug or alcohol dependence because of its nonaddictive nature. Which of the following criteria is considered to be a high risk factor for "successful" suicide? (A) People who live in climates with limited amount of sun (B) Lower socioeconomic status (C) Male
